chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alpha-1 acid glycoprotein normal, Computerised tomogram normal, Full blood count, Hypoaesthesia, Metabolic function test
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient with no allergies, birth defects or medical conditions who on 30-APR-2010 was vaccinated IM with a first dose of GARDASIL (lot number: 662299/1099Y). On 01-JUL-2010, the patient was vaccinated IM with a second dose of GARDASIL (lot number: 661758/0968Y) (expiration date: 29-JUN-2012) in the left deltoid. There was no illness at the time of vaccination. On 08-JUL-2010 the patient experienced weakness and bilateral numbness in her lower extremities and upset. The patient was hospitalized from 08-JUL-2010 to 09-JUL-2010 (overnight observation) and discharged from the hospital. The patient left the hospital walking. Multiple, unspecified laboratory tests were performed. On 09-JUL-2010, the patient recovered and she had seen the physician the day after her discharge. The physician stated that the patient's father had a viral infection and she was not sure if the patient's symptoms could have been related to a viral infection exposure. No additional information is expected.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mood altered, Muscular weakness, Sick relative
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient with no allergies, birth defects or medical conditions who on 30-APR-2010 was vaccinated IM with a first dose of GARDASIL (lot number: 662299/1099Y). On 01-JUL-2010, the patient was vaccinated IM with a second dose of GARDASIL (lot number: 661758/0968Y) (expiration date: 29-JUN-2012) in the left deltoid. There was no illness at the time of vaccination. On 08-JUL-2010 the patient experienced weakness and bilateral numbness in her lower extremities and upset. The patient was hospitalized from 08-JUL-2010 to 09-JUL-2010 (overnight observation) and discharged from the hospital. The patient left the hospital walking. Multiple, unspecified laboratory tests were performed. On 09-JUL-2010, the patient recovered and she had seen the physician the day after her discharge. The physician stated that the patient's father had a viral infection and she was not sure if the patient's symptoms could have been related to a viral infection exposure. No additional information is expected.
Age: 15.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Confusional state, Dyskinesia, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Information has been received from an office staff member and a physician concerning a 15 year old male patient with no pertinent medical history and no known drug allergies/drug reactions and family history of epilepsy who on 15-JUL-2010 was vaccinated with the first dose of GARDASIL (Lot # 0450Z). It was reported that immediately after receiving GARDASIL the patient experienced jerking movements of four limbs and loss of consciousness which lasted 30-60 seconds. The patient then returned to normal with vague nausea and the patient did not know what happened. The office staff member stated that the patient had his blood pressure taken and his vital signs were fine and the patient was able to go home. The physician confirmed that on 15-JUL-2010 the patient received the first dose of GARDASIL and did not received any concomitant vaccinations. The physician reported that immediately after the patient received the vaccine, the patient fell back and had most likely a short seizure along with a vasovagal response. When the patient regained consciousness he was not postictal but felt nauseous. There were no laboratory diagnostic tests performed. At the time of the report the patient had recovered (on therapy). Upon internal review most likely a short seizure was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Oxygen saturation normal
Clinical narrative: Information has been received from an office staff member and a physician concerning a 15 year old male patient with no pertinent medical history and no known drug allergies/drug reactions and family history of epilepsy who on 15-JUL-2010 was vaccinated with the first dose of GARDASIL (Lot # 0450Z). It was reported that immediately after receiving GARDASIL the patient experienced jerking movements of four limbs and loss of consciousness which lasted 30-60 seconds. The patient then returned to normal with vague nausea and the patient did not know what happened. The office staff member stated that the patient had his blood pressure taken and his vital signs were fine and the patient was able to go home. The physician confirmed that on 15-JUL-2010 the patient received the first dose of GARDASIL and did not received any concomitant vaccinations. The physician reported that immediately after the patient received the vaccine, the patient fell back and had most likely a short seizure along with a vasovagal response. When the patient regained consciousness he was not postictal but felt nauseous. There were no laboratory diagnostic tests performed. At the time of the report the patient had recovered (on therapy). Upon internal review most likely a short seizure was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Dyskinesia, Fall, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Information has been received from an office staff member and a physician concerning a 15 year old male patient with no pertinent medical history and no known drug allergies/drug reactions and family history of epilepsy who on 15-JUL-2010 was vaccinated with the first dose of GARDASIL (Lot # 0450Z). It was reported that immediately after receiving GARDASIL the patient experienced jerking movements of four limbs and loss of consciousness which lasted 30-60 seconds. The patient then returned to normal with vague nausea and the patient did not know what happened. The office staff member stated that the patient had his blood pressure taken and his vital signs were fine and the patient was able to go home. The physician confirmed that on 15-JUL-2010 the patient received the first dose of GARDASIL and did not received any concomitant vaccinations. The physician reported that immediately after the patient received the vaccine, the patient fell back and had most likely a short seizure along with a vasovagal response. When the patient regained consciousness he was not postictal but felt nauseous. There were no laboratory diagnostic tests performed. At the time of the report the patient had recovered (on therapy). Upon internal review most likely a short seizure was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Nausea, Presyncope
Clinical narrative: Information has been received from an office staff member and a physician concerning a 15 year old male patient with no pertinent medical history and no known drug allergies/drug reactions and family history of epilepsy who on 15-JUL-2010 was vaccinated with the first dose of GARDASIL (Lot # 0450Z). It was reported that immediately after receiving GARDASIL the patient experienced jerking movements of four limbs and loss of consciousness which lasted 30-60 seconds. The patient then returned to normal with vague nausea and the patient did not know what happened. The office staff member stated that the patient had his blood pressure taken and his vital signs were fine and the patient was able to go home. The physician confirmed that on 15-JUL-2010 the patient received the first dose of GARDASIL and did not received any concomitant vaccinations. The physician reported that immediately after the patient received the vaccine, the patient fell back and had most likely a short seizure along with a vasovagal response. When the patient regained consciousness he was not postictal but felt nauseous. There were no laboratory diagnostic tests performed. At the time of the report the patient had recovered (on therapy). Upon internal review most likely a short seizure was determined to be an other important medical event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, HEPA, HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness, Tremor
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 21-JUL-2010 was vaccinated with a first dose of GARDASIL (lot # 659964/1978U), intramuscularly. The patient fainted before the dosage was completed. She got tonic clonic seizure. The patient recovered on the same day. Follow-up information received from a nurse practitioner and licensed practical nurse indicated that the patient had come to the physician's office for her annual physical. On 21-JUL-2010 she was vaccinated with a first dose of GARDASIL (lot # 659964/1978U) and with a dose of HAVRIX (lot # AHAVB427AA). The licensed practical nurse stated that after she had administered the two vaccinations the patient fainted and had seizure that lasted about 20 to 30 seconds. The patient regained consciousness and had recovered. After the incident, the patient waited in the physician's office for one hour and then went home with her mother. The patient did not have a past medical history of seizures and did not have a family history of seizures. Upon internal review tonic clonic seizure was determined to be an other important medical event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, HEPA, HPV4
Symptoms: Grand mal convulsion, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 21-JUL-2010 was vaccinated with a first dose of GARDASIL (lot # 659964/1978U), intramuscularly. The patient fainted before the dosage was completed. She got tonic clonic seizure. The patient recovered on the same day. Follow-up information received from a nurse practitioner and licensed practical nurse indicated that the patient had come to the physician's office for her annual physical. On 21-JUL-2010 she was vaccinated with a first dose of GARDASIL (lot # 659964/1978U) and with a dose of HAVRIX (lot # AHAVB427AA). The licensed practical nurse stated that after she had administered the two vaccinations the patient fainted and had seizure that lasted about 20 to 30 seconds. The patient regained consciousness and had recovered. After the incident, the patient waited in the physician's office for one hour and then went home with her mother. The patient did not have a past medical history of seizures and did not have a family history of seizures. Upon internal review tonic clonic seizure was determined to be an other important medical event. Additional information has been requested.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Rash
Clinical narrative: Rash to right arm - silvene cream placed to wound site, Tylenol 460mg given and Keflex 250mg PO given under orders from Dr.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: Rash to right arm - silvene cream placed to wound site, Tylenol 460mg given and Keflex 250mg PO given under orders from Dr.
Age: 13.0
Sex: M
Vaccine: MEN, TDAP, VARCEL
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: COMPLAINED of headache and vomiting in pm after immunization of Tdap , Mcv4 and Vz. Fever in AM after 07/27/10. Tylenol was given. Mom was advised to take child to the hospital.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: RED ITCHY SWOLLEN AND THROBBING PAIN FROM L EAR TO ELBOW
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: ONSET OF SHINGLES ATTACK.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Fever 103. Soreness and swelling at injection site. Vomiting.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dysphonia, Dyspnoea, Pharyngeal oedema, Pyrexia, Tremor
Clinical narrative: High fever, shaky, hard to breathe.  Felt like throat was swelling, hoarse.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Abdominal pain upper, Asthma, Headache, Nausea, Pharyngeal oedema
Clinical narrative: Woke up with a stomach ache, nausea and head ache.  Today 7/28/2010, 8:00 AM Complained of feeling like he has asthma and his throat feels swollen.
Age: 1.23
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Swelling
Clinical narrative: REDNESS AT INJECTION SITE (RT THIGH), SWELLING ABOVE INJECTION SITE. PT WAS GIVEN 2 ML OF BENADRYL AND AN ICE PACK AT SITE OF REACTION. AFTER 30 MINUTES, SWELLING AND REDNESS WENT AWAY.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Headache, Myalgia, Pyrexia
Clinical narrative: Employee states after administration of Tdap at 8AM 7/26/10, that evening had fever, headache, myalgia, pain under left axilla at 9PM. 7/28/10 symptoms mostly resolved - some pain (L) axilla - T-98.6.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Asthenia, Chest discomfort, Hypotension, Injection site swelling, Ischaemia
Clinical narrative: Swelling at smallpox site (started day 12) followed by weakness, fever, night sweats, chest discomfort.  Blood work found elevated Troponin on July 16, patient hospitalized.  Hospitalized July 16-20 2009 with myopericarditis, low blood pressure/tachycardia, ischemia.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Myopericarditis, Night sweats, Pyrexia, Tachycardia, Troponin increased
Clinical narrative: Swelling at smallpox site (started day 12) followed by weakness, fever, night sweats, chest discomfort.  Blood work found elevated Troponin on July 16, patient hospitalized.  Hospitalized July 16-20 2009 with myopericarditis, low blood pressure/tachycardia, ischemia.
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Vomiting
Clinical narrative: Imms at 11:30 AM - went to appt at 12:30 PM - all around mouth/lips/under nose/cheeks/none inside mouth Sm amt throwing up in evening - lasted abuot 24 hours.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis
Age: 1.31
Sex: F
Vaccine: DTAPIPVHIB, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure 6/24/10 ? days after MMR #1 - fever 102 degrees.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Patient received an injection of MENACTRA in her (R) deltoid on 7-16-10 here at clinic.  Patient went to hosp. ER on 7-17-10 with complaint of pain, redness, and edema at injection site.  Patient given scripts for CEPHALEXIN 500 mg one tab bid for 10 days and TRIMETHOPRIM/SULFAMETHOXAZOLE 160/800 mg one tab bid for 10 days for dx of cellulitis.  Patient then discharged home.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Pain
Clinical narrative: Extreme muscle pain in left shoulder lasting 3 days, then pain with movement still continuing now.
Age: 5.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Red and Swollen
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Areflexia, Electromyogram abnormal, Guillain-Barre syndrome, Muscular weakness, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Patient presented with five days of leg achiness, progressive upper and lower extremity weakness, areflexia, diagnosed with Guillain Barre Syndrome.  Sensory symptoms first onset several weeks prior.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Pain in extremity
Clinical narrative: Patient presented with five days of leg achiness, progressive upper and lower extremity weakness, areflexia, diagnosed with Guillain Barre Syndrome.  Sensory symptoms first onset several weeks prior.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician who was getting ready to give his patient a shot of GARDASIL when the patient informed him a girl friend experienced seizures after getting GARDASIL (lot # not reported). At the time on the report the outcome of seizures was unknown. It was unknown if the patient sought medical attention. Upon internal review seizures was determined to be an other important medical event. Attempts to verify the existence of an identifiable patient have been unsuccessful. Additional information is not expected.
Age: 5.0
Sex: F
Vaccine: DTP
Symptoms: Disorientation, Feeling abnormal, Induration, Malaise, Oedema peripheral
Clinical narrative: 10 minutes after the shot she reported feeling sick stating " the shot is making me feel sick...I feel funny"  she was somewhat disoriented and her face/ lips were very pale. After sitting down she recovered and looked more like herself. She was not upset/crying at the time of the shot so her symptoms were not stress induced. The next day her entire upper arm is hot, hard and swollen.
Age: 5.0
Sex: F
Vaccine: DTP
Symptoms: Pallor, Skin warm
Clinical narrative: 10 minutes after the shot she reported feeling sick stating " the shot is making me feel sick...I feel funny"  she was somewhat disoriented and her face/ lips were very pale. After sitting down she recovered and looked more like herself. She was not upset/crying at the time of the shot so her symptoms were not stress induced. The next day her entire upper arm is hot, hard and swollen.
Age: 33.0
Sex: F
Vaccine: JEV, JEVX
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Dysphemia, Hemiparesis, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Diagnosed with acute disseminated encephalomyelitis.  Manifested as stuttering neurological symptoms, but then culminating in right-sided ataxic-hemiparesis.  Symptoms peaked about 23-24 days after onset (i.e. 03-04 Jul 2010).  Treated with IV solumedrol, and since with gradual improvement, though continues with mild residual.
Age: 33.0
Sex: F
Vaccine: JEV, JEVX
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Central nervous system lesion, Demyelination, Dysphemia
Clinical narrative: Diagnosed with acute disseminated encephalomyelitis.  Manifested as stuttering neurological symptoms, but then culminating in right-sided ataxic-hemiparesis.  Symptoms peaked about 23-24 days after onset (i.e. 03-04 Jul 2010).  Treated with IV solumedrol, and since with gradual improvement, though continues with mild residual.
Age: 33.0
Sex: F
Vaccine: JEV, JEVX
Symptoms: Hemiparesis, Neurological symptom, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Diagnosed with acute disseminated encephalomyelitis.  Manifested as stuttering neurological symptoms, but then culminating in right-sided ataxic-hemiparesis.  Symptoms peaked about 23-24 days after onset (i.e. 03-04 Jul 2010).  Treated with IV solumedrol, and since with gradual improvement, though continues with mild residual.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Injection site warmth
Clinical narrative: Chills, headache, warmth at injection site.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site discomfort, Injection site erythema
Clinical narrative: Discomfort, redness (R) arm at injection site.
Age: 20.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Asthenia, Dizziness, Headache, Nausea, Tremor
Clinical narrative: Nausea, muscle tremors, headache, dizziness, weakness.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: Fever, sore swollen arm.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Pt's right deltoid area red, swollen, warm to touch, tingling up and down arm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt had hives on arms, legs and back. None on face, chest.  Parent gave BENADRYL 2 tsp. dose and hives cleared.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site discomfort, Injection site erythema
Clinical narrative: Discomfort, redness at injection site (R) arm.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Pt noticed that PPD site was large and then noticed that arm where varicella was given was swollen as well
Age: 2.0
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Insomnia, Pneumonia
Clinical narrative: Trouble breathing, ie coughing, high fever, didn't sleep.
Age: 2.0
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Pyrexia
Clinical narrative: Trouble breathing, ie coughing, high fever, didn't sleep.
Age: 2.0
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Dyspnoea, Pneumonia, Pyrexia, X-ray
Clinical narrative: Trouble breathing, ie coughing, high fever, didn't sleep.
Age: 1.09
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Onset of hives 12 to 24 hours after recieving MMR and Varivax.  Urticaria, hives on and off for 6 days.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Pallor, Pyrexia, Staring
Clinical narrative: Fatigue, glassy eyes, pale, high fever of 102+.
Age: 10.0
Sex: M
Vaccine: MMRV, TDAP
Symptoms: Expired drug administered
Clinical narrative: Expired IPV vaccine administered, no adverse reactions.
Age: 12.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired vaccine given (IPV), no adverse reaction.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, White blood cell count increased
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Arthralgia, Basophil percentage decreased, Chills, Eosinophil percentage decreased, Haematocrit normal
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Haemoglobin normal, Injection site erythema, Injection site pain, Laboratory test abnormal, Lymphocyte percentage decreased
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Mean cell haemoglobin, Mean cell haemoglobin concentration normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count decreased
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Monocyte percentage, Musculoskeletal pain, Neutrophil count increased, Neutrophil percentage increased, Pain in extremity
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 53.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Platelet count normal, Pyrexia, Red blood cell count normal, Red cell distribution width normal, White blood cell count increased
Clinical narrative: Large area right upper arm with sever pain , elevated WBC.
Age: 0.02
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 9 PM c/o pain; AM 7/27 Redness, swelling, pain, heat and itching upper right arm. Ice packs, Tylenol ,Benedryl 12.5/5 2 tsp Q 6 hr's.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure fluctuation, Chest X-ray normal, Chest pain, Dizziness, Electrocardiogram ambulatory abnormal
Clinical narrative: BLOOD PRESSURE UP AND DOWN. PATIENT STATES "FEELING REALLY BAD" ON 2/25/2010. C/O FATIGUE, DIZZINESS, AND BEING LIGHTHEADED. PATIENT STATES ON 2/28/2010 SHE EXPERIENCED CHEST PAIN AND HEART RACING. AT THAT TIME SHE WENT TO THE LOCAL ER. SAW PRIMARY DOCTOR ON 3/4/2010 WHO GAVE ROCEPHIN AND B12. WORE HOLTER MONITOR 3/15/2010 AND 3/16/2010. PATIENT STATED NO ABNORMAL RHYTHM JUST OCCASSIONAL PVCS.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count normal, Laboratory test normal
Clinical narrative: BLOOD PRESSURE UP AND DOWN. PATIENT STATES "FEELING REALLY BAD" ON 2/25/2010. C/O FATIGUE, DIZZINESS, AND BEING LIGHTHEADED. PATIENT STATES ON 2/28/2010 SHE EXPERIENCED CHEST PAIN AND HEART RACING. AT THAT TIME SHE WENT TO THE LOCAL ER. SAW PRIMARY DOCTOR ON 3/4/2010 WHO GAVE ROCEPHIN AND B12. WORE HOLTER MONITOR 3/15/2010 AND 3/16/2010. PATIENT STATED NO ABNORMAL RHYTHM JUST OCCASSIONAL PVCS.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Liver function test normal, Pain in extremity, Palpitations, Pregnancy test negative, Supraventricular extrasystoles
Clinical narrative: BLOOD PRESSURE UP AND DOWN. PATIENT STATES "FEELING REALLY BAD" ON 2/25/2010. C/O FATIGUE, DIZZINESS, AND BEING LIGHTHEADED. PATIENT STATES ON 2/28/2010 SHE EXPERIENCED CHEST PAIN AND HEART RACING. AT THAT TIME SHE WENT TO THE LOCAL ER. SAW PRIMARY DOCTOR ON 3/4/2010 WHO GAVE ROCEPHIN AND B12. WORE HOLTER MONITOR 3/15/2010 AND 3/16/2010. PATIENT STATED NO ABNORMAL RHYTHM JUST OCCASSIONAL PVCS.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Ultrasound Doppler, Ultrasound scan normal, Ventricular extrasystoles
Clinical narrative: BLOOD PRESSURE UP AND DOWN. PATIENT STATES "FEELING REALLY BAD" ON 2/25/2010. C/O FATIGUE, DIZZINESS, AND BEING LIGHTHEADED. PATIENT STATES ON 2/28/2010 SHE EXPERIENCED CHEST PAIN AND HEART RACING. AT THAT TIME SHE WENT TO THE LOCAL ER. SAW PRIMARY DOCTOR ON 3/4/2010 WHO GAVE ROCEPHIN AND B12. WORE HOLTER MONITOR 3/15/2010 AND 3/16/2010. PATIENT STATED NO ABNORMAL RHYTHM JUST OCCASSIONAL PVCS.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: red, hot to touch, swollen, no fever, right upper arm
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain, Chills, Full blood count, Headache, Injection site pain
Clinical narrative: HA, achiness, chills, fever, pain and swelling at sight of injection deltoid R arm, no redness at injection sight. Later that day developed pain and swelling in R axillae.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Pain, Pyrexia, Swelling, Ultrasound scan normal
Clinical narrative: HA, achiness, chills, fever, pain and swelling at sight of injection deltoid R arm, no redness at injection sight. Later that day developed pain and swelling in R axillae.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: White blood cell count increased
Clinical narrative: HA, achiness, chills, fever, pain and swelling at sight of injection deltoid R arm, no redness at injection sight. Later that day developed pain and swelling in R axillae.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Open wound, Skin burning sensation, Urticaria
Clinical narrative: Huge welp with approx. 50-100 small Blisters which leaked yellow fluid from them and became raw open sore with burning skin. I use triple antibiotic ointment but made it worse.  Took Benadryl. This is the 5th day and it is not healed as of yet.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site atrophy
Clinical narrative: I STARTED TO NOTICE LITTLE INDENTIONS IN MY SHIN, THAT CONTINULLY STARTED GETTING DEEPER AND WIDER ON THE INJECTION SITE.
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Alanine aminotransferase abnormal, Aspartate aminotransferase abnormal, Decreased appetite, Headache, Nausea
Clinical narrative: Fever of 103.1 on 7/18/10 with continued fever of 99s to low 100s throughout the week; headache throughout the week; episodes of nausea and emesis; decreased appetite; abnormal lab values, especially WBC, AST, ALT; client continues to follow up with doctor and will have labs repeated again on 7/29/10
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Pyrexia, Vomiting, White blood cell disorder
Clinical narrative: Fever of 103.1 on 7/18/10 with continued fever of 99s to low 100s throughout the week; headache throughout the week; episodes of nausea and emesis; decreased appetite; abnormal lab values, especially WBC, AST, ALT; client continues to follow up with doctor and will have labs repeated again on 7/29/10
Age: 1.03
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: REDNESS, SWELLING, WARMTH, TENDERNESS
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Pain, Pruritus, Rash macular, Skin warm, Swelling
Clinical narrative: Red blotches, swollen, itchy, hot to the touch, sore.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Unevaluable event
Clinical narrative: Red blotches, swollen, itchy, hot to the touch, sore.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Pain, Pruritus, Rash macular, Skin warm, Swelling
Clinical narrative: None reported.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Unevaluable event
Clinical narrative: None reported.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Pt has a red hot bump on (L) arm where IM vaccine was given, also another large red hot bump where SQ vaccine was administered as well.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Pain in extremity, Skin laceration
Clinical narrative: Patient feel dizziness, nausea, arm pain 45 minutes after vaccine. Mom took her to ER. next day for a finger cut because of the dizziness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Approximately 48 hours after receiving immunizations. (R) deltoid became swollen & red. Patient was seen in office 7/27/2010 with lingering swelling but redness had resolved. Afebrile in office but mom stated temp had been up to 104 degrees at night x 2 nights.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Vaccine given in the (R) deltoid. (R) arm wept up and legs, also arms and legs itching.
Age: 64.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Few hours after vaccination pt developed redness/swelling/pain on rt lateral aspect of Rt arm (site of injection Pneumococcal vaccine).  Decreased swelling/redness with local ice.
Age: 0.59
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Decreased appetite, Somnolence
Clinical narrative: Patient received 4th DTaP on 5/26/10 at age 7 mos; 24 hrs later mom reported pt. to be very sleepy with decreased appetite no fever no rash no swelling or redness at site.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Bedridden, Blood test, Brain mass, Computerised tomogram
Clinical narrative: Dizziness, falling, bed ridden/pain, nausea, losing consciousness, E.R; Hospitalisation, Nursing Home, Brain mass stomach - whole body aching.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Fall, Loss of consciousness, Nausea, Nuclear magnetic resonance imaging
Clinical narrative: Dizziness, falling, bed ridden/pain, nausea, losing consciousness, E.R; Hospitalisation, Nursing Home, Brain mass stomach - whole body aching.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Dizziness, falling, bed ridden/pain, nausea, losing consciousness, E.R; Hospitalisation, Nursing Home, Brain mass stomach - whole body aching.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Penile swelling, Scrotal swelling, Urticaria, Wheezing
Clinical narrative: Day after shot he cried a lot how he hurt so bad in his leg and tummy. Belly button was very red. Then his genital swelled HUGE. He broke out in thick puffy red hives which continued for 4 days. Gave BENADRYL. Hives along major nerve lines in his body. Developed difficulty breathing. Dr. prescribed ORAPRED 15/5. Now over 3 months later he continues to struggle with sickness, hives, and difficulty breathing. Is scheduled to see an allergist. Previously a perfectly healthy boy!
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Abdominal pain upper, Crying, Dyspnoea, Genital swelling, Malaise
Clinical narrative: Day after shot he cried a lot how he hurt so bad in his leg and tummy. Belly button was very red. Then his genital swelled HUGE. He broke out in thick puffy red hives which continued for 4 days. Gave BENADRYL. Hives along major nerve lines in his body. Developed difficulty breathing. Dr. prescribed ORAPRED 15/5. Now over 3 months later he continues to struggle with sickness, hives, and difficulty breathing. Is scheduled to see an allergist. Previously a perfectly healthy boy!
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Pain in extremity, Umbilical erythema, Urticaria
Clinical narrative: Day after shot he cried a lot how he hurt so bad in his leg and tummy. Belly button was very red. Then his genital swelled HUGE. He broke out in thick puffy red hives which continued for 4 days. Gave BENADRYL. Hives along major nerve lines in his body. Developed difficulty breathing. Dr. prescribed ORAPRED 15/5. Now over 3 months later he continues to struggle with sickness, hives, and difficulty breathing. Is scheduled to see an allergist. Previously a perfectly healthy boy!
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Diarrhoea, Nausea, Rash pruritic, Vomiting
Clinical narrative: rash onset 07/17/10, upper extremities, pruritic initially, improved in symptoms and appearance over next week  N/V/D onset 07/28/10; mild temperature of 100.1
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Eye irritation, Pyrexia, Rash generalised
Clinical narrative: Fever of 103-104 degrees for 4 days. Rash all over body 2 days after fever began lasting 4 days. Eye irritation at onset of fever lasting 7 days.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Right arm swollen, hard around injection site, warm to touch.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Lingering pain in my back and right leg. Constant tingling in my fingers and feet. Itching at the bottom of my feet.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Chills, Flushing, Muscle spasms, Pain, Pruritus
Clinical narrative: Chills, body aches, cramping (muscles) in lower extremities, face flushing and itching.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Bradycardia, Dizziness, Laboratory test normal, Mobility decreased, Palpitations
Clinical narrative: Child came in 6/24/10 for dizziness, went to ER -all tests normal. In for ROV - 7/20/10 - c/o dizziness on that day; rec'd MENACTRA, Tdap and Hep A. - returned 2 days later c/o fainting episodes that required at 911 call - denied h/a, c/o diff moving legs; bradycardia noted, racing heart. No previous hx, sent to Neurology.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Child came in 6/24/10 for dizziness, went to ER -all tests normal. In for ROV - 7/20/10 - c/o dizziness on that day; rec'd MENACTRA, Tdap and Hep A. - returned 2 days later c/o fainting episodes that required at 911 call - denied h/a, c/o diff moving legs; bradycardia noted, racing heart. No previous hx, sent to Neurology.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Head injury, Syncope
Clinical narrative: After being vaccinated, patient fainted and hit her head on the counter. Pt was able to be aroused and mother was advised to take pt to redimed to check out head. While mother was checking out pt fainted a second time. EMS was contacted and pt was transported to local hospital.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: After receiving 4 vaccines as listed in section 13 pt had syncope.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: - Pt began experiencing a macular papular rash to hands, upper & low Ext. (+) pruritis. Tx PREDNISONE 20 mg 1 BID x 7 days, ZYRTEC 10mg, 1 QD x 30 days, ZANTAC 150mg 1 BID x 30 days, BENADRYL 25mg - PRN.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came in to see Dr. on 7/21/10 left arm redness and swelling at site where vaccine was given. 4 inches wide by 3 inches height started on 7/20 24 hrs about after vaccine.
Age: 1.26
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Cough, Culture throat negative, Erythema multiforme, Oedema peripheral, Pyrexia
Clinical narrative: 6 days after MMR, pt developed fever, cough, hive like rash. BENADRYL given. Strep R/O. Then rash continued to spread over body by day 9, change in color (red/white/blue) and feet swelled. Antihistamine given more routinely. Diagnosed with erythema multiforme.
Age: 1.26
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Rash generalised, Skin discolouration
Clinical narrative: 6 days after MMR, pt developed fever, cough, hive like rash. BENADRYL given. Strep R/O. Then rash continued to spread over body by day 9, change in color (red/white/blue) and feet swelled. Antihistamine given more routinely. Diagnosed with erythema multiforme.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Diarrhoea, Nausea
Clinical narrative: 7/9 Immunization MENACTRA developed temp to 100. 7/10 Temp to 103, nausea, diarrhea. 7/11 Temp to 100, nausea, diarrhea. 7/12 No temp, nausea, diarrhea. 7/13 diarrhea, nausea. 7/14 nausea, diarrhea.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: (L) thigh with approximately 10cm diameter redness-area very warm and tender. Area slightly itchy. Pt will be taking BENADRYL and AMOXICILLIN.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), PNC13
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 24 hours after receiving PCV-13 on lower thigh (L) and H1N1 in upper (L) thigh on 7-1-10, started with redness of thigh. Seen in office morning of 7-3-10. Area on (L) thigh red and swollen, no adenitis, positive mild tenderness. Treated with cool compresses.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable crying and screaming for greater 3 hr.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site urticaria
Clinical narrative: Hives developed last night esp (L) thigh (same location as PEDIARIX). No fevers. N/V, or change in act level or appetite.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Mom brought pt in on 7-21-10 to have immunization site checked. Pt received immunizations on 7-19-10. Mom said it started swelling yesterday. (L) D is swollen, red and warm to touch. Pt said it itches and is tender. Inst mom to put ice or cool cloth to area and use BENADRYL po or cream AD.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: 4 days after receiving shot, subject experienced severe itching, took oral BENADRYL. Day 5 - entire deltoid muscle was hard, hot and tender. Red skin covered 7x8cm square. Day 6 - Saw MD. Induration resolving, inflammation extending. Tx'd with Fluocinonide 0.05% topical. Also Advil p.o.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: 4 days after receiving shot, subject experienced severe itching, took oral BENADRYL. Day 5 - entire deltoid muscle was hard, hot and tender. Red skin covered 7x8cm square. Day 6 - Saw MD. Induration resolving, inflammation extending. Tx'd with Fluocinonide 0.05% topical. Also Advil p.o.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Bruxism, Dizziness, Dreamy state, Gaze palsy, Hyperhidrosis
Clinical narrative: After vaccines administered, patient said she felt dizzy. Within seconds patient passed out, eyes rolled in head and teeth clenched on a lollipop she was eating. Patient started to moan, and came to after 15-20 seconds. Color very pale, sweaty, shakey, pupils pinpoint. Upon patient coming around she said she felt like she had a dream. She knew her name and where she was. I elevated her feet and got a cool compress to her head. She drank 10 oz of ginger ale and sat for 20 minutes while her color returned to normal and she said she was feeling much better. Mom said her daughter gets weak at the sight of blood. After 20 minutes 1 had her sit for 10 more minutes with her feet down before being driven home by mom. Patient said she felt almost like herself. I followed-up and called mom's cell phone 90 minutes later and she said patient ate all her lunch and was doing fine. I advised mom to keep a good eye on her and keep activity minimal for the day. Asked to call own DM if symptoms worsened. Vitals: 98/72 right after fainting, 80/56 2 minutes later, 104/68 10 minutes Pulse 76. 108/66 just prior to going home
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Loss of consciousness, Miosis, Moaning, Pallor, Tremor
Clinical narrative: After vaccines administered, patient said she felt dizzy. Within seconds patient passed out, eyes rolled in head and teeth clenched on a lollipop she was eating. Patient started to moan, and came to after 15-20 seconds. Color very pale, sweaty, shakey, pupils pinpoint. Upon patient coming around she said she felt like she had a dream. She knew her name and where she was. I elevated her feet and got a cool compress to her head. She drank 10 oz of ginger ale and sat for 20 minutes while her color returned to normal and she said she was feeling much better. Mom said her daughter gets weak at the sight of blood. After 20 minutes 1 had her sit for 10 more minutes with her feet down before being driven home by mom. Patient said she felt almost like herself. I followed-up and called mom's cell phone 90 minutes later and she said patient ate all her lunch and was doing fine. I advised mom to keep a good eye on her and keep activity minimal for the day. Asked to call own DM if symptoms worsened. Vitals: 98/72 right after fainting, 80/56 2 minutes later, 104/68 10 minutes Pulse 76. 108/66 just prior to going home
Age: 2.0
Sex: F
Vaccine: HEP, PNC13
Symptoms: Skin infection
Clinical narrative: Developed skin infection in leg treated with CEFTRIAXONE IM.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site haematoma, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Rt arm became warm, swollen, rash at injection site then turned to bruise by 11/23/2009.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea
Clinical narrative: Client became lightheaded and nauseated 5 minutes after receiving 4 vaccinations. Put head between legs- BP 70/30. Then laid down with legs elevated BP 106/68-Feeling resolved in 5 min. Sat for another 10 min before leaving- no symptoms.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site infection, Injection site rash
Clinical narrative: Pt developed rash and infection around injection site. Pt went to see MD, was prescribed Prednisone.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Syncopal episode 15 minutes after injection with HPV #1 and MENACTRA. Brief loss of consciousness (less than 1 minute).
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left thigh was red and had moderate swelling.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Rash pruritic, Rash pustular, Varicella, Varicella post vaccine
Clinical narrative: Seen in Hospital Emergency Room on 7/25/10 for an itchy rash on posterior arms and back and no constitutional symptoms. Skin exam described as consistent with chicken pox pruritic crops of vesiculopustular lesions on erythematous base in various stages of healing with classic varicella eruption per doctors note.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Gait disturbance, Injection site haematoma, Injection site movement impairment
Clinical narrative: Patient's mother called triage to report that her babysitter called her on 7/6/10 at 4:00 to report. Patient complained of a "Boo Boo," pointing to her left thigh about 4 hours after she received a PENTACEL in that leg. Mom said she refused to walk or bend knees and had "bruising on the outer aspect of her left knee." Mom called the ER and was told to call the County Health Department where she received her immunizations. She did not call the HD until 9:30 am on 7/7/10. When a return call was made to her, voice-mail was left. She was at work when she called after 3:00pm to say her daughter was not wanting to walk or bend her knee. Suggested by triage nurse that she call her baby's doctor. She stated she would and she would call clinic back. A follow-up call about 1:00pm on 7/8/10 found mom at home. She said "her doctor could not see her child for one month" and "this was just normal after the shot." Advised mom to follow-up at the ER since she still saw bruising on the outer aspect of the left knee. She was currently laughing and playing per mom. Mom advised to call HD after seeing the ER doctor (she states she never got her other children immunized until school age. Of note, this was only the second set of shots for this two-year old). 7/13/10 No calls received from mom. Called her back. She never took the child to get medical evaluation. Mom states "she is just fine now and no more bruising."
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pruritic, Rash pustular, Varicella, Varicella post vaccine
Clinical narrative: Seen in hospital emergency room on 7/25/10 for a itchy rash on posterior arms and back with no constitutional symptoms. Skin exam described as consistent with chicken pox. Pruritic crops of vesiculopustular lesions on erythematous base in various stages of healing c/w classic Varicella eruption per doctor's note.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: On 7/19/10 (day imms given) pt began c/o nausea and not feeling well approximately 7pm. Thurs AM about 5AM began vomiting till about 1230pm fever began about 1130AM Temp of 101. By 1610 that afternoon pt feeling some better, no nausea, no stomach ache, no emesis.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Aphthous stomatitis, Oral herpes
Clinical narrative: About 3 or 4 days after vaccination administration the patients mouth became covered and lips covered with cold sores/canker sores.
Age: 1.56
Sex: M
Vaccine: DTAP, HEPA, PNC13
Symptoms: Urticaria
Clinical narrative: Urticaria developed 24 hours after immunizations over entire body - prescribed diphenhydramine. No respiratory sx.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Syncope
Clinical narrative: Pt. given 3 vaccines today, as she got up to leave room she fainted, braced against the wall. Recovered immediately. Denied injury or feeling ill. BP 100/70 (stable). Rested x 20 minutes. Given juice. Recovered.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Fever and arm redness and swelling 1 d after injxn. Resolved in 24 hrs. No treatment except TYLENOL.
Age: 3.0
Sex: M
Vaccine: HIBV, IPV, MMR, PNC
Symptoms: Pyrexia
Clinical narrative: Fever x1 day.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Pain
Clinical narrative: Marked fatigue over 3-4 days, assoc with generalized body aches.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity, Similar reaction on previous exposure to drug
Clinical narrative: Pt received first dose of PPV 23 in 2004 and experienced some erythema at injection site.  Was told by MD to get PPV 23 #2. NKA.  Administered LA IM 7/20/10.  Called and said her arm was sore and was not relieved by ice or ADVIL.  Came to Health Dept - left upper arm distal from injection -> elbow swollen and warm to touch - erythema (sl) noticed.  Asked Pt to contact MD and to let health dept know of her status.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Gaze palsy, Loss of consciousness, Nausea, Pallor, Respiratory arrest
Clinical narrative: MOC states patient was seated in car and passed out.  Eyes rolled back, face pale, not breathing.  No shaking/seizure.  Episode lasted for 10 seconds.  Then patient alert and felt nauseated.  No vomiting.  Pt urinated self when passed out.  MOC reports this happened 5 min's after vaccine.  Pt returned to clinic.  Pt alert and oriented X 3.  VSS. PE WNL.