chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Skin irritation
Clinical narrative: Anthrax Vaccine #2 given on Monday 27 JAN 2003, Normal burning sensation associated with shot. On Tuesday 28 JAN 2003 local area was sore and irritated. Wed 29 JAN upper extremities of arm was swollen, red and was hot to touch, very irritated. On 30 JAN swelling went slightly below elbow, swelling resulted in the appearance of no elbow, red, hot to touch and irritating. 31 JAN swelling extended down to the wrist, same symptoms. 1 FEB the hand is swollen with same symptoms. Swelling in upper extremeties is still there. On WED 29 JAN AM hours, I consulted the physician responsible for vaccination. Was told this was normal to keep watching. As swelling increased throughout the day, consulted the physician in the PM, said continue to watch. On 30 Jan AM and PM hours consulted the physician with new developments and concerns, continue to watch. Friday 31 JAN consulted physician again, received Ibuprofen, 800mg every 6 hours, Dicloxacillin to take 4 times a day, and Triamcinolone 0.1% TOP applied when needed. Needless to say its not working.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site hypersensitivity, Injection site reaction, Pruritus, Skin ulcer
Clinical narrative: Suspected accidental implantation of left ear, hands and arms bilaterally, and right thigh.  Symptoms began approximately 16 days after receiving primary smallpox vaccination.  Pt presented on day 19 (2 Feb 03), after vaccination and was afebrile, smallpox site well healed with scab in place.  Eruption on dorsal aspect of both hands mostly around the 2nd and 3rd digits.  Additional lesions noted on palms bilaterally and a few scattered raised, erythematous lesions were noted on the arms bilaterally.  Left ear was edematous and oozing amber colored discharge and the entire pinna was erythematous.  No lesions identified on face, torso, feet or scalp.  Pt was treated with benadryl for itching.  Aside for generalized itching at sites of implantation, pt denies any systemic symptoms.  Pt will be monitored for resolution of symptoms.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Suspected accidental implantation of left ear, hands and arms bilaterally, and right thigh.  Symptoms began approximately 16 days after receiving primary smallpox vaccination.  Pt presented on day 19 (2 Feb 03), after vaccination and was afebrile, smallpox site well healed with scab in place.  Eruption on dorsal aspect of both hands mostly around the 2nd and 3rd digits.  Additional lesions noted on palms bilaterally and a few scattered raised, erythematous lesions were noted on the arms bilaterally.  Left ear was edematous and oozing amber colored discharge and the entire pinna was erythematous.  No lesions identified on face, torso, feet or scalp.  Pt was treated with benadryl for itching.  Aside for generalized itching at sites of implantation, pt denies any systemic symptoms.  Pt will be monitored for resolution of symptoms.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Headache, Injection site hypersensitivity, Malaise, Nausea
Clinical narrative: Anthrax Vac given.  Vac injected into L Shoulder.  Burning sensation on injection.  Pain and swelling in L shoulder, L upper arm next day.  Fever, Chills, Malaise, Nausea, Headaches as well.  No hospital or doctor treatment sought for symptoms.  Symptoms cleared out after 3 days.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Anthrax Vac given.  Vac injected into L Shoulder.  Burning sensation on injection.  Pain and swelling in L shoulder, L upper arm next day.  Fever, Chills, Malaise, Nausea, Headaches as well.  No hospital or doctor treatment sought for symptoms.  Symptoms cleared out after 3 days.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Headache, Muscle spasms, Nausea, Pyrexia
Clinical narrative: SEVERE JOINT PAIN WITH MUSCLE CRAMPING, HEADACHE, NAUSEA, FEVER (99.6) 5 DAYS AFTER VACCINE ADMINISTERED
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Crying, Myocarditis
Clinical narrative: Information has been received from a healthcare professional regarding a 6 month old male who received his third dose of Prevnar, Act-Hib, and Infanrix vaccines on 11/26/02. On 11/29/02, his mother reported to the reporting physician that he was "screaming in pain." That day, he was taken to the ER where he was coded and died. Abdominal ultrasound, x-rays, and an autopsy were performed. No results were provided.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Agitation, Crying, Pain
Clinical narrative: Information has been received from a healthcare professional regarding a 6 month old male who received his third dose of Prevnar, Act-Hib, and Infanrix vaccines on 11/26/02. On 11/29/02, his mother reported to the reporting physician that he was "screaming in pain." That day, he was taken to the ER where he was coded and died. Abdominal ultrasound, x-rays, and an autopsy were performed. No results were provided.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Pyrexia
Clinical narrative: Acute Encephalitis; Hospitalized 26 Jan 03 with fever to 103 F., headache, myalgia, obtundation (glasgow coma scale 7), CSF Pleocytosis (190 cells, 73.8% lymphocytes), normal CSF glu, pro; neg CSF Gram Stain, AFP stain, fungal stain, pcr for HSV, VZV, EBV, CMV, picornavirus, West Nile, YF, Vaccinia,. Viral cultures in progress, other cultures negative to date; CT Scan of CNSx2, ANA, multiple other studies
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Headache, Myalgia, Pleocytosis
Clinical narrative: Acute Encephalitis; Hospitalized 26 Jan 03 with fever to 103 F., headache, myalgia, obtundation (glasgow coma scale 7), CSF Pleocytosis (190 cells, 73.8% lymphocytes), normal CSF glu, pro; neg CSF Gram Stain, AFP stain, fungal stain, pcr for HSV, VZV, EBV, CMV, picornavirus, West Nile, YF, Vaccinia,. Viral cultures in progress, other cultures negative to date; CT Scan of CNSx2, ANA, multiple other studies
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pyrexia
Clinical narrative: Acute Encephalitis; Hospitalized 26 Jan 03 with fever to 103 F., headache, myalgia, obtundation (glasgow coma scale 7), CSF Pleocytosis (190 cells, 73.8% lymphocytes), normal CSF glu, pro; neg CSF Gram Stain, AFP stain, fungal stain, pcr for HSV, VZV, EBV, CMV, picornavirus, West Nile, YF, Vaccinia,. Viral cultures in progress, other cultures negative to date; CT Scan of CNSx2, ANA, multiple other studies
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Headache
Clinical narrative: Acute Encephalitis; Hospitalized 26 Jan 03 with fever to 103 F., headache, myalgia, obtundation (glasgow coma scale 7), CSF Pleocytosis (190 cells, 73.8% lymphocytes), normal CSF glu, pro; neg CSF Gram Stain, AFP stain, fungal stain, pcr for HSV, VZV, EBV, CMV, picornavirus, West Nile, YF, Vaccinia,. Viral cultures in progress, other cultures negative to date; CT Scan of CNSx2, ANA, multiple other studies
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Rash
Clinical narrative: Pt developed a moderate to severe case of varicella disease, including but not limited to skin rash, pustuoles and scarring.
Age: 42.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Back pain, Fatigue, Infection, Migraine
Clinical narrative: In May of 2001, I received the first of three scheduled injections of the LYMErix vaccine. In June 2001, I received the 2nd. In May of 2002, I was to receive the 3rd and final injection, but was advised by my personal physician not to take this. In November 2001, I had an MRI done on my back which showed that I had developed arthritis in my lower spine. In May 2002 I tested positive for Lyme disease.  Add symptoms of: Back pain, migraines, Raynaud's and fatigue.
Age: 42.0
Sex: F
Vaccine: LYME
Symptoms: Raynaud's phenomenon
Clinical narrative: In May of 2001, I received the first of three scheduled injections of the LYMErix vaccine. In June 2001, I received the 2nd. In May of 2002, I was to receive the 3rd and final injection, but was advised by my personal physician not to take this. In November 2001, I had an MRI done on my back which showed that I had developed arthritis in my lower spine. In May 2002 I tested positive for Lyme disease.  Add symptoms of: Back pain, migraines, Raynaud's and fatigue.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Respiratory distress, Stridor
Clinical narrative: Stridor, resp. distress, PICU admission.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Gallbladder disorder, Gastrooesophageal reflux disease, Malaise
Clinical narrative: Acquired hep A-severely ill (age 14). Developed gall bladder disease, acalulus, GERD (age 15). Surgical removal of gall bladder (age 15). Told by MD hepatitis could return with pals. liver problems.
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Redness and swelling to left upper arm at injection site. Pt complained of stinging/itching and tenderness to touch.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Swelling, redness, itching, inflammed from right shoulder down the right elbow and tender to touch. Onset of reaction was approx. 7 hours, post injection and progressed over the next 36 hours.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Hyperhidrosis, Pharyngolaryngeal pain, Pyrexia, Viral infection
Clinical narrative: Got fever and sweats that evening. Went to ER. Sore throat with a questionable viral infection.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Hypotension, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Woke up on 1/26/03 with complaint of a very sore arm. It had slight redness. Woke up on 1/27/03, with a large area of redness and warm to touch that began on right arm. Per medical records: Arm stiffness, sore and red. Denies fever, chill, nausea or chest pain. Initially felt SOB. Denies itching and does not have tenderness. Lungs were clear, apex regular. Right arm erythematous, tender and slightly swollen (measuring 12" on right forearm and 12" on left forearm and 10 1/2" circumference. Area of erythema 8" from mid-upper arm and almost all around arm. No central clearing, Arm tender, hot to touch, FROM. No erythema below elbow area. Plan: Zyrtec 10mg daily; 2 day sample given; ibuprofen 200mg bid prn, 2 day sample given; ice pack to site and hydrocortisone 0.1% to site.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Woke up on 1/26/03 with complaint of a very sore arm. It had slight redness. Woke up on 1/27/03, with a large area of redness and warm to touch that began on right arm. Per medical records: Arm stiffness, sore and red. Denies fever, chill, nausea or chest pain. Initially felt SOB. Denies itching and does not have tenderness. Lungs were clear, apex regular. Right arm erythematous, tender and slightly swollen (measuring 12" on right forearm and 12" on left forearm and 10 1/2" circumference. Area of erythema 8" from mid-upper arm and almost all around arm. No central clearing, Arm tender, hot to touch, FROM. No erythema below elbow area. Plan: Zyrtec 10mg daily; 2 day sample given; ibuprofen 200mg bid prn, 2 day sample given; ice pack to site and hydrocortisone 0.1% to site.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 2cm round area of edema and erythema (+) area of 5cm X 5cm edema and erythema and edema about 3cm proximal to elbow.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Hypertension, Urticaria
Clinical narrative: Large welt near shot area. Severe rash spread throughout body. High blood pressure. Minor trouble with breathing and mild urticaria. Given IM, Benadryl/O2.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Insomnia
Clinical narrative: Pt states that the right arm, where she received her Flu vaccine, started to hurt about 4 hours after the injection. The pain was so severe, it kept her up all night and the next day, she couldn't move the affected arm and had severe pain. MD advised her to use warm compresses. Pt is unable to take NSAIDS.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Lethargy, Pyrexia
Clinical narrative: Fever to 104F and lethargy.
Age: 8.8
Sex: F
Vaccine: DT, IPV
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: On 12/19/02, I received a call from the school nurse, who stated that child presented to her with itchy, swollen and red right arm deltoid area. No generalized symptoms of fever, breathing problems or hives. The school nurse seemed very concerned about the local reaction and requested that we contact parents and recommend MD evaluation. Family speaks Spanish so our interpreter contacted and conveyed message. I followed up with parent on 12/23/02 and was told that child was taken to ER and told that it was a normal reaction and given Tylenol. Itching resolved. Still some swelling but improving. Followed-up on 1/23/03 and parent states she is completely recovered.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection, Infection transmission via personal contact
Clinical narrative: Likely varicella despite vaccine. Red bumps developed 21 days after exposure to child with active varicella. No vesicles on my exam. Preschool earlier per mom. I saw child on day 4 at start of illness, 1/17/03.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: 50 (+) pox in child that was vaccinated. Seen in the 1st 24 hours of disease. No fever. Definite vesicles.
Age: 12.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site mass, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: 1" X 1" indurated lump on upper left deltoid, warm and tender to touch.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Skin discolouration
Clinical narrative: Within 1 hour after IZ, pt's right thumb, index finger and middle finger turned yellow. He was seen in ER and they sent him home because there were no other symptoms. Spoke with pt, 3 hours later, and he said that the yellowing went away.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Painless but extensive area of erythema and swelling over posterior aspect of right arm (16.5cm by 12cm maximum diameter), over 24 hours after immunizations.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Injection site is inflammed, red and swollen (10cm X 14cm) around with erythema. Dx: cellulitis from DTAP.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and pain to upper and lower left and right thigh, 3 1/2" diameter.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema
Clinical narrative: Left thigh light red (6cm). No swelling.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Child lost consciousness immediately after receiving the vaccination. He was diaphoretic. Pt awake in approx. 5 minutes.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Hyperhidrosis, Pallor, Somnolence
Clinical narrative: Immediately after, child stumbled and said he was dizzy. His color was pale, he was diaphoretic and "trying to go to sleep". He remained dizzy and complained of a headache. The next AM, went to school.
Age: 40.0
Sex: M
Vaccine: TTOX
Symptoms: Back pain, Hypoaesthesia, Lymph node pain, Pain
Clinical narrative: TD given on 12/10/02 at 14:00. By 20:00, he had migrating aches. Pt states glands started burning and aching below ears. Saw MD on 12/16/02. Pt was instructed to take Tylenol PM, as it had Benadryl in it. He states symptoms lasted 10 days, went away for about 5 days and came back and never left. He has constant pain in lower back, aches in face, numbing feeling in right leg and right arm.
Age: 11.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Feeling cold, Hypoaesthesia, Hypokinesia, Injection site reaction, Pain
Clinical narrative: Right arm had streaks, web-like, cold to touch, numb and painful knuckles, blue and unable to move arm (sometimes). Numbness comes and goes. (Due to no insurance, ER visit denied).
Age: 11.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Skin striae
Clinical narrative: Right arm had streaks, web-like, cold to touch, numb and painful knuckles, blue and unable to move arm (sometimes). Numbness comes and goes. (Due to no insurance, ER visit denied).
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: In office today for exam. Right thigh area is red, raised and hot to touch approx. 5" X 5".
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Malaise, Pharyngitis, Pyrexia, Rhinorrhoea
Clinical narrative: Within hours, she developed cold symptoms and missed school for 2 day; symptoms lasted 4 weeks with runny nose, low-grade temperature increased to secondary fever; malaise; fever to 102F and productive cough.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site inflammation, Injection site reaction
Clinical narrative: Per mother of child, she had "bad inflammation". Asked mother to give ibuprofen for anti-inflammatory and warm compresses. The next day, per f/u phone call; inflammation improving slowly.
Age: 11.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Dyskinesia, Loss of consciousness
Clinical narrative: Pt briefly lost consciousness. Mother stated his body slightly jerked.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mild swelling and dermal irritation; 2nd vaccine with expected limits.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Tachycardia
Clinical narrative: Client reported to ER on 1/11/03 with complaint of dizziness, mostly when standing; tachycardia of approx. 120. Other vital signs were normal per (ER report). He was given 25mg Atenolol and asked to take Atenolol 12.5mg daily and return to MD for follow-up. The follow up states, "reported to the ER on 1/11/03 with symptoms. The exact date and time of onset of symptoms is unclear from the ER report."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dyspnoea, Injection site mass, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Pt presented to ER with shortness of breath and a low-grade fever (100F); irritable; right leg (whole side of leg) swollen with golf ball-sized lump; tender and hot to the touch.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site warmth, Irritability, Pyrexia
Clinical narrative: Pt presented to ER with shortness of breath and a low-grade fever (100F); irritable; right leg (whole side of leg) swollen with golf ball-sized lump; tender and hot to the touch.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction, Urticaria
Clinical narrative: 1 hour after Hep-B was given, pt developed hives on the injection site and then spreading systemically to upper trunk. Treated with Benadryl injection the next day. Pt oriented and no apparent distress.
Age: 16.0
Sex: M
Vaccine: TTOX
Symptoms: Chest pain, Injection site pain, Myalgia
Clinical narrative: Client complained of muscle pain and tenderness on left arm radiating to nipple on left side of chest.
Age: 10.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Hardened, red area (the size of a quarter) at injection site. Described as painful and warm to the touch. Appeared approx. 12 days after injection.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Swollen injection site.
Age: 1.7
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Developed case of varicella. diagnosed by physician.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, hot
Age: 4.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Developed chicken pox documented on 1/22/03 after receiving Varivax in past 4/26/99
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Pt was seen 1/13/03 for 4 mo well child exam which was normal. Baby rec'd vaccines listed, baby returned to office 1/14/03 with diffuse urticaria on back, thighs, wrist, and face. At 2 mo visits DaPT, HIB, Prevnar, IPV were given no reaction. At 4 mo DaPT, IB, Prevnar, IPV and Hepatitis B were given. I suspect hives were a reaction to Hepatitis B.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Injection site swelling
Clinical narrative: Pts mom explained pt leg was red form his knee to groin area. There was mild swelling. Put cool packs and gave tylenol was told to call back in 1 day if no improvement. Pt did not call.
Age: 43.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Arthralgia, Swelling
Clinical narrative: 72 hrs post vaccine c/o joint pain progressing, swelling, fluid. On 1/26 symptoms are now beginning to subside.
Age: 84.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Injection site hypersensitivity, Injection site swelling, Pruritus, Skin ulcer
Clinical narrative: Pt comes to clinic 9 days post Td. She felt some itching of the R upper arm 2 days previously, this AM (1/17/03) pt noted red swollen area the size if a grapefruit, Exam of R upper arm revealed erythema 4 inches X 4 inches there is a spot which has very fine scaling at the bottom of the lesion where the shot was given it is non tender non indurated. RX chlorpheniramine maleate 2 mgm 3 X day.
Age: 3.2
Sex: M
Vaccine: DTAP
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling, whole thigh, limping. recommended benadryl, ice packs, 2 days, antibiotics, close follow up in the office.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt was given DTaP & Polio in L arm, and MMR in R arm - Mother noticed the next AM that his L arm was red, swollen and warm to the touch - she brought child into clinic at 2:30pm on Fri. 1/10/03. I suggested she take him to the doctor to be checked.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Large red area (4" diameter) on left upper arm accompanied by fever, malaise, & swollen lymph nodes near clavicle.
Age: 63.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and  warmth to Rt deltoid down to Rt elbow. Pt afebrile.
Age: 2.4
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Drug ineffective, Infection, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: Varivax given 7/18/01, mother reported varicella exposure 12/18/02. Low grade fever, cold symptoms 12/28, on 12/31 varicella lesions - few (6-10) arm, nose ribs. Not ill.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Severe redness, swelling from shoulder to past elbow, cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Right upper arm, red warm to touch, swollen, hard core.  Tx- ice, Advil
Age: 15.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration, Joint range of motion decreased, Pyrexia
Clinical narrative: 5.5cm X 10cm area to left arm with induration and redness. Mild limitation of ROM. History of fever.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site induration, Pain
Clinical narrative: Lump on my arm began as a normal size.  In 48 hours, the lump covered the entire back side of my upper arm, about 7 inches long by 5 inches wide.  In 72 hours, the lump has begun to go down, but it has started to ache, sort of like growing pains used to feel.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain
Clinical narrative: 1/13/03- Employee noticed soreness deep in the muscle below the injection site on the right deltoid whenever she was working out with weights. It still aches when she lifts her right arm to shoulder heighth and moves it up and backward. It hurts to push on the site, also. No achiness when she moves arm forward. No limitation in the range of motion. No fever; no redness or discoloration at site; no malformation of muscle.  Emp. just concerned if achiness will ever go away. No treatment sought as yet. Continues to work out with weights.
Age: 22.0
Sex: F
Vaccine: TYP, YF
Symptoms: Urticaria
Clinical narrative: Generalized hives. No acute shortness of breath or cardiorespiratory symptoms. Treated with Epinephrine 1:1,000, 0.3cc, IM, Benadryl 25mg po.
Sex: F
Vaccine: TTOX
Symptoms: Blister, Feeling cold, Herpes simplex, Injection site swelling, Myalgia
Clinical narrative: Sore & swelling L shoulder to wrist which was severe temp. hot higher than 99.8. Felt cold, hand white on Fri. in bed 1/7 & 1/8 felt drained. L arm throbbed red upper arm. 1/10 numerous fever blisters (about 10) on bottom lip & had one on top lip applied ice, elevation, ibuprofen, swelling gradually decreased  & was gone after a wk.
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia
Clinical narrative: Sore & swelling L shoulder to wrist which was severe temp. hot higher than 99.8. Felt cold, hand white on Fri. in bed 1/7 & 1/8 felt drained. L arm throbbed red upper arm. 1/10 numerous fever blisters (about 10) on bottom lip & had one on top lip applied ice, elevation, ibuprofen, swelling gradually decreased  & was gone after a wk.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Lung disorder, Pyrexia
Clinical narrative: Fever greater than 101 degrees F, chills, shortness of breath, Hospitalized 10/11/02 through 10/16/02 and 10/19/02 through 10/24/02. Death certificate received on 2/19/2003 indicates end stage COPD as the cause of death.
Age: 1.5
Sex: M
Vaccine: DTPHIB, IPV
Symptoms: Feeling hot, Oedema
Clinical narrative: Patient had the DTaP shot on 1/31/03.  His Left leg was so swollen and really hot.  The leg was swollen from his pelvis to the bottom of his knee.  Lasting 2 1/2 days. We called the Dr. on Sat. and she advised us to monitor him for any other signs.  None seen other then the swelling.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Coma, Convulsion, Headache, Malaise, Nausea
Clinical narrative: A report was received regarding events in Kentucky. It was reported a 16 year old female received an injection of tetanus and diphtheria toxoids in her right arm; she tolerated the injection well. A few minutes later, she received an injection of Engerix B in her left arm. Within a few seconds of receiving Engerix B, the patient reported feeling sick. Her eyes then shut, she slumped forward, and was unresponsive. As she lowered to the floor, the nurse who administered the vaccine noticed that the patient's left arm was drawn up to her anterior chest, with the elbow and wrist flexed. The patient spontaneously  regained consciousness within 45 seconds. Her heart rate was 80 beats/minute and her blood pressure was 120/80 mmHg. There was no incontinence or post-event disorientation. Within a few minutes, the patient was alert, but complained of a headache and nausea. She was examined later that day by her primary physician. At the time of the examination, the patient was alert, oriented and had normal findings on physical examination. The physician made a diagnosis of possible seizure and prescribed methylprednisolone and unspecified antihistamines. The patient was sent home. From additional information received 3/27/01, additional patient and reporter information was updated.
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Pain
Clinical narrative: It was reported that a female patient received a TD Adult vaccination on 10/20/00. Reportedly sometime after the vaccination the patient developed pain and limitation of motion in her left shoulder area. further information is requested. From additional correspondence received on 4/18/01, it was reported, "complained of pain in left shoulder area, was examined at this office 12/9/00 (2 months after) and found no physical signs of reaction no disability. No swelling, no ecchymosis, no wasting , full range of motion intact, sensory and motor intact. Expected reexamination 3/9/01 but patient did not come. " This case is closed.
Age: 39.0
Sex: M
Vaccine: MMR, TD
Symptoms: Hypokinesia, Injection site pain, Pyrexia, Swelling
Clinical narrative: It was reported that a pt rec'd TD adult, MMR, and PPD Tubersol skin test on  4/24/2001. Reportedly in the morning of 4/25/01, the pt complained of increased temperature, chills, and pain of the deltoid radiating to elbow of L arm with inability to move arm. Pt developed 80mm of erythema and swelling in the length of his L deltoid to mid upper extremity, skin became tight. Edema and painful to touch. Two small bumps on each side of injection site. there was no oozing or drainage. Tx of Cephalexin 50mg, oral, 4 times a day was prescribed.  Pt's recovery status is unknown. From telephone contact on 5/31/01, the correct zip code was provided for the reporter. From mail correspondence rec'd 6/21/01, it was stated "client's current medical  condition is unknown, however client was notified on 4/27/01, it was stated that they had improved and were well. Client was seen at clinic in CA. From additional correspondence rec'd on  10/1/01 it was reported that the pt developed redness, erythema to elbow of L arm and experienced inability to move arm. This case is closed.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Malaise, Pyrexia
Clinical narrative: It was reported that a pt rec'd TD adult vaccination on 4/23/01 at approximately 1:00p. Reportedly 24 hrs post vaccine the pt complained of malaise, weakness in hands and fever. Pt had not taken temperature so was unsure what it was. From telephone contact on 5/31/01, the correct zip code for the reporter and responsible phys was provided. From mailed correspondence rec'd on 6/19/01, it was stated the pt recovered from this experience. The name of the vaccine administrator and the lot number for the product administered was also provided. From additional correspondence rec'd on 10/9/01 it was reported that the adverse event onset was 24 hrs after the vaccination not 42 hrs as previously reported. This case is closed.
Age: 16.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: It was reported that a pt rec'd a TD adult vaccination on 4/17/01. reportedly on 4/18/01, the pt developed a local reaction of redness and swelling. a physician evaluated the pt and treated him with Zyrtec 10mg daily. The reaction resolved. From telephone contact on 6/1/01 additional reporter address information was provided. No further information is anticipated for this report. Case closed.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: It was reported that a pt rec'd TD adult vaccination on 5/2/01. Reportedly on 5/5/01, the pt developed erythema, edema and pruritus of the L deltoid region. Reportedly the pt recovered from the experience. No further info was provided from mailed correspondence rec'd on 6/21/01. This case is closed.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Angioneurotic oedema, Arthritis, Malaise, Serum sickness, Urticaria
Clinical narrative: From telephone contact w/reporting nurse practitioner it was stated that a 12 y.o. male PT received a TD adult vaccination on 7/10/01. Reportedly w/in 24 hrs the PT developed "serum sickness" - urticaria, angioedema, malaise, vomiting, and arthritis of both knees. PT was seen and treated at an MD office. From add'l correspondence received on 9/5/01 add'l PT, vaccine, vaccine administrator & responsible MD info was provided. This case is closed.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: From telephone contact w/reporting nurse practitioner it was stated that a 12 y.o. male PT received a TD adult vaccination on 7/10/01. Reportedly w/in 24 hrs the PT developed "serum sickness" - urticaria, angioedema, malaise, vomiting, and arthritis of both knees. PT was seen and treated at an MD office. From add'l correspondence received on 9/5/01 add'l PT, vaccine, vaccine administrator & responsible MD info was provided. This case is closed.
Age: 31.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site mass, Nausea, Pyrexia, Vomiting
Clinical narrative: A nurse reported that a 31-year-old received Pnu-Imune-23 and TD vaccines on 3/16/01. That evening, the patient developed a fever, nausea, and vomiting. She also developed induration at the site of Pnu-Imune-23 administration. She recovered. This is 1 of 2 patients from this facility who had an adverse expereince following receipt of Pnu-Imune-23 lot 470-592.
Age: 69.0
Sex: F
Vaccine: HEPAB, TD, TYP
Symptoms: Oedema, Rash, Urticaria
Clinical narrative: It was reported that a 69 y.o. female PT received a TD adult vaccination, a Typhim Vi vaccination and a Twinrix vaccination on 9/10/01 at 2 p.m. Reportedly on 9/15/01 at approximately 2 p.m. the PT developed an itchy red rash and edema and hives on upper left arm. No treatment was administered. PT reported rash on 9/17/01 saw MD for assessment on 9/19/01 with no further treatment. It was reported that the PT ingested raspberries on the morning rash appeared. The PT recovered from this experience. See report U200101171, same reporter.
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Hypoaesthesia, Loss of consciousness, Myalgia, Paraesthesia
Clinical narrative: Information has been received from a consumer concerning her 23 year old male husband with a history of a splenectomy at age 9 and no allergies, who was vaccinated on 1/15/03, by the army, with a dose of pneumococcal vaccine 23 polyvalent (lot # not reported). There was no concomitant medication. It was noted that the patient had been last vaccinated with a dose of pneumococcal vaccine 23 polyvalent (lot # not reported) in July 2001 and that, the family doctor would administered vaccine about every five years and patient never had any problems. On 1/15/03, post vaccination, the patient experienced immediately a sore arm, could not breathe and his whole body was tingling. The next day, 12-15 hours later, on 1/16/03, the patient collapsed, was numb and he had a 103.3 fever. The patient was taken to the army hospital and required in-patient hospitalization. On 1/18/03 the patient still had a low-grade fever. On the day of this report, 1/21/03, the patient still had numbness in the roes and legs. The reporter did not know who the patient's physician was and was to call back with physician information.
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 23 year old male husband with a history of a splenectomy at age 9 and no allergies, who was vaccinated on 1/15/03, by the army, with a dose of pneumococcal vaccine 23 polyvalent (lot # not reported). There was no concomitant medication. It was noted that the patient had been last vaccinated with a dose of pneumococcal vaccine 23 polyvalent (lot # not reported) in July 2001 and that, the family doctor would administered vaccine about every five years and patient never had any problems. On 1/15/03, post vaccination, the patient experienced immediately a sore arm, could not breathe and his whole body was tingling. The next day, 12-15 hours later, on 1/16/03, the patient collapsed, was numb and he had a 103.3 fever. The patient was taken to the army hospital and required in-patient hospitalization. On 1/18/03 the patient still had a low-grade fever. On the day of this report, 1/21/03, the patient still had numbness in the roes and legs. The reporter did not know who the patient's physician was and was to call back with physician information.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Asthenia, Depressed level of consciousness, Irritability, Lactose intolerance, Pallor
Clinical narrative: Vomiting. Lowered or loss of consciousness. Fussiness. Pale. Weakness. The follow up received on 2/5/03 states diagnosed with milk allergy.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Vomiting. Lowered or loss of consciousness. Fussiness. Pale. Weakness. The follow up received on 2/5/03 states diagnosed with milk allergy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Father states child developed high fever, swollen, pain, child was taken to hospital. Was placed on Keflex 300mg-according to pediatrician was probable allergic reaction to DTaP. Discharge diagnosis/assessment: pt has decreased redness and swelling to his left arm. He has no fever. He is eating and drinking well. He has good movement to his L arm. He is able take his medicine.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cyanosis, Dyspnoea, Eye movement disorder, Gastrointestinal disorder
Clinical narrative: Grandmother reports patient began having trouble breathing, eyes rolled back, foamed at the mouth, and her lips turned blue. Symptoms occurred at about 4:00PM on 1/9/03, while patient was riding in the car. Patient was seen in the emergency room and admitted to the hospital for further evaluation. No fever, NML. Exam in ED except for rhinorrhea.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Odynophagia
Clinical narrative: Dysphagia; Odynophagia
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Cellulitis, Swelling
Clinical narrative: Swollen left arm was seen at emergency room 2/11 and 2/12/02 from which she was admitted to hospital with diagnosis of cellulitis of left arm. Received Rocephin and hospital stay for 2 days. Seen at follow up per doctor and given Keflex PO.
Age: 45.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Joint range of motion decreased, Pain
Clinical narrative: Severe arthritis in sight hip leading to total hip replacement. 60 Day follow up states pt has not recovered. Pt had to have right hip replaced because of sever arthritis. Very limited physically and can't do many things physically that could before. the pain from arthritis started shortly after received the vaccine and pt attributed it to Lymerix vaccine. Annual follow up on 02/06/04: "Pt has not recovered from adverse events. Total hip replacement 06/11/02, many physical activities that I previoiusly performed, I cannot do after the surgery.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Heart rate increased, Hyperthermia, Skin burning sensation, Throat tightness
Clinical narrative: Pt had a burning sensation of the face this AM 2/2/03, face red and both anterior hands knuckle area red, states he feels like face on fire.  Denies SOB, feels like knot in back of throat.  Denies itching. Had dental work also. Given Benadryl 25 mg 1 q 6 hours until normal.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Oedema genital, Pruritus, Tongue oedema
Clinical narrative: Onset progressive Pruritus; fullness at groin, chest and tongue at midnight. Sought evaluation 0130 AM  14, January. Same reaction in past "Fire Ant" envenomation. Treated with Benadryl.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Urticaria
Clinical narrative: Two hrs post immunization experienced generalized Pruritus. By 12 hr mark Pruritus decreased but now hard urticarial rash on forehead and mid back.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: 21 yr old female with localized rxn to Anthrax vaccination; + erythema. warmth, itching at site. Redness extending from proximal arm to elbow on underside.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 41 yr old female with localized rxn to Anthrax vaccination. A 5" erythematous area circling from site around back of arm. Radiating down just above elbow; + warmth. No other symptoms.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Haemoptysis, Pain, Pain in jaw, Pharyngolaryngeal pain
Clinical narrative: Pt reports developed sore throat, right jaw pain, body aches, cough, yellow nasal discharge and expectorant with streaks of blood. Treated with erythromycin and symptoms resolved.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinorrhoea
Clinical narrative: Pt reports developed sore throat, right jaw pain, body aches, cough, yellow nasal discharge and expectorant with streaks of blood. Treated with erythromycin and symptoms resolved.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: Localized rxn rt arm, swelling from triceps down to wrist.
Age: 34.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Lt arm swelling and redness in biceps and triceps (shoulder to elbow).
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Pruritus, Rash macular
Clinical narrative: Had 3rd Anthrax in lt arm and three days later developed red macular rash at site, Pruritus at site of rash. Treated with Motrin and antihistamines.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Syncope, Wheezing
Clinical narrative: 20 min after vaccine pt with SOB and nearly collapsing. He was wheezing. As directed by a physician 1 mg epinephrine along with 50 mg of Benadryl given. Relief was obtained, the with chest pain. IV started then 125 mg Solu-Medrol. Chest pain resolved two to three minutes. Paramedics arrived and he was transferred to Erlanger Hospital for observation.
Age: 1.08
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site swelling
Clinical narrative: 2 X 1 1/2 cm Swollen area at site of vaccine (Varivax)
Age: 2.25
Sex: M
Vaccine: DTAP, HEP, HEPA, HIBV, PNC
Symptoms: Purpura, Rash
Clinical narrative: Full body rash with purpura of lower extremities.
Age: 41.0
Sex: M
Vaccine: LYME
Symptoms: Back pain
Clinical narrative: Symptoms of Osteoarthritis in back. Severe pain in upper and lower back 4-5 AM since Fall/Winter 2001. Currently taking Vioxx for pain relief.
Age: 3.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Developed fever 105.6F day after receiving Hepatitis B #3. No other symptoms of viral illness. No findings on exam.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Skin ulcer, Urticaria
Clinical narrative: Urticarial lesions on neck, chest, arms and legs X 18 hours after vaccines. Cleared after 3 days. Treated with Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Received MMR rt arm on 1/30/03. Noted red, warm, swelling rt arm on 1/31/03. No fever. Subsiding spontaneously. Currently minimal erythema, no tenderness, warmth or induration around injection site.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: About 10 min after vaccine, arm began to ache from shoulder to wrist. Progressed to severe pain (7/10) X 36 hours, gradually improved. Some tenderness with palpation remains at time of report.
Age: 36.0
Sex: M
Vaccine: FLU3, HEPA, PPV
Symptoms: Injection site erythema, Injection site oedema, Lymphadenopathy, Pyrexia, Skin striae
Clinical narrative: Approximately 4-6 hours after immunization, noted edema, erythema to deltoid (lt). After 24 hours noted superficial erythematous streaking of the skin with lymph node enlargement and tenderness (lt) axillary. Fever 99.6F on 1/24. Symptoms hadn't worsened and was examined with recommendation to cold compress and anti-inflammatory prn. On 1/28/03 TC from pt - symptoms resolved.
Age: 36.0
Sex: M
Vaccine: FLU3, HEPA, PPV
Symptoms: Tenderness
Clinical narrative: Approximately 4-6 hours after immunization, noted edema, erythema to deltoid (lt). After 24 hours noted superficial erythematous streaking of the skin with lymph node enlargement and tenderness (lt) axillary. Fever 99.6F on 1/24. Symptoms hadn't worsened and was examined with recommendation to cold compress and anti-inflammatory prn. On 1/28/03 TC from pt - symptoms resolved.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypoaesthesia, Hypokinesia, Swelling
Clinical narrative: + redness, swelling of rt arm, hand, with decreased ability to move rt arm and numbness, tingling in rt hand X 6 days. Seen in Clinic 2 days after vaccine given, pt stated vaccination was 50% better. Treated with Zyrtec.
Age: 59.0
Sex: U
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Local area erythematous, warm to the touch.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Epistaxis, Hypertonia, Hypokinesia, Injection site haemorrhage, Myalgia
Clinical narrative: Couldn't move. Was stiff and still is painful and swollen. Bumps broke out. *Follow-up report on 2/20/03: Severe pain, stiffness, rash, bleeding muscle, inside arm soreness.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Pain, Rash, Swelling
Clinical narrative: Couldn't move. Was stiff and still is painful and swollen. Bumps broke out. *Follow-up report on 2/20/03: Severe pain, stiffness, rash, bleeding muscle, inside arm soreness.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus, Urticaria
Clinical narrative: Pt came to clinic for #3 Hep B. The vaccine was given to pt who had had previous 2 vaccines w/o problems. Mother called us at 1:15pm as pt had "welts" and red itchy rash on R upper arm site of injection R thigh, trunk, legs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction, Swelling
Clinical narrative: Mom called 11/15/02 stating child's L arm was swollen; offered to see child in clinic. Seen by private MD & Dx with cellulitis L arm and Tx with Lortab 250mg BID. 11/19/02 Mom states child is better now.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R Arm red, warm and swollen on PM 1/8/03. To use compresses that are warm and motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Application site oedema, Erythema
Clinical narrative: Evaluated 1/24/03 by pediatrician, due to edema and erythematous rash L deltoid area which began approx. 3 hrs after getting DTaP, MMR & IPV. Reaction size half dollar.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration
Clinical narrative: Pt rec'd vaccine's on 1/14/03, reported X 2 red hard knots to leg. 1/15/2003 advised to apply warm clothes  & warm water soak to leg . Went to ER on 1/16/03 due to redness from groin area to knee with hard knot to leg Tx with Benadryl and motrin.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Dyskinesia, Pyrexia, Viral infection
Clinical narrative: Pt's mother called in th morning and reported child spiked temp of 102F at daycare with jerking movements. Mother observed jerking movements in car and again at Dr office. Dr observed and felt it was from virus not Imm.
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, MMR, TD
Symptoms: Dizziness, Pallor
Clinical narrative: Pt became pale and dizzy after shots. Vitals taken No wheezing on ausc. Pt left after 15-20 min and felt WNL & vitals stable.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother states that L arm became red & swollen, skin very tight ?? ??, she applied ice to arm, states that swelling has decreased today. In clinic arm is L deltoid reddened and swollen 2"x2".
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion, Nystagmus, Posturing, Tardive dyskinesia
Clinical narrative: Pt rec'd 3rd DTaP, 3rd IPV,2nd Prevnar 1/13/03 at 2pm. PE WNL at time of visit. Had seizure activity (Nystagmus, lip smacking, tonic posturing) About 10pm that evening. Taken to ER by which time pt was normal.