chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site rash, Rash macular
Clinical narrative: (R) thigh-upper thigh macular lesion round red and large 4-5 mm
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Received Varivax 6/20/07 10am. Comes in today 6/21/07 9cm by 6x5 cm erythematous swollen "target lesion" (R) arm
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: erythematous, swollen 4 cm round.
Age: 6.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Anorexia, Lethargy, Listless, Rash pustular, Varicella
Clinical narrative: 6-18-07 loss of appetite, listless and lethargic at daycare-notified mom. 6-20-07 pustules observed on trunk. Saw Dr who dx chickenpox
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: 30 mm redness around injection site
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Headache
Clinical narrative: Approximately 8 hours after the vaccine, I had headache and weakness. The next morning at 8 a.m. the weakness returned that afternoon at about 1130 a.m. the weakness returned.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mom noticed site of injection red, swollen and hard to the touch. Gave Septra Surp 2.5 ml G 12h x 2wks.
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Mass, Pain
Clinical narrative: SM received Anthrax vaccination on 5/10/07. C/O of lump and pain upon touch.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Ery papular rash-scattered head to lower extremities
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Grand mal convulsion, Oxygen supplementation, Syncope
Clinical narrative: Information has been received from a physician concerning a 15 year old female with a history of syncopal attacks (NOS) who had been previously evaluated for the syncopal attacks on unspecified dates by a neurologist and cardiologist. On 26-MAR-2007 the patient was vaccinated IM with the first dose of Gardasil (lot# not provided). On 16-JUN-2007 the patient received the second dose of Gardasil (Lot#6578681/0523U). On the same day she also received a vaccination of Havrix. Post vaccination the patient was sitting in the physician's waiting room where she experienced a syncopal episode followed by a tonic clonic seizure which lasted approximately three minutes and included urinary incontinence. After the seizure resolved the patient was treated with oxygen in the physicians office, was alert and oriented and was then transported to the emergency room for further evaluation. It was reported that after being evaluated in the ER, she had residual, and was feeling well. It was also reported that the patient did not have any difficulties after her first vaccination. The patient was scheduled to follow up with a neurologist as a precaution. Upon internal review the tonic clonic seizure was felt to be an other medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Condition aggravated, Grand mal convulsion, Oxygen supplementation, Syncope, Urinary incontinence
Clinical narrative: Information has been received from a physician concerning a 15 year old female with a history of syncopal attacks (NOS) who had been previously evaluated for the syncopal attacks on unspecified dates by a neurologist and cardiologist. On 26-MAR-2007 the patient was vaccinated IM with the first dose of Gardasil (lot# not provided). On 16-JUN-2007 the patient received the second dose of Gardasil (Lot#6578681/0523U). On the same day she also received a vaccination of Havrix. Post vaccination the patient was sitting in the physician's waiting room where she experienced a syncopal episode followed by a tonic clonic seizure which lasted approximately three minutes and included urinary incontinence. After the seizure resolved the patient was treated with oxygen in the physicians office, was alert and oriented and was then transported to the emergency room for further evaluation. It was reported that after being evaluated in the ER, she had residual, and was feeling well. It was also reported that the patient did not have any difficulties after her first vaccination. The patient was scheduled to follow up with a neurologist as a precaution. Upon internal review the tonic clonic seizure was felt to be an other medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Cyanosis, Grand mal convulsion, Seizure anoxic, Syncope vasovagal, Urinary incontinence
Clinical narrative: Information has been received from a physician concerning a 15 year old female with a history of syncopal attacks (NOS) who had been previously evaluated for the syncopal attacks on unspecified dates by a neurologist and cardiologist. On 26-MAR-2007 the patient was vaccinated IM with the first dose of Gardasil (lot# not provided). On 16-JUN-2007 the patient received the second dose of Gardasil (Lot#6578681/0523U). On the same day she also received a vaccination of Havrix. Post vaccination the patient was sitting in the physician's waiting room where she experienced a syncopal episode followed by a tonic clonic seizure which lasted approximately three minutes and included urinary incontinence. After the seizure resolved the patient was treated with oxygen in the physicians office, was alert and oriented and was then transported to the emergency room for further evaluation. It was reported that after being evaluated in the ER, she had residual, and was feeling well. It was also reported that the patient did not have any difficulties after her first vaccination. The patient was scheduled to follow up with a neurologist as a precaution. Upon internal review the tonic clonic seizure was felt to be an other medical event. Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, PPV, VARCEL
Symptoms: Convulsion, Gaze palsy, Inappropriate schedule of drug administration, Screaming
Clinical narrative: On 06/23/2007 around 10:30pm patient was sleeping when she began convulsing.  Convulsions lasted for about 15 seconds and then she paused, opened her eyes, looked in my direction (took 1-2 seconds to do this) and then her eyes rolled up and she began convulsing again, this time lasting around 10 seconds.  Patient was then quiet for a second before she woke up screaming.  Patient was back asleep about 2 minutes later.  Total elapsed time was about 2.5 minutes.
Age: 73.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Dysaesthesia, Injection site erythema, Injection site rash, Rash papular
Clinical narrative: Per Dr's notes: "Pt rec'd a zoster vaccination on 6/20/07. The following day she noticed some dysesthesia at the arm, the day after that she noted some redness of the injection site and over the next few days there has been and continued dysesinesia on the general upper arm on the outer aspect and a gradual increase in the amount of rash noted. Exam confirm a papular rash generally distal to the injection site from the mid right deltoid down to the elbow w/some spots in the antecubital fossa."
Age: 79.0
Sex: F
Vaccine: RAB, TTOX
Symptoms: Pneumonia, Sinusitis, Stomach discomfort
Clinical narrative: A case was received from a consumer's daughter on 13 June 2007. A 79-year-old female patient with medical history of bat exposure, increased cholesterol, hypothyroidism, high blood pressure, and heart disease, had received in initial injection of rabies vaccine, tetanus vaccine and RIG (rabies immunoglobulin) on 05 November 2006. "The post exposure series was completed on 08 December 2006", and on 15 December 2006 the patient "had stomach problems" and was seen in the emergency department. On 15 January 2007 the patient was admitted to the hospital "for five or six days" (reason for this admission was not provided). In March of 2007 she was admitted to the hospital with pneumonia. On 01 May 2007 she developed a sinus infection. Concomitant medications included Lotensin, Zocor, Tricor, Levothyroid, Prilosec, Clonopin, and antibiotics. The events were reported as not yet resolved. A Corrective version was created using the original receipt date in order to change the rabies immunoglobulin from Immunoglobulin Equine Antirabies to Immunoglobulin Human Antirabies. No additional medically significant information has been added
Age: 2.0
Sex: M
Vaccine: DTAP, DTAP, HIBV
Symptoms: Cough, Pertussis, Pertussis identification test positive
Clinical narrative: This case was received from a health professional on 15 June 2007. A two-year-old male patient with no reported medical history developed pertussis after receiving an injection of Trihibit (Tripedia plus ActHib, lot number U1857AA). The patient had previously received three doses of Daptacel: dose one on 17 March 2005 (lot number C2129AA), dose two on 18 May 2005 (lot number C2129AA), and dose three on 22 July 2005 (lot number C2184AA). On 24 April 2006 he received a dose of Trihibit. Thirteen months later he developed a persistent cough lasting 11 days, "mainly at night, which was getting progressively worse", and his physician noted the cough had a "whoop at the end". On 10 June 2007 he was diagnosed with pertussis, confirmed by the Laboratory Services in the state. The reported stated that "bilateral lungs were okay", and no fever or respiratory distress was noted. The event was treated with Zithromax and albuterol inhalers, and had not yet resolved.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Acute tonsillitis, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bilirubin conjugated increased, Bilirubin conjugated normal
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Blood albumin decreased, Blood bilirubin abnormal, Blood bilirubin increased, Blood culture negative, Chest X-ray abnormal
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Full blood count, Haematocrit decreased, Haemoglobin normal, Hepatitis, Irritability
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Jaundice, Metabolic function test abnormal, Mononucleosis heterophile test negative, Platelet count decreased, Pyrexia
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Rash, Streptococcal identification test, Streptococcal identification test negative, Ultrasound abdomen, Vomiting
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 1.8
Sex: M
Vaccine: FLU3, HEPA
Symptoms: White blood cell count increased
Clinical narrative: This is a 1-year-old female who was admitted with a history of fever, vomiting and rash. Physical examination on admission has shown irritable child. Patient was initially admitted and started on intravenous antibiotics for tonsillitis. However, in view of increasing serum bili and high transaminases, antibiotics were withdrawn. Antihistamines were given for treatment of rash. Patient was monitored carefully and was placed on low fat diet. She improved over the next 4-5 days and showed decrease in irritability. Icterus, rash disappeared and the tonsillar congestion resolved. She was discharged home and also showed progressive improvement of biochemical markers of liver involvement. Diagnoses: Acute tonsillitis. Hepatitis, possibly viral or drug induced, improving. 1/2/07. DC DX:Acute tonsilitis. Hepatitis viral or drug induced. C/O Fever, vomiting, rash and irritability.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Respiratory arrest
Clinical narrative: Grandmother found baby not breathing after nap around 3:55 pm. EMS notified and CPR began 10 minutes after discovery. Baby transported with CPR in progress. Baby pronounced dead at 4:31 pm.  7/10/07 Received vax records from HD which confirms RO dose & lot # as reported. 10/2/07 Autopsy Report reviewed which states COD as SIDS.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Blood culture negative, Computerised tomogram normal, Convulsion, Electroencephalogram normal, Laboratory test normal
Clinical narrative: Had 3 seizures - starting at approximately 6 hours after vaccination and 2nd at 10 hours - 3rd at approximately 13 hours - started on Phenobarbital at hospital and advised to avoid further Pertussis. 8/1/07-records received--New onset seizures. Eyes rolled back rhythmic tonic-clonic movements of head as well as all extremities. New onset seizure likely secondary to DTaP
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Patient's mother was called 19 hour after immunization given. She said child's injection site was slightly sore without swelling or discoloration.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Client was given the influenza vaccine on 2/5/07 to left deltoid. 3-4 days after the shot, client experienced pain in arm and limited range of motion. Client never went to a doctor and only notified clinic who administered vaccine on 6-26-07. The nurse assessed the arm w/no signs of swelling, redness or infection. Pain has continued since approx. 2-8-07.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Injection site swelling
Clinical narrative: (1) Rt arm swollen from below vaccine site all the way to the elbow (2) Lt arm swollen tense about 8 cm x 8 cm
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient presented 6/25/07 with one day history of redness and swelling at injection site (Right thigh) treated with oral antibiotics.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction, Nausea, Pain
Clinical narrative: Nausea and body aches 48 hr large local reaction greater than 10 cm
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site reaction, Medication error
Clinical narrative: Patient inadvertently got inoculated with smallpox vaccine on both arms on the same day. The tine with the vaccine was placed on the patient arm when the vaccinator realized that he does not want to give the vaccine on the same arm as the Anthrax vaccine. He wiped off the vaccine and gave it to the other arm. Patient developed reactions on both arms.
Age: 1.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Father called states child received immunization on 06/01/07. Stated child has been running fever since then and has knots and redness around needles sites.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mom reported to clinic on 5/16/07 afternoon stating child had been running fever x 2 days and had swollen (L) arm since receiving immunizations. Child's (L) arm was reddened from halfway up from elbow to deltoid and hot to touch. Denied any pain. No drainage noted. Referred to her MD was seen that afternoon.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Tdap given IM Lt deltoid, client came in today with c/o pain and swelling in arm 5-11-07 (started yesterday 5-10-07) also started having muscle spasms, Lt arm very warm to touch area of shot swollen, 12 cm also noted below shot area red patch areas x3, did apply cold compress
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms
Clinical narrative: Tdap given IM Lt deltoid, client came in today with c/o pain and swelling in arm 5-11-07 (started yesterday 5-10-07) also started having muscle spasms, Lt arm very warm to touch area of shot swollen, 12 cm also noted below shot area red patch areas x3, did apply cold compress
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Menactra was give prior to age 11 yrs. Experienced no problem. Misadmistration
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Days after receiving Tdap shot, redness, swelling and itching. Saw private Dr. He advised to put cold pack on area, take over the counter allergy med. at night Also gave a prescription to take should condition worsen. Condition appeared to get better, with redness becoming less. Total redness did not go away and area ached at times. Started the prescription of sulfameth/trimeth 800/160 mg two days later. Shot given 4-11-07 started Rx 4-16-07
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Left deltoid red and swelling noted within 24 hours of immunizations administration. Site progressively worsen the next 24 hours. Three days after injection. Temp 99.5 left arm swollen from deltoid to anticibital painful and red.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Hypersensitivity, Rash generalised, Rash macular, Swelling
Clinical narrative: rash, macular entire body swelling, hands/feet Benadryl 12.5 mg QID possible allergy
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness pain and swelling around Tdap site R deltoid
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Convulsion, Full blood count, Metabolic function test normal
Clinical narrative: Brief seizure. Lasted about 1". No fever at the time.
Age: 83.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Injection site cellulitis, Off label use
Clinical narrative: cellulitis left arm at injection site Pt was given Keflex
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cyanosis, Echocardiogram, Electrocardiogram, Electroencephalogram, Fatigue
Clinical narrative: Approximately 5 minutes after Hgb +vacc + administration tremors. Pt was pale. After waking pt was dazed within cyanotic lips and brady to 60s. Was pale and dazed for 20 minutes. This was followed by 30-45 minutes of sound sleeping (barely arousable). Dx vasovagal vs. seizure.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling abnormal, Nuclear magnetic resonance imaging brain, Pallor, Syncope vasovagal, Tremor
Clinical narrative: Approximately 5 minutes after Hgb +vacc + administration tremors. Pt was pale. After waking pt was dazed within cyanotic lips and brady to 60s. Was pale and dazed for 20 minutes. This was followed by 30-45 minutes of sound sleeping (barely arousable). Dx vasovagal vs. seizure.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site approximately 3.5 inches in diameter 2 days after receiving vaccine.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, edema at injection site approximately 5-6 inches in diameter 1 day after receiving vaccine, edema all the way down to elbow area.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: mom noticed area of injection site redness and swelling in the evening of the 6/22/07. In office on 6/23/07 with "1/2 dollar size area of induration and redness at injection site". No fever noted.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cold compress therapy, Heat therapy, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Leg left swollen, Red, fever and discolored Rec Benadryl, Tylenol put in tub of warm water  and massage the area with warm-cool compress
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Skin discolouration
Clinical narrative: Leg left swollen, Red, fever and discolored Rec Benadryl, Tylenol put in tub of warm water  and massage the area with warm-cool compress
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Rash
Clinical narrative: Mother phoned to say client had rash on legs and back last night. Received vaccines earlier. Told by ER allergic reaction to vaccines given Benadryl and Prednisone.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: C/O L arm pain, arm swollen, numb in areas of arm, fingers tingling. We referred to ER. Saw MD next day after injection.
Age: 45.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Pt stated around 10 AM received type, HPA vaccine at health dept, around 2 pm. Start having symptoms, breathing short, and felt her throat closing up, went to ER. Treatment given steroids.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, swelling L arm near to vaccine site, warmth of arm, erythema spreading to elbow.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Area around injection site with 2-3 in x 2-3 inch redness, able to see where immunization given. no warmth or drainage, pain with deep touch. Stated 1 day prior to office visit (given SubQ) cellulitis.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt called office today, described pain in LT arm sore can't raised arm at this time - denies redness - swelling - fever at this time - Pain just developed on 6/27/07 in AM
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh red and swollen warm to touch
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event, Wrong drug administered
Clinical narrative: No Problems
Age: 50.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Dyspnoea, Hypoaesthesia, Nausea, Pyrexia
Clinical narrative: Patient reports that later on the same date that she developed a fever, nausea, and severe joint pain after recieving her second rabies vaccine on 06/23/07.  The patient reports that she was in a lot of pain and took in tital a codeine, and oxycodone(at different points) and got temporary relief.  The patient reports that the following day she felt a little better, but remained nausea until about 06/27/07.  The patient also reports that on 06/28/07 she awoke to a numb jaw, and her knee "gave out" after getting out of a swimming pool.  The patient states that these symptoms resolved after about 10-15 minutes.  The patient denies having hives, chest pain, or diffuculty breathing throughout these episodes, but does report feeled "winded" while performed her normal duty of swimming.  The patient reports a history significant for epstein barr, and denies any other symptoms.  The patient did contact her primary care doctor on 06/24/07.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site vesicles, Pain
Clinical narrative: PATIENT RECEIVED ADACEL AND PPD (TUBERSOL) ON 6-22-07.  ON 6/25/07,REPORTED LEFT UPPER ARM SWELLING, ERYTHEMIA, MILD BLISTERING AND INDURATION AT INJECTION SITE.  ERYTHEMIA 50MM X 40MM. SWELLING MODERATE, VISIBLE THROUGH SHIRT SLEEVE.   USED OCCASIONAL TYLENOL DURING WEEKEND.  ADVISED TO USE ADVIL Q 4-6 HOURS AND ICE PACKS TO UPPER LEFT ARM 10 MIN ON AND 10 MIN OFF REPEATEDLY DURING DAY (MINIMUM 10-12 TIMES) AND TO REPORT STATUS ON 6/26/07. ON 6/26/07, PATIENT CALLED, REPORTING CONTINUED PAIN BUT SLIGHT IMPROVEMENT OF ERYTHEMIA.  ADVISED TO CONTACT PHYSICIAN FOR FURTHER ADVICE AND TO REPORT IF NO FURTHER IMPROVEMENT AT INJECTION SITE.
Age: 1.11
Sex: F
Vaccine: DTAPH, MMRV, PNC
Symptoms: Asthenia, Convulsion, Gait disturbance, Leukoencephalomyelitis, Movement disorder
Clinical narrative: ON 08-03-2006 CHILD RECEIVED DTAP/HIB,MMRV, AND PNEUMO CONJUGATE IMMUNIZATIONS.ON 09-07-2006 MOTHER OF CHILD TO HEALTH DEPT. TO REPORT A POSSIBLE REACTION TO IMMUNIZATIONS. MOTHER REPORTS "WITHIN THE WEEK AFTER RECEIVING SHOTS THE CHILD'S HEAD STARTED TILTING TO ONE SIDE, SHE QUIT TALKING WORDS,STOPPED WALKING, CRAWLING, SITTING UP. SHE WAS SLEEPING ALL DAY AND NIGHT,WOULD WAKE UP TO EAT AND THEN BACK TO SLEEP." MOTHER STATES "TOOK CHILD TO THE CHIROPRACTOR ON 08-18-2006 FOR AN ADJUSTMENT DUE TO HER HEAD TILTED TO ONE SIDE AND SAYS CHILD DID IMPROVE AFTER THE ADJUSTMENT FOR A SHORT TIME." THEN ON 08-25-06 MOTHER STATES "TOOK CHILD TO PROVIDER DR. AND MOTHER SAYS SHE WAS TOLD BY DR. "CHILD'S REFLEXES ARE OKAY, SHE COULD HAVE A BROKEN NECK DUE TO THE CHIROPRACTOR'S ADJUSTMENT. TAKE HER TO HOSPITAL." MOTHER REPORTS "CHILD NEVER HAD A FEVER, APPETITE WAS GOOD, URINARY AND BOWEL FUNCTION OKAY. HAD BEEN TEETHING 4-5 TEETH,COULD ALWAYS MOVE HER ARMS." MOTHER SAYS "CHILD HAD A SEIZURE 5-06 DUE TO A HIGH FEVER BUT NONE SINCE." "CHILD WAS HOSPITALIZED ON 08-25-2006 AT HOSPITAL.MOTHER SAYS "WAS TOLD BY PHYSICIAN CHILD HAD LESIONS ON THE BRAIN-CAUSE UNKNOWN.POSSIBLY MAY HAVE BEEN DUE TO IMMUNIZATIONS." MOTHER REPORTS "CHILD UNDERWENT PHYSICAL THERAPY DURING HOSPITALIZATION AND MOTHER PLANS TO ARRANGE FOR CONTINUED PHYSICAL THERAPY. CURRENTLY CHILD CAN'T WALK OR CRAWL. SITS UP FOR A FEW SECONDS BY HERSELF BEFORE FALLING OVER TO ONE SIDE. STANDS WITH HELP FOR A FEW SECONDS ONLY." MOTHER SAYS "CHILD IS STILL NOT PRONOUNCING WORDS ONLY "BABBLING." CHILD IS HOLDING HER HEAD UP AND HAS HEAD CONTROL. PT.DISCHARGED FROM HOSPITALON ON 09-06-2006.PEDIATRIC DISCHARGE ORDERS-HOSPITALIZATION SUMMARY STATES REASON FOR HOSPITALIZATION "ACUTE SEVERE GENERALIZED WEAKNESS" AND DISCHARGE DIAGNOSIS. ACUTE DISSEMINATED ENCEPHALOMYELITIS." HOSPITAL COURSE/SIGNIFICANT FINDING." "PT. HAD A POSITIVE RESPONSE TO IVIG TREATMENT X 2, SHE HAS SHOWN INCREASED STRENGGTH ANDHEAD CONTROL, INCREASED PHONATION, INCREASED ACTIVITY/INTERACTIVITY. REPEAT MRI SHOWED NO CHANGE." FOLLOW-UP APPOINTMENT WITH OU PEDS DR. ON 09-13-2006.  7/20/07 Received hospital medical records which reveal patient experienced acute severe generalized weakness x approx 1 month.  Noted to be floppy on admit w/prominent head lag.  Admitted 8/25-9/5/06.  Tx w/IVIG & progressed well.  D/C to home on tapering steroids.  Readmitted 9/25-9/29/06 for continued generalized weakness & increased irritability.  MRI & LP were repeated.  Received additional IVIG w/minimal improvement. D/C to home w/continued PT. FINAL DX: Acute disseminated encephalomyelitis; possible progressive neurodegenerative disorder.
Age: 1.11
Sex: F
Vaccine: DTAPH, MMRV, PNC
Symptoms: Nervous system disorder, Physiotherapy, Posture abnormal, Pyrexia, Sleep disorder
Clinical narrative: ON 08-03-2006 CHILD RECEIVED DTAP/HIB,MMRV, AND PNEUMO CONJUGATE IMMUNIZATIONS.ON 09-07-2006 MOTHER OF CHILD TO HEALTH DEPT. TO REPORT A POSSIBLE REACTION TO IMMUNIZATIONS. MOTHER REPORTS "WITHIN THE WEEK AFTER RECEIVING SHOTS THE CHILD'S HEAD STARTED TILTING TO ONE SIDE, SHE QUIT TALKING WORDS,STOPPED WALKING, CRAWLING, SITTING UP. SHE WAS SLEEPING ALL DAY AND NIGHT,WOULD WAKE UP TO EAT AND THEN BACK TO SLEEP." MOTHER STATES "TOOK CHILD TO THE CHIROPRACTOR ON 08-18-2006 FOR AN ADJUSTMENT DUE TO HER HEAD TILTED TO ONE SIDE AND SAYS CHILD DID IMPROVE AFTER THE ADJUSTMENT FOR A SHORT TIME." THEN ON 08-25-06 MOTHER STATES "TOOK CHILD TO PROVIDER DR. AND MOTHER SAYS SHE WAS TOLD BY DR. "CHILD'S REFLEXES ARE OKAY, SHE COULD HAVE A BROKEN NECK DUE TO THE CHIROPRACTOR'S ADJUSTMENT. TAKE HER TO HOSPITAL." MOTHER REPORTS "CHILD NEVER HAD A FEVER, APPETITE WAS GOOD, URINARY AND BOWEL FUNCTION OKAY. HAD BEEN TEETHING 4-5 TEETH,COULD ALWAYS MOVE HER ARMS." MOTHER SAYS "CHILD HAD A SEIZURE 5-06 DUE TO A HIGH FEVER BUT NONE SINCE." "CHILD WAS HOSPITALIZED ON 08-25-2006 AT HOSPITAL.MOTHER SAYS "WAS TOLD BY PHYSICIAN CHILD HAD LESIONS ON THE BRAIN-CAUSE UNKNOWN.POSSIBLY MAY HAVE BEEN DUE TO IMMUNIZATIONS." MOTHER REPORTS "CHILD UNDERWENT PHYSICAL THERAPY DURING HOSPITALIZATION AND MOTHER PLANS TO ARRANGE FOR CONTINUED PHYSICAL THERAPY. CURRENTLY CHILD CAN'T WALK OR CRAWL. SITS UP FOR A FEW SECONDS BY HERSELF BEFORE FALLING OVER TO ONE SIDE. STANDS WITH HELP FOR A FEW SECONDS ONLY." MOTHER SAYS "CHILD IS STILL NOT PRONOUNCING WORDS ONLY "BABBLING." CHILD IS HOLDING HER HEAD UP AND HAS HEAD CONTROL. PT.DISCHARGED FROM HOSPITALON ON 09-06-2006.PEDIATRIC DISCHARGE ORDERS-HOSPITALIZATION SUMMARY STATES REASON FOR HOSPITALIZATION "ACUTE SEVERE GENERALIZED WEAKNESS" AND DISCHARGE DIAGNOSIS. ACUTE DISSEMINATED ENCEPHALOMYELITIS." HOSPITAL COURSE/SIGNIFICANT FINDING." "PT. HAD A POSITIVE RESPONSE TO IVIG TREATMENT X 2, SHE HAS SHOWN INCREASED STRENGGTH ANDHEAD CONTROL, INCREASED PHONATION, INCREASED ACTIVITY/INTERACTIVITY. REPEAT MRI SHOWED NO CHANGE." FOLLOW-UP APPOINTMENT WITH OU PEDS DR. ON 09-13-2006.  7/20/07 Received hospital medical records which reveal patient experienced acute severe generalized weakness x approx 1 month.  Noted to be floppy on admit w/prominent head lag.  Admitted 8/25-9/5/06.  Tx w/IVIG & progressed well.  D/C to home on tapering steroids.  Readmitted 9/25-9/29/06 for continued generalized weakness & increased irritability.  MRI & LP were repeated.  Received additional IVIG w/minimal improvement. D/C to home w/continued PT. FINAL DX: Acute disseminated encephalomyelitis; possible progressive neurodegenerative disorder.
Age: 1.11
Sex: F
Vaccine: DTAPH, MMRV, PNC
Symptoms: Somnolence, Speech disorder developmental, Teething
Clinical narrative: ON 08-03-2006 CHILD RECEIVED DTAP/HIB,MMRV, AND PNEUMO CONJUGATE IMMUNIZATIONS.ON 09-07-2006 MOTHER OF CHILD TO HEALTH DEPT. TO REPORT A POSSIBLE REACTION TO IMMUNIZATIONS. MOTHER REPORTS "WITHIN THE WEEK AFTER RECEIVING SHOTS THE CHILD'S HEAD STARTED TILTING TO ONE SIDE, SHE QUIT TALKING WORDS,STOPPED WALKING, CRAWLING, SITTING UP. SHE WAS SLEEPING ALL DAY AND NIGHT,WOULD WAKE UP TO EAT AND THEN BACK TO SLEEP." MOTHER STATES "TOOK CHILD TO THE CHIROPRACTOR ON 08-18-2006 FOR AN ADJUSTMENT DUE TO HER HEAD TILTED TO ONE SIDE AND SAYS CHILD DID IMPROVE AFTER THE ADJUSTMENT FOR A SHORT TIME." THEN ON 08-25-06 MOTHER STATES "TOOK CHILD TO PROVIDER DR. AND MOTHER SAYS SHE WAS TOLD BY DR. "CHILD'S REFLEXES ARE OKAY, SHE COULD HAVE A BROKEN NECK DUE TO THE CHIROPRACTOR'S ADJUSTMENT. TAKE HER TO HOSPITAL." MOTHER REPORTS "CHILD NEVER HAD A FEVER, APPETITE WAS GOOD, URINARY AND BOWEL FUNCTION OKAY. HAD BEEN TEETHING 4-5 TEETH,COULD ALWAYS MOVE HER ARMS." MOTHER SAYS "CHILD HAD A SEIZURE 5-06 DUE TO A HIGH FEVER BUT NONE SINCE." "CHILD WAS HOSPITALIZED ON 08-25-2006 AT HOSPITAL.MOTHER SAYS "WAS TOLD BY PHYSICIAN CHILD HAD LESIONS ON THE BRAIN-CAUSE UNKNOWN.POSSIBLY MAY HAVE BEEN DUE TO IMMUNIZATIONS." MOTHER REPORTS "CHILD UNDERWENT PHYSICAL THERAPY DURING HOSPITALIZATION AND MOTHER PLANS TO ARRANGE FOR CONTINUED PHYSICAL THERAPY. CURRENTLY CHILD CAN'T WALK OR CRAWL. SITS UP FOR A FEW SECONDS BY HERSELF BEFORE FALLING OVER TO ONE SIDE. STANDS WITH HELP FOR A FEW SECONDS ONLY." MOTHER SAYS "CHILD IS STILL NOT PRONOUNCING WORDS ONLY "BABBLING." CHILD IS HOLDING HER HEAD UP AND HAS HEAD CONTROL. PT.DISCHARGED FROM HOSPITALON ON 09-06-2006.PEDIATRIC DISCHARGE ORDERS-HOSPITALIZATION SUMMARY STATES REASON FOR HOSPITALIZATION "ACUTE SEVERE GENERALIZED WEAKNESS" AND DISCHARGE DIAGNOSIS. ACUTE DISSEMINATED ENCEPHALOMYELITIS." HOSPITAL COURSE/SIGNIFICANT FINDING." "PT. HAD A POSITIVE RESPONSE TO IVIG TREATMENT X 2, SHE HAS SHOWN INCREASED STRENGGTH ANDHEAD CONTROL, INCREASED PHONATION, INCREASED ACTIVITY/INTERACTIVITY. REPEAT MRI SHOWED NO CHANGE." FOLLOW-UP APPOINTMENT WITH OU PEDS DR. ON 09-13-2006.  7/20/07 Received hospital medical records which reveal patient experienced acute severe generalized weakness x approx 1 month.  Noted to be floppy on admit w/prominent head lag.  Admitted 8/25-9/5/06.  Tx w/IVIG & progressed well.  D/C to home on tapering steroids.  Readmitted 9/25-9/29/06 for continued generalized weakness & increased irritability.  MRI & LP were repeated.  Received additional IVIG w/minimal improvement. D/C to home w/continued PT. FINAL DX: Acute disseminated encephalomyelitis; possible progressive neurodegenerative disorder.
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Diarrhoea, Injection site pain, Insomnia, Pyrexia
Clinical narrative: Mother reported that child has a fine red raised rash on legs, arms, and trunk and rash got worse after child had a bath today.  Child has had a fever off and on since 06/26/2007. Child has diarhhea and has been fussy and will not sleep at night.  And immunization sites are tender to touch. Mother told to call emergency room to see if she needed to bring child in.
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Mother reported that child has a fine red raised rash on legs, arms, and trunk and rash got worse after child had a bath today.  Child has had a fever off and on since 06/26/2007. Child has diarhhea and has been fussy and will not sleep at night.  And immunization sites are tender to touch. Mother told to call emergency room to see if she needed to bring child in.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 4x5 cm. area of dark red discoloration and induration with some mild tenderness at the site. No vesicles, pustules or skin breakdown. Does not appear to be hematoma at site of injection because there is no involvement of deeper tissues.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given adult dose of Hepatitis B vaccine(20mcg) instead of the pediatric dose(10 mcg), spoke to patients mom, states pt is feeling fine, and hasn't had any problems following the injection.
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Chaild recieved 2 Varicella vaccines on the same day.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HPV4
Symptoms: Fatigue, Flushing, Hyperhidrosis, Nausea, Paraesthesia
Clinical narrative: child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM.  Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, "Couldn't see", nausea and emesis x1.  Symptoms resolved within < 5 minutes and left office feeling "perfectly fine"  No treatment necessary.  Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HPV4
Symptoms: Visual acuity reduced, Vomiting
Clinical narrative: child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM.  Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, "Couldn't see", nausea and emesis x1.  Symptoms resolved within < 5 minutes and left office feeling "perfectly fine"  No treatment necessary.  Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HPV4
Symptoms: Fatigue, Hyperhidrosis, Pallor, Paraesthesia, Syncope vasovagal
Clinical narrative: child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM.  Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, "Couldn't see", nausea and emesis x1.  Symptoms resolved within < 5 minutes and left office feeling "perfectly fine"  No treatment necessary.  Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HPV4
Symptoms: Vision blurred, Vomiting
Clinical narrative: child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM.  Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, "Couldn't see", nausea and emesis x1.  Symptoms resolved within < 5 minutes and left office feeling "perfectly fine"  No treatment necessary.  Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.
Age: 1.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Patient recieved 2 doses of varicella on the same day
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Oedema peripheral, Skin nodule
Clinical narrative: Patient called to advise me that her arm has a swollen, reddened, hot knot on the right deltoid and that she has a swollen lymph node on R. side of her neck that is tender to touch and noticeable to co-workers due to swelling.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Within four hours of receiving the vaccination, I felt nauseous.  I went home early from work, laid down for a half hour, then felt the need to vomit.  I vomitted several times throughout the evening and night.  I noted a fever of 102 by 6:00 pm, with a rash on my forearms.  I experienced diarreah for a short period of time, in the early evening.  My fever continued until about midnight, vomitting resolved around the same time.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia, Skin discolouration
Clinical narrative: Four days after receiving a TDap in her Left arm, she received an MMR SQ in the outer aspect of her left arm.  The next morning her left arm was swollen, throbbing, reddened with blue around the periphery of the reddened area.  Stated that she felt feverish but she did not take her temperature. She applied oils to decrease her pain.  The client returned to the clinic to have her PPD test read and reported the reaction. At that time the reddened area was approximately six inches covering her outer arm.
Age: 24.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash
Clinical narrative: Received Typhoid and Anthrax injection w/ subsequent rash to lower extremities after 7 days. Rash progressed to arms. Denied SOB or cough; afebrile. ER MD prescribed Triamcinalone 0.1% 4 times/day and Benadryl 50mg po every 6 hrs prn.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Headache, Myalgia, Oedema peripheral, Pyrexia
Clinical narrative: red, swollen upper arm, fever, headache, myalgia onset 24 hours after vaccine, started improving 96 hourse after vaccine
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Dizziness, Head injury, Headache, Loss of consciousness
Clinical narrative: Received her 2nd (In the set of three) IM injection in her left upper arm while standing in the doctor's office.  She was unaffected initialy and left the office walking and talking and in no apparent distress.  Immediately upon exiting the docor's office however she lost consciousness and collapsed in the hallway, striking her head on the tile floor.  She regained consciousness immediately but complained of dizziness and head pain.  She was removed back to the doctor's office where her vital and neuro signs were assessed. Her vital signs were BP 110/70, pulse 72, resp 20; there were no postural changes to her blood pressure.Her neuro exam was also unremarkable; PERLA, hand grasps equal and she was completely orientated to person, time and place.  As she is diagnosed with a rare bleeding disorder, Factor 7 deficiency, a call was placed to her hemotologist to determine further treatment.  This physician felt that a CT scan of her head was in order due to her continued complaints of head pain and dizziness.  She was then taken to another hospital where the CT scan was performed. She was then directed back to the pediatrician's office where we waited for her test results.  The radiologist called to report a negative finding and was discharged home with 48 hour head trauma precautions.  24 hours later her headache was much improved and the dizziness has disappeared.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Received her 2nd (In the set of three) IM injection in her left upper arm while standing in the doctor's office.  She was unaffected initialy and left the office walking and talking and in no apparent distress.  Immediately upon exiting the docor's office however she lost consciousness and collapsed in the hallway, striking her head on the tile floor.  She regained consciousness immediately but complained of dizziness and head pain.  She was removed back to the doctor's office where her vital and neuro signs were assessed. Her vital signs were BP 110/70, pulse 72, resp 20; there were no postural changes to her blood pressure.Her neuro exam was also unremarkable; PERLA, hand grasps equal and she was completely orientated to person, time and place.  As she is diagnosed with a rare bleeding disorder, Factor 7 deficiency, a call was placed to her hemotologist to determine further treatment.  This physician felt that a CT scan of her head was in order due to her continued complaints of head pain and dizziness.  She was then taken to another hospital where the CT scan was performed. She was then directed back to the pediatrician's office where we waited for her test results.  The radiologist called to report a negative finding and was discharged home with 48 hour head trauma precautions.  24 hours later her headache was much improved and the dizziness has disappeared.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Convulsion, Full blood count, Laboratory test, Nuclear magnetic resonance imaging, Vomiting
Clinical narrative: Vomited on the way home and then had a seizure. Called 911. Taken to the ER and admitted to hospital.  7/6/07 Received vax record which confirms RO lot & dose #.  7/24/07 Received hosp med records from inpatient stay overnight 6/8-06/9/07 after patient experienced seizures on day of vax.  Patient spit up, choked, eyes rolled back, slumped over & then looked dazed for a while.  Additional episodes witnessed by EMS & hospital personnel.  Afebrile.  Neuro consult done.  Tx w/IV antibiotics prophylactically x2.  Seizure w/u was to continue as outpatient. FINAL DX: none provided, neuro consult suggests new onset seizures. 8/10/07 Received ER hospital records which reveal patient experienced sudden onset of limpness, eyes rolling back, possible seizure vs aspirations w/GERD.  Noted to have post ictal period & spastic UE movements.  Tx w/IV antibiotics & transferred to higher level of care for available peds neurologist. FINAL DX: possible new onset seizures vs aspirations w/GERD.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Cold sweat, Pallor
Clinical narrative: After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Eye inflammation, Iritis, Photophobia
Clinical narrative: Day after Menactra developed photo phobia. Went to eye doctor who said it was iritis. Inflammation of Iris in eye. Pt to come to office to be worked up for inflammatory process. Dr does not think iritis from Menactra.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Minor rash on L arm followed by generalized MP rash trunk upper and all extremities.
Age: 12.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Medication error
Clinical narrative: Varicella vaccine stored in freezer at 28 deg x 24 deg. Recommended to revaccinated or draw titer.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Hyperhidrosis, Injection site pain, Injection site swelling, Nausea, Vomiting
Clinical narrative: Nausea, Vomiting, sweating on 6/28 pain at injection site with swelling 6/27
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mom noticed small red area where shot given yesterday (6-27-07) at 1200 pm call to office at 1:38 PM - child seen at 2:30 had increased in redness and in swelling (5cm erythema and induration).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: Varicella stored for possibly > 24 deg at 8 deg in freezer. Plan to revaccinate and draw titers.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Medication error
Clinical narrative: Child received Varicella vaccine that was stored at 8 deg > 24 deg. Child will have titers drawn or get revaccinated.