chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: YF, YF
Symptoms: Smear site unspecified abnormal, Tenderness, White blood cell count
Clinical narrative: Deployed to another country, on ship at time of vaccination.  Patient in usual state of excellent health on day prior to vaccination.  Initial symptoms: erythema, pruritis around injection site and affecting right arm, starting within 1hr of administration, and persisting for approx 10 days; Subsequent symptoms: headache, fevers to 103, chills, drenching sweats, myalgias, beginning approx 10 days after vaccination, and shortly followed by bilateral axillary lymphadenopathy, slightly raised, scattered, circumscribed, erythematous nonscaling plaques, tender to palpation, affecting bilateral lower extremities and sparing remaining body surface; no cough/nausea/vomiting/abdominal pain; treated by provider on site for presumed, unspecified infection with azithromycin 500mg x1/250mg x4, indomethacin; presented to current provider approx 27 days after initial vaccination site reaction, symptoms improving.  7/1/08 MR received from cdc which show pt initially developed YF injection site cellulitis. Later developed fevers, drenching sweats and lymphadenopathy with tenderness.  Pt the developed rash on lower extremities and a single tender lesion below the umbilicus.
Age: 42.0
Sex: F
Vaccine: YF, YF
Symptoms: Chills, Headache, Hyperhidrosis, Injection site erythema, Injection site pruritus
Clinical narrative: Deployed to another country, on ship at time of vaccination.  Patient in usual state of excellent health on day prior to vaccination.  Initial symptoms: erythema, pruritis around injection site and affecting right arm, starting within 1hr of administration, and persisting for approx 10 days; Subsequent symptoms: headache, fevers to 103, chills, drenching sweats, myalgias, beginning approx 10 days after vaccination, and shortly followed by bilateral axillary lymphadenopathy, slightly raised, scattered, circumscribed, erythematous nonscaling plaques, tender to palpation, affecting bilateral lower extremities and sparing remaining body surface; no cough/nausea/vomiting/abdominal pain; treated by provider on site for presumed, unspecified infection with azithromycin 500mg x1/250mg x4, indomethacin; presented to current provider approx 27 days after initial vaccination site reaction, symptoms improving.  7/1/08 MR received from cdc which show pt initially developed YF injection site cellulitis. Later developed fevers, drenching sweats and lymphadenopathy with tenderness.  Pt the developed rash on lower extremities and a single tender lesion below the umbilicus.
Age: 42.0
Sex: F
Vaccine: YF, YF
Symptoms: Lymphadenopathy, Myalgia, Oropharyngeal plaque, Pyrexia, Skin plaque
Clinical narrative: Deployed to another country, on ship at time of vaccination.  Patient in usual state of excellent health on day prior to vaccination.  Initial symptoms: erythema, pruritis around injection site and affecting right arm, starting within 1hr of administration, and persisting for approx 10 days; Subsequent symptoms: headache, fevers to 103, chills, drenching sweats, myalgias, beginning approx 10 days after vaccination, and shortly followed by bilateral axillary lymphadenopathy, slightly raised, scattered, circumscribed, erythematous nonscaling plaques, tender to palpation, affecting bilateral lower extremities and sparing remaining body surface; no cough/nausea/vomiting/abdominal pain; treated by provider on site for presumed, unspecified infection with azithromycin 500mg x1/250mg x4, indomethacin; presented to current provider approx 27 days after initial vaccination site reaction, symptoms improving.  7/1/08 MR received from cdc which show pt initially developed YF injection site cellulitis. Later developed fevers, drenching sweats and lymphadenopathy with tenderness.  Pt the developed rash on lower extremities and a single tender lesion below the umbilicus.
Age: 42.0
Sex: F
Vaccine: YF, YF
Symptoms: Tenderness
Clinical narrative: Deployed to another country, on ship at time of vaccination.  Patient in usual state of excellent health on day prior to vaccination.  Initial symptoms: erythema, pruritis around injection site and affecting right arm, starting within 1hr of administration, and persisting for approx 10 days; Subsequent symptoms: headache, fevers to 103, chills, drenching sweats, myalgias, beginning approx 10 days after vaccination, and shortly followed by bilateral axillary lymphadenopathy, slightly raised, scattered, circumscribed, erythematous nonscaling plaques, tender to palpation, affecting bilateral lower extremities and sparing remaining body surface; no cough/nausea/vomiting/abdominal pain; treated by provider on site for presumed, unspecified infection with azithromycin 500mg x1/250mg x4, indomethacin; presented to current provider approx 27 days after initial vaccination site reaction, symptoms improving.  7/1/08 MR received from cdc which show pt initially developed YF injection site cellulitis. Later developed fevers, drenching sweats and lymphadenopathy with tenderness.  Pt the developed rash on lower extremities and a single tender lesion below the umbilicus.
Age: 1.04
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash morbilliform
Clinical narrative: Two weeks after MMR & Varicella vaccination. Red rash on chest, legs, neck and face. Physician diagnosed as "measles" rash. Also a raised rash on face, neck and ears. Child was put on Motrin.  Resolved in two weeks.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: maculopapular rash on truncal >100 lesions, no vesicles, seen by me on 4/20/2008, no arm or legs lesions, no other symptoms or signs of illness
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Lymphadenopathy, Pallor
Clinical narrative: High fever (101) within two days of the shot being administered; Severe arthritic pain; Severely swollen glands in throat and neck (difficulty swallowing); "ghost-like" color to my extremities.  All symptoms appeared within two days and are now continuing throughout the entire day (entire day of symptoms began on the 19th and still continue).  I have had this vaccine 4 times now.  Two of the others I could get no proof of.  I haven't had a MMR shot in 11 years until now.  I have seen no studies about over-vaccination. The proof of two shots were required by my university and given by them.  Will file again if condition worsens.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site swelling, Rash macular
Clinical narrative: Patient had Hep A, Varicella, and Menactra on Monday, 4/14/08. On Tuesday evening onset of red blotchy rash on face. Flared up post using Proactiv solution and the mask. Has used product 3x a week for one year. Rash was raised irregular shaped bumps on face mild spoke with me, the nurse and thought he was more likely related to the Proactiv. On Friday, 4/18 mother phoned to inform that still has a rash but mild. also noted that at site of shots on left arm...the Menactra and Hep A  swollen about size of quarter. Swelling went away in 48 hours.
Age: 65.0
Sex: M
Vaccine: TDAP
Symptoms: Muscular weakness, Pain in extremity, Radiculopathy
Clinical narrative: Initial report received on 14 April 2008 from a health care professional. A 65-year-old male patient, with no concurrent illnesses, had received a second subcutaneous dose of Zostavax (manufacturer Merck, lot # and site not reported) on 05 February 2008; and the following day, on 06 February 2008 at 16:00 p.m., he received a left deltoid (route not reported) dose of Adacel (lot # C2889AA). Eleven days after receiving the Zostavax, which was 12 days after receiving the Adacel, the patient experienced pain down his left arm and weakness in the left hand that was diagnosed as brachial radiculopathy. The patient required medical evaluation; however it was not specified if the patient required emergency room visit or doctor visit. No relevant diagnostic test/laboratory data were completed. The patient did have a neurology consult; however the result of the consult was not provided. At the time of this report, the patient had not recovered.
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Autism spectrum disorder
Clinical narrative: Information has been received from a licensed practical nurse (L.P.N.) concerning a 4-year-old male birth twin who on 11-NOV-2003 was vaccinated subcutaneously with a 0.5 ml dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3).  Subsequently, on 11-JUN-2007, the patient developed pervasive developmental disorder.  The patient was seen by a physician for routine examinations.  The patient's pervasive developmental disorder persisted.  Upon internal review, pervasive developmental disorder was determined to be an other medical event.  The patient's twin brother developed an autistic disorder following vaccination with MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (WAES# 0804USA03984).  Additional information has been requested.
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a licensed practical nurse (L.P.N.) concerning a 4-year-old male birth twin who on 11-NOV-2003 was vaccinated subcutaneously with a 0.5 ml dose of MMR II.  Subsequently, on 11-JUN-2007 the patient was diagnosed with Autistic Disorder.  The patient was seen by a physician for routine examinations.  At the time of this report, the patient had not recovered from the autistic disorder.  Upon internal review, autistic disorder was determined to be an other important medical event.  The patient's twin brother developed pervasive developmental disorder following vaccination with MMR II (WAES# 0804USA01520).  Additional information has been requested.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Chest pain, Ejection fraction, Left ventricular hypertrophy
Clinical narrative: Pt woke up with substernal chest pain (aching-type pain) rated as 5/10 on pain scale. Pain was not positional. Pain did not change with deep breaths. No accompanying symptoms. No radiation, but pt did note an aching pain his left forearm and biceps; no tingling of l) UE. Pt took 1 ASA 325 mg and then chewed a 2nd ASA prior to going to ER. By the time he arrived at the ER, the pain was almost gone. He was evaluated in the ER and admitted to hospital and then transferred to medical center. Symptom: Chest Pain, sub-sternal  5/9/08 Reviewed hospital medical records of 4/15 & ER records of 4/13. FINAL DX: inferior wall abnormality, r/o inferior wall MI Records reveal patient experienced on 4/13 HA, nausea, fever/chills, night sweats, decreased appetite, myalgia, sore throat.  Seen in ER & dx w/viral syndrome.  D/C to home.  Returned to ER on 4/15 w/substernal chest pain that awakened him from sleep & left arm throbbing for approx 45 min then spontaneously resolved.   FINAL DX: myocarditis Patient self administered ASA & went to ER.  Cardiology consult done in ER.  Admitted to ICU then transferred to higher level of care.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pain in extremity, Red blood cell sedimentation rate increased, Troponin I increased
Clinical narrative: Pt woke up with substernal chest pain (aching-type pain) rated as 5/10 on pain scale. Pain was not positional. Pain did not change with deep breaths. No accompanying symptoms. No radiation, but pt did note an aching pain his left forearm and biceps; no tingling of l) UE. Pt took 1 ASA 325 mg and then chewed a 2nd ASA prior to going to ER. By the time he arrived at the ER, the pain was almost gone. He was evaluated in the ER and admitted to hospital and then transferred to medical center. Symptom: Chest Pain, sub-sternal  5/9/08 Reviewed hospital medical records of 4/15 & ER records of 4/13. FINAL DX: inferior wall abnormality, r/o inferior wall MI Records reveal patient experienced on 4/13 HA, nausea, fever/chills, night sweats, decreased appetite, myalgia, sore throat.  Seen in ER & dx w/viral syndrome.  D/C to home.  Returned to ER on 4/15 w/substernal chest pain that awakened him from sleep & left arm throbbing for approx 45 min then spontaneously resolved.   FINAL DX: myocarditis Patient self administered ASA & went to ER.  Cardiology consult done in ER.  Admitted to ICU then transferred to higher level of care.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blister, Blood culture negative, Intensive care, Pyrexia, Rash
Clinical narrative: fever, blistery rash-Seen in ED. Admitted to ICU c/o Staph skin infection vs. Steven-Johnson syndrome 4/22/08-ER records received for DOS 4/5/08-DX: seborrheic dermatitis. Facial dry scaling skin. Low grade fever. 5/7/07-records received for DOS 4/6-4/9/08-DC DX: Staphylococcus scalded skin syndrome. Diaper rash. Presented with 2 day history of fever and 1 day of rash. Night of vaccination developed fever up to 101. Rash developed in middle portion of face orally and over anterior aspect of both ears. Mild erythema on chest and diaper area. Irritable. Two small vesicles on left check and neck area have ruptured. Rash appears hyperkeratotic with some cracks and bleeding. Two 1cm denuded areas on left check and neck.  Follow-up: On 4/15/08 noted in chart that pt followed up with doctor and was determined that rash was not related to vaccine administration.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Skin test negative, Staphylococcal skin infection
Clinical narrative: fever, blistery rash-Seen in ED. Admitted to ICU c/o Staph skin infection vs. Steven-Johnson syndrome 4/22/08-ER records received for DOS 4/5/08-DX: seborrheic dermatitis. Facial dry scaling skin. Low grade fever. 5/7/07-records received for DOS 4/6-4/9/08-DC DX: Staphylococcus scalded skin syndrome. Diaper rash. Presented with 2 day history of fever and 1 day of rash. Night of vaccination developed fever up to 101. Rash developed in middle portion of face orally and over anterior aspect of both ears. Mild erythema on chest and diaper area. Irritable. Two small vesicles on left check and neck area have ruptured. Rash appears hyperkeratotic with some cracks and bleeding. Two 1cm denuded areas on left check and neck.  Follow-up: On 4/15/08 noted in chart that pt followed up with doctor and was determined that rash was not related to vaccine administration.
Age: 0.36
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Asthenia, Botulism, Computerised tomogram normal, Culture stool positive, Endotracheal intubation
Clinical narrative: approx 2 hours after vaccines, pt became increasingly fussy, with poor feeding and progressive weakness 4/10 admitted to hospital. 4/11 intubated in ICU. Received botulism immune globulin. 5/27/08-records received for DOS 4/10-4/24/08-DC DX: Infantile botulism. Intubation and mechanical ventilation. NG. PE: generalized low tone, worsening hypotonia, whining. Admitted with C/O increasing fussiness and poor feeding. Inability to feed suck and swallow, unable to pick up head when prone. Treated with IVIG. Progressive return of tone and bulbar function. Cough, suck and gag are weak but improving.
Age: 0.36
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intensive care, Irritability, Lumbar puncture normal
Clinical narrative: approx 2 hours after vaccines, pt became increasingly fussy, with poor feeding and progressive weakness 4/10 admitted to hospital. 4/11 intubated in ICU. Received botulism immune globulin. 5/27/08-records received for DOS 4/10-4/24/08-DC DX: Infantile botulism. Intubation and mechanical ventilation. NG. PE: generalized low tone, worsening hypotonia, whining. Admitted with C/O increasing fussiness and poor feeding. Inability to feed suck and swallow, unable to pick up head when prone. Treated with IVIG. Progressive return of tone and bulbar function. Cough, suck and gag are weak but improving.
Age: 1.1
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Body temperature increased, Chills, Convulsion, Depressed level of consciousness, Gaze palsy
Clinical narrative: At about 8:30pm on 4/8/08 mom noticed ''patient" seemed to have "chills"- she wouldn't wake up. About 20 minutes later, grandmother checked on "patient". She sat up in bed, her eyes rolled back and she had another seizure. Temp. was 103.8 axillary. "Patient" was taken to ER by ambulance and was admitted for observation.  4/23/2008 MR received for DOS 4/8-9/2008 with D/C DX: Febrile Seizure after immunizations.  Infant presented to ER after 1 day hx of decreased eating and drinking, fever and 2 episodes of seizure.  Temp=104.1'F. PE otherwise WNL. PMH: none. Pt had several fever episodes while hospitalized which resolved with Motrin.  No further seizure activity
Age: 1.1
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: At about 8:30pm on 4/8/08 mom noticed ''patient" seemed to have "chills"- she wouldn't wake up. About 20 minutes later, grandmother checked on "patient". She sat up in bed, her eyes rolled back and she had another seizure. Temp. was 103.8 axillary. "Patient" was taken to ER by ambulance and was admitted for observation.  4/23/2008 MR received for DOS 4/8-9/2008 with D/C DX: Febrile Seizure after immunizations.  Infant presented to ER after 1 day hx of decreased eating and drinking, fever and 2 episodes of seizure.  Temp=104.1'F. PE otherwise WNL. PMH: none. Pt had several fever episodes while hospitalized which resolved with Motrin.  No further seizure activity
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Respiratory tract congestion, Urticaria
Clinical narrative: Few hours after vaccine administration, developed facial rash, congestion, then hives.
Age: 65.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site ulcer
Clinical narrative: 1 - 2 ulceration right deltoid region.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: 1/3/08 Stinging pain during injections at site only (no radiation, no N/T). 2 days post vaccine, increased amt of pain only at injection site> pain continues with rest and ibuprofen. Pain will worsen with arm movement. Pain seems to be lessen as the time goes on and has stopped until recently. Pt received 2nd injection with problems.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain in extremity, Periarthritis
Clinical narrative: L upper arm pain starting a few days after a flu shot, spread up to shoulder.  Pt. unable to lift shoulder or reach back without pain.  Came to office for evaluation on 4/9/08.  Evaluation at that time felt to be consistent with adhesive capsulitis and patient referred to orthopedic surgeon.
Age: 0.4
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Varivax administered out of schedule.  Hep B.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: Felt dizzy/nausea after vaccines. Had pt lie down for 15 min. 11R:64. Drank water. Sat for another 10 min. felt well at this point/no further nausea/no vomiting.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngitis streptococcal, Streptococcal identification test
Clinical narrative: After immunizing for Hep A, child developed strep throat.  1st dose Dx 4 days later.  2nd dose Dx 3 days later.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain in extremity
Clinical narrative: 4/09/08 left deltoid sore after shot given later in day.  4/11/08 nurse noted after lunch around 2:00 pm area where small pox given 20 years ago red, hot to touch and swollen touchy.  Had used ice pack 4/10/08 with only wash cloth.  Advise use cool wash cloth only 4x daily and Ibuprofen as on package.  Saw NP later 4/11/08, better 4/14/08.  Saw NP 4/14/08 and has appointment 4/18/08 to see again - looks much better today 4/15/08.  Redness gone, less swelling and soreness using cool compresses and Ibuprofen.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Discomfort, Musculoskeletal pain
Clinical narrative: Injection on 3/20/08 - c/o discomfort 4/3, but cancelled appt.  Came to office 4/11/08 with decreased ROM & increased pain in left shoulder.
Age: 27.0
Sex: M
Vaccine: ANTH, FLUN3, JEV
Symptoms: Erythema, Pruritus
Clinical narrative: 6cm x 8cm area of erythema over right deltoid.  Complaints of pruritis.  Treated with Benadryl 50mg po q 6hr.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Approximately 4 1/2 cm diameter, redness/painful and tender area/edematous site of Varicella/Gardasil.  ? if immunization reaction or cellulitis.  Treatment - Clindanokin x 10 days.  Return if worsen.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Had the hives on my shoulders and used triamcinolone cream and it helped.  Called my Dr. and she said it was alright.  Had hives all week of shot.  Very red around shot area.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching of left arm and area where bra was.  Hives developed on left arm.  Vaccine given on right upper arm subq.  Took one 10 mg Zyrtec tab.  No itching & hives on 4/13/08.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Eyelid oedema
Clinical narrative: One hour after the vaccinations patient developed swelling of the lower eye lids.  Seen at hosp. peds ER.  Treated with P.O Benadryl & sent home on Benadryl & prednisone p.o.  No general symptoms.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Varicella S/P immunizations
Age: 0.5
Sex: F
Vaccine: PNC
Symptoms: Induration, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Injection site erythema, swelling - hard knot low grade fever.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Mother reports slight swelling and redness of injection site within 24 hours.  States area continued to swell to size of golf ball.  Seeks medical treatment 3rd day after injection.  Diagnosis Cellulitis due to inflammation 2 hours site of vaccine administration.  Site of injection that remains slightly red was increased right thigh.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Pharyngeal oedema, Pyrexia, Rash, Urticaria
Clinical narrative: Patient reports she received Pneumovax on 4/7/08 and approx. 6 hours later she developed temperature of 103.9 by 1.  She was covered in hives, throat was swollen - completely covered in rash.  Took Tylenol temp decreased to 102 the next day and on Saturday temperature was 104 and on Sunday April 13 no further fever.
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: Hot, red, left leg swollen 19cm x 15cm area. Patient had fever as well noted next day after shot to left lower leg; Treated with cephalexin for cellulitis
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Pt woke up with c/o arm pain. Mother noticed on (L) arm at injection site - softball size swelling, redness, and warmth. Pt c/o pruritus to lower arm. Mother took pt to local physician. Physician stated allergic reaction and prescribed antihistamines.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus
Clinical narrative: Pt woke up with c/o arm pain. Mother noticed on (L) arm at injection site - softball size swelling, redness, and warmth. Pt c/o pruritus to lower arm. Mother took pt to local physician. Physician stated allergic reaction and prescribed antihistamines.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Apnoea, Cyanosis, Nervousness, Pyrexia
Clinical narrative: The day after vaccination pt ran fever.  Started shaking, apnea and bluish discoloration of face.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at inj site.
Age: 1.13
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Abscess
Clinical narrative: Received call 4/3/08 from Dr inquiring about what vaccines were administered on 12/31/07. At City County Health Dept. stated child had developed an abscess on right thigh physician stated child previously treated for abscess on left thigh. Documentation at 12/31/07 visit Health Dept indicates mother reported "History of abscess left leg with 4 month old shots ? DTAP"
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Seen in ER on 12/1/02 with seizure T 102.5.  She left ER with a diagnosis of UTI and febrile seizure.  Day later the urine culture showed no growth and BACTRIM was discontinued by the pediatrician in the office.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Approximately 5 minutes after receiving MMR #2, Dtap #5 in right arm and Varicella #2 and IPV #4 in left arm patient developed hives with erythema on right deltoid.  Negative respiratory difficulties.  Patient given 8mL of Benadryl and Drapred 1 tsp PO BID x 3 days.  Patient was also referred to allergist.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt stated day after vaccines area around injection site reddened and sore. Area has spread further below injection site (day 2). Pt to take Clarinex and apply hydrocortisone cream. Will call if worsens.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash erythematous, Thirst
Clinical narrative: Rash (red) to both cheeks.  Also developed increased thirst.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Slightly swollen, red and hot 2/3 of right area where MMR was given.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram abnormal
Clinical narrative: Patient began having seizures noticed first by baby sitter. When parents witnessed seizures, they called the pediatrician who ordered a CT scan and EEG. CT scan was clear, EEG showed seizure activity. Pt has since been followed by pediatric neurologist who has prescribed Topomax which has decreased # of seizures, but has not stopped them.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5 cm by 4 cm red swollen rt arm where DTaP was administered.
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Red, pap-vesicular rash trunk, head, extremities.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Swelling warmth redness on 4/16/08 - saw MD on 4/17/08 abx prescribed.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Pyrexia, Rash generalised
Clinical narrative: Received MMR 4-4-08.  4-17-08 developed generalized rash, fever, body aches.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Local reaction
Clinical narrative: local reaction vs cellulitis at site of Varicella vaccine placed on Keflex x 10 days
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Local skin rxn vs cellulitis at injection site 1-2 days post vaccine.  Placed on Keflex x10 days.
Age: 1.7
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Injection site induration, Injection site vesicles, Scab
Clinical narrative: Left thigh where Varivax immunization was placed developed a 1 1/2 x 1" indurated area with vesicles on skin.  ~4 vesicles which crusted.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Sudden death
Clinical narrative: Information has been received via line testing from the FDA under the Freedom of Information Act concerning a 17 year old female with no known drug allergies who on 20-FEB-2008 was vaccinated with a third dose of Gardasil (lot# 660389/1968U) in the left arm IM. Concomitant therapy included YASMIN. On 22-FEB-2008 the patient had a sudden unattended death. Autopsy results were pending (inconclusive 25-FEB-2008). The cause of death was unknown. The original reporting source was not provided. The VAERS ID number is 305606. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all specifications. The lot met the requirements of the Center and was released. No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Autopsy, Sudden death
Clinical narrative: Information has been received via line testing from the FDA under the Freedom of Information Act concerning a 17 year old female with no known drug allergies who on 20-FEB-2008 was vaccinated with a third dose of Gardasil (lot# 660389/1968U) in the left arm IM. Concomitant therapy included YASMIN. On 22-FEB-2008 the patient had a sudden unattended death. Autopsy results were pending (inconclusive 25-FEB-2008). The cause of death was unknown. The original reporting source was not provided. The VAERS ID number is 305606. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all specifications. The lot met the requirements of the Center and was released. No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Death
Clinical narrative: Information has been received via line testing from the FDA under the Freedom of Information Act concerning a 17 year old female with no known drug allergies who on 20-FEB-2008 was vaccinated with a third dose of Gardasil (lot# 660389/1968U) in the left arm IM. Concomitant therapy included YASMIN. On 22-FEB-2008 the patient had a sudden unattended death. Autopsy results were pending (inconclusive 25-FEB-2008). The cause of death was unknown. The original reporting source was not provided. The VAERS ID number is 305606. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all specifications. The lot met the requirements of the Center and was released. No further information is available.
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Blood test normal, Disorientation, Dizziness, Electrocardiogram normal, Injection site irritation
Clinical narrative: 5 minutes after patient received injection, burning sensation started at left shoulder (site of injection), spread across torso, down both arms and legs, and up head.  Patient became nauseous and light-headed.  While walking to toilet, patient chose to lie down, rather than faint.  While patient was conscious and rational, due to her age, EMTs were called and patient transported to Medical clinic for evaluation.  Patient was slightly disoriented for next 48 hours.
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Vital capacity normal
Clinical narrative: 5 minutes after patient received injection, burning sensation started at left shoulder (site of injection), spread across torso, down both arms and legs, and up head.  Patient became nauseous and light-headed.  While walking to toilet, patient chose to lie down, rather than faint.  While patient was conscious and rational, due to her age, EMTs were called and patient transported to Medical clinic for evaluation.  Patient was slightly disoriented for next 48 hours.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Headache, Induration, Lymphadenopathy, Musculoskeletal pain
Clinical narrative: Left shoulder pain, induration, and redness. Swollen lymph node on axillae. HA for 3 days. Two satellite lesions near vaccination site.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Skin lesion
Clinical narrative: Left shoulder pain, induration, and redness. Swollen lymph node on axillae. HA for 3 days. Two satellite lesions near vaccination site.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Delivery, Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive, Ultrasound scan normal
Clinical narrative: Initial and follow up information has been received from a physician, via the Merck pregnancy registry, concerning a 16 year old female patient with gonorrhea ("around the time of her first dose"), a date of LMP on 26-DEC-2006 and no prior pregnancies, who on 23-JAN-2007 was vaccinated IM, with the first dose, 0.5ml, of Gardasil (Lot #654510/0962F).  On the day of vaccination (23-JAN-2007), a pregnancy test was negative.  However, on 13-FEB-2007, at a follow up appointment, a pregnancy test was positive.  Follow up information indicated that in May 2007, an ultrasound result showed a normal fetus.  Prenatal vitamins and an iron supplement were prescribed for daily use during pregnancy.  There were no complications during pregnancy.  On 03-OCT-2007, a normal, 6 pound 11 ounce, 19 inch long, female infant was born, at gestation week 40.  The infant's Apgar score was 8.1/9.5.  There were no complications during delivery.  No other details were provided.  Follow up information from the physician, indicated that the infant was born with a congenital nevus, described as "dark brown nevus lt. frontal bone," and had also had eczema "since birth."  On 22-OCT-2007, at age 19 days, the infant was seen in the physician's office, for "crying too much," and irritability.  There was no fever, no respiratory distress, no cough, but the infant did have sneezing.  The physician recommended that feeding be decreased to 1-2 oz every 2 hours.  Skin was noted as normal.  On 05-NOV-2007, the infant was seen in follow up, and the mother reported concerns about the infant's dry skin.  The infant was reported to be "doing well."  On 13-DEC-2007, the infant was seen in the office, with noted seborrheic dermatitis on the scalp and behind the ears, and dry skin and eczema.  Treatment included hydrocortisone 2.5% for eczema, and SELSUN shampoo for seborrheic dermatitis.  Vaccinations at this visit included a dose of the following: PEDIARIX, PREVNAR, Hib conj vaccine (OMPC) (MSD) and Rotateq (MSD).  The patient was to return in 2 months.  On 04-JAN-2008, the infant visited the clinic and was given hydrocortisone 2.5 % and SEBULEX shampoo.  On 29-FEB-2008, the physician noted at a visit, that the infant had "bad eczema since birth," that "flared up around 8 wks of age and never resolved."  The infant had been scratching and itching her skin, with some resultant bleeding.  The infant also had a runny nose with clear drainage "for the past couple days as well as a dry cough."  One loose stool was noted the day prior to the visit and on the day of visit.  The physician noted erythematous areas on the arms, legs, back of neck.  Treatment with hydrocortisone continued and desonide cream was prescribed.  An upper respiratory infection was also diagnosed.  The infant was vaccinated with another dose of Hib conj vaccine (OMPC) (MSD), PEDIARIX and PREVNAR.  No further details were provided.  Additional information is not expected.  Medical records provided on request.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Apgar score, Chorioamnionitis, Drug exposure during pregnancy, Fatigue, Ultrasound scan normal
Clinical narrative: Information has been received through the Merck pregnancy registry from a physician concerning a female with a history of 0 pregnancies and 0 live births and a history of anxiety disorder who on 26-JUL-2007 was vaccinated with the first dose of Gardasil (658490/0802U).  Concomitant therapy included prenatal vitamins.  Subsequently, the patient was determined to be pregnant (last menstrual serious 09-JUL-2007).  On 29-NOV-2007, the patient had an ultrasound which revealed normal anatomy.  Estimated date of delivery was 26-MAR-2008.  It was reported that on an unspecified date the patient was admitted to the hospital for one week due to possible sepsis.  Subsequently, the patient developed chorioamnioitis.  On 25-MAR-2008, the patient developed maternal exhaustion while pushing and had a vacuum assisted vaginal delivery.  She delivered a normal male infant, Apgar score was 2/5 and 8 at 10 minutes.  The baby weight 3200 grams and head circumference was 33 1/4 cm.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Vacuum extractor delivery
Clinical narrative: Information has been received through the Merck pregnancy registry from a physician concerning a female with a history of 0 pregnancies and 0 live births and a history of anxiety disorder who on 26-JUL-2007 was vaccinated with the first dose of Gardasil (658490/0802U).  Concomitant therapy included prenatal vitamins.  Subsequently, the patient was determined to be pregnant (last menstrual serious 09-JUL-2007).  On 29-NOV-2007, the patient had an ultrasound which revealed normal anatomy.  Estimated date of delivery was 26-MAR-2008.  It was reported that on an unspecified date the patient was admitted to the hospital for one week due to possible sepsis.  Subsequently, the patient developed chorioamnioitis.  On 25-MAR-2008, the patient developed maternal exhaustion while pushing and had a vacuum assisted vaginal delivery.  She delivered a normal male infant, Apgar score was 2/5 and 8 at 10 minutes.  The baby weight 3200 grams and head circumference was 33 1/4 cm.  Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Laboratory test normal, Ultrasound scan, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow up information has been received from the Merck Pregnancy Registry for Gardasil from a Registered Nurse (R.N.) and doctor's office concerning a 22 year old female patient with a history of spontaneous abortion and exercise induced asthma who on 27-NOV-2007 was vaccinated with a first dose of Gardasil (lot # 659439/1267U).  The nurse reported that the patient received her first injection and found out she was pregnant.  On 12-DEC-2007 and on 14-DEC-2007 urine beta-human chorionic gonadotropin test (HCG) was done.  On 18-DEC-2008 she had an ultrasound done where fetus was determined to be 6 weeks and one day.  The ultrasound did not demonstrate any defects at that time.  The last menstrual period (LMP) was reported as 05-NOV-2007 and estimated delivery due date (EDC) reported as 11-AUG-2008.  No adverse effects to pregnancy at this time of this reports.  The patient was placed on prenatal vitamins (unspecified).  No additional information is available.  In follow up information from the doctor's office it was reported that on 28-FEB-2008 a quad pregnancy screen test was done and the result was negative.  On 29-MAR-2008 patient experienced a fetal death (> 20 weeks) which was "20.4" weeks from her LMP.  The products of conception were examined and was described to have 17 weeks demise.  The weight of product conception was one hundred twenty five grams and was reported as visually normal.  It was also reported that it was unknown if the fetus was normal.  Upon internal review fetal death > 20 weeks determined to be an other medical event.  No other information is available at this time.  Additional information is not expected.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Abdominal pain upper, Chest X-ray, Chills, Computerised tomogram, Electrocardiogram
Clinical narrative: 35 y/o F w/ L arm pain & diffuse body ache.  s/p vaccination on 4/14/08.  Also c/o painful L axillary lymph node w/ fevers 103 degrees and chills.  c/o RUQ pain, nausea, vomiting.  Denies melena, diarrhea, constipation, dysuria.  IV abx given and pain control. 6/3/08-ER records received for DOS 4/15/08-DX: Vaccine reaction. Fever. Splenomegaly. Diabetes.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Full blood count, Laboratory test, Lymph node pain, Nausea, Nuclear magnetic resonance imaging
Clinical narrative: 35 y/o F w/ L arm pain & diffuse body ache.  s/p vaccination on 4/14/08.  Also c/o painful L axillary lymph node w/ fevers 103 degrees and chills.  c/o RUQ pain, nausea, vomiting.  Denies melena, diarrhea, constipation, dysuria.  IV abx given and pain control. 6/3/08-ER records received for DOS 4/15/08-DX: Vaccine reaction. Fever. Splenomegaly. Diabetes.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pain, Pain in extremity, Pyrexia, Troponin, Urine analysis
Clinical narrative: 35 y/o F w/ L arm pain & diffuse body ache.  s/p vaccination on 4/14/08.  Also c/o painful L axillary lymph node w/ fevers 103 degrees and chills.  c/o RUQ pain, nausea, vomiting.  Denies melena, diarrhea, constipation, dysuria.  IV abx given and pain control. 6/3/08-ER records received for DOS 4/15/08-DX: Vaccine reaction. Fever. Splenomegaly. Diabetes.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Vomiting
Clinical narrative: 35 y/o F w/ L arm pain & diffuse body ache.  s/p vaccination on 4/14/08.  Also c/o painful L axillary lymph node w/ fevers 103 degrees and chills.  c/o RUQ pain, nausea, vomiting.  Denies melena, diarrhea, constipation, dysuria.  IV abx given and pain control. 6/3/08-ER records received for DOS 4/15/08-DX: Vaccine reaction. Fever. Splenomegaly. Diabetes.
Age: 0.4
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Body temperature increased, CSF test, Computerised tomogram normal, Foaming at mouth, Grand mal convulsion
Clinical narrative: generalized tonic-clonic seizure; frothing at mouth; twitching of limbs; temperature of 102.6 F  5/14/2008 MR received for DOS 3/19-21/2008 with D/C DX:  Febrile Seizure.  Pt presented to local ER after mother found infant making gurgling sounds, frothing at the mouth and limp and unresponsive. In ER infant had an episode of jerking which persisited ~30-40 minutes, initially unresponsive to Valium and Ativan.  Temp was 102.6'F. Seizing stopped as fosphenetoin started.  Transfered to current facility.  No further seizures.
Age: 0.4
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Muscle twitching, Scan brain
Clinical narrative: generalized tonic-clonic seizure; frothing at mouth; twitching of limbs; temperature of 102.6 F  5/14/2008 MR received for DOS 3/19-21/2008 with D/C DX:  Febrile Seizure.  Pt presented to local ER after mother found infant making gurgling sounds, frothing at the mouth and limp and unresponsive. In ER infant had an episode of jerking which persisited ~30-40 minutes, initially unresponsive to Valium and Ativan.  Temp was 102.6'F. Seizing stopped as fosphenetoin started.  Transfered to current facility.  No further seizures.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: L arm, red, edematous, itchy at site of Varivax inj.  Rx'd with Augmentin 875mg 1 BID x10 days.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Amenorrhoea, Ultrasound scan
Clinical narrative: Has not had monthly period in the 3 months after receiving Gardasil. Had been regular for 1yr prior.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Trigger finger
Clinical narrative: Patient states that she developed trigger thumb shortly after injection. She feels it is related to this. Had injection - improved; now needs another 1 year later.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Feeling hot, Headache, Injection site erythema
Clinical narrative: 4/7/08 - Painful, became swollen, redness, bump day of administration (tired and itching).  For next 3 days - headache, extreme fatigue, stomach boiling, fever (101), injection site very swollen, itchy, red, and hot to the touch (about soft ball size).  One week later - area golf ball size.  Lump under skin.  Still painful and itchy - HA, fever, fatigue gone.  Still has lump.  Some pain & itching.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth, Pain
Clinical narrative: 4/7/08 - Painful, became swollen, redness, bump day of administration (tired and itching).  For next 3 days - headache, extreme fatigue, stomach boiling, fever (101), injection site very swollen, itchy, red, and hot to the touch (about soft ball size).  One week later - area golf ball size.  Lump under skin.  Still painful and itchy - HA, fever, fatigue gone.  Still has lump.  Some pain & itching.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Pyrexia, Rash papular, Stomach discomfort, Swelling
Clinical narrative: 4/7/08 - Painful, became swollen, redness, bump day of administration (tired and itching).  For next 3 days - headache, extreme fatigue, stomach boiling, fever (101), injection site very swollen, itchy, red, and hot to the touch (about soft ball size).  One week later - area golf ball size.  Lump under skin.  Still painful and itchy - HA, fever, fatigue gone.  Still has lump.  Some pain & itching.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Headache
Clinical narrative: Headache, onset day after Menactra.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient states right arm from elbow to shoulder is in severe pain with any movement. States pain level is a 4/10 scale at rest also. States progressively worse.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, hot to the touch by next day.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hypotension, Loss of consciousness
Clinical narrative: Patient became light headed and passed out after receiving Gardasil.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Joint stiffness, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Had to see doctor one week after injection. Normally agile and independent, she required help to get to exam room. Painful joints, stiff, increased SED rates; MD treated with Prednisone. Fully recovery.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash papular
Clinical narrative: Papular rash over chest and back.  No vesicles, no pustules.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Cough, Ear infection, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Measles caught from MMR vaccine; full body rash, fever, head congestion, cough, runny nose, swollen nodes in the back of his head, and ear infections. He had the fever for 24 hours on 3/19/08 and the rash began then too. The rash covered his body by 3/26/08. Other symptoms followed.  4/25/2008 MR received from PCP for OVs 3/13-4/10/2008. Pt returned to office  1 week s/p vax with DX: Otitis media with c/o fever. TMs inflamed and bulging. Returned 1 week after that with rash all over and fever. DX; Otitis media and Rash due to MMR. 1 Chicken Pox noted at injection site. Rashes resolved by 4/10/08.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Rash generalised, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Measles caught from MMR vaccine; full body rash, fever, head congestion, cough, runny nose, swollen nodes in the back of his head, and ear infections. He had the fever for 24 hours on 3/19/08 and the rash began then too. The rash covered his body by 3/26/08. Other symptoms followed.  4/25/2008 MR received from PCP for OVs 3/13-4/10/2008. Pt returned to office  1 week s/p vax with DX: Otitis media with c/o fever. TMs inflamed and bulging. Returned 1 week after that with rash all over and fever. DX; Otitis media and Rash due to MMR. 1 Chicken Pox noted at injection site. Rashes resolved by 4/10/08.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature, Crying
Clinical narrative: Started crying at 4:45 pm same day as immunization. Inconsolable almost 3 hours. Now somewhat difficult to console but possible and had prolonged calm period with holding and bouncing. Cannot be certain which vaccine but most consistent with pertussis.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Headache, Injection site necrosis, Neck pain, Photophobia, Pyrexia
Clinical narrative: Headache; neck pain; photophobia; swelling; necrosis at site; fever 101.4 - x1 week.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Swelling
Clinical narrative: Headache; neck pain; photophobia; swelling; necrosis at site; fever 101.4 - x1 week.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Blood pressure decreased, Syncope
Clinical narrative: Patient had syncope episode 2 minutes after Hep A and MCV4 vaccines.  Regained consciousness.  BP 80/44.  Monitored for 15 minutes.  BP at 122/70.