chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: I developed a case of shingles on the left side of my face and head. My skin doctor prescribed Valtrex to treat the condition.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Red, swollen, inflamed area about 7cm diameter surrounding site of Tdap/Menactra vaccination. Tx - Clindamycin
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Client received school required Tdap vaccine on 7/17/07 at 7 PM in Imm. clinic. She started symptoms of fever 103 at 2 AM with nausea and vomiting, body aches and stomach cramps. Client symptomatic x 3 days, fever reached 104 (F) on 2nd day. Parents took client to PMD pediatrician x 2 visits for follow-up.
Age: 0.19
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Kawasaki's disease
Clinical narrative: Pt. hospitalized for Kawaski's disease.  8/14/07 Received med recs from provider but no vax record.  Reporter states vax info is correct as reported & will not send further records. 8/24/07 Received hospital medical records which reveal patient experienced fever, rash, red eyes w/purulent discharge, cough, vomiting/diarrhea, decreased oral intake & irritability x 2 days. Transferred from outlying hospital & admitted 8/4-8/9/07.  Tx w/IVIG x 1 & high dose ASA.  D/c to home on low dose ASA w/cardio f/u. FINAL DX: UTI, Kawasaki disease.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Developed hives 1 day after immunization. Took Claritin with some relief.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Injection site pain, Injection site swelling, Injection site urticaria, Nuclear magnetic resonance imaging
Clinical narrative: Site of vaccination became sore, swollen, working up Deltoid region became painfully sore and she developed left rotator tendonitis and could not use arm. Now referred to orthopedic MD
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Tendonitis
Clinical narrative: Site of vaccination became sore, swollen, working up Deltoid region became painfully sore and she developed left rotator tendonitis and could not use arm. Now referred to orthopedic MD
Age: 16.0
Sex: M
Vaccine: MMR, MNQ, TDAP, VARCEL
Symptoms: Constipation, Nausea, Pain, Pyrexia
Clinical narrative: A fever 100-101 body aches, nausea, constipation
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling lateral aspect upper left arm.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Pt left arm swelled up after a vaccination was given on 8-6-07
Age: 27.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Client was 7 months pregnant and a varicella shot was given - this (preg.) was not known until client came back 1 month later for 2nd shot.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash generalised
Clinical narrative: Rash on entire body, onset 8-8-07 5 pm. Treated by pediatrician with Benadryl
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 4" in diameter area of redness, tender & itchy. No infection advised Benadryl (at Varivax site)
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Pyrexia
Clinical narrative: Pt experienced fever of 101 and dizziness next day after shot given. Pt took Advil to lower temp.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity
Clinical narrative: Tdap given 8/6/07. Next morning: pain, redness left upper arm. Area of redness about 12cm around.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Upper right arm 2-3 x normal size, red, warm. Mother giving Tylenol and applying ice. Dr. contacted by mother following PC to PHN.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth, Pharyngolaryngeal pain
Clinical narrative: Sore throat and tactile temperature 1 day after admin and resolution of this but onset of 8 x 15 cm area of redness, warmth and swelling around injection sit eon 2nd & 3rd days after injection- (Today is 3rd day after injection)
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Pt received Gardasil #1. 10 minutes after receiving shot patient fainted. Regained consciousness within seconds. Dizzy for another 10 minutes. Blood pressure 100/70, pulse steady and regular. Pt recovered and left office 1/2 hour after fainting
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Vomiting
Clinical narrative: After Gardasil #2, pt c/o nausea x 12 days, vomited x 4, comes and goes. Pt had office visit with doctor on 8/7/07 - given Rx for Phenergan/follow up as needed. Pt had some nausea after Gardasil #1 for a few days.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Pyrexia
Clinical narrative: Febrile reaction - T max 103.9. Started 6-7 days after MMRV and Hep A; lasted 5 days.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pruritus, Swelling face
Clinical narrative: She started itchy and swells of face immediately after leaving the clinic. The symptoms persist for 24 hours
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Pt fainted when leaving exam room, lasted few seconds, recovered after 15 min-juice and snack provided.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MMR, TDAP
Symptoms: Syncope
Clinical narrative: After receiving HPV #1 - pt felt faint, put head between legs - fainted, lasted 2-3 sec then ok
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling of lt upper arm
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Gave Tdap and soon after Gardasil close to the Tdap site. Was injecting PPD in same arm, patient developed syncope within 2-3 minutes.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dyskinesia, Fall, Gaze palsy, Oxygen supplementation, Pallor
Clinical narrative: Within 1 min of receiving vaccine, child fell to right side, pale, eyes rolled back, brief body tremors/jerking (5 seconds). Given O2 and sugary drink. Pt monitored 30 to 40 min. then discharged.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Tremor
Clinical narrative: Within 1 min of receiving vaccine, child fell to right side, pale, eyes rolled back, brief body tremors/jerking (5 seconds). Given O2 and sugary drink. Pt monitored 30 to 40 min. then discharged.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Blood glucose increased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 1 hour or so after shot, arm was swollen and hot and hurt to touch. (gave Benadryl and Advil)-Blood sugar numbers started to raise. Had very high number for 3 1/2 days; some as high as over 50. Continued with extra insulin-called hospital for advise
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Full blood count, Mononucleosis heterophile test negative, Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: Having fever, muscle aches, weakness (L) arm pain. No redness Tylenol and rest.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pyrexia, Urine analysis normal
Clinical narrative: Having fever, muscle aches, weakness (L) arm pain. No redness Tylenol and rest.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Received Varivax on 8/1/07 reported to office on 8/3/07 of right arm with swelling, redness, hard area the size of a golf ball X2days. Parent giving motrin at home. Seen in office 8/3/07 with assessment of right arm red, firm swelling warm to touch that measured 11cmX9cm area at injection site. Ice anf Keflex 500mg 1 po tid x 10days.
Age: 18.0
Sex: M
Vaccine: HEPAB, MMR, MNQ, TDAP
Symptoms: Rash generalised, Urticaria
Clinical narrative: 0715 PATIENT RECIEVING THE ABOVE VACCINE HAD WHELTS ON FACE & HEAD, BENADRYL GIVEN. 13:35 PATIENT RETURNS WITH WHELTS AND RASH ALL OVER BODY. BENADRYL AND EPI GIVEN, TRANSFERRED TO VA HOSPITAL.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever 100.4 - 101.7 lasting for approximately 14 hours, chills, muscle ache.  Treatment- 200 mg ibuprofen, 3x
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain
Clinical narrative: Mother reports swelling and patient reports pain at injection site- no fever, no drainage from injection site.
Age: 11.0
Sex: F
Vaccine: DTP, HEP, MMR, TDAP
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Hyperhidrosis, Pallor
Clinical narrative: triuble breathing,paleness,profuse sweating,dizziness,fast heart rate,trouble talking
Age: 11.0
Sex: F
Vaccine: DTP, HEP, MMR, TDAP
Symptoms: Speech disorder
Clinical narrative: triuble breathing,paleness,profuse sweating,dizziness,fast heart rate,trouble talking
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Got the chicken pox shot and then recieved mild case of chicken pox from the shot 1 month later
Age: 3.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Father called on 7/19 stating his daughter had a reaction to her last set of shots given on 6/18/07.  On 6/20/07 10:30pm, hard area of enduration on the inner aspect of left arm where both DTaP and IPV were administered. Also large reddened area over the left deltoid.  Father denied any fever or systemic symptoms.  No treatment was sought for the redness/swelling.
Age: 37.0
Sex: F
Vaccine: DT
Symptoms: Headache, Myalgia, Nausea, Neck pain, Pyrexia
Clinical narrative: Had severe nausea, vomiting, diffuse myalgias, neck pain, headache, and fever greater than 101 F.  Advised Motrin, Tylenol and rest.  Prescription for Phenergan given for nausea.
Age: 37.0
Sex: F
Vaccine: DT
Symptoms: Vomiting
Clinical narrative: Had severe nausea, vomiting, diffuse myalgias, neck pain, headache, and fever greater than 101 F.  Advised Motrin, Tylenol and rest.  Prescription for Phenergan given for nausea.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: 8/10/07 @ 11:10am, Mom called with unresolved "red, swollen, hot-to-touch, larger than a golf ball" reaction at injection site.  Brought to office. Injection site: 3x4 cm urticarial lesion Right thigh.  No treatment at this time.  Local reaction.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fall, Insomnia, Loss of consciousness, Pyrexia
Clinical narrative: Upon arising between 8:30 and 9:00am while using the restroom he passed out hitting the floor.  He came to and tried to exit the restroom and passed out again.  He is now running a low grade fever.  He has eaten and taken Tylenol and is feeling some better.  He states he did not sleep well last night.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Asthenia, Convulsion, Gaze palsy, Loss of consciousness, Pallor
Clinical narrative: GARDASIL vaccine was administered (IM) to my daughter, left arm.  Prior to Gardasil, Patient had been given the Chicken Pox booster and the meningitis (Menactra) vaccine in her right arm. Gardasil was administered and then wuickly her eyes roolled back, she passed out, and her limbs (legs and arms) started shaking(Like a mild seizure).  The nurse said she thought patient mught be seizing and went to get Dr.  Suddenly the shaking stopped and patient sat up and frightfully grabbed me and asked what happened. Patient felt weak and drained.  She was pale and eventually regained some color. Patient drank some water, rested and then came home.  She has been sleeping all day. I am not sure how she will be when she wakes up.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Somnolence, Tremor
Clinical narrative: GARDASIL vaccine was administered (IM) to my daughter, left arm.  Prior to Gardasil, Patient had been given the Chicken Pox booster and the meningitis (Menactra) vaccine in her right arm. Gardasil was administered and then wuickly her eyes roolled back, she passed out, and her limbs (legs and arms) started shaking(Like a mild seizure).  The nurse said she thought patient mught be seizing and went to get Dr.  Suddenly the shaking stopped and patient sat up and frightfully grabbed me and asked what happened. Patient felt weak and drained.  She was pale and eventually regained some color. Patient drank some water, rested and then came home.  She has been sleeping all day. I am not sure how she will be when she wakes up.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Asthenia, Pallor, Syncope vasovagal
Clinical narrative: GARDASIL vaccine was administered (IM) to my daughter, left arm.  Prior to Gardasil, Patient had been given the Chicken Pox booster and the meningitis (Menactra) vaccine in her right arm. Gardasil was administered and then wuickly her eyes roolled back, she passed out, and her limbs (legs and arms) started shaking(Like a mild seizure).  The nurse said she thought patient mught be seizing and went to get Dr.  Suddenly the shaking stopped and patient sat up and frightfully grabbed me and asked what happened. Patient felt weak and drained.  She was pale and eventually regained some color. Patient drank some water, rested and then came home.  She has been sleeping all day. I am not sure how she will be when she wakes up.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Tenderness
Clinical narrative: AT  APPROXIMATELY 48 HOURS POST RECIVING VARICELLA VACCINE, A RED, WARM AREA APPEARED ON SURFACE OF RIGHT ARM WITH ITCHING COMPLAINTS. PARENT STARTED OFFERING IBUPROFEN AND BENADRYL ORALLY AS DIRECTED BY PACKAGE INSTRUCTIONS.  BY 72 HOURS AFTER RECEIVING SHOT, AREA HAD INCREASED TO DIAMETER SIZE = SOFTBALL, WITH TENDERNESS AND ITCHING. TO ER 8/9/07, RX GIVEN
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Convulsion, Fall, Posturing, Unresponsive to stimuli
Clinical narrative: Child received a second Varicella immunization and approximately 10 to 15 minutes later started to whimper and experienced an episode resulting on his falling to the floor.  It appeared he possibly was having a seizure.  His eyes were open, his back slightly arched and appeared to be posturing.  He did not respond to verbal command but immediately snapped out of the episode when touched.  The episode lasted approximately 30 seconds.
Age: 10.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: HEPATITIS A dose #1 given 3/12/07.  Dose #2 was due in 6-18 months- which would be the earliest 9-12-07-it was given 7 1/2 weeks early.  Mother stated patient had a "slight" fever 2 hours after that resolved with Tylenol.  She did not check it with a thermometer.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Candidiasis, Diet refusal, Dizziness, Feeling hot, Oral soft tissue disorder
Clinical narrative: On the day of the vaccination later that evening, she noticed she was dizzy and she felt warm like she had a fever.  On June 12th, she woke up, went to brush her teeth and found 4-5 white sore spots/lesions on the inside of her lower lip.  She went to a doctor appointment right away that day.  Throughout the day and over the next few days the spots got worse and spread to the all over the inside of her mouth, tongue and on the outside of her lips.  She said this lasted for 1 week.  She went to the doctor that day on June 12th.  Doctor diagnosed her with stomatitis and thrush.  She said her tongue and throat were very sore and swollen.  She could barely talk and could not eat for 1 week.  She said that she lost 11lbs in that week.  Her doctor gave her Valtrex and that cleared up the sore spots/lesions.  She was also given a 'cocktail' to rinse her mouth.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Skin warm, Speech disorder
Clinical narrative: On the day of the vaccination later that evening, she noticed she was dizzy and she felt warm like she had a fever.  On June 12th, she woke up, went to brush her teeth and found 4-5 white sore spots/lesions on the inside of her lower lip.  She went to a doctor appointment right away that day.  Throughout the day and over the next few days the spots got worse and spread to the all over the inside of her mouth, tongue and on the outside of her lips.  She said this lasted for 1 week.  She went to the doctor that day on June 12th.  Doctor diagnosed her with stomatitis and thrush.  She said her tongue and throat were very sore and swollen.  She could barely talk and could not eat for 1 week.  She said that she lost 11lbs in that week.  Her doctor gave her Valtrex and that cleared up the sore spots/lesions.  She was also given a 'cocktail' to rinse her mouth.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Stomatitis, Swollen tongue, Weight decreased
Clinical narrative: On the day of the vaccination later that evening, she noticed she was dizzy and she felt warm like she had a fever.  On June 12th, she woke up, went to brush her teeth and found 4-5 white sore spots/lesions on the inside of her lower lip.  She went to a doctor appointment right away that day.  Throughout the day and over the next few days the spots got worse and spread to the all over the inside of her mouth, tongue and on the outside of her lips.  She said this lasted for 1 week.  She went to the doctor that day on June 12th.  Doctor diagnosed her with stomatitis and thrush.  She said her tongue and throat were very sore and swollen.  She could barely talk and could not eat for 1 week.  She said that she lost 11lbs in that week.  Her doctor gave her Valtrex and that cleared up the sore spots/lesions.  She was also given a 'cocktail' to rinse her mouth.
Age: 35.0
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Antinuclear antibody negative, Blood arsenic normal, Blood cadmium normal, Blood glucose normal, Blood lead normal
Clinical narrative: Vaccination in April; 1 month later with bilateral upper and lower extremity numbness and tingling, initially with pain which resolved with use of Medrol (prednisolone).  Continues to have these symptoms, confirmed on PE.  Negative w/u to date for MS, rheum and other neurologic, nutritional and infective (eg Lyme) etiologies.
Age: 35.0
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Blood mercury normal, C-reactive protein normal, HIV test negative, Hypoaesthesia, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Vaccination in April; 1 month later with bilateral upper and lower extremity numbness and tingling, initially with pain which resolved with use of Medrol (prednisolone).  Continues to have these symptoms, confirmed on PE.  Negative w/u to date for MS, rheum and other neurologic, nutritional and infective (eg Lyme) etiologies.
Age: 35.0
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Pain, Paraesthesia, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Thyroid function test normal
Clinical narrative: Vaccination in April; 1 month later with bilateral upper and lower extremity numbness and tingling, initially with pain which resolved with use of Medrol (prednisolone).  Continues to have these symptoms, confirmed on PE.  Negative w/u to date for MS, rheum and other neurologic, nutritional and infective (eg Lyme) etiologies.
Age: 35.0
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Vitamin B6 normal
Clinical narrative: Vaccination in April; 1 month later with bilateral upper and lower extremity numbness and tingling, initially with pain which resolved with use of Medrol (prednisolone).  Continues to have these symptoms, confirmed on PE.  Negative w/u to date for MS, rheum and other neurologic, nutritional and infective (eg Lyme) etiologies.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient had an intense localized reaction at the site of injection.  Parents reported the reaction to me at the 4 month visit, and at the time, did not remember which leg the reaction had occured in.  The child's thigh was red, warm, hard, and very tender for several hours following the injections, and the child cried for several hours.  The child returned to normal within a few hours.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Local reaction
Clinical narrative: Patient had an intense localized reaction at the site of injection.  Parents reported the reaction to me at the 4 month visit, and at the time, did not remember which leg the reaction had occured in.  The child's thigh was red, warm, hard, and very tender for several hours following the injections, and the child cried for several hours.  The child returned to normal within a few hours.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: 8-10-07 Mother phoned and reported child had "arm band" type swelling around upper left arm, "size of baseball" Denies pain, states is warm to touch. D. Heyer RN
Age: 20.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Incorrect route of drug administration, Wrong drug administered
Clinical narrative: vaccine accidentally confused with ppd and administered in left forearm subcutaneously, no reaction yet
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site urticaria, Rash macular
Clinical narrative: Patient is a 16 year old female brought by mother with a blotchy, raised and red rash on her left arm around her varicella vaccine, given 8/9/2007 in this office. The rash occurred today. Parents observations of the patient at home are normal activity, normal appetite and normal fluid intake. There is no fever, vomiting, or diarrhea. No breathing difficulty, no fainting. 1 cm raised, round induration and 3 cm x 1 cm erythematous wheal located on right arm extending from varicella injection
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: 1" and 3" erythema, warmth and itching at site of injection
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Sxs started 8/9/07 in afternoon with redness, swelling, hardness and itchiness. Area very large in size, 10cm x 8cm. Sxs are at Varicella vaccine site.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Right thigh soft tissue swelling, erythema, induration in an area of about 10-12cm around administration site with smaller area of darker erythema and vesicle formation (about 3cm), fever to 105 reported by mother of child. Resolved now.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Injection site induration, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: 1400 pm 8/3/07 Mother called today reporting swollen, hard hot area around lower injection site on rt upper arm. Her so c/o knee pain decreased slightly lethargic. Taken to Dr @ 1400 pm today for observation. Records of Immunization faxed to Dr.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMRV
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Urticaria at site of injection (2 Hive wheel formation spreading to entire body (Immunization given at Rt thigh subcutaneous site) Less than 24 hours after Imm. child covered in hive wheel formation No oral mucosal involvement Tx with long acting antihistamine-No vesicular form of rash No difficulty breathing
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure, Loss of consciousness
Clinical narrative: Pt passed out 5-10 minutes after getting vaccines
Age: 83.0
Sex: M
Vaccine: MMRV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated
Age: 71.0
Sex: F
Vaccine: MMRV
Symptoms: Wrong drug administered
Clinical narrative: Gave MMRV in error instead of Zostavax
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness, Pain in extremity, Syncope
Clinical narrative: Shortly after receiving injections passed out - no injury - stated lightheaded - hungry. Remained at office 15 -20 minutes. C/O soreness left arm. B/P - good. Syncope with vacs.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure decreased, Hyperhidrosis, Nausea, Pallor
Clinical narrative: 1720 Tdap given. 1725 nauseated - diaphoretic BP 100/70 laying down, color pale. 1745 BP 100/68 laying, nauseated. 1820 Sat up, H2O given, freezer popsicle given, BP 100/60 laying, started to get diaphoretic again. 1815 BP same, 110/60. 1830 watching TV, color pink, warm. 1850 BP 120/80. Discharged home.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Inflammation
Clinical narrative: Redness and inflammation with pain rt upper arm. IN the PM of 8-9-07, pt came into office was seen and given Prednisone dose pack.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Chest X-ray, Convulsion, Febrile convulsion, Pneumonia
Clinical narrative: Seizure 1 week after MMR, Prevnar, Varivax. Febrile seizure with mild pneumonia. Twin exact reaction with 15 minutes same shots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Chest X-ray, Convulsion, Febrile convulsion, Pneumonia
Clinical narrative: Seizure 1 week after MMR, Varivax, Prevnar vaccines. Febrile seizure with pneumonia. Twin exact reaction within 15 minutes.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: On 8-8-07 Pt given SQ Varivax #2 to left arm, returned to office 8-10-07 to get PPD (on left forearm) read; showed us reaction redness at 7cm diameter, slight edema, and didn't c/o pain, just a little itchiness.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site bruising, Urticaria
Clinical narrative: Left arm where Pediatric was given IM is bruised with hives running down arm - per mother
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Injection site rash, Rash vesicular
Clinical narrative: Varicella-like rash at injection, erythema extending to entire exterior surface of left arm, onset approx 36 hours after injection
Age: 1.0
Sex: F
Vaccine: HBHEPB
Symptoms: Eschar, Rash, Rash pruritic, Varicella zoster virus serology positive
Clinical narrative: Mom questions if exposure at YMCA on 7/21/07. Itchy rash started on 8/4/07. No rash. No fever/ill sx. Sites not affected. By 8/6 most lesions have begun to crest over. Scattered 2-3 mm pimples, some with eschar over face/trunk, few on arms. OTC treatments for comfort.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Rash, Skin exfoliation, Tonsillitis, Urticaria
Clinical narrative: 2/26 Imms given - appt 300 pm. 2/27 Rash - when woke up next day, worse on trunk, not on face. 2/28 Rash - hives - taken to ER by parents, not given any Rx. Benadryl over the counter prescribed, swollen tonsils. 3/2 Rash - near faded, hands peeling in palms, 2 rough rash spots trunk
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, MMR
Symptoms: Erythema, Skin warm
Clinical narrative: Noted approx. 1 1/2x 1 inch red warm area to right thigh area, child alert playful, no distress noted.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Full blood count, Headache, Pyrexia, Urine analysis normal
Clinical narrative: She had fever 102-103 F one day after the vaccination, and seizure activity lasting about 20-30 minutes while she had fever (headache just before fever). She was sent to ER and received IV fluid and IV Ativan.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling tenderness at site of injection left thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Hard, warm, swollen right arm
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Skin lesion
Clinical narrative: 7/25/07 Patient presented to clinic with vesicles all over. Afebrile. Over 100 lesions. Patient received Varivax on 7/3/07. Denies hx of exposure to disease. Aveeno, Benadryl, Calamine, Tylenol. No ASA.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: No adverse effect
Clinical narrative: No adverse reactions occurred.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Crying
Clinical narrative: Within 1/2 - 1 hour after receiving vaccine, child continued with non-stop crying x 3-4 hours. No fevers. Unable to console child. Tylenol given every 4 ATC x 24 hours. After child calmed down, remained fussy, crying, agitated x 1-2 days later.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration, Injection site pruritus
Clinical narrative: Area of induration and itching at vaccination site. Red day following immunization. Fine day 2.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Crying, Fatigue, Feeling hot, Hyperhidrosis, Hypotonia
Clinical narrative: Woke from sleep at 8pm/screamed and cried and inconsolable x 3+ hours/ refused all attempts at comforting / very hot and sweaty and hands/arms shaking are red back and went limp and fell asleep in mothers arm/ next day seemed fine, tired and clingy.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Screaming, Tremor
Clinical narrative: Woke from sleep at 8pm/screamed and cried and inconsolable x 3+ hours/ refused all attempts at comforting / very hot and sweaty and hands/arms shaking are red back and went limp and fell asleep in mothers arm/ next day seemed fine, tired and clingy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema
Clinical narrative: Very large local redness encompassing 95% of upper arm.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Pain, Swelling
Clinical narrative: Local erythema approximately 7 x 5cm, swelling pain, some induration - resolved over approximately 4 days.
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Abdominal distension, Anxiety, Arthralgia, Asthenia, Balance disorder
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Chest pain, Cough, Deafness, Depression, Disturbance in attention
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Dizziness, Dysphemia, Dyspnoea exertional, Fatigue, Headache
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Heart rate increased, Hypertension, Influenza like illness, Irritability, Joint stiffness
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Memory impairment, Mood swings, Muscle spasms, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Myalgia, Skin disorder, Sluggishness, Tinnitus, Vertigo
Clinical narrative: See attached list
Age: 55.0
Sex: U
Vaccine: ANTH
Symptoms: Vision blurred
Clinical narrative: See attached list
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 10 cm red tender induration, area was warm with no drainage right deltoid 3 days post vaccine (6/18/07
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Skin warm, Tenderness
Clinical narrative: On afternoon 8/1/07 area tenderness/ erythema around site of Dtap immunization developed still enlarging on 8/2/07 so brought to office where I measured it at 4pm at 6" x 6 1/2" - warm to touch and very tender. No lymphadenopathy in groin. No other signs of injection - Temp 99.6 (orally)
Age: 10.0
Sex: U
Vaccine: VARCEL
Symptoms: Body temperature increased, Erythema, Skin warm, Swelling
Clinical narrative: Red, warm to touch, increase temp to 100. Swelling and redness to elbow.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Injection given on 08/2/07 patient complained of localized redness, swelling and pain.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Swelling
Clinical narrative: Injection given on 8/1/07, on 8/1/07 eve patient complain of redness, pain at injection site. Swelling, redness noted.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Bump, pain, warmth at injection site. Seen by MD on 8/6/07 x2, areas of induration about 1cm, non-tender, sl swelling, warmth; no cellulitis noted at placement.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site infection
Clinical narrative: Deep tissue infection at site of vaccination 1 day after vaccination.
Age: 8.0
Sex: U
Vaccine: VARCEL
Symptoms: Injection site reaction
Clinical narrative: Localized reaction at site of injection, no fever, no pruritus
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, CSF test normal, Chest X-ray normal, Chills, Drug screen negative
Clinical narrative: 8/9 - red mark from left arm to axilla  8/10 am - fever, chills, aches mostly at knees and ankles, numb all over - now: at fingers and toes only, stiff injection site, red rash at palms - on and off. 8/10 - vaccine site darkish. Hospitalized since 8/10.  09/17/2007 MR received for hospital DOS 8/10-12/2007 with DX of Post Smallpox vaccination reaction without evidence of any subsequent inflammatory demyelinating polyradiculopathy. Pt presented to ER with upper and lower extremity weakness, paresthesias, low grade fever and rash.   PE (+) weakness of upper and lower extremities, Palmar grasp decreased bilaterally.  DTRs brisk. Motor strength 3/5. Sensor exam with subjective numbness.  Circumferential rash at smallpox injection site.  Faint macular, papular palmar rash.  Pt improved during hospitalization and was D/cd ambulatory with only mild paresthesias.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Hypoaesthesia, Injection site discolouration, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: 8/9 - red mark from left arm to axilla  8/10 am - fever, chills, aches mostly at knees and ankles, numb all over - now: at fingers and toes only, stiff injection site, red rash at palms - on and off. 8/10 - vaccine site darkish. Hospitalized since 8/10.  09/17/2007 MR received for hospital DOS 8/10-12/2007 with DX of Post Smallpox vaccination reaction without evidence of any subsequent inflammatory demyelinating polyradiculopathy. Pt presented to ER with upper and lower extremity weakness, paresthesias, low grade fever and rash.   PE (+) weakness of upper and lower extremities, Palmar grasp decreased bilaterally.  DTRs brisk. Motor strength 3/5. Sensor exam with subjective numbness.  Circumferential rash at smallpox injection site.  Faint macular, papular palmar rash.  Pt improved during hospitalization and was D/cd ambulatory with only mild paresthesias.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Nuclear magnetic resonance imaging normal, Pain, Pyrexia, Rash
Clinical narrative: 8/9 - red mark from left arm to axilla  8/10 am - fever, chills, aches mostly at knees and ankles, numb all over - now: at fingers and toes only, stiff injection site, red rash at palms - on and off. 8/10 - vaccine site darkish. Hospitalized since 8/10.  09/17/2007 MR received for hospital DOS 8/10-12/2007 with DX of Post Smallpox vaccination reaction without evidence of any subsequent inflammatory demyelinating polyradiculopathy. Pt presented to ER with upper and lower extremity weakness, paresthesias, low grade fever and rash.   PE (+) weakness of upper and lower extremities, Palmar grasp decreased bilaterally.  DTRs brisk. Motor strength 3/5. Sensor exam with subjective numbness.  Circumferential rash at smallpox injection site.  Faint macular, papular palmar rash.  Pt improved during hospitalization and was D/cd ambulatory with only mild paresthesias.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Alanine aminotransferase normal, Arthralgia, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Chest X-ray normal
Clinical narrative: 8/5 - left tender axillary node (now better). 8/8: 8:30-9:oo am fever up to 103.8 degrees F, chills, sweats, left upper arm vaccine site redness, induration, tenderness, dry cough.  8/9 - in infirmary - got acetaminophen, ibuprofen, NS.  8/10: diarrhea for 2 hours - 8-9 times. Stools watery, non-bloody, mucoid. 8/11 am: generalized myalgia, arthralgias.  9/18/07 Reviewed hospital medical records which reveal patient experienced nausea, vomiting, diarrhea, dry cough & fever/chills/sweats x 3 days w/redness, tenderness & induration of left upper arm at vax injection site, around arm & into cervical & axilla lymph nodes.  Admitted 8/10-8/12/2007.  ID consult done. FINAL DX: Probable acute viral gastroenteritis, resolved; small pox vaccine reaction w/local cellulitis, improved w/antibiotics.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cough, Diarrhoea, Haemoglobin decreased, Hyperhidrosis
Clinical narrative: 8/5 - left tender axillary node (now better). 8/8: 8:30-9:oo am fever up to 103.8 degrees F, chills, sweats, left upper arm vaccine site redness, induration, tenderness, dry cough.  8/9 - in infirmary - got acetaminophen, ibuprofen, NS.  8/10: diarrhea for 2 hours - 8-9 times. Stools watery, non-bloody, mucoid. 8/11 am: generalized myalgia, arthralgias.  9/18/07 Reviewed hospital medical records which reveal patient experienced nausea, vomiting, diarrhea, dry cough & fever/chills/sweats x 3 days w/redness, tenderness & induration of left upper arm at vax injection site, around arm & into cervical & axilla lymph nodes.  Admitted 8/10-8/12/2007.  ID consult done. FINAL DX: Probable acute viral gastroenteritis, resolved; small pox vaccine reaction w/local cellulitis, improved w/antibiotics.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Lymph node pain, Mucous stools
Clinical narrative: 8/5 - left tender axillary node (now better). 8/8: 8:30-9:oo am fever up to 103.8 degrees F, chills, sweats, left upper arm vaccine site redness, induration, tenderness, dry cough.  8/9 - in infirmary - got acetaminophen, ibuprofen, NS.  8/10: diarrhea for 2 hours - 8-9 times. Stools watery, non-bloody, mucoid. 8/11 am: generalized myalgia, arthralgias.  9/18/07 Reviewed hospital medical records which reveal patient experienced nausea, vomiting, diarrhea, dry cough & fever/chills/sweats x 3 days w/redness, tenderness & induration of left upper arm at vax injection site, around arm & into cervical & axilla lymph nodes.  Admitted 8/10-8/12/2007.  ID consult done. FINAL DX: Probable acute viral gastroenteritis, resolved; small pox vaccine reaction w/local cellulitis, improved w/antibiotics.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Myalgia, Platelet count decreased, Pyrexia, Tenderness, Urine analysis normal
Clinical narrative: 8/5 - left tender axillary node (now better). 8/8: 8:30-9:oo am fever up to 103.8 degrees F, chills, sweats, left upper arm vaccine site redness, induration, tenderness, dry cough.  8/9 - in infirmary - got acetaminophen, ibuprofen, NS.  8/10: diarrhea for 2 hours - 8-9 times. Stools watery, non-bloody, mucoid. 8/11 am: generalized myalgia, arthralgias.  9/18/07 Reviewed hospital medical records which reveal patient experienced nausea, vomiting, diarrhea, dry cough & fever/chills/sweats x 3 days w/redness, tenderness & induration of left upper arm at vax injection site, around arm & into cervical & axilla lymph nodes.  Admitted 8/10-8/12/2007.  ID consult done. FINAL DX: Probable acute viral gastroenteritis, resolved; small pox vaccine reaction w/local cellulitis, improved w/antibiotics.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: White blood cell count normal
Clinical narrative: 8/5 - left tender axillary node (now better). 8/8: 8:30-9:oo am fever up to 103.8 degrees F, chills, sweats, left upper arm vaccine site redness, induration, tenderness, dry cough.  8/9 - in infirmary - got acetaminophen, ibuprofen, NS.  8/10: diarrhea for 2 hours - 8-9 times. Stools watery, non-bloody, mucoid. 8/11 am: generalized myalgia, arthralgias.  9/18/07 Reviewed hospital medical records which reveal patient experienced nausea, vomiting, diarrhea, dry cough & fever/chills/sweats x 3 days w/redness, tenderness & induration of left upper arm at vax injection site, around arm & into cervical & axilla lymph nodes.  Admitted 8/10-8/12/2007.  ID consult done. FINAL DX: Probable acute viral gastroenteritis, resolved; small pox vaccine reaction w/local cellulitis, improved w/antibiotics.
Age: 1.56
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Autism, Bronchitis, Developmental delay, Diarrhoea, Inappropriate schedule of drug administration
Clinical narrative: In a two month period following this accidental second DTaP shot (received in May and then July of 2006), patient suffered from recurrent otitis media, diarrhea, and bronchitis.  He received multiple courses of antibiotics and steroidal antiinflammatory medicine for the bronchitis.  He then moved deeper into a developmental delay later diagnosed as autism.  8/28/07 Received vax records & medical records from outpatient clinic which reveal patient received flu vax on 1/18/06, 2/22/06 & 11/7/06.  Medical records received for 6/05-8/07.  7/14/06 visit indicates well patient but no speech or communication w/family.  Referred for Speech & Audiology evaluation for delayed milestones.  Testing indicated  hearing WNL.  On 11/7/06 seen only for vax, no indication of medical status.  1/07 note indicates language & socialization issues.  1/07 seen for full developmental eval & Dx w/PDD & Autism including PICA.8/07 Having heavy metal testing done & receiving developmental services. FINAL DX: Autism.
Age: 1.56
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Otitis media
Clinical narrative: In a two month period following this accidental second DTaP shot (received in May and then July of 2006), patient suffered from recurrent otitis media, diarrhea, and bronchitis.  He received multiple courses of antibiotics and steroidal antiinflammatory medicine for the bronchitis.  He then moved deeper into a developmental delay later diagnosed as autism.  8/28/07 Received vax records & medical records from outpatient clinic which reveal patient received flu vax on 1/18/06, 2/22/06 & 11/7/06.  Medical records received for 6/05-8/07.  7/14/06 visit indicates well patient but no speech or communication w/family.  Referred for Speech & Audiology evaluation for delayed milestones.  Testing indicated  hearing WNL.  On 11/7/06 seen only for vax, no indication of medical status.  1/07 note indicates language & socialization issues.  1/07 seen for full developmental eval & Dx w/PDD & Autism including PICA.8/07 Having heavy metal testing done & receiving developmental services. FINAL DX: Autism.
Age: 1.88
Sex: M
Vaccine: FLU3
Symptoms: Autism, Blood mercury, Developmental delay, Social problem, Speech disorder developmental
Clinical narrative: This INFLUENZA shot was the THIRD our son received in 2006.  He received two at Hospital in January AND February 2006.  He then received the influenza shot again in November 2006.  Since there was an unknown amount of thimerosol in these three flu shots, I am unable to report how much ethylmercury exposure patient received from the three shots.  Following this shot, patient's developmental delay worsened and he was diagnosed with autism in January 2007.   8/28/07 Received vax records from clinic which reveal that on 7/14/06 patient received only DTaP #4 & Hep A #2 (PPD lot # 28996).  (Also indicates patient received flu vax on 1/18/06, 2/22/06 & 11/7/06 for related report).  Medical records received for 6/05-8/07.  7/14/06 visit indicates well patient but no speech or communication w/family.  Referred for Speech & Audiology evaluation for delayed milestones.  Testing indicated  hearing WNL.  On 11/7/06 seen only for vax, no indication of medical status.  1/07 note indicates language & socialization issues.  1/07 seen for full developmental eval & Dx w/PDD & Autism including PICA.  8/07 Having heavy metal testing done & receiving developmental services. FINAL DX: Autism. Follow-up: Please send me any information on the amount of thimerosol contained in this vaccine. (Sorry for the late reply. I was deployed for 15 months.)
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Chest discomfort, Cough, Induration, Injection site swelling, Pain in extremity
Clinical narrative: Swelling in arm at the point of inoculation, right deltoid. I developed a cough and feeliing of heaviness in my chest.  Swelling migrated down my arm to the elbow and then to my forearm, and then to hands and fingers.  I experience further swelling in my shoulder and under my arm, in my arm pit area.  The swelling made my arm hot, hard, and very sore.  I developed a fever of over 102 degrees. The hospital personnel would not take any blood for tests from this arm.  The swelling started immediately and continued over the course of five days, 07 Aug 2007 to 11 Aug 2007.  10/10/2007 MR received for DOS 8/7-10/2007 for D/C DX of:  1. Fever, questionable 2' to colitis, pneumonia, rxn to Pneumovax with cellulitis, gallbladder disease, or ideopathic.  2. Peptic Ulcer disease associated w/ NSAID use. 3. Abdominal pain, questionable 2' to #2 vs colitis.  4. Hypotension thought 2' to dehydration and possibly infection.  5.  Diarrhea, resolved.  6. Gallbladder dysfunction seen on HIDA scan 3/2007.  7. Asthma.  8.  Migraine Headache.  9. Hypothyroidism.  10.  Adverse reaction to Pneumovax with mild cellulitis of the R upper extremity.  Pt presented to ER with c/o abdominal and chest pain and was admitted for w/u of that.  Pt received Pneumovax at time of admission.  Pt had ongoing pain and swelling of the RUE.  Pt had fevers but they were present prior to Pneumovax. Remainder of MR pertains to admission for Abd/Chest pain.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: Swelling in arm at the point of inoculation, right deltoid. I developed a cough and feeliing of heaviness in my chest.  Swelling migrated down my arm to the elbow and then to my forearm, and then to hands and fingers.  I experience further swelling in my shoulder and under my arm, in my arm pit area.  The swelling made my arm hot, hard, and very sore.  I developed a fever of over 102 degrees. The hospital personnel would not take any blood for tests from this arm.  The swelling started immediately and continued over the course of five days, 07 Aug 2007 to 11 Aug 2007.  10/10/2007 MR received for DOS 8/7-10/2007 for D/C DX of:  1. Fever, questionable 2' to colitis, pneumonia, rxn to Pneumovax with cellulitis, gallbladder disease, or ideopathic.  2. Peptic Ulcer disease associated w/ NSAID use. 3. Abdominal pain, questionable 2' to #2 vs colitis.  4. Hypotension thought 2' to dehydration and possibly infection.  5.  Diarrhea, resolved.  6. Gallbladder dysfunction seen on HIDA scan 3/2007.  7. Asthma.  8.  Migraine Headache.  9. Hypothyroidism.  10.  Adverse reaction to Pneumovax with mild cellulitis of the R upper extremity.  Pt presented to ER with c/o abdominal and chest pain and was admitted for w/u of that.  Pt received Pneumovax at time of admission.  Pt had ongoing pain and swelling of the RUE.  Pt had fevers but they were present prior to Pneumovax. Remainder of MR pertains to admission for Abd/Chest pain.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PPV, RVX
Symptoms: Convulsion, Inappropriate schedule of drug administration, Leukoencephalomyelitis
Clinical narrative: Patient developed seizures and ADEM.  8/21/207 ID consult sent from CDC dated 6/25/2007 for F/U of Acute demyelinating encephalomyelitis and possible vaccine reaction.  Infant presented to MD with fever and was prescribed abx for OM.  Received 4 month vaccines that day.  Fever continued for several days when a purplish discoloration was noted on the child's head.   TXd with steroids and abx.   8/27/2007 MR received for DOS 5/22-29/2007 for initial c/o fever and increased sleepiness. Child also had decreased po intake.  Continued decreased activity as well as development of choreiform movements noted during admission.  Discharge DX:  Acute Demyelinating Encephalomyelitis, 2' to unknown cause.  Pretreated CSF Pleocytosis.