chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Asthenia, Disability, Injection site pain, Pain, Screaming
Clinical narrative: Initial and follow up information has been received from a physician and a registered nurse (RN), concerning a 77 year old (previously reported as "over age 65") male patient with no pertinent medical history and no known allergies, who on an 20-NOV-2007, at 12:45 pm, was vaccinated in the right deltoid with the first dose of Pneumovax 23 (lot # 657145/1226U). Concomitant vaccine therapy included a dose in the left deltoid of DTaP (manufacturer not specified; lot # C2826AA). There was no illness at the time of vaccination. The RN indicated at 2:45 pm, "patient returned to our office after receiving the [Pneumovax 23 vaccine) 2 hours prior." The patient was "in excruciating pain/screaming in pain." Treatment included 2 injections of DEMEROL. The patient continued to have pain and weakness at the injection site for 1 month. The event "cleared on its own" (date not specified) and the patient recovered. The nurse considered the events to be serious due to persistent disability/incapacity. Additional information is not expected.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture negative, CSF culture negative, Cough, Culture urine negative, Cyanosis
Clinical narrative: Hypotonic-hyporesponsive episode.  Patient was fussy most of the day, did not eat well, coughed then stopped breathing, turned blue and went limp.  Father administered back blows and infant came to, event lasted 30-45 seconds.  Infant breathing normally by the time paramedics arrived.  Taken to the hospital. 3/12/08-records received-for DOS 2/8/08-Impression hypotonic hyporesponsive episode eue to vaccines, cardiac etiology, seizure, RSV, sepsis. Murmur which is likely a PPS murmur. In ED bradycardic and pale. Apenic episode at home with limpness and cyanosis. No fever.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diet refusal, Hypotonia, Hypotonic-hyporesponsive episode, Irritability, Respiratory arrest
Clinical narrative: Hypotonic-hyporesponsive episode.  Patient was fussy most of the day, did not eat well, coughed then stopped breathing, turned blue and went limp.  Father administered back blows and infant came to, event lasted 30-45 seconds.  Infant breathing normally by the time paramedics arrived.  Taken to the hospital. 3/12/08-records received-for DOS 2/8/08-Impression hypotonic hyporesponsive episode eue to vaccines, cardiac etiology, seizure, RSV, sepsis. Murmur which is likely a PPS murmur. In ED bradycardic and pale. Apenic episode at home with limpness and cyanosis. No fever.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Ultrasound scan normal
Clinical narrative: Hypotonic-hyporesponsive episode.  Patient was fussy most of the day, did not eat well, coughed then stopped breathing, turned blue and went limp.  Father administered back blows and infant came to, event lasted 30-45 seconds.  Infant breathing normally by the time paramedics arrived.  Taken to the hospital. 3/12/08-records received-for DOS 2/8/08-Impression hypotonic hyporesponsive episode eue to vaccines, cardiac etiology, seizure, RSV, sepsis. Murmur which is likely a PPS murmur. In ED bradycardic and pale. Apenic episode at home with limpness and cyanosis. No fever.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema, Intussusception, Surgery
Clinical narrative: Pt with intussusception on 2/18/08. For which she underwent surgery.  03/14/2008 MR received for DOS 2/17-20/2008 with D/C DX: Intussusception.  Infant presented to ER with irritability and crying. Barium enema (+) for IS but unable to fully reduce.  Pt had an Exploratory Lap with manual reduction of Intussusception and appendectomy. Pt taking po well and d/c on POD#3.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Appendicectomy, Barium enema abnormal, Crying, Explorative laparotomy
Clinical narrative: Pt with intussusception on 2/18/08. For which she underwent surgery.  03/14/2008 MR received for DOS 2/17-20/2008 with D/C DX: Intussusception.  Infant presented to ER with irritability and crying. Barium enema (+) for IS but unable to fully reduce.  Pt had an Exploratory Lap with manual reduction of Intussusception and appendectomy. Pt taking po well and d/c on POD#3.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Irritability, Surgery, X-ray abnormal
Clinical narrative: Pt with intussusception on 2/18/08. For which she underwent surgery.  03/14/2008 MR received for DOS 2/17-20/2008 with D/C DX: Intussusception.  Infant presented to ER with irritability and crying. Barium enema (+) for IS but unable to fully reduce.  Pt had an Exploratory Lap with manual reduction of Intussusception and appendectomy. Pt taking po well and d/c on POD#3.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Enema administration, Intussusception, Ultrasound scan abnormal
Clinical narrative: 2-17-08 Pt. presented to ER with intussusception. This was reduced by air contrast enema. He received a Rotateq vaccine on 1-16-08.  3/14/08 FINAL DX: Intussusception, enema reduced. Reviewed hospital medical records which reveal patient experienced bloody stools, irritability & abdominal pain.  Admitted 2/17-2/18/2008 for observation s/p enema administration for IS.
Age: 1.01
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: PATIENT DEVELOPED HIGH FEVER OF 104.5, SIX HOURS AFTER VACCINE GIVEN NO OTHER SYMPTOMS. FEVER PERSISTED FOR 24 HOURS, NOT RESPONDING TO TYLENOL.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Hypoaesthesia, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Patient reported that swelling began the evening the shot was administered, c/o pain, especially when moving arm.  C/o numbness, painful to touch and "hot feeling".  Seen in ER the next am, MD diagnosed with "vaccine reaction" and sent her to the health dept. for documentation. No meds/treatments given at ER.  We saw patient here at the HD about 4:30 pm on 2-28-08, the day after she rec'd the HPV vaccine.  She held her arm close to her body, and stated any movement was very painful.  Mild to moderate swelling noted over all of upper left arm.  No redness noted (patient is has dark skin color).  Site of injection could not be identified at this time.  Instructed patient to call HD in am to report progress, she is to return to ER or see MD if symptoms worsen or do not resolve within 3 days.  Patient has not call HD.  HD attempted to call her, but no answer and no voice mail option.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Skin warm, Vaccination complication
Clinical narrative: Patient reported that swelling began the evening the shot was administered, c/o pain, especially when moving arm.  C/o numbness, painful to touch and "hot feeling".  Seen in ER the next am, MD diagnosed with "vaccine reaction" and sent her to the health dept. for documentation. No meds/treatments given at ER.  We saw patient here at the HD about 4:30 pm on 2-28-08, the day after she rec'd the HPV vaccine.  She held her arm close to her body, and stated any movement was very painful.  Mild to moderate swelling noted over all of upper left arm.  No redness noted (patient is has dark skin color).  Site of injection could not be identified at this time.  Instructed patient to call HD in am to report progress, she is to return to ER or see MD if symptoms worsen or do not resolve within 3 days.  Patient has not call HD.  HD attempted to call her, but no answer and no voice mail option.
Age: 60.0
Sex: F
Vaccine: HEPAB, IPV, MMR, PPV, TD, TYP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Client c/o redness, swelling at site of injections L arm. Seen in emergency room diagnosed with cellulitis.
Age: 50.0
Sex: U
Vaccine: PPV
Symptoms: Pneumonia
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized with pneumonia.  Vaccination took place on 7/17/07 and hospital admission was 1/16/08. According to physician, relationship to treatment is 'None'. We would be happy to forward the Study's SAE Report Form upon request.   3/5/08-records received-developed increased cough and dyspnea and fever leading to hospitalization for pneumonia from 1/16/-1/23/08 then to rehabilitation facility until 2/13/08-
Age: 26.0
Sex: F
Vaccine: JEV, TYP
Symptoms: Respiratory distress, Throat tightness
Clinical narrative: At 1422 on 22Feb2008, pt was brought to the treatment room with c/o tightness in throat in obvious distress. 1mg of Epinephrin inj 1:1000 amp given IM to pt. Respiratory treatment of O2 face mask. Peripheral IV Catheter placed on pt. At 1430, pt states relief, airway improved, calm, no acute distress. At 1550, symptoms resolved and pt released.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Gaze palsy, Loss of consciousness
Clinical narrative: Patient was given Tdap, Hepatitis A, HPV, and MCV4. When the fourth vaccine was administered, patient passed out.  Her eyes moved to the back of her head. LOC for a few seconds. When she "came to" she was startled and shook her head. Legs were elevated. Ice pack put to the back of her neck.  When she felt able, cold water was offered and cookie was given. Stayed seated for several minutes.  When she felt able, legs were put down. Color returned to her face. Had patient stand with assistance.  She felt well.  Patient left with instructions to drink alot of fluids today and stay out of the heat.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Hypersensitivity, Injection site swelling, Rash
Clinical narrative: Received Tdap on 1/14/08. Pt. c/o swelling to site, rash on leg and chest pain on 1/17/08. Pt. ref. to ER. Msg Rec. from pt.on 1/18/08 stating allergic reaction to Tdap. Pt. stated swelling to site began 01/16/08.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong drug administered
Clinical narrative: Given Menactra vaccine Today instead of the intended HPV #2.  Had Menactra vaccine previously 5/23/07 at MD's office.  No adverse effects known at this time.
Age: 4.0
Sex: F
Vaccine: HEP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Silver dollar sized red, raised area on left lateral thigh.  Warm to touch.  Mom noticed the night before around 7pm during child's bathtime.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema of eyelid, Eyelid oedema, Lacrimation increased, Vomiting
Clinical narrative: After administration of varicella #2, child had tearing of both eyes and vomited. His eyelids became pink and swollen. He had no trouble breathing and was given Benadryl with no further event.
Age: 31.0
Sex: F
Vaccine: JEV, MNQ, TYP
Symptoms: Headache, Musculoskeletal stiffness
Clinical narrative: PT WAS SEEN ON 03MAR2008 WITH COMPLAINT OF HEADACHE TO LEFT SIDE OF HEAD AND LEFT SIDE OF NECK STIFFNESS. PT CURRENTLY TAKING ASPIRIN AND MOTRIN FOR PAIN MANAGEMENT. DOCTOR CLEARED PT AND PLAN TO CONTINUE JEV SERIES AFTER PT RECOVER FROM ABOVE SYMPTOMS.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Grand mal convulsion
Clinical narrative: Pt presented ~17 hrs after administration of MMRV, DTaP, IPV (4 yr vaccines) w/ 3-4 min episode of suspected seizure (GTC). Slight temp to 38.1 afterwards. Fully recovered.
Age: 15.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Father reports that approximately 30 hours after receiving injections that the child developed hives covering most of his upper body and shortness of breath. He was then taken to the ER at the hospital. He was given prescriptions for Methyl Prednisolone med pack for six days of therapy, Albuterol 90mcg 2 puffs as needed every 4 hrs, and Benadryl one tablet every 4 hrs. States that his son also received some injections in the ER, but unsure of what they were. States child was also taken off medications that were prescribed by a Dermatologist prior to the vaccinations. States hives were finally gone today, so returned to school.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Anaphylactic reaction, Dizziness, Throat irritation
Clinical narrative: After recieving the Gardasil vaccine the patient became very dizzy and lightheaded, also saying that here throat was feeling "tingling" Dr. determined that she was having an anaphylactic reaction to the vaccine and administered Epi.  After about 45 min the patient was feeling better, and was released into the care of her mother.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Rash
Clinical narrative: Palm sized red rash circle on left leg and palm sized red rash on back of left leg.  Adv mom to apply cold packs to upper thighs and give Tylenol every four hours mom will call tomorrow with follow-up.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Arthus reaction L deltoid.  Tylenol, Benadryl, cold compress.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Constipation, Diarrhoea, Erythema, Gastrointestinal haemorrhage, Hyperhidrosis
Clinical narrative: Shrill screaming, arched back, fever, excessive sleeping, rigid, cried when touched, red where shots were administered, sweating, constipation/diarrhea resulting in bowel area bleeding all resulting in death.  3/13/08 PCP medical records reviewed which reveal patient subjected to second hand smoke.  1/31/08 vs had nasal congestion, irritability, cough, red throat.  No treatment Rx.  Returned to office 2/12 w/vomiting, diarrhea, fever, diet refusal.  Dx: dehydration & tx w/fluids & antipyretics.  Returned to office 2/22/08, found to be healthy & vaccines given. 4/4 Autopsy report states COD as SIDS & manner of death as natural. Report reveals parent was smoker.  Patient lived w/single parent & dog.  Patient placed in crib in own bedroom on side w/swaddling blanket.  Found face down in center of crib, cyanotic & limp w/very small amount of pink tinged sputum 3 hrs later. Ambulance to ER momentarily got vitals but resuscitation ultimately unsuccessful.  Investigative notes from PCP indicate patient had period of brief screaming w/rigidity followed by listlessness & lethargy 24-48 hrs after shots.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypersomnia, Injection site erythema, Muscle rigidity, Opisthotonus, Pyrexia
Clinical narrative: Shrill screaming, arched back, fever, excessive sleeping, rigid, cried when touched, red where shots were administered, sweating, constipation/diarrhea resulting in bowel area bleeding all resulting in death.  3/13/08 PCP medical records reviewed which reveal patient subjected to second hand smoke.  1/31/08 vs had nasal congestion, irritability, cough, red throat.  No treatment Rx.  Returned to office 2/12 w/vomiting, diarrhea, fever, diet refusal.  Dx: dehydration & tx w/fluids & antipyretics.  Returned to office 2/22/08, found to be healthy & vaccines given. 4/4 Autopsy report states COD as SIDS & manner of death as natural. Report reveals parent was smoker.  Patient lived w/single parent & dog.  Patient placed in crib in own bedroom on side w/swaddling blanket.  Found face down in center of crib, cyanotic & limp w/very small amount of pink tinged sputum 3 hrs later. Ambulance to ER momentarily got vitals but resuscitation ultimately unsuccessful.  Investigative notes from PCP indicate patient had period of brief screaming w/rigidity followed by listlessness & lethargy 24-48 hrs after shots.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Screaming, Thymus enlargement
Clinical narrative: Shrill screaming, arched back, fever, excessive sleeping, rigid, cried when touched, red where shots were administered, sweating, constipation/diarrhea resulting in bowel area bleeding all resulting in death.  3/13/08 PCP medical records reviewed which reveal patient subjected to second hand smoke.  1/31/08 vs had nasal congestion, irritability, cough, red throat.  No treatment Rx.  Returned to office 2/12 w/vomiting, diarrhea, fever, diet refusal.  Dx: dehydration & tx w/fluids & antipyretics.  Returned to office 2/22/08, found to be healthy & vaccines given. 4/4 Autopsy report states COD as SIDS & manner of death as natural. Report reveals parent was smoker.  Patient lived w/single parent & dog.  Patient placed in crib in own bedroom on side w/swaddling blanket.  Found face down in center of crib, cyanotic & limp w/very small amount of pink tinged sputum 3 hrs later. Ambulance to ER momentarily got vitals but resuscitation ultimately unsuccessful.  Investigative notes from PCP indicate patient had period of brief screaming w/rigidity followed by listlessness & lethargy 24-48 hrs after shots.
Age: 3.0
Sex: F
Vaccine: HEP
Symptoms: Nonspecific reaction, Serum sickness
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of serum sickness in a 3-year-old female subject who was vaccinated with Engerix B (GlaxoSmithKline) for prophylaxis.  Concurrent medications included multivitamins.  On 30 January 2008 at 15:00 the subject received 1st dose of Engerix B at 0.5 ml in the left thigh.  On 7 February 2008, 8 days after vaccination with Engerix B, the subject experienced serum sickness (systemic reaction).  The healthcare professional considered the events were disabling.  At the time of reporting the events were improved.
Age: 16.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Rash generalised, Urticaria
Clinical narrative: Child broke out in slight rash on Friday, 2-29-08 and rash kept spreading over body.  Mother called doctor's office today, 3-4-08 and spoke with the doctor stating child has hives all over body.  Benadryl to help symptoms.
Age: 15.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site (posterior aspect of right upper arm).  [Varicella vaccine site].
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Abasia, Abnormal behaviour, Anorexia, Asthenia, Feeling hot
Clinical narrative: Received MMR vaccine on 7/23/07.  DN 7/29/07 woke up at 6 PM with high temperature, hot diaphoretic clinov.  No walk, no appetite, no drinking.  Gave Tylenol.  Doctor's appointment 7/31/07, low fever, negative strep.  8/2/07 roseola rash, no doctor's appointment to diagnose.  8/3/07 better.  29th to the 2nd clingy, quiet, no appetite, no drinking and no energy.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Fluid intake reduced, Hyperhidrosis, Pyrexia, Rash, Roseola
Clinical narrative: Received MMR vaccine on 7/23/07.  DN 7/29/07 woke up at 6 PM with high temperature, hot diaphoretic clinov.  No walk, no appetite, no drinking.  Gave Tylenol.  Doctor's appointment 7/31/07, low fever, negative strep.  8/2/07 roseola rash, no doctor's appointment to diagnose.  8/3/07 better.  29th to the 2nd clingy, quiet, no appetite, no drinking and no energy.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Streptococcal identification test negative
Clinical narrative: Received MMR vaccine on 7/23/07.  DN 7/29/07 woke up at 6 PM with high temperature, hot diaphoretic clinov.  No walk, no appetite, no drinking.  Gave Tylenol.  Doctor's appointment 7/31/07, low fever, negative strep.  8/2/07 roseola rash, no doctor's appointment to diagnose.  8/3/07 better.  29th to the 2nd clingy, quiet, no appetite, no drinking and no energy.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Pt fainted 30 sec after inj- Pulse 50 x 30 min. No injury 45 min later discharged. B/P 90/60 Sx resolved B/P increased Pulse increased 60
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Pt fainted 30 sec after inj- Pulse 50 x 30 min. No injury 45 min later discharged. B/P 90/60 Sx resolved B/P increased Pulse increased 60
Age: 4.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Induration, Skin warm
Clinical narrative: Pt received Proquad in left leg. T97.4 2 days later pt had 4cm diameter area of warmth and induration. Pt seen by physician, given Zyrtec liquid one tsp q day x 10d, recheck in 3 days. Per administrator, Pt fully recovered.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Contusion, Mass, Skin discolouration
Clinical narrative: Phone call from client's mother injection site is fine, it underneath arm that is bruised 2 inch area with 5 cent size lump. 3/4/08 lump gone, bruise fading-yellowish this am per mom.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Redness, swelling, itching, warm to touch, left deltoid.  Temperature 99.4 F.  Swelling of face noted next day after shot given.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling face
Clinical narrative: Redness, swelling, itching, warm to touch, left deltoid.  Temperature 99.4 F.  Swelling of face noted next day after shot given.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Pain
Clinical narrative: temp 101 deg at 9:30 pm-this am 104 degrees feels achey all over today- no n/v/d Tylenol no help
Age: 57.0
Sex: F
Vaccine: FLU3, MNQ, TYP, YF
Symptoms: Injection site urticaria, Injection site vesicles, Oedema peripheral, Pruritus, Skin irritation
Clinical narrative: At follow-up call, patient complained of swelling Lt severe enough she has to go to ER to get ring cut off (Sat. 2/23/08).  Also had hive like blister at/near injection site of YFVAX, itching, irritation all on Lt arm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Herpes zoster, Rash papular
Clinical narrative: Onset papular rash (L) arm involving deltoid to forearm area 2 days following injection-compatible with H. Zoster
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Crying, Feeling abnormal
Clinical narrative: At approximately 10:30pm Sunday 2-24-08 patient felt overwhelmed as if there was a huge weight on her shoulders and she cried. Lasted about 30 min. at approximately 1:00 am, felt overwhelmed, trapped and alone. Cried. Lasted 15 min.  Again at 3:00 am for about 10 min. felt alone and cried. In AM 2-25-08, crying for no reason.
Age: 16.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Developed bilateral classic Zoster rash on neck (except that it was bilateral).  Valtrex and Keflex to treat if bacterial component.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Expired drug administered, No adverse reaction
Clinical narrative: misread exp date as 1-11-09 instead of 1-11-08 (ProQuad) No adverse effects-primary care physician aware. Guardian aware- 2nd dose of MMR and Varicella.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Urticaria
Clinical narrative: Rash/hives noticed today 2/21/08 day after vac. was admin. (2/20/08) Treatment: Atarax 25 mg tab QID prn for itching.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Myalgia, Pruritus, Rash
Clinical narrative: Lt. delt area with raised rash, erythema, itching, appeared 5 days after vaccine. Muscle pain for several days. Area affected is approx 100 mm x 50 mm (10 cm x 5 cm)
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Wrong drug administered
Clinical narrative: 1) Adacel vaccine ordered; pt did not receive vaccine on exam day; came in next day for injections only; vaccine not listed on the visit slip under the memo section; dictation not back from transcription. Pt speaks Spanish. Pt has not Gardasil vaccinations up to this report.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Incorrect route of drug administration, Injection site erythema, Injection site pain
Clinical narrative: Employee received Fluzone vaccine 0.1 cc intradermally (L) forearm; redness developed at injection site 1-2cm in diameter; tenderness to touch; resolved within 3-5 days; 7mm pink color - no  tenderness on 2-27-08.
Age: 19.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient noticed redness and swelling at injection site with itching - area 7cm x 5cm, red and raised.  Temperature 99.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain, Constipation, Full blood count, Pain of skin, Paraesthesia
Clinical narrative: Nondescript abd pain - back sensation of tingling, crawling, hurting started 1 wk after administration and continues.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Skin irritation, Urinary system X-ray, Urine analysis normal
Clinical narrative: Nondescript abd pain - back sensation of tingling, crawling, hurting started 1 wk after administration and continues.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Incorrect route of drug administration
Clinical narrative: Flu vaccine given SQ while Varivax vaccine given IM.  Doctor spoke with the parent, explained situation, told them what to look for (signs and symptoms), and offered to regive vaccines at later date.  Dad declined.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Woke up with large erythematous circle at injection site. Tender and warm to touch 7.5 cm x 5 cm.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Fall, Head injury, Immediate post-injection reaction, Postictal state
Clinical narrative: Had Hep A vaccine in thigh, about 8 minutes after he threw himself to the floor and hit his head. Had a seizure that lasted about 2 minutes and was post ictal for 12 minutes. Transferred to ER for further evaluation.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Ear pain, Facial palsy, Lacrimation increased, Pharyngolaryngeal pain, Vision blurred
Clinical narrative: Description: Vaccinated with AVA 20 Jul 07. Febrile illness on 23 Jul, Sore throat 27 Jul followed by ear ache. Problems focusing on 4 Aug with tearing. Bells Palsy diagnosed on 7 Aug. Sx resolved mid Sep 05.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: >24 hours post DTaP 5 given, pt developed erythema, induration to entire anterior upper arm. No fluctuance, no fever. Tx with Duricef, Benadryl, cool compresses.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Bronchial hyperreactivity, Chest X-ray abnormal, Febrile convulsion, Otitis media, Wheezing
Clinical narrative: 12 mo had febrile seizure 11 days after 12 mo vaccines. Brought to Emergency Room, several dxed tests on 3/2/08 CXR showed lower airway disease, flu (-), albuterol tx. Seen 3/3/08 in office, had aerosol tx for wheezing, dxed OM - tx Amoxil, Prednisone
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: No adverse reaction, Wrong technique in drug usage process
Clinical narrative: Pt was given ActHIB vaccine. It was drawn up with sterile water diluent instead of the diluent provided (NaCl). Vaccine given 2/18/08. No signs/symptoms reported. (Med error)
Age: 1.0
Sex: F
Vaccine: DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Mom called 13 hours after vaccination - child woke with fever 103 - given oral Motrin with reduction in fever 75 minutes later - afebrile since then. This was child's 1st flu shot.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Area around injection site developed 16x20cm area of erythema and induration. Benadryl and Tylenol, cool compress.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Blister, Hypersensitivity, Rash, Swollen tongue
Clinical narrative: All signs of allergic response visible around mouth area.  Rash, slightly swollen tongue, blisters.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Computerised tomogram, Convulsion, Full blood count, Laboratory test, Toxicologic test
Clinical narrative: Patient had Varivax on 2/22/08 - had a seizure on 2/28/08.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Urine analysis
Clinical narrative: Patient had Varivax on 2/22/08 - had a seizure on 2/28/08.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: (R) deltoid red, warm, swollen continually tender
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pain
Clinical narrative: Erythema 8x9 cm, induration at site, minimal pain. No treatment needed.
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus
Clinical narrative: itchy spots 2/23/08 onset
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: Fever to 101.5, vomiting for 24 hours, "welts" on feet briefly.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Noted approximately 2100 2/25/08 noted soreness and warmth at injection site.  The next morning noted swelling, warm to touch, soreness, and when lifting arm away from body site is painful.  Injection site has a "pimple" like spot.  Didn't check for fever at home.
Age: 9.0
Sex: F
Vaccine: HEPA, IPV, VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 90mm red, swollen, area at injection site- No fever; mild tenderness- treated with cold packs and Motrin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Local reaction
Clinical narrative: Localized shot reaction to DTaP #5 (2/26).  Seen 2/27 by doctor.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large, warm, red, swelling at site.  Approximately 10cm long, 6cm wide.
Age: 1.3
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash generalised
Clinical narrative: Fever of 104; total body rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash to left deltoid.
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Biopsy skin, Dysuria, Erythema, Oral mucosal eruption, Pain
Clinical narrative: Initially after receiving vaccine observed reddened papules over elbows, knees, arms, hands, mouth and back accompanied by fever, pain and itchiness. A skin biopsy was done on ship and cortisone cream given. Patient's case was said to be the most severe. He continues to have outbreaks at appoximately 2-3 times per year, basically the same in adversity when cold or flu symtoms occur or when working out in the sun. He also expiriences urinary difficulties as odd as it may seem.
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia, Rash papular
Clinical narrative: Initially after receiving vaccine observed reddened papules over elbows, knees, arms, hands, mouth and back accompanied by fever, pain and itchiness. A skin biopsy was done on ship and cortisone cream given. Patient's case was said to be the most severe. He continues to have outbreaks at appoximately 2-3 times per year, basically the same in adversity when cold or flu symtoms occur or when working out in the sun. He also expiriences urinary difficulties as odd as it may seem.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Anogenital warts, Cervical dysplasia, Colposcopy, Human papilloma virus test positive, Papilloma viral infection
Clinical narrative: Patient reports that within 1 week of Gardasil #1 - started with ano genital condyloma.  Previous history (+) PAP.  now diagnosis: HPV: 5/18/06 - Ascus pap/+ high HPV; 7/10/06 - Colpo showed LSIL; 11/21/06 - Gardasil #1; 1/2/07 - 6 mo colpo showed genital condyloma; 1/8/07 - laser surgery; 5/14/07 colpo o.k.; 11/19/07 - colpo o.k.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Surgery
Clinical narrative: Patient reports that within 1 week of Gardasil #1 - started with ano genital condyloma.  Previous history (+) PAP.  now diagnosis: HPV: 5/18/06 - Ascus pap/+ high HPV; 7/10/06 - Colpo showed LSIL; 11/21/06 - Gardasil #1; 1/2/07 - 6 mo colpo showed genital condyloma; 1/8/07 - laser surgery; 5/14/07 colpo o.k.; 11/19/07 - colpo o.k.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: This case was reported by a physician to another manufacturer, and was received from that manufacturer on 26 February 2008 under reference number A0704635A.  A two-month-old female patient, with a history of diaper rash, received her first dose of the following vaccines on 01 November 2007: a left thigh injection of ActHIB (lot number reported as VF163AA, not a valid sanofi-pasteur lot number); a right thigh injection of Pediarix (GlaxoSmithKline, lot number AC21B124BA); a left thigh injection of Prevnar (Wyeth, lot number B47300B); and an oral dose of Rotateq (Merck, lot number 0506U).  Seven days after vaccination, on 08 November 2007, an ultrasound revealed iliocolic intussusception.  The patient was hospitalized, and the event resolved on 09 November 2007.  The reporter considered the event to be life-threatening and clinically significant (requiring intervention).  "The physician considered the event was possibly related to vaccination with Pediarix, ActHIB, Prevnar, and Rotateq".
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Ultrasound scan abnormal
Clinical narrative: This case was reported by a physician to another manufacturer, and was received from that manufacturer on 26 February 2008 under reference number A0704635A.  A two-month-old female patient, with a history of diaper rash, received her first dose of the following vaccines on 01 November 2007: a left thigh injection of ActHIB (lot number reported as VF163AA, not a valid sanofi-pasteur lot number); a right thigh injection of Pediarix (GlaxoSmithKline, lot number AC21B124BA); a left thigh injection of Prevnar (Wyeth, lot number B47300B); and an oral dose of Rotateq (Merck, lot number 0506U).  Seven days after vaccination, on 08 November 2007, an ultrasound revealed iliocolic intussusception.  The patient was hospitalized, and the event resolved on 09 November 2007.  The reporter considered the event to be life-threatening and clinically significant (requiring intervention).  "The physician considered the event was possibly related to vaccination with Pediarix, ActHIB, Prevnar, and Rotateq".
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Ultrasound abdomen abnormal
Clinical narrative: This case was reported by a physician to another manufacturer, and was received from that manufacturer on 26 February 2008 under reference number A0704635A.  A two-month-old female patient, with a history of diaper rash, received her first dose of the following vaccines on 01 November 2007: a left thigh injection of ActHIB (lot number reported as VF163AA, not a valid sanofi-pasteur lot number); a right thigh injection of Pediarix (GlaxoSmithKline, lot number AC21B124BA); a left thigh injection of Prevnar (Wyeth, lot number B47300B); and an oral dose of Rotateq (Merck, lot number 0506U).  Seven days after vaccination, on 08 November 2007, an ultrasound revealed iliocolic intussusception.  The patient was hospitalized, and the event resolved on 09 November 2007.  The reporter considered the event to be life-threatening and clinically significant (requiring intervention).  "The physician considered the event was possibly related to vaccination with Pediarix, ActHIB, Prevnar, and Rotateq".
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Abdominal X-ray, Intussusception, Ultrasound abdomen abnormal
Clinical narrative: Information has been received from a physician concerning a 2-month-old male who on 17-DEC-2007 was vaccinated with an oral dose of Rotateq.  On 13-FEB-2008 the patient experienced intussusception and was hospitalized for an unspecified amount of time.  Subsequently, the patient recovered from intussusception.  No product quality complaint was involved.  Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a 2-month-old male who on 17-DEC-2007 was vaccinated with an oral dose of Rotateq.  On 13-FEB-2008 the patient experienced intussusception and was hospitalized for an unspecified amount of time.  Subsequently, the patient recovered from intussusception.  No product quality complaint was involved.  Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pruritus, Rash, Swelling face
Clinical narrative: Follow-up was requested on this cluster and information was received for one of the vaccine recipients (unclear if additional patients were involved) on 22 February 2008 from the original reporter who is a health care professional. This case will be the case of reference for that patient who is a 44-year-old female patient, who had no concurrent illnesses, or pre-existing medical history, and who had received an intramuscular dose of FLUZONE 2007-2008 (lot number U2529AA) on 14 November 2007. The time of vaccination was unknown, and the site of administration of the Fluzone vaccine was not reported. That night following vaccination, the patient woke up "felt warmness in her face" and self medicated with Tylenol. The following morning, the patient's face was swollen and red, and she self medicated with two Benadryl. The symptoms did not resolve and she presented to the emergency room with itching in her arms and a rash on her face. She was treated with Zyrtec and Prednisone. Final diagnosis was not provided. At the time of this report, the patient had recovered. After medical review of this case, the case was upgraded to serious.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Convulsion, Incoherent, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a consumer concerning her 82 year old husband with high blood pressure, and a history of brain neoplasm and no known allergies who on 19-FEB-2008 was vaccinated with 0.65ml Zostavax. Concomitant therapy included "high blood pressure medication". On 21-FEB-2008, two days after receiving Zostavax the patient experienced a high fever of 103 degrees and began having convulsions. The patient was hospitalized for 4 days and became incoherent. The patient had unspecified blood work done and an MRI results are not reported. At the time of the report the patient was recovering in rehab. Additional information is not expected.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 82 year old husband with high blood pressure, and a history of brain neoplasm and no known allergies who on 19-FEB-2008 was vaccinated with 0.65ml Zostavax. Concomitant therapy included "high blood pressure medication". On 21-FEB-2008, two days after receiving Zostavax the patient experienced a high fever of 103 degrees and began having convulsions. The patient was hospitalized for 4 days and became incoherent. The patient had unspecified blood work done and an MRI results are not reported. At the time of the report the patient was recovering in rehab. Additional information is not expected.
Age: 17.0
Sex: U
Vaccine: TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: 17 year old female who at the time of vaccinations denied being pregnant. Screening Questionnaire for child and teen immunizations utilized and client answered no to the question Is the child/teen pregnant or is there a chance she could become pregnant during the next month.
Age: 69.0
Sex: F
Vaccine: YF
Symptoms: Blood pressure, Bronchitis, Bronchospasm, Chest X-ray normal, Chest discomfort
Clinical narrative: Patient received the Yellow Fever Vaccine on 8/24/07.  On the way home, she started feeling bad, like she was getting the flu.  She had mucus in her respiratory tract and chest tightness. An hour and a half after the Yellow Fever Vaccine, she started wheezing, coughing and sweating.  On 8/26/07 she went to Urgent Care and the doctor gave her a breathing treatment and a prescription for doxycycline 100 mg bid and Prednisone 10 mg, six tablets and then decrease by one every other day.  And he ordered an albuterol inhaler. On 8/27/07 she saw Dr.; he diagnosed her with bronchospasm and some concomitant bronchitis.  He had her continue the doxycycline 100 mg but increase prednisone to 20 mg 3 tablets tid, then 2 tablets tid and then 1 tid after which she was to restart Prednisone 10 mg qd after finishing previous prednisone prescription.  He added Advair 250/50 one puff every 12 hours.
Age: 69.0
Sex: F
Vaccine: YF
Symptoms: Cough, Heart rate, Hyperhidrosis, Malaise, Respiratory tract congestion
Clinical narrative: Patient received the Yellow Fever Vaccine on 8/24/07.  On the way home, she started feeling bad, like she was getting the flu.  She had mucus in her respiratory tract and chest tightness. An hour and a half after the Yellow Fever Vaccine, she started wheezing, coughing and sweating.  On 8/26/07 she went to Urgent Care and the doctor gave her a breathing treatment and a prescription for doxycycline 100 mg bid and Prednisone 10 mg, six tablets and then decrease by one every other day.  And he ordered an albuterol inhaler. On 8/27/07 she saw Dr.; he diagnosed her with bronchospasm and some concomitant bronchitis.  He had her continue the doxycycline 100 mg but increase prednisone to 20 mg 3 tablets tid, then 2 tablets tid and then 1 tid after which she was to restart Prednisone 10 mg qd after finishing previous prednisone prescription.  He added Advair 250/50 one puff every 12 hours.
Age: 69.0
Sex: F
Vaccine: YF
Symptoms: Rhonchi, Weight, Wheezing
Clinical narrative: Patient received the Yellow Fever Vaccine on 8/24/07.  On the way home, she started feeling bad, like she was getting the flu.  She had mucus in her respiratory tract and chest tightness. An hour and a half after the Yellow Fever Vaccine, she started wheezing, coughing and sweating.  On 8/26/07 she went to Urgent Care and the doctor gave her a breathing treatment and a prescription for doxycycline 100 mg bid and Prednisone 10 mg, six tablets and then decrease by one every other day.  And he ordered an albuterol inhaler. On 8/27/07 she saw Dr.; he diagnosed her with bronchospasm and some concomitant bronchitis.  He had her continue the doxycycline 100 mg but increase prednisone to 20 mg 3 tablets tid, then 2 tablets tid and then 1 tid after which she was to restart Prednisone 10 mg qd after finishing previous prednisone prescription.  He added Advair 250/50 one puff every 12 hours.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site oedema, Injection site pruritus, Local reaction
Clinical narrative: LOCAL REACTION OF ITCHING AND DIFFUSE EDEMA WITH INDURATION (8x10 CM) AT SITE OF INJECTION: LEFT UPPER ARM.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Patient began itching on 12/26/07.  Itching is localized to either the back, chest, stomach and head. Patient reports that the itching will last 1-2 days in one spot, will vanish for 1 day, and then will reapear in another area.  As of todays date, 3/5/08, the patient is still itching.  She takes diphenhydramine 25mg by mouth when the itching is severe.
Age: 13.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: According to school nurse, "dime-sized" area of pain, swelling and erythema to the left posterior upper arm beginning 3/3/08.
Age: 63.0
Sex: F
Vaccine: HEPAB, MEN
Symptoms: Rash, Rash pustular
Clinical narrative: On March 5, 2008 patient called pharmacy to say she had developed a rash on her legs about 4 to 5 days after receiving vaccinations.  The rash stopped on her legs but continued up to her trunk. She described the rash as tiny, bumpy with pustules.  She said it did not bother her but I informed her she could use diphenydramine (Benadryl) cream or hydrocortisone cream on any "closed" pustules.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Pain in extremity, Rash
Clinical narrative: Vaccinated on 2/20/08.  Sore rt. side 2/22; 5 red spots under rt. arm on 2/23.  Pain deep in body beginning 2/24 and extensive rash.  Diagnosed with Shingles on 2/26/08.  Started medications on 2/26:  Gabapentin, Prednisone, Acyclovir.  Rash from center of chest to under rt arm; also on back.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash, Rash pruritic
Clinical narrative: PATIENT WAS GIVEN RECOMMENDED VACCINES FOR HIS AGE WHEN HE CAME IN TODAY FOR A WELL CHILD EXAM, PATIENT LATER WAS BROUGHT IN BY HIS MOTHER WITH A RASH TO HIS FACE, APPEARED TO BE A PRURITIC RASH, PATIENT WAS IN NO DISTRESS, NO FACIAL OR LIP SWELLING.  I GAVE PATIENT BENADRYL 12.5 / 5ML Q 4-6 hrs. PRN ITCHING/ALLERGY. PATIENT MOTHER INSTRUCTED IF ANY SYMPTOMS OF ALLERGY/RASH, STARTS WHEEZYING, ITCHING TO CALL ME IMMEDIATELY AND CALL 911-GO TO E.R. ITCHING.
Age: 0.59
Sex: M
Vaccine: DTAP
Symptoms: Blood culture negative, Laboratory test normal, Pyrexia, Urticaria, Vaccine positive rechallenge
Clinical narrative: Pediarix given at 2mo (9-24-07) in addition to Prevnar and rotavirus and hib: fever 103.4 F at 8 pm on the night of vaccine, pt referred to ER and had sepsis work up which was negative and given ceftriaxone 325mg iv x 2 days until blood cx came back normal.                        Pediarix given at 4mo (12-3-07)in addition to Prevnar and hib: fever 104.5 pt taken to ER via ambulance.  Work up negative again. Contacted DOH vaccines dept 12-28-07 regarding the findings, talked to Dr. Recommended that vaccines be administered separately on different days. DTap given on 2-20-08, pt had low grade fever and developed hives on face and torso, no swelling or respiratory s/s on the night DTap was given. Treated w/ Benadryl. Pt seen by PMD on 2-22-08, residual hives on trunk fading, pt otherwise appeared well. Discussed case w/ DOH, Dr. and Dr., recommended DTap to be given at 15mo since fever and hives not contraindication to vaccination. Also recommended VAERS report.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister
Clinical narrative: 15 vesicular lesions over abdomen, back, hairline.  1 lesion in left eye.  Lesions appeared within 4 days of vaccination.
Age: 23.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chills, Eye pain, Eyelid disorder, Fatigue, Influenza like illness
Clinical narrative: C/O tightness right jaw after waking am of 03/04/2008 also C/O chills tiredness and feeling like she had the flu. approximately 1:00pm experienced pain in the right eye and inability to completely close eye. Temp 97.7, HR 100, R 20 skin pink in color blanching present and brisk nail beds. Referred to private physician transported by mother to Dr.
Age: 23.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Malaise, Muscle tightness, Pallor
Clinical narrative: C/O tightness right jaw after waking am of 03/04/2008 also C/O chills tiredness and feeling like she had the flu. approximately 1:00pm experienced pain in the right eye and inability to completely close eye. Temp 97.7, HR 100, R 20 skin pink in color blanching present and brisk nail beds. Referred to private physician transported by mother to Dr.
Age: 32.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Burning sensation, Lymphadenopathy, Rash
Clinical narrative: VACCINES GIVEN ON 2/20/08, THREE DAYS LATER PT. SAID LFT. UNDER ARM SWOLLEN WITH GOLF BALL SIZE LUMPS, THAN IT MOVED TO THE RT. SIDE WITH BURNING UNDER ARM AND SHOULDER. PT. ALSO WITH RASH.
Age: 32.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: THIS PATIENT WAS GIVEN A HEPATITIS A IMMUNIZATION AND HAD AN ABRUPT EPISODE OF NAUSEA, VOMITING AND LIGHT HEADACHE.