chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Vomiting
Clinical narrative: child had shot approx 11am-mom called at 4:30 pm stating child had c/o headache and vomited x 2 since injection. Advised to go to ER. 8/14/07 spoke with mom for follow up didn't go to ER-symptoms resolved by 9 pm that evening.
Age: 13.0
Sex: U
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Malaise
Clinical narrative: After administration, patient went to check out eyes got "fuzzy" "I didn't feel well"
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Tdap-adm 4/16/07-then second dose 8/20/07
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: patient reports by telephone that within 24 hours developed redness swelling approx 2 inches at site of injection, slightly tender too touch 72 hr expanded 4" less
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TD
Symptoms: Urticaria
Clinical narrative: Developed hives 3-4 days after receiving Menactra & Adacel. Hives started on arm when received Menactra
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TD
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Pain in extremity
Clinical narrative: Developed hives 3-4 days after receiving Menactra & Adacel. Hives started on arm when received Menactra
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TD
Symptoms: Pruritus, Pyrexia, Rash, Urticaria
Clinical narrative: Developed hives 3-4 days after receiving Menactra & Adacel. Hives started on arm when received Menactra
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pain
Clinical narrative: 3 days after Zostavax L Deltoid-Pt developed a painful "pox" (blister) in L Thoracic Aura-resolved in 24 hours.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Erythema, Swelling
Clinical narrative: after administering Pedvax HIB and applying Band-aid noted redness and swelling. Notified provider. Ordered 1tsp Motrin for children B 6.25 mg Benadryl-adm. @ 11:14 am-also applied ice. By 11:25 minimal swelling noted, no erythema warmth or bruising. Original measurement of swelling to LLMLT 8cm x 6.5 cm.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Hive left arm-was not measured, larger than .50 piece. Treatment-ice, Claritin
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Induration, Local reaction, Pain
Clinical narrative: 24 hrs after Varivax injection developed painful local reaction. Induration, Erythema 6x 8 cm Rx with ice and Benadryl
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Muscle spasms
Clinical narrative: Approximately 18 hours after administration of vaccine, pt was awakened by severe, tetanic-type muscle spasms in legs. These persisted nightly, gradually subsiding over a period of 10 days. No other cause for these symptoms could be found.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Movement disorder, Muscle spasms
Clinical narrative: Approximately 18 hours after administration of vaccine, pt was awakened by severe, tetanic-type muscle spasms in legs. These persisted nightly, gradually subsiding over a period of 10 days. No other cause for these symptoms could be found.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Pain in extremity, Sleep disorder
Clinical narrative: Approximately 18 hours after administration of vaccine, pt was awakened by severe, tetanic-type muscle spasms in legs. These persisted nightly, gradually subsiding over a period of 10 days. No other cause for these symptoms could be found.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Muscle twitching
Clinical narrative: twitching of legs x 24 hour
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Rash macular
Clinical narrative: 1 Hour after receiving vaccine patient had red blotch on right cheek (50 cent) piece in size, red blotch on left neck (25 cent) piece in size. 9:45 am P88. BP 110/70 RR 20, no itching, no tingling in throat. Given Benadryl 25mg 1 tab PO. 8/9/07 Father returned call, no further problems.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Blood immunoglobulin M, Borrelia burgdorferi serology, Chest discomfort, Ehrlichia serology, Full blood count
Clinical narrative: Tdap given 7/19/07 s/s of leg pain, neck swelling and chest heaviness experienced by 7/20/07. Reported s/s to EHS on 7/24/07. Seen by PA-C on 7/25/07, blood work drawn r/o infection or Lyme disease or tick bite. Rx for Allegra. All blood work received back on 8/8/07 - neg.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Laboratory test, Local swelling, Pain in extremity
Clinical narrative: Tdap given 7/19/07 s/s of leg pain, neck swelling and chest heaviness experienced by 7/20/07. Reported s/s to EHS on 7/24/07. Seen by PA-C on 7/25/07, blood work drawn r/o infection or Lyme disease or tick bite. Rx for Allegra. All blood work received back on 8/8/07 - neg.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Computerised tomogram, Dizziness, Electrocardiogram, Fall, Gaze palsy
Clinical narrative: C/O dizziness, then eyes rolled back and forth. Then fell down and passed out x 15 minutes.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: C/O dizziness, then eyes rolled back and forth. Then fell down and passed out x 15 minutes.
Age: 15.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: + Urticaria throughout body and arms and legs, + pruritic, facial swelling, no dyspnea or SOB
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Erythema, Myalgia, Swelling
Clinical narrative: Patient came in 6/11/07 complaining of pain right wrist going to antebrachial area, then left wrist join antebrachial area, start in 6/10/07 pain and swelling right and left wrist, tenderness muscle of bottom arms join to the shoulder small redness on right wrist looks mosquito or insect bite.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Headache, Syncope
Clinical narrative: 10:20 am - client fainted approximately 5 minutes following administration of vaccines. Ammonia 3 inhalant used to restore consciousness. B/P 130/80 assisted client to chair when was feeling better. Gave him a coke to drink. C/O headache. Gave client a cold pack for his head. B/P 116/50 at 11:00am. Notified doctor (mother gave client Ibuprofen 200mg at 10:40am) 11:15am client says he feels better. Instructed him to visit doctor if symptoms return. Left the office at 11:15 am.
Age: 20.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Area red and hot to touch at site of Varivax injection right back arm. Treatment: ice, Benadryl, elevation, Motrin
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure normal, Dizziness, Electrocardiogram normal, Erythema, Injection site induration
Clinical narrative: On 8/3/07 right upper arm swollen, red and at injection site hard. Next day she awoke with a racing heart rate of 124, dizziness and fever of 101.0. Seen in Urgent Care and below tests done. Sent home on a Medrol dose pack and by 8/13 symptoms resolved and by end of week arm swelling/ redness gone.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Oedema peripheral, Palpitations, Pyrexia, Urine analysis normal
Clinical narrative: On 8/3/07 right upper arm swollen, red and at injection site hard. Next day she awoke with a racing heart rate of 124, dizziness and fever of 101.0. Seen in Urgent Care and below tests done. Sent home on a Medrol dose pack and by 8/13 symptoms resolved and by end of week arm swelling/ redness gone.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Electrocardiogram abnormal, Fatigue, Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: Joints ache and stiffness, numbness and tingling fingers, bradycardia sinus, fatigue
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, Sinus bradycardia
Clinical narrative: Joints ache and stiffness, numbness and tingling fingers, bradycardia sinus, fatigue
Age: 5.0
Sex: U
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, hardening and pain at injection site since yesterday referred by school nurse. Evaluated by Public Health Nurse Practitioner, local reaction advised to give pain relief medication as needed, use cold compress.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis - mild early reaction warm/cool compresses/ Ibuprofen 20m q6 PRN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Localized redness and swelling to left deltoid. Progressively getting better.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Eyelid oedema, Pruritus
Clinical narrative: Patient presented to ER 13 days following receipt of Zostavax complaining of itchy, edematous eyelids with onset around 10 August. No distinctive lesions. No joint pain. No respiratory symptoms. No urticaria or generalized rashes. No visual changes. Treated with steroid burst with significant improvement of symptoms. See Attached
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Rash, Vomiting
Clinical narrative: Vomiting, headache, rash.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Therapeutic agent toxicity
Clinical narrative: Suspected pertussis allergy high pitched, inconsolable cry in 2 month infant lasting 1 hour. No treatment.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: 6 x 7cm erythematous warm area firm central area mildly tender to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Entire right arm swollen and warm to 7.5" in diameter vs 6" opposite arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Pyrexia, Skin warm
Clinical narrative: Right deltoid/ triceps 8-10cm red, hot indurated, fever 99.3
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Acne, Erythema
Clinical narrative: 8-8-2007 Mother noticed red "pimple" looking spots on left side of waist and 2 spots on lower back
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Injection site swelling
Clinical narrative: Swelling at injection site and down same arm. No treatment given by pharmacy.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Child states left arm was itching at 03:00 on 8/14/07. At  630am it looked like a mosquito bite on the arm. The site of injection became red, swollen, itchy and tender worsening over today. Child came to health clinic at 3PM for evaluation. Red, swollen, hot, tender area 6 x 6cm noted. Prescribed Benadryl and Keflex. Phone update on 8/15 per grandmother - improve.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Chest pain, Rash maculo-papular
Clinical narrative: Maculo papular rash across back and upper arms. Feeling chest pain/pressure. Rx: Antihistamine and Zantac. Had similar Sx after a previous anthrax vaccine.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature decreased, Insomnia, Musculoskeletal pain, Pain in extremity, Tenderness
Clinical narrative: Stated that immediately after injection had pain radiating down arm and into shoulder and remained very tender.  Stated was unable to sleep on it at night due to pain. C/o of NO redness at injection site.  Had low grade temp 99 on 8/17 at Drs office. 8/20 no redness seen at injection site but still c/o of pain in right arm.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: Local reaction at site of injection.  Erythema and warmth measuring 120mm X 200mm.  No other effects, no systemic effects.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Headache, Pain in extremity, Pruritus, Skin necrosis
Clinical narrative: My daughter developed a large (2 1/2 inch) area of swelling that was itcy and painful and was very warm to the touch.  The area was also hard.  She also has headaches and fatigue.  The site of the mass of swelling was approximately 2 inches below and to the right of the injection site which was in the top center of her left arm.  We took her to the acute care center after the dr told us it was a AE.  We thought she may have been bit by a spider becuase the reaction was not at teh injection site.  The fact that the Chicken Pox vaccine causes secondary bacterial cellulitis was not disclosed to us a the dr's appointment.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin warm, Swelling
Clinical narrative: My daughter developed a large (2 1/2 inch) area of swelling that was itcy and painful and was very warm to the touch.  The area was also hard.  She also has headaches and fatigue.  The site of the mass of swelling was approximately 2 inches below and to the right of the injection site which was in the top center of her left arm.  We took her to the acute care center after the dr told us it was a AE.  We thought she may have been bit by a spider becuase the reaction was not at teh injection site.  The fact that the Chicken Pox vaccine causes secondary bacterial cellulitis was not disclosed to us a the dr's appointment.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives noted in the evening on date of vaccine administration, waxing and waning over the next 4 days, last noted the evening prior to filing this report. Benadryl 2+ doses given for itching. No vomiting, shortness of breath, or wheezing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Red and swollen area on R upper arm where immunizations were given on 8/14/07. She also developed some red, raised areas on L arm and fingers. She took Benedryl and it helped to lessen the degree of redness and puffiness to the bumps.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Pain in extremity, Pyrexia
Clinical narrative: Client reports that on the second day after the vaccination she developed severe pain and weakness in the right arm where she received the Td injection.  She describes the weakness as so severe that she had difficulty picking up light objects.  She ran a fever of 101 degrees.  She did not seek medical attention.  The symptoms improved over a 4 day period.  No long-term adverse effects remain.
Age: 1.5
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Varicella
Clinical narrative: PT. HAD THE FIRST VARICELLA & CONTRACTED CHICKEN POX. SHE WAS DIAGNOSED TODAY IN THE OFFICE.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Inflammation, Injection site pain, Injection site swelling, Lymphadenitis
Clinical narrative: Patient began noticing pain and swelling at the injection site almost immediately afterwards.  The pain and swelling escalated to the point of involving soft tissue on the deltoid, axilla, ribs and pectoral region of the chest.  He also is experiencing lymphadenitis.  The entire area appears red and inflamed, but he is not febrile.
Age: 1.33
Sex: M
Vaccine: VARCEL
Symptoms: Coordination abnormal
Clinical narrative: Ataxia which developed the morning after vaccine administration.  Over the next 24 hours from the onset of ataxia the pt's symptoms dramatically improved to becoming symptom free.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Catheterisation cardiac abnormal, Chest pain, Ejection fraction decreased
Clinical narrative: On 8/7, patient had chest pain for about 5 hours described as sharp pain to left chest, non-radiating. Took ibuprofen 800mg. That evening pain returned, more mild, less sharp, described as progressive. Lasted about 2 hours. On 8/8, at 2 am, chest pain restarted, and he presented to ED. Note: Patient received Smallpox vaccine on 7/27/07. Administered at a different facility.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Fatigue, Troponin increased
Clinical narrative: On 8/7, patient had chest pain for about 5 hours described as sharp pain to left chest, non-radiating. Took ibuprofen 800mg. That evening pain returned, more mild, less sharp, described as progressive. Lasted about 2 hours. On 8/8, at 2 am, chest pain restarted, and he presented to ED. Note: Patient received Smallpox vaccine on 7/27/07. Administered at a different facility.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, Catheterisation cardiac abnormal, Chest pain, Ejection fraction decreased, Troponin increased
Clinical narrative: On 8/7, patient had chest pain for about 5 hours described as sharp pain to left chest, non-radiating. Took ibuprofen 800mg. That evening pain returned, more mild, less sharp, described as progressive. Lasted about 2 hours. On 8/8, at 2 am, chest pain restarted, and he presented to ED. Note: Patient received Smallpox vaccine on 7/27/07. Administered at a different facility.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Back pain, Headache, Infectious mononucleosis, Nausea, Pyrexia
Clinical narrative: Per parent, mild local reaction 1-2 days post vaccine.  Client began with Headaches and fever above 103.5 on 7/29/07 through 8/5.  Blood work done 8/6 positive Epstein-Barr and Mononucleosis.  Lymphadenopathy and hepatospenomegaly was severe per parent.  Treatment per wholistic/herbal treatments.  Client continues with follow up regarding hepatic function.  Parent questions possible relationship with Menactra administration 6/28/07.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Tenderness
Clinical narrative: Per parent, mild local reaction 1-2 days post vaccine.  Client began with Headaches and fever above 103.5 on 7/29/07 through 8/5.  Blood work done 8/6 positive Epstein-Barr and Mononucleosis.  Lymphadenopathy and hepatospenomegaly was severe per parent.  Treatment per wholistic/herbal treatments.  Client continues with follow up regarding hepatic function.  Parent questions possible relationship with Menactra administration 6/28/07.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Aspartate aminotransferase, Epstein-Barr virus infection, Headache, Hepatosplenomegaly, Infectious mononucleosis
Clinical narrative: Per parent, mild local reaction 1-2 days post vaccine.  Client began with Headaches and fever above 103.5 on 7/29/07 through 8/5.  Blood work done 8/6 positive Epstein-Barr and Mononucleosis.  Lymphadenopathy and hepatospenomegaly was severe per parent.  Treatment per wholistic/herbal treatments.  Client continues with follow up regarding hepatic function.  Parent questions possible relationship with Menactra administration 6/28/07.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Liver function test, Local reaction, Lymphadenopathy, Pyrexia
Clinical narrative: Per parent, mild local reaction 1-2 days post vaccine.  Client began with Headaches and fever above 103.5 on 7/29/07 through 8/5.  Blood work done 8/6 positive Epstein-Barr and Mononucleosis.  Lymphadenopathy and hepatospenomegaly was severe per parent.  Treatment per wholistic/herbal treatments.  Client continues with follow up regarding hepatic function.  Parent questions possible relationship with Menactra administration 6/28/07.
Age: 14.0
Sex: M
Vaccine: DTP, MNQ
Symptoms: Erythema, Urticaria
Clinical narrative: red raised hives all over body
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Herpes zoster
Clinical narrative: The patient received his first Anthrax immunization on June 11, 2007 and developed herpes zoster to chest and back areas.  Preventative medicine consulted and agrees with assessment
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: Information has been received from a physician concerning a 20 week old male who on 20-APR-2007 and 28-JUN-2007 was vaccinated with the first and second oral doses of Rotateq. There was no concomitant medication. On approximately 04-AUG-2007 the patient experienced intussusception. The patient was treated in the ER with an enema. Subsequently, the patient recovered. There was no product quality complaint. Upon internal review, intussusception was considered to be an other important medical event. Additional information has been requested.  9/5/07 Received vax record from pcp.  Unable to read lot #s.  T/C to provider to clarify.  VAERS database updated with verbal confirmation of same.  9/18/07 Reviewed ER medical records from initial hospital which reveals patient seen 8/5/07 for vomiting, lethargy & abdominal tenderness.  Transferred to higher level of care. ER FINAL DX: Intussusception. 9/28/07 Medical records faxed to CDC. 10/2/07 2nd Hospital medical records reviewed which reveal patient experienced lethargy, bilious vomiting & bloody mucousy stool.  Transferred from outlying ER.  Admitted 08/04-08/05/2007 for observation s/p enema administration to reduce IS.  Progressed well & d/c to home. FINAL DX: Intussusception, air enema reduction.
Sex: U
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from an employee of a distributor concerning two patients who on unspecified dates were vaccinated with Pneumovax 23. Subsequently the patients were hospitalized. No further details were provided. No further information is expected.
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from the Pregnancy Registry for Gardasil from a physician concerning a female who was vaccinated with the first dose of Gardasil (lot # unknown) 0.5 mL. The physician recently found out the patient was pregnant. The physician did not know if the patient would terminate the pregnancy. No adverse experience was reported. Medical attention was sought. Follow-up information was received from the physician. The physician reported that the patient had an elective termination of her pregnancy not due to the use of Gardasil. Upon internal review elective abortion is considered to be an other medical event. Additional information has been requested.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Myalgia, Oedema peripheral, Pain
Clinical narrative: Generalized muscle aches, arm swell, pain and redness. Resolved with time and medication.  09/06/2007 MR received for DOS 5/25/2007 for c/o pain and swelling in the R upper arm following TDaP vax on 5/23/07.  Pt also c/o generalized body aches. PE reveals patchy erythema, tenderness and guarding.  Warmth noted in the upper arm. Assessment;  probable adverse reaction to TDaP immunization, questionable allergic componant.
Age: 60.0
Sex: F
Vaccine: TYP
Symptoms: Formication, Hypersensitivity, Insomnia, Paraesthesia, Pruritus generalised
Clinical narrative: I went to hospital 8/6/07 with my husband - we are traveling overseas next month - the dr. recommended we get hepatitis A - tetanus shots - Ok and suggested we take the oral vivotif berna - typhoid vaccine - we both did beginning 8/07/7 - using the information given we took each capsule 1 day apart - completing the dosage of 4 capsules - about 6/08 I didn't even realized I was having a reaction - I felt itchy all over my body - scalp, hands, legs, genital area, trunk, etc. all over - like creepy crawly itching sensation that would not cease with cold shower, powder etc. of course I could not sleep - I honestly did not take into consideration that I was having a reaction as we were instructed to expect nausea or vomiting or queasy stomach - I did not have the sense to inquire -??? however, after many nights - of lack of sleep on 8/16 I went to my internist who informed me that - he said - I bet those were manufactured out of the country - I said yes, I even saved the box - and he continued to instruct me that I was having a serious allergic reaction to a preservative used in the manufacture - he prescribed allegra to calm the symptoms and told me to drink tons of water to flush it out of my system - today 8/18 - I am almost symptom free - he said it would take a few days so there is my story - the preservative was the culprit and not the medication - I was sorry that I didn't save the insert or view expected complications - but when I went on the website for vivotif-berna - it took me a while to find that itching was a possible serious side effect - the process is listed on how they manufacture and bind the bacteria - lactose and magnesium stearte - ascorbi- amino acid lactose - I think it was the magnesium stearate that did it - I will contact my internist and have him delineate the exact cause Follow-up: I stopped itching 10-02-07. I also met a woman with the same complaint whose symptoms lasted for almost a yr. Prior to going on Safari she took same live oral stuff the dr's biopsied. Small white bumps like I had and came up with "allergic".
Age: 48.0
Sex: F
Vaccine: HEPA, MMR, TDAP
Symptoms: Asthma, Chest pain, Dyskinesia, Hypotension, Loss of consciousness
Clinical narrative: After telling medical center "I think I'm going to pass out - pt slipped to floor from her chair - Nurse found pt on floor at registration desk - arms and legs stretched out rigid with some jerking movements that lasted 30 secs or so. Pt stated her chest was hurting. She pulled herself up with assistance into a wheelchair and was taken to exam room. For vital signs and treatment see progress notes attached. Ambulance to ER. Admitted 23 hours. Discharged Dx syncope, chest pain, probable allergic reaction to vaccines, bronchial asthma, hypotension resolved.  8/22/07-records received from facility for DOS 8/8-8/9/07-DC DX: Syncope. Chest Pain. Possible allergic reaction to vaccinations (MMR, RBP, hepatitis). Bronchial asthma. Hypotension resolved. Presented to ED with history of syncope and chest pain, 5-10 minutes after vaccination developed substernal chest pain described as severe heartburn. Became short of breath, sensation she was going to pass out and finally she passed out with BP of 60/40.
Age: 48.0
Sex: F
Vaccine: HEPA, MMR, TDAP
Symptoms: Muscle rigidity, Syncope
Clinical narrative: After telling medical center "I think I'm going to pass out - pt slipped to floor from her chair - Nurse found pt on floor at registration desk - arms and legs stretched out rigid with some jerking movements that lasted 30 secs or so. Pt stated her chest was hurting. She pulled herself up with assistance into a wheelchair and was taken to exam room. For vital signs and treatment see progress notes attached. Ambulance to ER. Admitted 23 hours. Discharged Dx syncope, chest pain, probable allergic reaction to vaccines, bronchial asthma, hypotension resolved.  8/22/07-records received from facility for DOS 8/8-8/9/07-DC DX: Syncope. Chest Pain. Possible allergic reaction to vaccinations (MMR, RBP, hepatitis). Bronchial asthma. Hypotension resolved. Presented to ED with history of syncope and chest pain, 5-10 minutes after vaccination developed substernal chest pain described as severe heartburn. Became short of breath, sensation she was going to pass out and finally she passed out with BP of 60/40.
Age: 17.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pharyngeal hypoaesthesia
Clinical narrative: Gave Varicella (subcutaneous) in Lt arm, after shot given patient complained itching, also swelling, went out of room to get immun. card, went back to see how he was doing. He stated, it is still itching. I checked his arm-red and splotchy, and then went to get Dr. Per Dr. gave Benadryl then c/o numbness of throat, gave 5mg Epinephrine.  9/04/2007 Record received from PCP for DOS 8/14/07. Immediately after receiving Varivax and Hep A vax pt c/o numbness in the back of throat, pruritis and development of an erythematous rash at the site of Varivax.  Given epi IM x1 for anaphylaxis.
Age: 45.0
Sex: M
Vaccine: ANTH, DTOX, TYP, YF
Symptoms: Amblyopia, Arthralgia, Arthritis, Blood pressure fluctuation, Fungal infection
Clinical narrative: Sleep: Insomnia, infection fungal, joint stiffness ache joint, amblyopia, arthritis, blood pressure varies blood in stool, bowels: Irritable, cramps leg, swelling: joints, stomatitis, ulcer "I have claim and disabilty on most of them" 8/27/07-records received. DX: Depression. Low back pain. Lipoma. Dermatophytosis of foot. Counseling on Substance Abuse. Colonic Polyps. Otitis Media with Effusion. Pharyngitis. Incipient senile cataract. Insomnia. Compression Fracture. Dermatitis. Moderate obstructive sleep apnea. C/O insomnia, fell sad, frustrated, guilty, hopeless and low of energy. Daily alcohol consumption. NCVs Changes notes on sensory NCS could be present in early sensory peripheral neuropathy.
Age: 45.0
Sex: M
Vaccine: ANTH, DTOX, TYP, YF
Symptoms: Gastrointestinal ulcer, Haematochezia, Insomnia, Irritable bowel syndrome, Joint stiffness
Clinical narrative: Sleep: Insomnia, infection fungal, joint stiffness ache joint, amblyopia, arthritis, blood pressure varies blood in stool, bowels: Irritable, cramps leg, swelling: joints, stomatitis, ulcer "I have claim and disabilty on most of them" 8/27/07-records received. DX: Depression. Low back pain. Lipoma. Dermatophytosis of foot. Counseling on Substance Abuse. Colonic Polyps. Otitis Media with Effusion. Pharyngitis. Incipient senile cataract. Insomnia. Compression Fracture. Dermatitis. Moderate obstructive sleep apnea. C/O insomnia, fell sad, frustrated, guilty, hopeless and low of energy. Daily alcohol consumption. NCVs Changes notes on sensory NCS could be present in early sensory peripheral neuropathy.
Age: 45.0
Sex: M
Vaccine: ANTH, DTOX, TYP, YF
Symptoms: Joint swelling, Muscle spasms, Stomatitis
Clinical narrative: Sleep: Insomnia, infection fungal, joint stiffness ache joint, amblyopia, arthritis, blood pressure varies blood in stool, bowels: Irritable, cramps leg, swelling: joints, stomatitis, ulcer "I have claim and disabilty on most of them" 8/27/07-records received. DX: Depression. Low back pain. Lipoma. Dermatophytosis of foot. Counseling on Substance Abuse. Colonic Polyps. Otitis Media with Effusion. Pharyngitis. Incipient senile cataract. Insomnia. Compression Fracture. Dermatitis. Moderate obstructive sleep apnea. C/O insomnia, fell sad, frustrated, guilty, hopeless and low of energy. Daily alcohol consumption. NCVs Changes notes on sensory NCS could be present in early sensory peripheral neuropathy.
Age: 19.0
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Wrong drug administered
Clinical narrative: client DOB 7/3/88 Boostrix given client turned 19 (38 days too old for Boostrix)
Age: 18.0
Sex: F
Vaccine: HEP, MMR, MNQ
Symptoms: Dyskinesia, Dyspnoea, Eye movement disorder, Hyperhidrosis, Lethargy
Clinical narrative: This female-became very pale-eyes fluttered-unconscious for 2-3 minutes-swelling salts used-not clammy or diaphoretic, slight jerky arm & leg movements-Gasped upon regarding consciousness-slightly lethargic. Refused call to all-Ambulatory upon D/C Hx of fainting before
Age: 18.0
Sex: F
Vaccine: HEP, MMR, MNQ
Symptoms: Loss of consciousness, Pallor, Swelling
Clinical narrative: This female-became very pale-eyes fluttered-unconscious for 2-3 minutes-swelling salts used-not clammy or diaphoretic, slight jerky arm & leg movements-Gasped upon regarding consciousness-slightly lethargic. Refused call to all-Ambulatory upon D/C Hx of fainting before
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: vaccine reaction-vaccines and swelling at site indurated west of thigh.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Chest X-ray normal, Cough, Eosinophil count increased, Lymphocyte count decreased
Clinical narrative: 5-5:30pm T99 Tylenol. 9pm T99 Tylenol. 1 am-Tylenol-coughing. 8-9-07 (am) still "warm". 11 am 99.0 "not himself". 1pm t 102.8. 2 pm -Tylenol given. 1730-seen in ER, temp 102.8 and cough, runny nose. R/O pneumonia. Chest xray neg. Urinalysis neg. CBC WNL. 2216 IV Rocephin given. Tylenol given. Discharged from ER at 2350 with instructions for how to treat a fever.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Neutrophil count increased, Rhinorrhoea, Skin warm, Urine analysis normal
Clinical narrative: 5-5:30pm T99 Tylenol. 9pm T99 Tylenol. 1 am-Tylenol-coughing. 8-9-07 (am) still "warm". 11 am 99.0 "not himself". 1pm t 102.8. 2 pm -Tylenol given. 1730-seen in ER, temp 102.8 and cough, runny nose. R/O pneumonia. Chest xray neg. Urinalysis neg. CBC WNL. 2216 IV Rocephin given. Tylenol given. Discharged from ER at 2350 with instructions for how to treat a fever.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Chest X-ray normal, Cough, Emotional distress, Mean cell haemoglobin normal
Clinical narrative: 5pm Temp 99.4, Tylenol given by parents. 9pm T 99. Tylenol given. 1am (8-9-07) T 98.7, restless, coughing - Tylenol given. 8-9-07 11am increased "quiet". Tylenol 2pm. ER 1525 - T 101.8, cough, fussy. Chest x-ray - WNL. UA WNL. CBC results below (#12). 2235 Rocephin given. Discharged from ER at 2350 with instructions for how to treat a fever.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Mean cell volume abnormal, Monocyte count increased, Neutrophil count increased, Platelet count increased, Restlessness
Clinical narrative: 5pm Temp 99.4, Tylenol given by parents. 9pm T 99. Tylenol given. 1am (8-9-07) T 98.7, restless, coughing - Tylenol given. 8-9-07 11am increased "quiet". Tylenol 2pm. ER 1525 - T 101.8, cough, fussy. Chest x-ray - WNL. UA WNL. CBC results below (#12). 2235 Rocephin given. Discharged from ER at 2350 with instructions for how to treat a fever.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Somnolence
Clinical narrative: 5pm Temp 99.4, Tylenol given by parents. 9pm T 99. Tylenol given. 1am (8-9-07) T 98.7, restless, coughing - Tylenol given. 8-9-07 11am increased "quiet". Tylenol 2pm. ER 1525 - T 101.8, cough, fussy. Chest x-ray - WNL. UA WNL. CBC results below (#12). 2235 Rocephin given. Discharged from ER at 2350 with instructions for how to treat a fever.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Skin laceration, Syncope
Clinical narrative: Syncope - laceration head requiring sutures
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse events. Tdap was given inadvertently.
Age: 1.01
Sex: F
Vaccine: MMRV
Symptoms: Skin lesion
Clinical narrative: < 20 lesions started 8/13/07
Age: 11.0
Sex: F
Vaccine: HEPAB, HPV4, MNQ, TTOX
Symptoms: Wrong drug administered
Clinical narrative: Was given Twinrix Hep A/Hep B to early, not 18 yrs old yet. No reaction stayed at clinic for 20 min.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever 101 - 8-6 to 8-7. Right arm red warm and swollen at injection site 8-6 to present. Instructed to notify MD if fever persists, use ice to injection site, notify agency with any further symptoms.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: CSF glucose normal, CSF protein normal, CSF test abnormal, CSF white blood cell count increased, Computerised tomogram normal
Clinical narrative: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.  Follow-up: Patient had viral meningitis confirmed (enterovirus).
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture, Myalgia, Nausea, Pyrexia
Clinical narrative: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.  Follow-up: Patient had viral meningitis confirmed (enterovirus).
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Red blood cells CSF positive, Scan brain, Vaccine breakthrough infection, Vomiting
Clinical narrative: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.  Follow-up: Patient had viral meningitis confirmed (enterovirus).
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture abnormal, Photophobia, Pyrexia, Red blood cell count increased
Clinical narrative: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.  Follow-up: Patient had viral meningitis confirmed (enterovirus).
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.  Follow-up: Patient had viral meningitis confirmed (enterovirus).
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: CSF glucose normal, CSF protein normal, CSF test abnormal, CSF white blood cell count increased, Computerised tomogram normal
Clinical narrative: Patient received vaccine in MD office.  Four Days later patient complained of head ache, fever >102, vomiting, photophobia. Pateint was brought to ED and received LP.  LP showed WBC = 102; RBC = 45. Pt transferrred to PICU. 9/17/07-records received-9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. CSF culture negative. CSF positive for enterovius RNA. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture, Myalgia, Nausea, Pyrexia
Clinical narrative: Patient received vaccine in MD office.  Four Days later patient complained of head ache, fever >102, vomiting, photophobia. Pateint was brought to ED and received LP.  LP showed WBC = 102; RBC = 45. Pt transferrred to PICU. 9/17/07-records received-9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. CSF culture negative. CSF positive for enterovius RNA. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Red blood cells CSF positive, Scan brain, Vaccine breakthrough infection, Vomiting
Clinical narrative: Patient received vaccine in MD office.  Four Days later patient complained of head ache, fever >102, vomiting, photophobia. Pateint was brought to ED and received LP.  LP showed WBC = 102; RBC = 45. Pt transferrred to PICU. 9/17/07-records received-9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. CSF culture negative. CSF positive for enterovius RNA. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture abnormal, Photophobia, Pyrexia, Red blood cell count increased
Clinical narrative: Patient received vaccine in MD office.  Four Days later patient complained of head ache, fever >102, vomiting, photophobia. Pateint was brought to ED and received LP.  LP showed WBC = 102; RBC = 45. Pt transferrred to PICU. 9/17/07-records received-9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. CSF culture negative. CSF positive for enterovius RNA. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Patient received vaccine in MD office.  Four Days later patient complained of head ache, fever >102, vomiting, photophobia. Pateint was brought to ED and received LP.  LP showed WBC = 102; RBC = 45. Pt transferrred to PICU. 9/17/07-records received-9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. CSF culture negative. CSF positive for enterovius RNA. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44. Received menigitis vaccine 48 hours prior to presenting to ER for first admission.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Dehydration, Diarrhoea
Clinical narrative: The vaccines were given on 6-21-07 the baby was doing well on 6-28-07 mom called and explained that pt had diarrhea her formula then was changed to Neutramagin. Mom then called on 7-10-07 and then came in with diarrhea again. She was given Pedialyte and then the patient was admitted to hospital on 7-10-07. Due to dehydration.  9/06/2007 MR received for DOS 7/10-12/2007 for DX of Gastroenteritis with dehydration.  Urinary Tract Infection with E. coli 100,000 colonies.  Severe diaper rash. Infant presented to PCP with 3 day hx of watery diarrhea and severe perineal rash with fever. Skin and mucosa dry. Decreased UO.  Parent reported a staring episode while fever was high so admitted to hospital for w/u. D/C home on abx, nystatin, and hydrocortisone cream.
Age: 79.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: None observed or noted
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Rash macular
Clinical narrative: Received Tdap Wed, 08/15/07. Returned to clinic on Fri, 08/17/07 with red raised macular rash with itching on head and trunk. Treated with Prednisone 20mg po daily x 5 days. 08/20/07 - have place a f/u call to mother to check on status of patients' rash. 8/21/07 Spoke with father, and rash is almost gone; hardly see any spots.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Abdominal distension, Constipation, Flatulence, Haematochezia, Pain
Clinical narrative: Pt usually stooled about 3-4 x's/day. After Rotateq, Mom noted that pt stool pattern gradually decreased to QD , and as of 8/9/07, had gone 24 hours without a BM. Pt seemed "gassy and in a lot of pain" to Mom. Pt was eval'd on 8/9/07 at our office. Was reassured and later that afternoon, after using a glycerin suppository, noted some blood with next BM. Pt was then seen at hospital 2 hours blood and was allowed to come home. FU on 8/10/07 at our office was satisfactory. Dxs constipation. Pt was treated with lactulose by CMH.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Urinary system X-ray
Clinical narrative: Pt usually stooled about 3-4 x's/day. After Rotateq, Mom noted that pt stool pattern gradually decreased to QD , and as of 8/9/07, had gone 24 hours without a BM. Pt seemed "gassy and in a lot of pain" to Mom. Pt was eval'd on 8/9/07 at our office. Was reassured and later that afternoon, after using a glycerin suppository, noted some blood with next BM. Pt was then seen at hospital 2 hours blood and was allowed to come home. FU on 8/10/07 at our office was satisfactory. Dxs constipation. Pt was treated with lactulose by CMH.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 5 inches of swelling, redness, and warmth to arm site - covering circumference of arm.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Went to ER, was given steroids, breathing treatment and IV. Started with high fever.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abscess, Erythema, Subcutaneous nodule, Tenderness
Clinical narrative: Pt developed a subcutaneous abscess red, and tender on right anterior thigh. Treated with abx. Lump became apparent about few days after shot per Mom.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Chest pain, Chills, Injection site pain, Neck pain, Pain in extremity
Clinical narrative: On 8/6/07 c/o soreness from injection site across top fold breast. 8/7/07 c/o chest pain and to take a deep breath that AM. By evening c/o neck pain, no fever but had chills. 8/8/07 Neck pain gone, pain in lt shoulder went across to rt shoulder and chest pain. 8/9 felt better but a little pain in arm.
Age: 0.53
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: His mother called on July 27, 2007 at 4:55pm and said that her son has had diarrhea since July 26, 2007 a total of 5 times.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Pt had significant swelling, erythema, pain and tiny blisters at injection site 24 hours post injection.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Stomach discomfort, Vomiting
Clinical narrative: 9-16-07 Headache, vomiting all day. 9-17-07 Headache, upset stomach.
Age: 0.5
Sex: M
Vaccine: HEPA, PNC, TDAP, HEPA, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap and Hep A given in error. Prevnar #3 given today. Will return 9/6/07 to receive (DTaP/IPV/Hep B) Pediarix and HIB #3. Last IZ given 7/6/07 - Pediarix, HIB and Prevnar. No adverse symptoms. 8/20/07 or 8/21/07.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Body temperature increased
Clinical narrative: Temp 103 in 24 hours
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Pain, Pyrexia, Skin tightness, Skin warm
Clinical narrative: Redness, hardness, pain, warm, fever. Left deltoid 8cm, 10cm.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Malaise, Pruritus, Rash generalised
Clinical narrative: "Rash all over and itching, not feeling well." Benadryl 25mg IM, home with 25mg po q 8 hours x 24 hours. Solumedrol 35mg, IM, home with 60mg prednisone x3 days.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Blood pressure, Pallor, Syncope
Clinical narrative: I applied PPD test to left forearm and then gave Varivax, Menactra, and Gardasil, Patient wanted band-aid on PPD site because she didn't want to look at it. She became very pale and fainted onto exam table. She got up after a few second and took BP 130/30. Waited in office 30 min, BP 100/64. Stated she felt fine and went home.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: I applied PPD test to left forearm and then gave Varivax, Menactra, and Gardasil, Patient wanted band-aid on PPD site because she didn't want to look at it. She became very pale and fainted onto exam table. She got up after a few second and took BP 130/30. Waited in office 30 min, BP 100/64. Stated she felt fine and went home.