chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Fall
Clinical narrative: This year my daughter and two of my nieces received the GARDASIL vaccine.  All three have in the past two months been hospitalized with seizure like symptoms but cause cannot be found.  I read the side effects on the website today when I realized they had the shot in common.  Today my daughter was injured by falling head first in a busy parking lot and received minor injuries.  I this vaccine is causing this problem in girls, it needs to be taken off the market.  10/2/09 Medical records received for date of service 9/2/09. DX: Syncope, Favor Partial Complex Seizure Disorder, Recent HPV Immunization series completion. Presented to ER for syncopal episode prior to this episode felt lightheadedness. Pt was unconscious for 1-2 minutes, nausea and vomiting x2 weeks, headaches. Pt. stated syncopal episode 2 weeks prior and headaches daily since that episode as well as (+)vomiting a few times over past 2 weeks. Completed HPV series 3/09.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Headache, Mobility decreased, Nausea, Screaming
Clinical narrative: Information has been received from a nurse concerning her approximately 14 year old granddaughter with no pertinent medical history and no known allergies, and a family history of paternal Aunt with cervical cancer and paternal grandmother with cervical cancer who in late 2007 was vaccinated with the first dose of GARDASIL (lot number not reported). On an unspecified date the patient was vaccinated with the second dose of GARDASIL (lot number not reported). In June 2008 or July 2008 the patient was vaccinated with the third dose of GARDASIL (lot number not reported). There was no concomitant medication. 2 or 3 days after the first dose, the patient started having headaches. The headache increase after the second dose was given. The patient was put on NAPROSYN to help the headache (start date not reported0. The headache was worse after the third dose. On an unspecified night the patient woke up screaming at 2 am because of a headache. The patient was sent to the emergency room. No lab diagnostics studies were performed. The patient was put on PERCOCET (start date not reported). There have been times when the patient was throwing up and couldn't get her head off the pillow. The headaches have gotten worse and worse to the point of making the patient nauseous. It was noted that when the headache gets real bad the patient can't get out of bed. 3 months after the third dose, the patient developed ringing of the ear. The nurse felt that the ringing in the ear experienced was associated with the headaches. At the time of the report, the patient had not recovered. It was noted that the patient's father's sister and the patient's father's mother had cervical cancer. The headache was considered to be disabling by the nurse. Additional information has been requested. 9/2/09 ER records from 2 visits 4/17/09 and 5/2/09 received with dx:  Serous Otitis and Vomiting/H/A. Pt initially presented 4/17/09 with c/o ear pain, ringing  and fullness x 3 days.  Recent ear injury. L TM bulging. Tx: nasal spray. Returned 2 weeks later with c/o H/A level 9/10, decreased appetite, body aches, sinus congestion with green secretions x 1 week, vomiting and difficulty sleeping 2' H/A pain. D/C for outpt f/u with pcp. US for pelvic pain done 11/07.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Tinnitus, Vomiting
Clinical narrative: Information has been received from a nurse concerning her approximately 14 year old granddaughter with no pertinent medical history and no known allergies, and a family history of paternal Aunt with cervical cancer and paternal grandmother with cervical cancer who in late 2007 was vaccinated with the first dose of GARDASIL (lot number not reported). On an unspecified date the patient was vaccinated with the second dose of GARDASIL (lot number not reported). In June 2008 or July 2008 the patient was vaccinated with the third dose of GARDASIL (lot number not reported). There was no concomitant medication. 2 or 3 days after the first dose, the patient started having headaches. The headache increase after the second dose was given. The patient was put on NAPROSYN to help the headache (start date not reported0. The headache was worse after the third dose. On an unspecified night the patient woke up screaming at 2 am because of a headache. The patient was sent to the emergency room. No lab diagnostics studies were performed. The patient was put on PERCOCET (start date not reported). There have been times when the patient was throwing up and couldn't get her head off the pillow. The headaches have gotten worse and worse to the point of making the patient nauseous. It was noted that when the headache gets real bad the patient can't get out of bed. 3 months after the third dose, the patient developed ringing of the ear. The nurse felt that the ringing in the ear experienced was associated with the headaches. At the time of the report, the patient had not recovered. It was noted that the patient's father's sister and the patient's father's mother had cervical cancer. The headache was considered to be disabling by the nurse. Additional information has been requested. 9/2/09 ER records from 2 visits 4/17/09 and 5/2/09 received with dx:  Serous Otitis and Vomiting/H/A. Pt initially presented 4/17/09 with c/o ear pain, ringing  and fullness x 3 days.  Recent ear injury. L TM bulging. Tx: nasal spray. Returned 2 weeks later with c/o H/A level 9/10, decreased appetite, body aches, sinus congestion with green secretions x 1 week, vomiting and difficulty sleeping 2' H/A pain. D/C for outpt f/u with pcp. US for pelvic pain done 11/07.
Sex: F
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a female who a couple of years ago was vaccinated with 0.5 ml of GARDASIL (Lot # was not provided). The patient developed Lupus after receiving GARDASIL. No dosing information was provided. The outcome of the patient's Lupus was unknown. The patient sought unspecified medical attention. Upon internal review, Lupus was determined to be an other important medical event. Additional information has been requested.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial palsy
Clinical narrative: Information has been received from a registered pharmacist concerning a 63 year old male physician with diabetes and hypertension and a history of brain neoplasm (in remission for past 2 to 4 years), and no allergies who on 03-AUG-2009 was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (Merck) (lot # 664027/0136Y). Concomitant therapy included glyburide, lisinopril, (LIPITOR), (DIAZEPAN), sitagliptin phosphate, tablet and (AMBIEN). Subsequently the physician developed paralysis of his face. The physician did not want this reported but the physician's wife came to the pharmacy and reported it to the pharmacist. The physician called his physician but had not been seen. There were no laboratory studies performed. At the time of report, the physician had not recovered. Upon internal review, the paralysis of his face was determined to  be an other important event. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Anxiety, Confusional state, Rash
Clinical narrative: Information has been received from a registered pharmacist concerning a 69 year old female with sulfonamide allergy and a history of mild anxiety who on 20-APR-2009 was vaccinated with the first 0.65ml dose of ZOSTAVAX (Merck) (subcutaneous injection, lot# 664091/0140Y). Concomitant therapy included potassium (unspecified), CRESTOR, quinapril HCl, verapamil, alprazolam, SYNTHROID and HCTZ. The pharmacist reported that the patient developed non-shingles like rash, anxiety, and confusion after receiving a dose of ZOSTAVAX (Merck). The rash appeared on her neck lines. The rash disappeared but the patient still had some anxiety and confusion after receiving a dose of ZOSTAVAX (Merck). The rash appeared on her neck lines. The rash disappeared but the patient still had some anxiety and confusion. The patient was hospitalized. The duration of hospitalization and the name of the hospital were unknown. At the time of the report, the patient's outcome was unknown. No further information is available.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Facial pain, Rash, Speech disorder
Clinical narrative: Information has been received from a 71 year old female with allergy to morphine and a history of previous stroke who in December 2008, and on 19-JUN-2009 was vaccinated with the first and second dose of ZOSTAVAX (Merck) (injection, dose and lot# not reported). Concomitant therapy included simvastatin (MSD), minerals (unspecified) (+) CENTRUM SILVER, Fish Oil and COSAMIN DS. On 19-JUN-2009 the patient had a rash and had severe pain around her chin area and up to her ears. The patient was having difficulty breathing and could not speak. The patient was taken to the hospital and was hospitalized. In June 2009, the patient recovered. No lab diagnostics study was performed. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen area (Lt) thigh, no fever.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Arthralgia, Body temperature increased, Headache, Pain in jaw
Clinical narrative: Approximately 38 hrs after administration of MENACTRA and HPV vacc, pt developed and was woken by "severe" headache, T 102 degrees, jaw/hand/neck pain.  Pt w/ hx URA.  Rx ibuprofen.  Joint pain improved in < 48 hours fever decrease in < 48 hours.
Age: 14.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: No adverse event
Clinical narrative: Vaccinations given on 8-10-09, screening questionnaire without "yes" answers. On 8-17-09 phone call received to this office from mom regarding concern about her daughters Hx of GBS & that she was given MCV4 vaccine. No complications or illness in the client to this point.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Eye swelling, Lip swelling, Pruritus, Pyrexia, Urticaria
Clinical narrative: Acute onset hives about 40-44 hrs after vaccines, generalized including fever with mild puffiness around eyes/lips no respiratory difficulty. (+) itching, (+) pruritic  x 48 hrs waxing & waning with BENADRYL PO tx. No other Sx's, other wise at exam.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Photophobia, Rash
Clinical narrative: Received ZOSTAVAX (shingles vaccine) on 8/13/09 at 4PM, noticed rash to (L) shoulder, (L) neck area on 8/18/09 with head & eye sensitivity. Pt called after visiting his physician. No recommendations, medications, run its course.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: "Quarter-sized" lump at injection site starting 8-20-09. Bright red in color, no pain, only slight itch. Pharm recc. ice. Pt icing.
Age: 64.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Dysgeusia, Retching
Clinical narrative: Has bitterness in mouth, unable to eat without gagging, Dysguesia.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Malaise, Oedema peripheral, Pain in extremity
Clinical narrative: Gradual onset pain, redness swelling over 3 days since Tdap administration.  Day 2 with subjective fever, malaise Dx: Cellulitis Tx:  Rocephin 1G 1M, Keflex.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Gradual onset pain, redness swelling over 3 days since Tdap administration.  Day 2 with subjective fever, malaise Dx: Cellulitis Tx:  Rocephin 1G 1M, Keflex.
Age: 36.0
Sex: M
Vaccine: TYP, YF
Symptoms: Body temperature increased, Diarrhoea, Nausea, Viral infection, Vomiting
Clinical narrative: Temperature of 103 F and fever like symptoms 8/5/09. Telephone call from patients spouse stating temp now 101 F. Nausea followed by emesis of previously eaten crackers, loose stools , able to take fluids. Note, history of similar symptoms  7/14/09. PCP stated "it was a virus". condition improved. No response from client when RN left voice mail 8/6 and 8/7/09.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dyspnoea, Injection site swelling, Vomiting
Clinical narrative: Bump at injection site - difficulty breathing - vomiting. Given Epi-OK after about 15 min.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Induration, Myalgia
Clinical narrative: Erythema induration right deltoid. Myalgias.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt complained of "mild" shortness of breath and dizziness. Went to E.R. was given BENADRYL and discharged to home. F/u next day pt states completely resolved.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt received varicella vaccination on 8-19-09.  pt presented to office on 8-20-09 with 7cm x 7cm RA wheal.  Site was raised, warm to touch, red and firm.  Pt c/o site itching but no other complaints.  Afebrile.  Pt's mother advised to use cool compresses to site and to give pt. Claritan daily.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Pt received varicella vaccination on 8-19-09.  pt presented to office on 8-20-09 with 7cm x 7cm RA wheal.  Site was raised, warm to touch, red and firm.  Pt c/o site itching but no other complaints.  Afebrile.  Pt's mother advised to use cool compresses to site and to give pt. Claritan daily.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Allergy to vaccine, Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received varicella vaccine sub-Q in left arm on 8/20/09. Pt presented to office on 8/24/09 with history of redness on 8/21/09 and s/s getting worse to 4 1/2 by 4 1/4 inch area of redness swelling and warmth  to local site.Diagnosis cellulitis vs allergic reaction to varicella.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Allergy to vaccine, Injection site erythema, Injection site pain, Oedema peripheral, Skin warm
Clinical narrative: S: pt returned to clinic 2 days after vaccination with erythema of upper left arm (where vaccine was given), tenderness and inablity to sleep on left side of body, pain level 2                   O: Upper left arm very red/warm/swollen and tender to touch--redness extends into the axilla halfway to elbow.     -sent to urgent care-       A/P: 1. probable allergic reaction to vaccine -use OTC analgesics if needed -apply moist heat to area several times daily -RTC if sx worsen
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: S: pt returned to clinic 2 days after vaccination with erythema of upper left arm (where vaccine was given), tenderness and inablity to sleep on left side of body, pain level 2                   O: Upper left arm very red/warm/swollen and tender to touch--redness extends into the axilla halfway to elbow.     -sent to urgent care-       A/P: 1. probable allergic reaction to vaccine -use OTC analgesics if needed -apply moist heat to area several times daily -RTC if sx worsen
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Back pain, Blood pressure increased, Dyspnoea, Flushing
Clinical narrative: Severe flushing, back pain, shortness of breath, and elevated blood pressure.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Agitation, Body temperature increased, Injection site erythema, Injection site induration, Insomnia
Clinical narrative: Reaction started on July 31 - had some wheezing, tachycardia, temp 103.6, severe myalgia, difficulty sleeping due to agitation despite taking zolpidem (Ambien). This lasted throughout week. On 8/3/09 patient was seen by primary care provider who stated that there was hard red indurated area over left deltoid with some increase in redness of skin overall but noted that it did not look urticarial.  Also stated that reacion is resolving and patient is afebrile and not in respiratory distress so close follow-up is best approach.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Tachycardia, Wheezing
Clinical narrative: Reaction started on July 31 - had some wheezing, tachycardia, temp 103.6, severe myalgia, difficulty sleeping due to agitation despite taking zolpidem (Ambien). This lasted throughout week. On 8/3/09 patient was seen by primary care provider who stated that there was hard red indurated area over left deltoid with some increase in redness of skin overall but noted that it did not look urticarial.  Also stated that reacion is resolving and patient is afebrile and not in respiratory distress so close follow-up is best approach.
Age: 49.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood creatine phosphokinase, Bursitis, Full blood count, Metabolic function test, Oedema peripheral
Clinical narrative: Pt's left arm began to swell x 3 days after vaccination, reported to our worker's comp advisor. At that time, she went to ER and dx as bursitis and sling was given and referred to ortho.
Age: 49.0
Sex: F
Vaccine: VARZOS
Symptoms: Ultrasound Doppler, X-ray
Clinical narrative: Pt's left arm began to swell x 3 days after vaccination, reported to our worker's comp advisor. At that time, she went to ER and dx as bursitis and sling was given and referred to ortho.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Body temperature decreased, Diarrhoea, Dizziness, Headache
Clinical narrative: Sub normal temperature, Headache, Nauseous, abdominal discomfort, loose bowels, dizzyness/lightheadedness. ER Visit per primary physican. Fever next AM
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Sub normal temperature, Headache, Nauseous, abdominal discomfort, loose bowels, dizzyness/lightheadedness. ER Visit per primary physican. Fever next AM
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Hyperhidrosis, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 2 days after getting vaccine, arm became swollen, red, very tender, had difficulty raising arm. Had sweats today. Had some mild itching until he took some benadryl on 8/24/09.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: 2 days after getting vaccine, arm became swollen, red, very tender, had difficulty raising arm. Had sweats today. Had some mild itching until he took some benadryl on 8/24/09.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: CELLULITIS, BUTTOCKS AT INJECTION SITE, ABX THERAPY STARTED ON ADMISSIN 8/23/09 9/30/09 MR received for DOS 8/23-26/09 with d/C DX: Left Buttock Cellulitis 2' to pneumococcal vaccine.  Pt presented with to ER with fever and injection site pain.  10x12 cm erythema, induration and tenderness noted at injection site.  Admitted for IV abx with good results.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Laboratory test, Loss of consciousness, Syncope
Clinical narrative: Patient received Menactra vaccine in early afternoon and left with her family.  Her color was pink and she was walking and talking without difficulty.  I found a message from her mom on my voice mail and called her back.  Mom said that child passed out in the store parking lot after asking to stay in car and they were at the emergency room waiting on test results.  Child did not hit her head per mom.  Mom made decision to take child there after she fainted.  I asked mom to call me back if anything unusual was found during ER visit and she verbalized understanding of same.  Notation made on child's immunication record.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: 3 minutes after client received5 vaccinations she became diaphoretic, pale, nauseated, faint, this continued for about 15 minutes, kept for observation with comfort measures for 35 minutes
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Shingles vaccine received on 08/11/09. Lesion appeared on 08/18/09.  Diagnosed as shingles on 08/24/09.
Sex: F
Vaccine: HEP
Symptoms: Autopsy, Death, Diet refusal, Eosinophilic myocarditis, Feeling cold
Clinical narrative: Decedent is a 7 day old neonate who was given the hepatitis B immunization at birth (Energix B). Lot # AHBVB663AA. Decedent discharged on March 27, 2009 without complications. On March 30, 2009 decedent was taken to pediatrician mild jaundice. Labs taken and was told to come back in two weeks. In the evening of March 31, 2009, the decedent was very fussy, vomiting, and not taking formula. The mother tried comforting the baby all evening of March 31, 2009 and in the early morning hours of April 1, 2009. At approximately 6 AM, the mother felt the baby to be cold (the mother was sleeping with the baby in a possibly compromising position). The mother got up with the baby and walked her around and then when she was going to bed again, she saw the neonate take two deep breaths and become unresponsive. Autopsy revealed a normally developed female neonate with extensive necrotizing eosinophilic myocarditis. I did a literature search and found that hepatitis B vaccine maybe associated with this type of myocarditis and that is why I am reporting it. The cause of death for the death certificate reads "necrotizing eosinophilic myocarditis." I am not including the vaccination because I do not believe there is a direct correlation, but I felt I should report the case for potential correlation. The neonate was never given any prescription medications that I am aware of. Not sure if mother gave anything. 8/26/09-autopsy report received-COD-Necrotizing eosinophilic myocarditis.
Sex: F
Vaccine: HEP
Symptoms: Histology, Irritability, Jaundice neonatal, Unresponsive to stimuli, Vomiting
Clinical narrative: Decedent is a 7 day old neonate who was given the hepatitis B immunization at birth (Energix B). Lot # AHBVB663AA. Decedent discharged on March 27, 2009 without complications. On March 30, 2009 decedent was taken to pediatrician mild jaundice. Labs taken and was told to come back in two weeks. In the evening of March 31, 2009, the decedent was very fussy, vomiting, and not taking formula. The mother tried comforting the baby all evening of March 31, 2009 and in the early morning hours of April 1, 2009. At approximately 6 AM, the mother felt the baby to be cold (the mother was sleeping with the baby in a possibly compromising position). The mother got up with the baby and walked her around and then when she was going to bed again, she saw the neonate take two deep breaths and become unresponsive. Autopsy revealed a normally developed female neonate with extensive necrotizing eosinophilic myocarditis. I did a literature search and found that hepatitis B vaccine maybe associated with this type of myocarditis and that is why I am reporting it. The cause of death for the death certificate reads "necrotizing eosinophilic myocarditis." I am not including the vaccination because I do not believe there is a direct correlation, but I felt I should report the case for potential correlation. The neonate was never given any prescription medications that I am aware of. Not sure if mother gave anything. 8/26/09-autopsy report received-COD-Necrotizing eosinophilic myocarditis.
Age: 59.0
Sex: U
Vaccine: PPV
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized on 2/14/2009 for COPD exacerbation. Vaccination took place on 12/11/2008. According to the physician, the relationship is 'Unlikely'. We would be happy to forward the Study's SAE reporting form upon request. 9/1/09- records received-for 2/14-2/17/09ICD-admitted with increased SOB, exacerbation of COPD. DC DX: acute exacerbation of COPD, emphysema, hypoxia.  9 code 497.21.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Hyperhidrosis, Pallor, Vomiting
Clinical narrative: Child in for vaccinations, she had 2 shots, stood up so her brother could sit and get his when she vomited X 3, pale, diaphroetic,  comfort measures with quick recovery,  phone call next day, child was fine after she left clinic, doing well today
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient with moderate to severe pain, swelling, and warmth in arm w/in 24 hours after receiving Pneumovax. Am treating with Keflex, ice (alternating w/ heat), Vicodin, and benadryl prn.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Blood test normal, Demyelination, Multiple sclerosis, Myelitis transverse, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Received vaccine on 9/5/08.  On 10/29 I woke up numb on right side of abdomen.  Thinking it was a pinched nerve I allowed it to go on for several days while the numbness extended from right chest to mid-thigh.  I went to the E.R. on sat 11/1 where an MRI was done showing demyelination on my cervical spine. A Neurologist diagnosed me w/transverse myelitis.  I remained in the hospital for 2 days with IV steroids then returned home on IV steroids.  I have since had a 2nd hospitalization w/another MRI showing a 2nd lesion on the thoracic spine.  All blood work & Lumbar Puncture came back normal.  Since the 2nd hospitalization I have been diagnosed with Multiple Sclerosis.  9/8/09 Hospital records received DOS inpatient 11/1/08 to 11/3/08, outpatient visits, inpatient 7/18/09 to 7/20/09. Assessment: Transverse myelitis. Steroid induced glucose intolerance. Adjustment reaction. Patient presented with numbness starting at the right lower thorax and upper abdomen, spreading to thigh, knee, and to neck. Difficulty with balance. Pressure headache right side. Symptoms of heaviness (R) face. Arthritic changes fingers. Malaise and fatigue. Hyperglycemia. Perioral dermatitis. 9/18/09 neuro consult received dated 1/12/08 toxx. Initially Dx'd with Transverse Myelitis, later dx of Multiple sclerosis  based on 2 episodes of demyelinating plaques on 2 seperate occasions.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Call from mother on 8/25/09. States "pt. had a reaction to his vaccines." Relates that on 8/19/09 around 8 pm (bath time) she noticed his left arm was red, warm and swollen. ( a 4 by 2 inch area). Resolved by 8/21/09. "Did not seem to cause him pain"
Age: 11.0
Sex: F
Vaccine: DTAP, HPV4
Symptoms: Postnasal drip, Pyrexia, Upper respiratory tract infection
Clinical narrative: Pt. received her Adacel booster and 1st dose of Gardasil on Wednesday August 19, 2009 @ the Health Department.  She began to ran a temp of 104.8 on Friday, August 21,2009.  She ran a temp of 103 in the early morning of Saturday, August 22, 2009.  She came to our practice, and was seen by Dr. Her symptoms consisted of mild URI symptoms, purulent PND, as well as the high fevers.  He treated her with a ZPac as well as encouraged patient to rest and take in plenty of fluids.
Age: 57.0
Sex: F
Vaccine: HEPAB
Symptoms: Oropharyngeal blistering
Clinical narrative: Client called on 8/24/09 that she has blisters with white dots under her tongue and her lips that she had the same outbreak two to three days after she got the first vaccine on 7/21/09. Client said she had some cough before the first vaccine which she took Allegra D and cough got better. She took the same medicine this time too but she is still bothered by the blisters. Client denied any prior vaccine, no temperature with outbreaks. Client stated she had two outbreaks between first and second vaccine.Client did not mention this before she got the second vaccine. No history of cold sores or any medical problem besides high cholestrol and acid reflux.Client is on Nexium, Ultra MT 12, Calcium, antiinflamotry and anti cholestrol. Client has an appointment on Thursday 8/27/09 with her personal physician.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Diarrhoea, Weight decreased, Weight increased
Clinical narrative: 2.5 mo Female received the Oral Rotavirus Vaccine on 8/18/2009 under FDA IND #13843.  Patient tolerated vaccine well.  Patient had follow-up clinic visit exam on 8/25/09 and mother related patient had been having loose, watery stools for three days.  On 8/22/09 this patient had one loose stool, on 8/23 and 8/24 she had four to five loose stools above her baseline, each day.  On the day of the clinic exam, the patient had a normal stool in clinic.  Her weight was 5.82 Kg up from one week before when it was 5.6 Kg.  She was eating well with a good appetite.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Diarrhoea, Weight increased
Clinical narrative: 2.5 mo Female received the Oral Rotavirus Vaccine on 8/18/2009 under FDA IND #13843.  Patient tolerated vaccine well.  Patient had follow-up clinic visit exam on 8/25/09 and mother related patient had been having loose, watery stools for three days.  On 8/22/09 this patient had one loose stool, on 8/23 and 8/24 she had four to five loose stools above her baseline, each day.  On the day of the clinic exam, the patient had a normal stool in clinic.  Her weight was 5.82 Kg up from one week before when it was 5.6 Kg.  She was eating well with a good appetite.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: redness, swelling and tenderness of the left deltoid
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Anal spasm, Asthenia, Blood test, Colonoscopy, Computerised tomogram
Clinical narrative: Severe Gastritis, weakness, wt. loss.Nausea, vomitting ,diarreha, anal spasms, vagal reflex responses, & paleness.  9/17/09 GI Consult records DOS 10/4/07 to 6/12/09 Assessment: Reflux Esophagitis. Eosinophilia. Patient presents with abdominal pain followed by diarrhea. Loose, watery bowel movements. Cramping, weight loss, burping, anxiety, sore throat, fatigue, reflux esophagitis.  10/12/09 ICD9 codes received for date of service 6/25/09: 789.09, 535.10, 787.91
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Culture stool, Diarrhoea, Endoscopy, Gastritis, Nausea
Clinical narrative: Severe Gastritis, weakness, wt. loss.Nausea, vomitting ,diarreha, anal spasms, vagal reflex responses, & paleness.  9/17/09 GI Consult records DOS 10/4/07 to 6/12/09 Assessment: Reflux Esophagitis. Eosinophilia. Patient presents with abdominal pain followed by diarrhea. Loose, watery bowel movements. Cramping, weight loss, burping, anxiety, sore throat, fatigue, reflux esophagitis.  10/12/09 ICD9 codes received for date of service 6/25/09: 789.09, 535.10, 787.91
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Pallor, Presyncope, Vomiting, Weight decreased, X-ray
Clinical narrative: Severe Gastritis, weakness, wt. loss.Nausea, vomitting ,diarreha, anal spasms, vagal reflex responses, & paleness.  9/17/09 GI Consult records DOS 10/4/07 to 6/12/09 Assessment: Reflux Esophagitis. Eosinophilia. Patient presents with abdominal pain followed by diarrhea. Loose, watery bowel movements. Cramping, weight loss, burping, anxiety, sore throat, fatigue, reflux esophagitis.  10/12/09 ICD9 codes received for date of service 6/25/09: 789.09, 535.10, 787.91
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Lacrimation increased, Ocular hyperaemia, Sneezing, Swelling face
Clinical narrative: Pt started sneezing, and eyes got very watery and red, he started coughing a lot, and then the face got all swollen. 8/18/09 Pt came in for F/U and he still was a little swollen from the face. Will come back tomorrow. See attached.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Headache
Clinical narrative: Received vaccine 08-24 PM. C/O dizzy, faint, & headache 08/25. Improved by late afternoon, but still resting.
Age: 11.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Chest pain, Oropharyngeal pain, Productive cough, Urticaria
Clinical narrative: 11 year old generally healthy male who received DTaP and Varicella vaccines at PCP's office (Health Center) today and developed "sternal pain" and throat pain 10 minutes later. Sternal pain felt "like a burp," no associated palpitations, SOB, or any other symptoms. Never experienced respiratory difficulty, lightheadedness, vomiting, diarrhea, abdominal pain. Did have "mucus" in his mouth. No history of any allergic reactions, but father has many food allergies producing similar reactions. Received Benadryl 25mg at PCP's office then ~2 hours later in ED.  No other meds required.  Urticarial rash resolved within ~4 hours, no other symptoms in the ED.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus, Rash
Clinical narrative: Got slight rash on inner upper thigh of Left leg stated that it was itichy and had a tingle feeling just like when she had shingles before
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Abdominal pain, Lethargy, Malaise, Pain, Pyrexia
Clinical narrative: 24 hours post injection, high fever (mom did not check temp) lethargy, abd pain, achy, looked sick for 3 days.  sibling with same symptoms but only for 24 hours
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Lethargy, Nausea, Pyrexia
Clinical narrative: 24 hours after injection had fever really high(temp not taken) lethargic, nauseous, for 24 hours.mom felt it was due to the mercury in the shots.
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Local reddness, warmth and swelling.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 8/14 local reaction - red firm area size of egg - Proceeded w/ peripheral redness for 6" around the bump, itchy, hot. Onset in <24 hr - treated with ice, BENADRYL and Sx finally starting to resolve on 8/17
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction
Clinical narrative: On 8/14 local reaction - red firm area size of egg - Proceeded w/ peripheral redness for 6" around the bump, itchy, hot. Onset in <24 hr - treated with ice, BENADRYL and Sx finally starting to resolve on 8/17
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dysgeusia, Paraesthesia oral
Clinical narrative: Within 5 minutes of injection of ZOSTAVAX pt experienced dizziness and tingling of her lips/bad taste in mouth.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache, Hypoaesthesia, Immunisation reaction, Muscular weakness
Clinical narrative: Pt had reaction after giving HPV vac. Pt complain of having headaches, dizziness, numbness on L arm and weakness on both legs. Pt was seen by Dr. on 8/18/09.  9/3/09 PCP medical records received DOS 4/1/08 to 8/18/09. Patient does not feel good. Dizziness, weakness, numbness.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Joint swelling, Vaccine positive rechallenge
Clinical narrative: Within a couple of minutes of giving vaccines pt developed swelling and redness around injection site.  There was also visible swelling and redness developing around knee's.  Epiniphrine was ready to give to pt but we did not give since after about ten minutes reaction was diminishing.  Mom says this also happened @ 4 mo.
Sex: U
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Nausea, Pallor, Syncope
Clinical narrative: After receiving MENACTRA and Hep A injection. Pt c/o light headed, faint, nausea- Pale. Pt laid down - elevated feet - recovered - did fine.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) arm swollen and red from elbow to shoulder - No other sign of illness. BENADRYL and Ibuprofen.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: I had the vaccination for the shingles, but it came back. The only difference was the lack of pain post-herpatic pain. I also had more shingles erupt. I took my Acyclovir pills again and all is well. Since I have recurrent shingles I firmly believe that the people with recurrent shingles should refrain from this vaccine.
Age: 27.0
Sex: M
Vaccine: HEPAB, MMR, MNQ, TDAP, VARCEL
Symptoms: Wrong technique in drug usage process
Clinical narrative: TWINRIX give IM in the dorsogluteal, should be given in the deltoid. 1st dose must be repeated.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: Itching at and around injection site and a hive off to the side of injection site - after running in place for 5 minutes.
Age: 59.0
Sex: F
Vaccine: YF
Symptoms: Eye pain, Headache, Injection site inflammation
Clinical narrative: Inflammation at injection site - Eye ache, headache
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Skin atrophy, Skin discolouration, Urticaria
Clinical narrative: Developed hives 2 days after shot that turned her skin white and caused her skin to sag.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Ophthalmological examination normal
Clinical narrative: Developed shingles L facial  (V- 1 nerve root) few days after ZOSTAVAX.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Heart rate increased, Hypoaesthesia
Clinical narrative: As per patient - 2hrs after vaccines - developed numbness in arms, hands, felt lightheaded and heart rate speeding. Rescue was called and taken to ER. Few days later (4) Pt confirmed with "problems" and was hospitalized x 48 hours. 9/9/09-ICD-9 codes received 780.4. 785.1. 780.97. 9/9/09-ED report received presented om 8/11/09 with C/O feeling tired and dizzy, improving upon arrival to ED. Observed by parent to have tremors and when assessed without parent present, completely normal.  Clinical impression acute dizziness. Palpitations. Altered mental status. Histeria.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Heart rate increased, Hypoaesthesia, Laboratory test, Tuberculin test
Clinical narrative: As per patient - 2hrs after vaccines - developed numbness in arms, hands, felt lightheaded and heart rate speeding. Rescue was called and taken to ER. Few days later (4) Pt confirmed with "problems" and was hospitalized x 48 hours. 9/9/09-ICD-9 codes received 780.4. 785.1. 780.97. 9/9/09-ED report received presented om 8/11/09 with C/O feeling tired and dizzy, improving upon arrival to ED. Observed by parent to have tremors and when assessed without parent present, completely normal.  Clinical impression acute dizziness. Palpitations. Altered mental status. Histeria.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Amnesia, Anxiety, Condition aggravated, Dizziness, Heart rate increased
Clinical narrative: As per patient - 2hrs after vaccines - developed numbness in arms, hands, felt lightheaded and heart rate speeding. Rescue was called and taken to ER. Few days later (4) Pt confirmed with "problems" and was hospitalized x 48 hours. 9/9/09-ICD-9 codes received 780.4. 785.1. 780.97. 9/9/09-ED report received presented om 8/11/09 with C/O feeling tired and dizzy, improving upon arrival to ED. Observed by parent to have tremors and when assessed without parent present, completely normal.  Clinical impression acute dizziness. Palpitations. Altered mental status. Histeria.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Hypoaesthesia, Incoherent, Insomnia, Lethargy, Nuclear magnetic resonance imaging brain normal
Clinical narrative: As per patient - 2hrs after vaccines - developed numbness in arms, hands, felt lightheaded and heart rate speeding. Rescue was called and taken to ER. Few days later (4) Pt confirmed with "problems" and was hospitalized x 48 hours. 9/9/09-ICD-9 codes received 780.4. 785.1. 780.97. 9/9/09-ED report received presented om 8/11/09 with C/O feeling tired and dizzy, improving upon arrival to ED. Observed by parent to have tremors and when assessed without parent present, completely normal.  Clinical impression acute dizziness. Palpitations. Altered mental status. Histeria.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Tuberculin test negative
Clinical narrative: As per patient - 2hrs after vaccines - developed numbness in arms, hands, felt lightheaded and heart rate speeding. Rescue was called and taken to ER. Few days later (4) Pt confirmed with "problems" and was hospitalized x 48 hours. 9/9/09-ICD-9 codes received 780.4. 785.1. 780.97. 9/9/09-ED report received presented om 8/11/09 with C/O feeling tired and dizzy, improving upon arrival to ED. Observed by parent to have tremors and when assessed without parent present, completely normal.  Clinical impression acute dizziness. Palpitations. Altered mental status. Histeria.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache, Nausea, Oedema peripheral
Clinical narrative: Received call from mother. Says about 1/2 hr. after shot he was nauseated \ dizzy. These have gone but has HA. now. Taking him home from school. Says RA is swollen. Given TYLENOL. Called back at 2:45pm. Mother says he is feeling better. No HA.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Flushing, Malaise, Nausea
Clinical narrative: Had flu vaccine - shortly after got light headed, flushed, nausea - not feeling well prior to shot. P.E. neg, U.S. nml.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Chest pain, Feeling hot, Lip swelling, Urticaria
Clinical narrative: Mother states after receiving vaccine was covered in hives, felt warm, chest pain and lip swelling. Given BENADRYL, came back to office and exam is normal.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood test normal, Convulsion, Electroencephalogram, Urine analysis normal
Clinical narrative: Child had generalized non-febrile seizure 5-1/2 days after getting MENACTRA and ADACEL vaccine. No etiolology found for seizure.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: DTAP given on 8-11-09 Hives on 8-13-09 Benadryl + Zyrtec.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Mondays night noticed a red/pink knot at site of injection. No itching, a little sore, no fever. Did not take anything or put anything on.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Small raised red rash at site of injection - intensely itchy - suggested hydrocortisone of BENADRYL to applied
Age: 48.0
Sex: M
Vaccine: HEPAB
Symptoms: Myalgia
Clinical narrative: Vaccine (TWINRIX #3) Administered 6-2-09 (other doses= (1)5-28-08, (2) 11-17-08) Pt complained of sore muscle in left deltoid since administration.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Mass, Skin warm
Clinical narrative: Developed a lump Rt upper arm.  It has continued to grow, is red, warm to touch with an mild induration about 4-5 cm in diameter - Advised to use ice.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site rash, Injection site vesicles
Clinical narrative: Developed blister link rash over both thighs and had fever. This all happened approximately equal to 24 hours after receiving 6 shots.
Age: 0.9
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Rash all over body.
Age: 1.02
Sex: F
Vaccine: MMRV
Symptoms: Rash
Clinical narrative: Attended facility on 8-15-07. Rash erupted 8-17-09 - Presented in office with rash/pox's on 8-25-09.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Pain, Swelling
Clinical narrative: Patient noticed stinging during injection. Stinging progressed to pain and around 5 PM he noticed redness, swelling, fever. Left deltoid. As of today, swelling, etc...had spread down to (L) elbow area.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: Within 30 minutes of injection of all 3 vaccines, pt returned wheezing (mild) and facial hives. Wheezing reversed with Albuterol.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Periorbital oedema, Urticaria, Wheezing
Clinical narrative: Pt. returned to office approximately 30 min after injection of all three (3) vaccines with periorbital edema, urticaria and wheezing. Received BENADRYL and albuterol neb with resolution of symptoms.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Injection site papule, Injection site pustule
Clinical narrative: Received Hepatitis B vaccination (ENGERIX B) on 7-14-09. Returned for dose #2 Hep B today 8-14-09. That's when the patient showed nurse a papule/pustule like knot on (L) arm at inj site of previous dose. No redness. Non-tender 4-5mm circumference. Elevated 2mm. Non-draining.
Age: 25.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure increased, Heart rate increased, Pallor
Clinical narrative: Pt became pale approx 1/2 min after injection. Asked if he was OK and he did not answer. Assisted to exam table to lie down. Gave cool compress. Pt BP 130/80 P 88. Offered water and orange. After 10 min had pt slowly sit up and he was fine. VSS.
Age: 5.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Pyrexia
Clinical narrative: Fever 103.0 8/22/09
Sex: M
Vaccine: MU, RUB
Symptoms: Movement disorder, Pneumonia, Sleep disorder
Clinical narrative: Information has been received from a mother concerning her son with seasonal allergies and no other pertinent medical history who vaccinated with a dose of mumps virus vaccine. Five days after vaccination, the patient experienced pneumonia. No product quality complaint was involved. The mother also reported that her son received a dose of rubella virus vaccine and developed transient disorder, sleep deprivation, and movement disorder (WAES 0806USA03295). Additional information has been requested.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: Syncope x 2
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Syncope
Clinical narrative: Patient experienced fainting, and nausea.
Sex: M
Vaccine: VARCEL
Symptoms: Pallor, Pruritus, Rash vesicular
Clinical narrative: Vesicular, blanching rash with pruiritis lower extremity.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Left deltoid red, swollen and painful.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Pharyngitis, Urticaria
Clinical narrative: Erythema multiforme, seen on 8/24/2009 for Urticarial rash pharyngitis, treated with Loratadine and epipen given.
Age: 24.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Feeling hot, Hypersensitivity, Injection site pruritus, Injection site swelling
Clinical narrative: 10 Minutes after shot pt. complained site being itchy, swelling felt very hot.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Pt given shot Sat 830A. Returns at 930A with urticaria all over body, no difficulty breathing. Given 1/2cc CELESTONA IM and 1tsp BENADRYL PO. 1030A pt left office without difficulty breathing and redness not as bad.
Age: 11.0
Sex: M
Vaccine: IPV, MMR, MNQ, TDAP
Symptoms: Blood glucose normal, Confusional state, Fall, Muscular weakness
Clinical narrative: Following vaccination, pt. and his mother walked to the front desk. Child walked towards exit door to lobby and knees buckled and child fell forward. Fall was guarded but forehead may have hit floor (no thud heard). Child taken back to exam room. BP 80/50 and child initially confused but able to recount what occurred.
Age: 12.0
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness, warmth, firmness to upper left arm for 2 days.
Age: 49.0
Sex: F
Vaccine: PPV, TD
Symptoms: Blood pressure increased, Face oedema
Clinical narrative: Facial edema ("puffy eyelids"). Increased blood pressure.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: 3 days after vaccines patient developed fever to 101 degrees, arthralgias, and localized reaction at shot sites, red, warm about 6 am.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Received DTaP, IPV in left arm 8/5/09. Was brought to office on 8/7/09, noted redness 10 cmx8 cm in left upper arm with warmth and tenderness in area. Diagnosed with early cellulitis started on KEFLEX T.I.D x 7 days; advised to treat area with ice.