chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Approximately 24 hours after vaccine given, parent noted red area on arm at injection site.  Redness continued to increase in size, area becoming tender to touch, painful and itchy.  Child started on KEFLEX TID po.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approximately 24 hrs. after vaccination, mom noted site mod. swollen with redness.  Swelling & redness with no complaints of pain noted.  Child started on KEFLEX po TID.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Rash, Vaccination failure, Varicella
Clinical narrative: Approximately 24 hrs. after vaccination, parent noted swollen, red at injection site.  Symptoms resolved; then developed rash on anterior chest - seen by physician on 7/31/08 & noted to be chicken pox.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site vesicles, Local reaction
Clinical narrative: Large local reaction with vesicles around MMR; Large local reaction around IPV.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 8cm x 4cm red warm swelling R thigh.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pallor, Vomiting
Clinical narrative: Approximately 15-20 minutes after vaccine administered, patient became pale and vomited. Never loss consciousness.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration, Injection site pain
Clinical narrative: Dose of MENACTRA given on 7-31-08 at approx 1630.  Patient had dose of MENACTRA on 7-22-08.  Pt. complained of pain at injection site.
Age: 44.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Approx. 1min. post immunization, donor c/o lightheadedness and the room was spinning and then had an +LOC for ~3 seconds.  Donor placed in Trendelenburg position.  Donor sts she feels better but still a little lightheaded and also c/o weakness.  Donor sts she ate 2 oatmeal cookies and drank 3 glasses of water today.  She was counseled on proper solid and liquid intake for donating.  After ~15 min donor was + for ortho's with diaphoresis, pale skin and increased lightheadedness.  200cc fluid bolus given and 911 called.  Donor also vomited x1.
Age: 44.0
Sex: F
Vaccine: TTOX
Symptoms: Vertigo, Vomiting
Clinical narrative: Approx. 1min. post immunization, donor c/o lightheadedness and the room was spinning and then had an +LOC for ~3 seconds.  Donor placed in Trendelenburg position.  Donor sts she feels better but still a little lightheaded and also c/o weakness.  Donor sts she ate 2 oatmeal cookies and drank 3 glasses of water today.  She was counseled on proper solid and liquid intake for donating.  After ~15 min donor was + for ortho's with diaphoresis, pale skin and increased lightheadedness.  200cc fluid bolus given and 911 called.  Donor also vomited x1.
Age: 14.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Fatigue
Clinical narrative: Mom called & stated pt. was feeling very tired after having GARDASIL inj.  No other sx's.  Advised to call if Sx change or worsen.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Fall, Feeling abnormal, Pallor, Tachypnoea
Clinical narrative: 1533 patient became dizzy after walking out of exam room <5 min after receiving vaccines. Patient fell against NNP who then lowered her to ground. Patient was pale, complained of "feeling funny", tachypnic. Calmed patients breathing ambulated back to patient. Room to lay down. WNL vital signs. 1600 patient has no complaint of dizziness; WNL vitals, walked to car.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abdominal pain upper
Clinical narrative: Pt. stated that the epigastric pain started after shots given.  Epigastric pain continued after pt. ate lunch.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: Gave tb skin test in L forearm, then administered varicella.  Pt. passed out after injection on her mom.  We laid her down <15 seconds later she woke up and sat up.  Pt. was pale and c/o nausea.  Waited approx 10 min, pt. color began to return immediately.  After 10 min pt. was perky, no longer c/o nausea.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site discharge, Injection site erythema, Purulent discharge
Clinical narrative: Chills/pus/redness at injection site; Left arm; Started 7/30/08; treatment: Keflex 500mg tid x 7d
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: He had a 8cm x 10cm size redness, no induration, pt. states it is sore at times, it was warm to touch.  This started the night pt. received vaccination and continued to swell, no other signs or symptoms.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Blood in stool 24 hours after administration of Rotaviral vaccine.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Haematochezia, Stool analysis abnormal
Clinical narrative: Blood in stool 24 hours after administration of Rotaviral vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC, VARCEL
Symptoms: Convulsion, Electroencephalogram abnormal, Nuclear magnetic resonance imaging, Postictal state, Staring
Clinical narrative: One day after vaccines administered, developed seizures --> staring spells, unresponsiveness fled by post-ictal episode.  Admitted to hospital.  EEG verified sz activity L temporal area.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: One day after vaccines administered, developed seizures --> staring spells, unresponsiveness fled by post-ictal episode.  Admitted to hospital.  EEG verified sz activity L temporal area.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Right deltoid about 2.5cm erythema, warmth; Left arm about 8x10cm warmth, erythema; No urticaria
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: Local reaction - leg DTaP & 3 1/2" the left arm - GARDASIL area of redness and warmth.  Rt arm both area VARIVAX & MENACTRA.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Pruritus, Rash vesicular, Skin haemorrhage
Clinical narrative: Developed vesicular lesions which progressed to blood blisters/scabs; Itchy. RX OTC hydrocortisone and follow up in 2 weeks
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness of right shoulder after receiving Tdap.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Area of injection reddened approx 6 cm diameter, warm and edematous. (L) medial thigh - DPT given on 7-25-08.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain
Clinical narrative: Redness, swelling (L) arm 1-2 days after vaccines were adm. - soreness. Sx improved 7-30-08. Dx: cellulitis.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: "None"
Age: 1.1
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash, Rash maculo-papular
Clinical narrative: Parent reports low grade fever beginning 2-3 days after MMR, VZ; Reports flat red rash on back 3-4 days after vaccine and macular-papular spots on wrists and abdomen. Fever persisted and reported to HD (2nd time) on 7/17/08 at which time back rash gone but with macular and maculo papillar rash on wrist and abdomen per mom on 7/31/08 per telephone.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. received vaccines on 7-29-08. Mom said when they woke up on 7-30-08 pt's right arm was red and swollen. Mom said they put cool clothes to arm. Mom said arm is better today. Leg red swollen area noted on right arm at MMR site.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure, Dizziness, Haemoglobin normal, Nausea
Clinical narrative: Pt felt faint, no loss of consciousness.  Pt felt nausea, no vomiting, no resp. problems.  1 min pt down, offered crackers, with PB, water, BP 90/60, increased to 100/70.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Body temperature, Injection site erythema, Injection site induration, Injection site warmth, Pain
Clinical narrative: T99.2.  Full upper L arm erythema, induration + warmth.  12cm x 10cm.  Also pain assoc.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever to 101.0F 48 hours after immunization.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood glucose, Blood pressure decreased, Heart rate decreased, Oxygen saturation, Syncope
Clinical narrative: Patient experienced syncope with drop in BP from initial 112/72 to 84/54, Pulse rate initially high 40's to 72 at discharge'; BP back to 102/66 at discharge. Oxygen 100% via pulse ox.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Rt thigh swollen, red, and warm to touch.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Pt woke up this AM noticed 4 red spots at the site of injection.  Itchy and red.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia facial, Joint stiffness, Musculoskeletal stiffness, Paralysis
Clinical narrative: Numbness in jaw, back and neck; patient felt paralyzed. Extreme stiffness in jaw, back and neck after 1st dose for 72 hours.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Irritability, Vomiting
Clinical narrative: Parent* says child had one week of excess vomiting, (worse than her usual GER), diarrhea, and excessive crankiness.  No office visit or ER visit was made.  *Foster mother = grandmother
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Moderate, pruritic flat patches around all three injections site aprpox 6 cm diameter. No tenderness, no warmth
Age: 26.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 1 Tdap area 30mm x 24mm red, warm on day 2 also aches when lays on it.  2 Varicella area 70mm x 60mm red, warm, & hurts to touch on day 2 (8-1-08).
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Pruritus generalised, Rash generalised, Vaccination failure, Varicella
Clinical narrative: Per mother, scattered rash developed on 7/15/08; was evaluated at other medical facility and diagnosed with VARIVAX. Per mother, developed > 30 lesions on extremities, back and face with itchiness. Lesions noted by mother to be in various stages of development.
Age: 15.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Injection site erythema, Injection site swelling, Leukocytosis, Pyrexia
Clinical narrative: Leukocytosis, fever, injection site swelling + erythema.
Age: 6.0
Sex: U
Vaccine: VARCEL
Symptoms: Agitation, Erythema, Irritability, Rash pruritic, Stridor
Clinical narrative: Accompanied by: grandparent. The onset of the rash has been acute. The rash has been occurring for minutes. It has been occurring in a perisitent pattern. The course has been decreasing. The rash is characterized as itchy and red. The rash was first seen on the entire body. Medications used: antihistamines. Rash notes: soon after immunization with varicella, became itchy upset, breathing fast. Never looked hypotensive or truly distressed, just upset and agitated. Received 0.3 cc epi, 25 mgm Benadryl and 30 mgm of Oraped chewable. Settled after 30 minutes and sent home...also aerosol of Albuterol and Pulmicort because of some slightly stridorous breathing. Permission received from mom because of prior issue with immunization.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema
Clinical narrative: 13cm x 13cm erythema of L arm.  9cm x 10cm erythema of R arm  Seen 4th day after vaccination.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Facial spasm, Heart rate decreased, Hyperhidrosis, Loss of consciousness
Clinical narrative: Pt received vaccines for Hepatitis A and Menactra, approx. four minutes after administration the patient felt dizzy and was helped to the floor by her mother.  After laying on the floor patient lost consciousness twice briefley and had a period of fine tremors in face and upper limbs lasting 5-10 seconds with no loss of bowel/bladder control noted.  Pt. pulse dipped down to 40 bpm and pt. became diaphoretic.  Within 10 minutes of becoming conscious, pt. stated she was feeling better.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Tremor
Clinical narrative: Pt received vaccines for Hepatitis A and Menactra, approx. four minutes after administration the patient felt dizzy and was helped to the floor by her mother.  After laying on the floor patient lost consciousness twice briefley and had a period of fine tremors in face and upper limbs lasting 5-10 seconds with no loss of bowel/bladder control noted.  Pt. pulse dipped down to 40 bpm and pt. became diaphoretic.  Within 10 minutes of becoming conscious, pt. stated she was feeling better.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: There was no adverse reaction. Pt is new to our practice. His old records indicated that he had not received a Menactra. Apparently, it was in a hopsital record that he had recieved one less than 1 year ago.I spoke to the state epidemiologist who recommended I file an adverse reaction report .
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Chest X-ray abnormal, Cough, Pneumonia, Pyrexia
Clinical narrative: Patient started to cough within a few hours after receiving the vaccines(Monday, July 21).  He had a mild fever throughout the entire week until Friday evening when it got progressively worse 102.  Saturday his fever continued to rise into the high 102s.  On Sunday it was 104.1.  Sunday night we took him to the emergency room.  A chest X-ray revealed a mild case of Pneumonia.  The antibiotic Augmentin was percribed and appears to have cured patient of the Pneumonia, if that is what he had.  The vaccines he received were for Measles, Mumps & Rubella; Chickenpox; Diphtheria, Tetanus & Pertussis.
Age: 0.5
Sex: M
Vaccine: HIBV, IPV
Symptoms: Feeling jittery, Neurological examination, Tremor
Clinical narrative: Jittery, shaky spells several times per day for several days after HIB vaccine.  Mother reports similar symptoms after 1st dose.  Saw neurologist after first episodes, he was not terribly concerned.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: none.
Age: 0.92
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 105ax on 7-31-08. gave tylenol with relief. fever up to 105 after 4hrs of taking tylenol.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site urticaria, Injection site warmth
Clinical narrative: 4-5" long x 1.5" wide red, hot, burning welt at site of injection x 72 hrs.
Age: 23.0
Sex: F
Vaccine: IPV, MNQ, TDAP, TYP, YF
Symptoms: Blood glucose increased, Blood pressure, Heart rate decreased, Malaise, Sluggishness
Clinical narrative: Pt was recieving injections for a trip. Needed 5 vaccines all together. Just as the last one was given she stated she did not feel well and slumped in her chair, with tonic- clonic movements for about 30 seconds. When pt awoke she seemed to be oriented x3 and was taken to the Emergency Department for further evaluation. Vital signs were BP, 104/52, P, 52 Blood Glucose level, 162
Age: 23.0
Sex: F
Vaccine: IPV, MNQ, TDAP, TYP, YF
Symptoms: Tonic clonic movements
Clinical narrative: Pt was recieving injections for a trip. Needed 5 vaccines all together. Just as the last one was given she stated she did not feel well and slumped in her chair, with tonic- clonic movements for about 30 seconds. When pt awoke she seemed to be oriented x3 and was taken to the Emergency Department for further evaluation. Vital signs were BP, 104/52, P, 52 Blood Glucose level, 162
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: Administered vaccine SQ instead of IM, no problems or adverse reaction noted
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Fatigue, Feeling hot, Headache, Injection site discolouration, Injection site swelling
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Injection site vesicles, Musculoskeletal chest pain, Pain, Pyrexia
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Activities of daily living impaired, Asthenia, Chills, Convulsion, Disturbance in attention
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Disturbance in attention, Dizziness, Erythema, Fatigue, Feeling abnormal
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Headache, Hyperhidrosis, Infection, Malaise, Musculoskeletal stiffness
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Nervousness, Oedema peripheral, Pain in extremity, Pyrexia, Skin discolouration
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Skin exfoliation, Swelling, Vaccination complication, Vision blurred
Clinical narrative: PATIENT RECEIVED PNEUMONIA AND SHINGLES SHOT ON THURSDAY 31 JUL @ APPROXIMATLEY 1100-1300. SHE STATED THAT SHE BEGIN TO FEEL FEVERISH AND COMPLAINED OF HEADACHE AND BODY ACHES AROUND 1900. SHE CALLED ME ON FRIDAY MORNING AND DESCRIBED HER SYMPTOMS. SINCE THE SYMPTOMS SHE WAS HAVING AT THE TIME WAS NOT AN UNCOMMON ONE, AND SHE DID NOT HAVE ANY CHEST PAIN, DIFFICULTY BREATHING OR GENERALIZED ITCHINESS I TOLD HER TO TAKE TYLENOL OR MOTRIN (OR WHATEVER SHE NORMALLY TAKED FOR ACHES AND PAINS) AND USE A WARM COMPRESS FOR THE SWELLING AND IF IT DID NOT GET ANY BETTER TO FOLLOW UP WITH US. SHE PRESENTED TO THE CLINIC TODAY (MONDAY 5 AUG) TO SHOW ME HER ARM AND TO ASK ME TO FILL OUT A VAERS FORM SINCE SHE HAD TO GO TO A DOCOTR OVER THE WEEKEND BECAUSE HER SYPMTOMS GOT WORSE. SHE SAID THAT OVER THE WEEKEND SHE PROGRESSIVLE HAD INCREASED BODY ACHES, EXTREME FATIGUE, PAIN IN THE RIGHT SIDE OF HER RIBS (NOT CHEST/HEART PAIN), LOW GRADE FEVER AND EXTREME SWELLING AT THE INJECTION SITE. WHEN I ASKED TO LOOK AT HER ARM THERE WAS A BLACKISH COLORED BLISTER APPROXIMATLEY THE SIZE OF A HALF DOLLAR. SHE SAID THAT SHE WAS STILL HAVING THE BODY ACHES, FEVERS AND FATIGUE BUT IT HAD GOTTEN BETTER THAN WHAT IT WAS OVER THE WEEKEND. SHE SAID THAT HER DOCTOR PUT HER ON A DECREASING DOSE OF STEROID AND TOLD HER TO FOLLOW UP IF NEEDED.
Age: 12.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 102. Body aches and headache.  Nausea.  Started about 12 hours after injection.  Fever reduced to 100.4 with Tylenol.  Returned to doctor with instructions to 'just watch' for a couple of days.
Age: 51.0
Sex: M
Vaccine: MMR
Symptoms: Ocular hyperaemia, Rash
Clinical narrative: Pt was given a MMR vaccine on 07/18/08, he then reported having a rash and reddened eyes two weeks later, pt was instructed to seek medical attention, pt went to his PCP and was told it was because of his allergy to Neomycin, Pt signed a consent form stating he was not allergic to neomycin.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, PPV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Administered Tdap vaccine instead of Dtap vaccine, no adverse effects noted for patient.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Aphasia, Blood calcium increased, Blood creatinine decreased, Blood urea decreased, Crying
Clinical narrative: immediatley lethargic, medium grade fever, persistent unconsulable and high pitched painful cry, not able to sleep at night, severe diahrea that included an ER visit and many Dr. visits that lasted for 2-3 weeks long. He stopped talking during this time and has never regained speech. He has regressed in fine motor and gross motor skills as verified by an occupational therapist. Now has major gastorintesitnal problems and undergoing many tests.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Diarrhoea, Fine motor delay, Gastrointestinal disorder, High-pitched crying, Hypokinesia
Clinical narrative: immediatley lethargic, medium grade fever, persistent unconsulable and high pitched painful cry, not able to sleep at night, severe diahrea that included an ER visit and many Dr. visits that lasted for 2-3 weeks long. He stopped talking during this time and has never regained speech. He has regressed in fine motor and gross motor skills as verified by an occupational therapist. Now has major gastorintesitnal problems and undergoing many tests.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Insomnia, Lethargy, Lymphocyte count decreased, Monocyte count decreased, Pyrexia
Clinical narrative: immediatley lethargic, medium grade fever, persistent unconsulable and high pitched painful cry, not able to sleep at night, severe diahrea that included an ER visit and many Dr. visits that lasted for 2-3 weeks long. He stopped talking during this time and has never regained speech. He has regressed in fine motor and gross motor skills as verified by an occupational therapist. Now has major gastorintesitnal problems and undergoing many tests.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: White blood cell count increased
Clinical narrative: immediatley lethargic, medium grade fever, persistent unconsulable and high pitched painful cry, not able to sleep at night, severe diahrea that included an ER visit and many Dr. visits that lasted for 2-3 weeks long. He stopped talking during this time and has never regained speech. He has regressed in fine motor and gross motor skills as verified by an occupational therapist. Now has major gastorintesitnal problems and undergoing many tests.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Injection site urticaria, Rash
Clinical narrative: APPROX 4 HRS POST VACCINATION, PATIENT EXPERIENCED FATIGUE, RASH, HIVES, GI DISTRESS IN THE FORM OF "DIARRHEA" AND "STOMACH ACHE" WHICH CONTINUED THE NEXT DAY WITH HIVES AT THE SITE OF INJECTION.  TYLENOL/ANTIHISTAMINES ADMINISTERED BY FAMILY MEMEBER WHO IS A NURSE PER PATIENT
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: APPROX 4 HRS POST VACCINATION, PATIENT EXPERIENCED FATIGUE, RASH, HIVES, GI DISTRESS IN THE FORM OF "DIARRHEA" AND "STOMACH ACHE" WHICH CONTINUED THE NEXT DAY WITH HIVES AT THE SITE OF INJECTION.  TYLENOL/ANTIHISTAMINES ADMINISTERED BY FAMILY MEMEBER WHO IS A NURSE PER PATIENT
Age: 42.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Limb discomfort, Nausea
Clinical narrative: 8/2/2008-Received anthrax shot, On 8/3/2008, not able to sleep on right arm, On 8/4/2008, felt nausous and on 8/5/2008, area around shot red and warm to the touch.  Also, the shot area was hard.
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Autism, Crying, Dyskinesia, Pyrexia
Clinical narrative: Patient developed fever that would not break.  Then began jerking pdy motions and acting as if he could not move his arm.  Inconsolible crying.  Took to the emergency room.  By the time the doctor came back there fever had broke and seemed ok.  They gave him Benadryl.  Patient developed chicken pox a week or so later from the vaccine.  Patient began to regress and within a couple months had completely regressed.  Lost words, skills, social skills and awareness of surroundings.  Went from social happy advanced child to non verbal and in his own world.  Did not even notice rain.  Was diagnosed with autism in September of 2006.  Before the vaccines, no development concerns.  Crawled at 4 mnths, said first word at 6 mnths, walked at 8 mnths.  Extremely social and happy.  8/18/08 Developmental eval dated 9/14/2006 received with DX:  Pervasive Developmental Disorder (Autism). Pt refered for developmental concerns, language delay and social interaction concerns. Parent reported normal growth, interaction and development until about 1 yr of age. Initially had a few word vocab, but stopped using them ~15 months. Currently shows significant delays in all domains of development, including cognitive development
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Regressive behaviour, Varicella
Clinical narrative: Patient developed fever that would not break.  Then began jerking pdy motions and acting as if he could not move his arm.  Inconsolible crying.  Took to the emergency room.  By the time the doctor came back there fever had broke and seemed ok.  They gave him Benadryl.  Patient developed chicken pox a week or so later from the vaccine.  Patient began to regress and within a couple months had completely regressed.  Lost words, skills, social skills and awareness of surroundings.  Went from social happy advanced child to non verbal and in his own world.  Did not even notice rain.  Was diagnosed with autism in September of 2006.  Before the vaccines, no development concerns.  Crawled at 4 mnths, said first word at 6 mnths, walked at 8 mnths.  Extremely social and happy.  8/18/08 Developmental eval dated 9/14/2006 received with DX:  Pervasive Developmental Disorder (Autism). Pt refered for developmental concerns, language delay and social interaction concerns. Parent reported normal growth, interaction and development until about 1 yr of age. Initially had a few word vocab, but stopped using them ~15 months. Currently shows significant delays in all domains of development, including cognitive development
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 8-01-2008 Patient was outside felt left arm itchy feeling, scratched arm and noticed quarter size redness and swelling where vaccine was given. 8-2-2008 Redness was larger used anti-itch cream. 8-4-2008 Redness was about baseball size around (per patient)and raised. Patient saw family physician per my recommendation. Patient called back and said the Nurse Practitioner that she saw said it was a normal reaction to the vaccine to use ice and cortisone cream!
Age: 4.0
Sex: M
Vaccine: DTAP, DTAPIPVHIB, HEPA, IPV, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Pediarix inadvertently administered instead of PCV 7.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Asthenia, Depressed level of consciousness, Dizziness, Fall, Hypoaesthesia
Clinical narrative: HPV vaccine given as a second administration, following Menactra administration. Patient verbalized feeling dizzy as the injection was complete and thereafter, fainted and collapsed non-responsively to the floor.  No signs of breathing or alertness for approximately 15 seconds.  Numbness and tingling to extremities for 10-15 minutes thereafter.  Weakness and general malaise with upto 4 hours post admiinistration.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Malaise, Paraesthesia, Respiratory arrest, Syncope, Unresponsive to stimuli
Clinical narrative: HPV vaccine given as a second administration, following Menactra administration. Patient verbalized feeling dizzy as the injection was complete and thereafter, fainted and collapsed non-responsively to the floor.  No signs of breathing or alertness for approximately 15 seconds.  Numbness and tingling to extremities for 10-15 minutes thereafter.  Weakness and general malaise with upto 4 hours post admiinistration.
Age: 1.02
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Full blood count normal, Oral intake reduced, Pyrexia, Rash, Urine analysis normal
Clinical narrative: Oliguria and decreased oral intake with associated rash and intermittent fever over a one week period. 8/13/08-records received for DOS 7/25-7/26/08-admitted for observation after having decreased urine output over past 2-3 days. Fever to 102 and mild decreased intake over past five days. Rash. Loose stool.  Assessment:Post varicella vaccine reaction of fever and rash.
Age: 21.0
Sex: F
Vaccine: SMALL, TD
Symptoms: Computerised tomogram, Headache, Hyperhidrosis, Injection site swelling, Lumbar puncture
Clinical narrative: Pt was admitted to the hospital through the ER on 31Jul08.  Pt complained of head aches, nausea and the sweats.  Her vaccincation site had also swelled up the size of a half dollar.  She had a red rash on her her neck and back.  The clinic diagnoses was Viral (aseptic)meningitis.
Age: 21.0
Sex: F
Vaccine: SMALL, TD
Symptoms: Meningitis viral, Nausea, Rash
Clinical narrative: Pt was admitted to the hospital through the ER on 31Jul08.  Pt complained of head aches, nausea and the sweats.  Her vaccincation site had also swelled up the size of a half dollar.  She had a red rash on her her neck and back.  The clinic diagnoses was Viral (aseptic)meningitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Malaise, Oedema peripheral, Skin warm
Clinical narrative: Mom noticed she was hot and feverish early this morning about 2:oo AM, and has vomited twice and has general malaise. Her left arm is swollen and red. She has been given tylenol for fever which helps but patient says she still do not feel well.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Mom noticed she was hot and feverish early this morning about 2:oo AM, and has vomited twice and has general malaise. Her left arm is swollen and red. She has been given tylenol for fever which helps but patient says she still do not feel well.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Mom noticed she was hot and feverish early this morning about 2:oo AM, and has vomited twice and has general malaise. Her left arm is swollen and red. She has been given tylenol for fever which helps but patient says she still do not feel well.
Sex: U
Vaccine: HEPA
Symptoms: Convulsion, Nonspecific reaction, Pharmaceutical product complaint
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of seizure in a pediatric subject of unspecified age and gender who was vaccinated with HAVRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of HAVRIX at 0.5 ml (prefilled syringe). At an unspecified time after vaccination with HAVRIX, the subject experienced seizure. A systemic reaction. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events was unspecified. The reporter expressed concern over the quality of the vaccine as severe events occurred in two other pediatric subjects that received the same lot of HAVRIX (product complaint). For details surrounding the other two subjects, refer to case numbers A0741172A and A0741173A.
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Hepatic enzyme increased, Hepatitis, Jaundice, Nonspecific reaction, Vaccination failure
Clinical narrative: This case was reported by a consumer and described the occurrence of hepatitis in a 33-year-old male subject who was vaccinated with TWINRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. There were no concurrent medications. On 27 May 2008, December 2007 and November 2007 the subject received 3rd dose, 2nd dose and 1st dose of TWINRIX (unknown, left arm). On 17 June 2008, 21 days after the 3rd vaccination with TWINRIX, the subject experience non-specific hepatitis, jaundice and elevated liver enzymes. This was considered to be vaccination failure and a systemic reaction. The subject was hospitalized for three nights and the events improved.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy, Headache, Herpes zoster
Clinical narrative: 7/13/08 Reports "sore head" on 7/15/08. Taken by ambulance for "facial twisting" remained hospitalized 7/15 - 7/18. Biopsy taken - results pending and treated for shingles per client.8/11/08-records received for DOS 7/17-7/18/08-Seen for C/O right scalp discomfort beginning 1-2 days prior, neuritic in quality and sam distribution as previous bout of herpes zoster several years ago. Received vaccine 7 days prior to admission. DC DX: Altered level of consciousness, resolved. Scalp lesions with neuritic pain.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: Swelling, itching (slight), and pain area raised slightly. No cellulitis. No erythema tender to touch. First time obtaining tDap.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Muscle tightness, Myalgia, Sleep disorder
Clinical narrative: Painful tightening muscles all over the left side of my body for the past 3 1/2 week.  I can't sleep at night due to the pain.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Anxiety, Asthenia, Dysstasia, Syncope
Clinical narrative: Client frightful prior to injection. Sat down for vaccination, followed immediately by syncope episode - did not fall, did not hit head on any object. Placed head between legs, applied cool damp cloths to face and neck. Placed flat on her back with feet elevated. Client appeared to be weak. Sat up with assistance, not able to stand. Called 911, EMS transported client to ER. Called father after event. Father said ER told him she had anxiety attack. No further problems.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Irritability
Clinical narrative: Inconsolable crying, very fussy 2 days after vaccines.
Age: 18.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Patient was given vaccines and had syncopal episode where she felt lightheaded, laid down and was unresponsive for about 20 seconds.
Age: 35.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Blood pressure, Heart rate normal, Loss of consciousness
Clinical narrative: Hepatitis B & measles, mumps, rubella vaccine given.  Following MMR, she lost consciousness for approx 10 seconds.  Assisted to lounge.  4:10p B/P 140/94 P. 68.  4:20p B/P 124/80 P. 68 L 120/90 S.  4:35p 128/88 P. 68 L 138/88 P. 68 S.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Erythematous hot area 8cm in diameter of Rt. mid thigh with vesicular x3 scattered in central region.
Age: 1.03
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Chicken pox vaccine adm on 7/29/08 and pt dev fine red spots on abd, chest, back & face on 8/3/08 - seemed to spread on 8/4/08 - to date none have crusted over.
Age: 3.0
Sex: F
Vaccine: DTAPH, IPV, PNC
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain
Clinical narrative: Redness at injection site approx. 5" in diameter. Sore to the touch. Patient was given Benadryl 1 time every 6 hours
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Per Pt's mother, child had itching, pain & swelling in area where shot was given on 7/31/08 around 12:00PM.  Pt's mother stated she gave him BENADRYL and it did not help.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site urticaria, Rash maculo-papular
Clinical narrative: 1 day after receiving dose #1 MMR, dose #1 varicella, dose #1 Hep A patient developed a maculopapular-patchy rash that first started on abdomen & then extended to rest of torso & extremities.  Patient also developed urticaria like lesions on LE B where vaccines were given.  No fevers.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Anaphylactic reaction, Dysphagia, Orthostatic hypotension, Pruritus, Throat irritation
Clinical narrative: Anaphylactic reaction.  Started vomiting in the parking lot and continued to vomit.  Developed generalized vasodilation, extensive pruritus, postural hypotension.  Itching in throat, trouble swallowing.  Given DECADRON 8mg IM + BENADRYL 30mg IM.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Vasodilation procedure, Vomiting
Clinical narrative: Anaphylactic reaction.  Started vomiting in the parking lot and continued to vomit.  Developed generalized vasodilation, extensive pruritus, postural hypotension.  Itching in throat, trouble swallowing.  Given DECADRON 8mg IM + BENADRYL 30mg IM.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Heart rate normal, Nausea, Throat tightness
Clinical narrative: Patient received Hep-B injection at 09:20-09:30.  At ~11:15 she told co-worker of feeling nauseated & tightening in throat  She was brought back to office where we listened to lungs.  LTA x4, pulse WNL, pharynx no redness or swelling, & no SOB.  Patient was given 50mg liquid BENADRYL at 11:33.  Patient states she feels much better, tightening in throat is gone, no longer feeling nauseated at 11:55.  She returned to work without any change.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Swelling Rt arm at area of injection site, started that pm & progressed.  Swelling was at shoulder to elbow area.  Area was red & swollen.  Went to hospital was told it was a cellulitis infection, given IV antibiotics & told to report the incident.  Reported to this office 7/31/08.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Induration, Rash erythematous, Tenderness
Clinical narrative: Information has been received from a health professional concerning a 66 year old female with Grave's disease, anxiety, coronary spasm, and heart murmur. The patient had no illness at the time of being vaccinated. On 22-MAY-2007, the patient was vaccinated with a first dose of PNEUMOVAX 23 (lot # 655152/0889F) subcutaneously. On 25-MAY-2007, the patient developed induration, tender erythematous rash which developed into a cellulitis. Medical attention was sought. The patient was treated with KEFLEX. There was residual induration and was referred to a surgeon. The outcome of the event was reported as unknown. The reporter felt that the cellulitis was serious because it required medical/surgical intervention (Other Important Medical Event). Additional information has been requested.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain
Clinical narrative: Information has been received from a health professional concerning an 80 year old male with a history of drug hypersensitivity to codeine and IV contrast, who on 11-JUN-2007 after an annual physical was vaccinated intramuscularly in the right deltoid with a second dose of PNEUMOVAX 23 (Lot #655152/0889F).  There was no concomitant medication.  Subsequently, on 13-JUN-2007 the patient experienced pain and developed redness at the injection site.  Within 72 hours on approximately 16-JUN-2007 the redness spread down his arm and under axilla.  The patient required a doctor visit and was treated with KEFLEX, 3 times a day for 7 days.  At the time of the report, the patient's outcome was unknown.  Additional information has been requested.
Age: 82.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Hypersensitivity, No reaction on previous exposure to drug, Pruritus, Rash generalised
Clinical narrative: Information has been received from an 82 year old male with penicillin allergy and drug hypersensitivity to "BMX" who on 25-AUG-2007 was vaccinated with a dose of PNEUMOVAX.  Concomitant therapy included AVAPRO, NORVASC, finasteride and THYROXIN.  On approximately 26-AUG-2007, "within one day of receiving vaccine" the patient developed an allergic reaction.  He reported that red bumps appeared all over his skin on legs, chest and arms which caused itching in some of these areas.  Unspecified medical attention was sought.  There were no laboratory or diagnostic tests performed.  On approximately 29-AUG-2007, the patient recovered.  The reporter felt that allergic reaction was due to PNEUMOVAX because he had tetanus shots in the past without experiencing any adverse effects.  Additional information is not expected.