chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.04
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Apnoea, Febrile convulsion, Pyrexia
Clinical narrative: 2 days after vaccination, patient spiked a temperature of 104 and had a febrile seizure. She stopped breathing and had to be brought by ambulance to ER. Was treated and spent 1 night in hospital.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Flushing, Hypersensitivity, Myalgia
Clinical narrative: Feeling sickly, flushed, nausea and vomiting, full body shaking tightness in chest 2 epi pens (0.6 mg) and 50mg Diphenhydramine PCR protocol-then Ambulance arrived on scene. Medical record states dyspnea.msv Medical record states allergic reaction. msv
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Tremor, Vomiting
Clinical narrative: Feeling sickly, flushed, nausea and vomiting, full body shaking tightness in chest 2 epi pens (0.6 mg) and 50mg Diphenhydramine PCR protocol-then Ambulance arrived on scene. Medical record states dyspnea.msv Medical record states allergic reaction. msv
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthma, Nasal polyps
Clinical narrative: A pt's mother reports her 11 year old daughter developed asthmatic reactions and nasal polyps after receiving intranasal Flumist. On 17Dec03, an 11 year old female received FluMist for immunization against influenza virus. On 31Dec03, the pt went to ER after developing asthmatic reactions where she was treated with salmeterol xinafoate/fluticasone propionate and pirbuterol acetate. The pt also received fluticasone propionate and montelukast sodium for nasal polyps. The pt is still receiving medications and has not yet recovered from the events. The reporter did not provide relationship between events and FluMist vaccination.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Joint stiffness, Oedema, Tenderness
Clinical narrative: 10Dec03 some stiffness in right elbow that resolved in about 10 days. The following day he noticed stiffness in his lower left leg. 1-1/2-2 days later he had redness, swelling and tenderness just below his left knee that radiated down into his calf and worsens when bending his knee. Denies any weakness of limb. He denies any history of injury or prior trauma. He sought medical care and was treated with Naproxen BID, Tylenol every 4-6 hrs prn, ice and placed on 24hr quarters. He was seen the following day with generalized pain and swelling from boot top up to under left knee cap. U/S to R/O DVT was negative. Symptoms resolved about 2 weeks except for mild TTP at pre-patellar bursa.
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: N/V and HA within 24 hours after getting 2nd Anthrax.
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Convulsion, Headache, Loss of consciousness, Nausea, Vomiting
Clinical narrative: N/V and HA within 24 hours after getting 2nd Anthrax.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Headache, Injection site erythema, Injection site oedema, Nausea
Clinical narrative: Large local reaction to right deltoid, erythema, edema, tenderness to approx 1/2 of upper arm. Systemic symptoms with high fever, severe chills, severe headache and nausea.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia, Tenderness
Clinical narrative: Large local reaction to right deltoid, erythema, edema, tenderness to approx 1/2 of upper arm. Systemic symptoms with high fever, severe chills, severe headache and nausea.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HEP, HIBV, PNC
Symptoms: Similar reaction on previous exposure to drug, Tremor
Clinical narrative: Shaking of arms, starting x 15 sec. No fever at the time. Pt has had similar events in the past not temporally related to vaccines.
Age: 0.51
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Medication error
Clinical narrative: Parent transferred care. Pt received 0.5ml of Fluzone instead of 0.25ml. No adverse events were known to occur.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site pain, Oedema
Clinical narrative: Pt received vaccine 9/16/04. Was seen on 09/18/04 for approx. 8cm red and swollen area on right anterior thigh. Center of area was injection site area tender to touch. Symptoms starting evening pt received injection. Redness spreading to back of thigh was seen again 9/20 w/ symptoms improved. Treated w/ antibiotics and prednisone.
Age: 1.02
Sex: F
Vaccine: MMR, PNC
Symptoms: Injection site erythema, Injection site swelling, Skin discolouration
Clinical narrative: Administered vacs; 2 days later erythema rapidly spreading, raised, non itchy, extrem. and trunk. Noted 10cm purple ring at site of Prevnar injection with erythematous borders.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Injection site reaction
Clinical narrative: Large local reaction on left thigh x 1 wk
Age: 8.0
Sex: F
Vaccine: IPV, TD, VARCEL, IPV, TD, VARCEL
Symptoms: Dyspnoea
Clinical narrative: See first aid (incident report from school-also copy on ER vs(9/17/04) vs with pediatrician 9/20/04 allergy testing was recommended but has not been scheduled. Pt was having a hard time breathing, she looked flushed in her face. I called the office and sent her to the nurse.
Age: 8.0
Sex: F
Vaccine: IPV, TD, VARCEL, IPV, TD, VARCEL
Symptoms: Choking, Dysphagia, Rash, Urticaria
Clinical narrative: See first aid (incident report from school-also copy on ER vs(9/17/04) vs with pediatrician 9/20/04 allergy testing was recommended but has not been scheduled. Pt was having a hard time breathing, she looked flushed in her face. I called the office and sent her to the nurse.
Age: 46.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Chest discomfort, Dizziness, Flushing, Hypersensitivity, Injection site erythema
Clinical narrative: Within 30 seconds of receiving Varivax, client felt itchy at injection site. Within 1-2 minutes, felt lightheaded, flushed, itchy, tingling in fingers, dizzy and slight tightness in chest. Left upper arm warm and red at injection site. Vital signs monitored, ice pack to left arm injection site. Taken to hospital via ambulance.
Age: 46.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site reaction, Injection site warmth, Paraesthesia, Pruritus
Clinical narrative: Within 30 seconds of receiving Varivax, client felt itchy at injection site. Within 1-2 minutes, felt lightheaded, flushed, itchy, tingling in fingers, dizzy and slight tightness in chest. Left upper arm warm and red at injection site. Vital signs monitored, ice pack to left arm injection site. Taken to hospital via ambulance.
Age: 1.55
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Child had DPT and Hib and Polio on 7/8/04. Child was seen again on 4/10/04 with marked swelling of the thigh and redness and itchiness. Child was not with any discomfort, he was walking without any pain.
Age: 1.07
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Crying, Vomiting
Clinical narrative: 13 month old female with crying which started 1 hr after immunization. Pt had a 30 minute nap inbetween then continued crying. 1 episode of vomiting (milk that was ingested). Pt seen in office, crying stopped, tolerated PO, playful, active, afebrile.
Age: 1.54
Sex: F
Vaccine: DTP, IPV, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Broke out with chicken pox 9/23/04. Received Varivax 10/11/1996
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Asthma, Dyspnoea, Fatigue, Pain
Clinical narrative: Injection was given 3/12/02 around noon. By 4 pm, I had such rash , I looked sunburned and was feeling extra tired. At 2:30 am on 3/13/02 I woke up, hurting in all my joints and it hurt to breathe, as my lungs felt like I had ingested drain cleaner. By morning, I had a high fever and even my skin hurt. By 3/15/04, I was sicker, my throate was broken out mud raw, had a rash on my upper body/ legs, and persistent fever >100 even with Tylenol. That fever lasted 6 days. Off wrk 3/13/02-3/24/02. Then Diagnosed with asthma in December. Not without adverse chronic complications.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Injection was given 3/12/02 around noon. By 4 pm, I had such rash , I looked sunburned and was feeling extra tired. At 2:30 am on 3/13/02 I woke up, hurting in all my joints and it hurt to breathe, as my lungs felt like I had ingested drain cleaner. By morning, I had a high fever and even my skin hurt. By 3/15/04, I was sicker, my throate was broken out mud raw, had a rash on my upper body/ legs, and persistent fever >100 even with Tylenol. That fever lasted 6 days. Off wrk 3/13/02-3/24/02. Then Diagnosed with asthma in December. Not without adverse chronic complications.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Excessive crying, prompted parents pt return to clinic. Crying lasted 2-3 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Rash
Clinical narrative: Rash and blistering sarted 3 days after injections given. No temp. Referral to specialist to evaluate.
Age: 60.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Joint range of motion decreased, Myalgia, Pain
Clinical narrative: Severe shoulder pain, runs into elbows and down to knuckles and hands. Started Aug 30th with symptoms. Pain is so severe unable to use arms and hands.
Age: 60.0
Sex: F
Vaccine: DT
Symptoms: Discomfort, Ear pain, Pain in jaw
Clinical narrative: States noted right jaw pain at the joint area (tempors1-mandibular area) after administration. Aggravated with opening mouth wide with chewing. Also noted with pressure toward right ear when lies down. States still has discomfort today, though lessened in nature (approximately 3 weeks duration). States taken Advil for relief. Lessening/ improving symptoms.
Age: 1.24
Sex: M
Vaccine: HIBV, MMR
Symptoms: Abnormal faeces, Erythema, Irritability, Lethargy, Pruritus
Clinical narrative: Developed some spots, red and itchy on 9/16/04 followed by onset of fine red rash to body lasting until 9/22/04. No fever. Was lethargic and "cranky." History of Varicella Disease. Mother also reported his feces "smelled funny." No diarrhea or constipation.
Age: 1.24
Sex: M
Vaccine: HIBV, MMR
Symptoms: Rash
Clinical narrative: Developed some spots, red and itchy on 9/16/04 followed by onset of fine red rash to body lasting until 9/22/04. No fever. Was lethargic and "cranky." History of Varicella Disease. Mother also reported his feces "smelled funny." No diarrhea or constipation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Local swelling and erythema hot to touch appears like cellulitis around 5 cm area right thigh has small area on left around 1-1.5 cm but only slight/ erythema on this leg. + Tender to palpation. Treated with Augmentin and Ibuprofen. Has follow up scheduled.
Age: 1.69
Sex: M
Vaccine: UNK
Symptoms: Blister
Clinical narrative: Multiple vesicles
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Pt given DTaP right deltoid 9/15/04. Presents with parent to clinic 9/17/04 , diagnosed with localized cellulitis at DTaP injection site. Treated with Amoxicillin 200 mg po TID x 10 days.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Otitis media, Pyrexia
Clinical narrative: The day after the vaccines were given the child developed a fever between 103-105F. The child continued to have fever for 8 days, but on 5/3/04 was diagnosed with otitis media.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Inconsolable crying
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 9/21/04 7pm: redness, swelling and warmth at site of injection given yesterday.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Skin reaction
Clinical narrative: 8-9 mm red induration, slight excoriated. Right arm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Hallucination, Urticaria
Clinical narrative: Patient developed hives and hallucinations 6 days after administration of MMR, DTaP, IPV, Hepatitis A.
Age: 0.17
Sex: M
Vaccine: DTP, HIBV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: High fever, screaming on the day of vaccination for few hours.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hair colour changes, Hirsutism, Injection site reaction
Clinical narrative: Mother reports that some weeks after vaccine was given, pt had hair growth at site of immunization. No inflammation.
Sex: F
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: Left arm cellulitis (deltoid area)
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Pt had second hep B shot 9/16/04. Six hours later, area at left upper arm got red, itchy and raised and hard. Area approximatley 1-1.5 inches in diameter. Still red, raised, itchy on 9/20/04 when patient treated at student health service.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Father stated left deltoid swollen, red, warm after receiving shots on August 31, 2004.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPAB, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Swelling
Clinical narrative: Left deltoid area swollen, warm and had for three days following vaccine administration of DTaP x0771.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Rash consistent with chickenpox. Vesicles on  red base. Chest, upper extremities, lower extremities, on face. Evolved over 3 days.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Urticaria
Clinical narrative: Urticaria on both legs and spreading to body per parent report. Treatment: Benedryl
Age: 0.27
Sex: M
Vaccine: PNC
Symptoms: Cyanosis, Pallor
Clinical narrative: Within minutes after receiving Prevnar #1, mom noted child's right temporal and parietal regions of scalp pale and dusky. No changes in behavior. Rest of physical exam normal. Mom had child in clinic for around one hour. No further changes. Decided to home with consultation with newborn ICU.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Neck pain, Rash
Clinical narrative: 14 days after receiving first dose of MMR, pt (employee) stated non-raised rashon face and neck with sore neck (felt glands swollen also). No fever on other effects noted except : tired and sluggish. Employee kept off work for two days  per ID physician.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Dry skin, Rash papular
Clinical narrative: Skin colored fine, sand papery, papular rash developed on patient's face, chest, abdomen, back arms, and legs the day following his first HAV immunization. No erythema, No prutitus.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Arthralgia, Arthritis, Henoch-Schonlein purpura, Pyrexia, Swelling
Clinical narrative: On 8/5/04, he was taken to health dept for catch up immunizations. His parents did not bring his prior shot record. Five immunizations were givne. He develoed fever startin on 8/6/04 and lasted for 4-5 days. On 8/12, he began to complain of the knee pains with arthritis and swelling, it migrated to left knee on the next two days. Several visits to ER were made. He then progressed to develop typical findings of Henoch-Scholein purpura around 9/1/04 and resolved after PO steroids.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis of the right upper arm, at site of injection. Keflex 250/5ml 5ul TID
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Swelling, redness, pain to touch that involved entire anterior thigh of leg that received Dtap. Required abx for possible cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Swelling, redness and pain to touch that involved entire thigh that received DTaP. Required abx for possible cellulitis , NSAIDS, ice.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives appeared on the face within a few minutes of receiving is 4 month (second set) of DTaP, IPV< HIV and PCV7. These resolved quickly with administration of epinephrine 1:1000 0.1 ml IM.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Persistent deep sharp pain at vacciation site occurring episodically increased with exposure overhead teaching, initially accompanied by left axillary LAD symptoms x 18 months
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had large red swollen area at site of left deltoid, measureing 135mm x 80 mm. Pt had called the health center 9/23/04 but declined appointment until 9/24/04.
Age: 0.42
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash maculo-papular
Clinical narrative: Pt developed maculopapular rashes all over the body, both upper and lower extremities.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Grunting, Hyperhidrosis, Pallor, Respiratory arrest
Clinical narrative: Given 3 shots: Cried vigorously after first 2 shots, furious , then held by mother after third shot: cried then "stopped breathing" . Child grunting, diaphoretic, pale, eyes glossy , deviated to left around 60 seconds, them somnolence , felt to be vasovagal reaction after third shot.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Somnolence, Staring, Syncope vasovagal
Clinical narrative: Given 3 shots: Cried vigorously after first 2 shots, furious , then held by mother after third shot: cried then "stopped breathing" . Child grunting, diaphoretic, pale, eyes glossy , deviated to left around 60 seconds, them somnolence , felt to be vasovagal reaction after third shot.
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, redness and pain to touch that involved entire anterior thigh of leg that received DTaP. Required antibiotics for possible cellulitis, NAID, Ice.
Age: 1.01
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Febrile convulsion, Urticaria
Clinical narrative: Sudden febrile seizure 12 days after immunization.  Blood culture/urine culture/CXR done - all normal.  Then developed urticarial rash a few days after febrile seizure.  Otherwise acting fine.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Sluggishness
Clinical narrative: Persistent fever (101.5 degrees) for approx 14 hours 7 days following shot.  Took OTC acetaminophen to lower fever under 100 degrees. Also patient feeling sluggish during second week following shot.  Feels about 80%.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Redness, erythema at injection site, warm to touch, somewhat painful, was treated with Z-pack Tripack 1 po qd x3 days. Site of problem left arm (Pneumovax)
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Amenorrhoea, Medication error, Unintended pregnancy
Clinical narrative: This 35-year-old states her last menstrual period (LMP) was @ 24 April 2004 with two negative home urine pregnancy test in May/June.  She presented for her first anthrax immunization on 21 June 2004 voicing concerns over a possible pregnancy. By dates from her last menstrual cycle, this would have estimated the pregnancy at 8 week 2/7 day.  A repeat urine pregnancy test on 21 June 2004 was performed with showing a negative result, thus she received her first anthrax vaccination.  One week later, still concerned about a possible pregnancy she repeated the urine pregnancy test and now showed a positive result.  The medical staff was advised and she was transferred.  She presented to clinic with questions on anthrax vaccination with pregnancy and was referred to the Vaccine Healthcare Clinic. She was seen during the month of July 2004, where repetitive serum blood quantitative HCG were noted to drop. She reports an ultrasound being done showing a 6-7 week pregnancy when her dates stated she should be 13 weeks. On 2 August 2004 her pregnancy was medically terminated for failure to grow.  She reports no complications associated with her anthrax vaccination site or her recent surgery.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Bacterial infection, Lymphadenopathy, Pyrexia
Clinical narrative: Day after and second day after experienced spiking fever of 103.5; treated with tylenol.  Ten days after, swollen neck glands and fever; diagnosed with strep and treated with antibiotics.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Pericarditis
Clinical narrative: This is a 39 year old who had been in is usual health when he received his non-primary (#3) smallpox vaccination on 01/17/2003. On 21 January 2003 at approximately 0230 hour he was awakened from his sleep with chest pain 8/10 without associated shortness of breath. He stated that the friction of taking a deep breath increased his pain. He took some Motrin 800 mg and Benadryl which eased the pain along with sitting straight up through out the night. He presented to the Emergency Department (ED) on 23 January 2003.  He reports at the ED he did not have any EKG changes and negative cardiac enzymes. He was diagnosed with clinical pericarditis. He was placed on Vicodin and Motrin 800mg TID. He states that he had recovered by 5-6 weeks following onset. He has not had any cardiac follow-up to date. He denies any recurrence of symptoms since the initial episode.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pain, Similar reaction on previous exposure to drug
Clinical narrative: The patient had minor reactions to the Anthrax immunization that progressed from shot to shot.  The fourth immunization was more severe; he had swelling, erythyma and pain down to his hand.  He also had pain in his axilla. The swelling lasted about a week and resolved.  Pt is in the military and given a temporary exemption.  VAERS report completed as requirement for the temporary exemption.  Was not present at the time of the event.
Age: 0.81
Sex: F
Vaccine: BCG, FLUX, HEP
Symptoms: Flushing
Clinical narrative: Fixed eyes one day after vaccination for about 30 seconds, with redness of her face and no related with  fever. The same event happened  again 5 days later. No  neurologic deficit was seen afterwards. She was seen by a pediatric neurologist who ordered an EEG and a RMN that where both normal. She did not have any  treatment for these events.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Injection site redness, pain, warmth that continued to increase in size for 3 days.  About 12 cm in diameter.  Improved within 24 hours of starting Keflex p.o.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bacterial infection, Cardiac arrest, Cyanosis, High-pitched crying
Clinical narrative: Patient felt like he may have had a slight fever the night before his passing. He laughed and played that night. 10 PM he ate oatmeal and banana. 12:00, he had a bottle and fell asleep. He awoke at 3:41 AM and had another bottle; played a little while, fell asleep. He began to scream so I picked him up and laid him on my chest. He slept there until 7:00 AM. I laid him on the bed while I got ready for work. He was asleep when I left for work at 8:10 AM. He was fine. His father checked on him and he was not breathing. Nurse follow up on 10/21/04 states: "unresponsive, bacterial infection, cyanosis, asystole." Autopsy Report received on 1/25/2005 states SIDS.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Stupor, Sudden infant death syndrome
Clinical narrative: Patient felt like he may have had a slight fever the night before his passing. He laughed and played that night. 10 PM he ate oatmeal and banana. 12:00, he had a bottle and fell asleep. He awoke at 3:41 AM and had another bottle; played a little while, fell asleep. He began to scream so I picked him up and laid him on my chest. He slept there until 7:00 AM. I laid him on the bed while I got ready for work. He was asleep when I left for work at 8:10 AM. He was fine. His father checked on him and he was not breathing. Nurse follow up on 10/21/04 states: "unresponsive, bacterial infection, cyanosis, asystole." Autopsy Report received on 1/25/2005 states SIDS.
Age: 19.0
Sex: F
Vaccine: LYME
Symptoms: Angioneurotic oedema, Pericarditis, Pleurisy, Polyarthritis, Systemic lupus erythematosus
Clinical narrative: This case was reported by a lawyer and described the occurrence of lupus-like reaction in a 19 year old female patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced severe angioedema, pleurisy, pericarditis, and diffuse polyarticular arthritis resulting in lupus like reaction requiring intensive care hospitalization and ongoing rheumatologic treatment. Time to onset, treatment, and outcome were not reported. Per follow up report received on 03/21/2005:  Legal case, no further information.
Age: 52.0
Sex: F
Vaccine: LYME
Symptoms: Amnesia, Depression, Fatigue, Headache, Thyroiditis
Clinical narrative: This case was reported by a lawyer and described the occurrence of Hashimoto's thyroiditis in a 52 year old female pt who received Lyme disease vaccine recombinant OspA (Lymerix) injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the pt received Lymerix. At an unknown time after receiving Lymerix, the pt experienced Hashimoto's thyroiditis, fatigue, headache, depression, vertigo, and memory loss. Time to onset, treatment and outcome were not reported. Comment: Hashimoto's thyroiditis is considered medically serious by manufacturer (OMIC). Per follow up report received 03/21/2005:  Legal case, follow up unavailable.
Age: 52.0
Sex: F
Vaccine: LYME
Symptoms: Vertigo
Clinical narrative: This case was reported by a lawyer and described the occurrence of Hashimoto's thyroiditis in a 52 year old female pt who received Lyme disease vaccine recombinant OspA (Lymerix) injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the pt received Lymerix. At an unknown time after receiving Lymerix, the pt experienced Hashimoto's thyroiditis, fatigue, headache, depression, vertigo, and memory loss. Time to onset, treatment and outcome were not reported. Comment: Hashimoto's thyroiditis is considered medically serious by manufacturer (OMIC). Per follow up report received 03/21/2005:  Legal case, follow up unavailable.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Ear pain, Headache, Hypertonia, Injection site erythema
Clinical narrative: Member had smallpox vaccine on 9/13/04 in left deltoid. On 9/21 (day 8) member developed fever, chills, myalgias and marked increase in redness at vaccine administration site. Denies cough, runny nose, N, V, D, or other symptoms. Member went to ER and was hospitalized and given IV fluids and IV Cipro and Rocephin overnight. Next morning, both antibiotics and IV fluids were stopped and member was sent home. Myalgias resolved by next morning with reduction in temperature and by 48 hours, temperature was normal and member felt fine. Now on day 11, member is well with good eschar for mention at site and resolution of most of redness and soreness at site. Most likely normal vaccine response.  Nurse follow up on 10/13/04 states: "headache, cramping/spasms of the L arm, inflamed throat, coryza-rhinitis, tenderness in ears, and rales."
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Lung disorder, Myalgia, Pharyngitis, Pyrexia
Clinical narrative: Member had smallpox vaccine on 9/13/04 in left deltoid. On 9/21 (day 8) member developed fever, chills, myalgias and marked increase in redness at vaccine administration site. Denies cough, runny nose, N, V, D, or other symptoms. Member went to ER and was hospitalized and given IV fluids and IV Cipro and Rocephin overnight. Next morning, both antibiotics and IV fluids were stopped and member was sent home. Myalgias resolved by next morning with reduction in temperature and by 48 hours, temperature was normal and member felt fine. Now on day 11, member is well with good eschar for mention at site and resolution of most of redness and soreness at site. Most likely normal vaccine response.  Nurse follow up on 10/13/04 states: "headache, cramping/spasms of the L arm, inflamed throat, coryza-rhinitis, tenderness in ears, and rales."
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Rhinitis
Clinical narrative: Member had smallpox vaccine on 9/13/04 in left deltoid. On 9/21 (day 8) member developed fever, chills, myalgias and marked increase in redness at vaccine administration site. Denies cough, runny nose, N, V, D, or other symptoms. Member went to ER and was hospitalized and given IV fluids and IV Cipro and Rocephin overnight. Next morning, both antibiotics and IV fluids were stopped and member was sent home. Myalgias resolved by next morning with reduction in temperature and by 48 hours, temperature was normal and member felt fine. Now on day 11, member is well with good eschar for mention at site and resolution of most of redness and soreness at site. Most likely normal vaccine response.  Nurse follow up on 10/13/04 states: "headache, cramping/spasms of the L arm, inflamed throat, coryza-rhinitis, tenderness in ears, and rales."
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Swelling
Clinical narrative: Afebrile with posterior upper left arm area of erythema and swelling approximately 4 x 6 cm. + Fluctuant. From at shoulder and elbow. Distally NVI.
Age: 5.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Rash x 1 day, papules on skin, itchy, no fever, acts fine.
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Pain
Clinical narrative: Pt states he felt "funny" right after immunization. Pt then complained of body and joint pain, chills and extreme fatigue. Theses symptoms lasted 3-4 days and then resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Presented to the office on 9/24/04 with right arm cellulitis. Was in ER 9/23/04 for same Antibiotics Zyrtec.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Coordination abnormal
Clinical narrative: Ataxia
Age: 0.72
Sex: F
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Acne, Irritability, Rash
Clinical narrative: Pimple spots developed about 3:30 today, with fussiness since this AM; since playing in water today. Mother reports that patient is teething and drooling a lot.
Age: 6.0
Sex: M
Vaccine: DTP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, slight swelling, hot to touch of entire upper left arm. Approximately 4" x 4"
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Broke out with rash and hives 1 day after shots. Lasted 1 week.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Pt experienced pain with the injection and continues to have ongoing pain in left deltoid where injection was given. Ibuprofen relieves it, but it comes back as that wears off and continues to be very painful.
Age: 0.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pruritus, Rash
Clinical narrative: Child lives with grandmother. States she awoke 8/27/04 with overall rash but worse on forehead and itching. By 8/28/04 rash was subsiding and by 8/29/04, it was completely gone. Child was afebrile.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Discomfort, Injection site erythema, Pain, Pyrexia
Clinical narrative: Red area at injection site, pain or discomfort in right arm. Pt had low grade temperature and was slightly nauseated. Pt here for routine TB test. Tetanus was injected instead of PPD.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Lymphadenopathy, Swelling
Clinical narrative: Patient received DTaP and IPV in right deltoid on 8/23/04. On 8/24/04 erythema and swelling developed. Worsened 8/25/04 to include induration, axillary node enlargement. Seen in clinic, placed on Keflex po.
Age: 0.46
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Had a generalized seizure lasting 30 minutes and requiring IV Atiran to stop. X ray need for soft tissue.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Injection site reaction, Pain
Clinical narrative: Small pox vaccine 9/13, reading major reaction 9/20, 9/21 developed chills body aches, localized streaking from small pox site to left axilla. Received z-pack. Follow up visit 9/27: resolved cellulitis: scab formation present
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Swelling
Clinical narrative: Local swelling and erythema at 48 hours post booster.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Back pain, Carpal tunnel syndrome, Difficulty in walking, Dysphagia, Hepatic necrosis
Clinical narrative: This is a 40 year old male who was in his usual good health when he received his first anthrax vaccination, typhoid, non-primary smallpox and influenza vaccination on 09 October 2003. He deployed on 01 November 2003. He arrived on 06 or 07 November 2003. He had no problems following this set of vaccinations. He denies any fever, chills, nausea, vomiting or diarrhea. In December 2003 he states he began an intensive physical training program which included running an average of 3-5 miles per day 5-7 days per week, 100 push-ups and 100 sit-ups per day without any difficulty. He relates that he ran a 5 kilometer run in 22 minutes without difficulty. On 17 January 2004 he received his second anthrax vaccination. He again denies any fever, chills, nausea, vomiting or diarrhea. He continued his fitness training regimen without difficulty. He received his third anthrax vaccination on 02 February 2004. He experienced increased tenderness in his vaccinated arm. He developed a large knot on the inside of the vaccinated arm which persisted for approximately four weeks. He began noticing that he felt stiff and it became difficult to run. He states that he "could not stretch out the stiffness". He reports that his legs began to ache and he developed low back pain. He even borrowed a heating pad from the chaplain to sleep on so he could relax. By the time he returned home he had lost his will to exercise, stating "it [exercising] was more agony than it was worth". Upon returning home he developed pain in both feet. He states that he lives in a two story house with hardwood floors and cannot walk on them barefoot because of the pain. He also has great difficulty getting up and down stairs. His leg pain persisted. On 12 April 2004 he was diagnosed with left testicular cancer (seminoma), had left orchiectomy on 15 April 2004. He underwent seventeen (17) radiation treatments of abdomen which he completed on 18 June 2004. In addition, his oncologist noted an enlarged left supraclavicular lymph node. It was biopsied and found to be from an inflammatory process. In the process of the biopsy, his trapezius branch of the spinal accessory nerve was damaged. He is experiencing some atrophy in left shoulder. Beginning in early August 2004 he began having leg cramps that occurred twice awake him from his sleep. This subsided, however on the 25th of August he was awakened by pain and spasm in his calves, legs, thighs, abdomen and buttocks, which has persisted. He has also been experiencing numbness in both his hands and carpel tunnel-like symptoms. He is also having some difficulty swallowing, seems like there is resistance He contacted the doctor and saw her on 27 August 2004. His creatine kinase was elevated. She is concerned that he may have a myositis. He is to have an EMG done on 03 September 2004.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Injection site mass, Injection site pain, Laboratory test abnormal, Lymphadenopathy
Clinical narrative: This is a 40 year old male who was in his usual good health when he received his first anthrax vaccination, typhoid, non-primary smallpox and influenza vaccination on 09 October 2003. He deployed on 01 November 2003. He arrived on 06 or 07 November 2003. He had no problems following this set of vaccinations. He denies any fever, chills, nausea, vomiting or diarrhea. In December 2003 he states he began an intensive physical training program which included running an average of 3-5 miles per day 5-7 days per week, 100 push-ups and 100 sit-ups per day without any difficulty. He relates that he ran a 5 kilometer run in 22 minutes without difficulty. On 17 January 2004 he received his second anthrax vaccination. He again denies any fever, chills, nausea, vomiting or diarrhea. He continued his fitness training regimen without difficulty. He received his third anthrax vaccination on 02 February 2004. He experienced increased tenderness in his vaccinated arm. He developed a large knot on the inside of the vaccinated arm which persisted for approximately four weeks. He began noticing that he felt stiff and it became difficult to run. He states that he "could not stretch out the stiffness". He reports that his legs began to ache and he developed low back pain. He even borrowed a heating pad from the chaplain to sleep on so he could relax. By the time he returned home he had lost his will to exercise, stating "it [exercising] was more agony than it was worth". Upon returning home he developed pain in both feet. He states that he lives in a two story house with hardwood floors and cannot walk on them barefoot because of the pain. He also has great difficulty getting up and down stairs. His leg pain persisted. On 12 April 2004 he was diagnosed with left testicular cancer (seminoma), had left orchiectomy on 15 April 2004. He underwent seventeen (17) radiation treatments of abdomen which he completed on 18 June 2004. In addition, his oncologist noted an enlarged left supraclavicular lymph node. It was biopsied and found to be from an inflammatory process. In the process of the biopsy, his trapezius branch of the spinal accessory nerve was damaged. He is experiencing some atrophy in left shoulder. Beginning in early August 2004 he began having leg cramps that occurred twice awake him from his sleep. This subsided, however on the 25th of August he was awakened by pain and spasm in his calves, legs, thighs, abdomen and buttocks, which has persisted. He has also been experiencing numbness in both his hands and carpel tunnel-like symptoms. He is also having some difficulty swallowing, seems like there is resistance He contacted the doctor and saw her on 27 August 2004. His creatine kinase was elevated. She is concerned that he may have a myositis. He is to have an EMG done on 03 September 2004.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle spasms, Seminoma
Clinical narrative: This is a 40 year old male who was in his usual good health when he received his first anthrax vaccination, typhoid, non-primary smallpox and influenza vaccination on 09 October 2003. He deployed on 01 November 2003. He arrived on 06 or 07 November 2003. He had no problems following this set of vaccinations. He denies any fever, chills, nausea, vomiting or diarrhea. In December 2003 he states he began an intensive physical training program which included running an average of 3-5 miles per day 5-7 days per week, 100 push-ups and 100 sit-ups per day without any difficulty. He relates that he ran a 5 kilometer run in 22 minutes without difficulty. On 17 January 2004 he received his second anthrax vaccination. He again denies any fever, chills, nausea, vomiting or diarrhea. He continued his fitness training regimen without difficulty. He received his third anthrax vaccination on 02 February 2004. He experienced increased tenderness in his vaccinated arm. He developed a large knot on the inside of the vaccinated arm which persisted for approximately four weeks. He began noticing that he felt stiff and it became difficult to run. He states that he "could not stretch out the stiffness". He reports that his legs began to ache and he developed low back pain. He even borrowed a heating pad from the chaplain to sleep on so he could relax. By the time he returned home he had lost his will to exercise, stating "it [exercising] was more agony than it was worth". Upon returning home he developed pain in both feet. He states that he lives in a two story house with hardwood floors and cannot walk on them barefoot because of the pain. He also has great difficulty getting up and down stairs. His leg pain persisted. On 12 April 2004 he was diagnosed with left testicular cancer (seminoma), had left orchiectomy on 15 April 2004. He underwent seventeen (17) radiation treatments of abdomen which he completed on 18 June 2004. In addition, his oncologist noted an enlarged left supraclavicular lymph node. It was biopsied and found to be from an inflammatory process. In the process of the biopsy, his trapezius branch of the spinal accessory nerve was damaged. He is experiencing some atrophy in left shoulder. Beginning in early August 2004 he began having leg cramps that occurred twice awake him from his sleep. This subsided, however on the 25th of August he was awakened by pain and spasm in his calves, legs, thighs, abdomen and buttocks, which has persisted. He has also been experiencing numbness in both his hands and carpel tunnel-like symptoms. He is also having some difficulty swallowing, seems like there is resistance He contacted the doctor and saw her on 27 August 2004. His creatine kinase was elevated. She is concerned that he may have a myositis. He is to have an EMG done on 03 September 2004.
Age: 33.0
Sex: M
Vaccine: ANTH, MEN, TYP
Symptoms: Back pain
Clinical narrative: Aprox. 24 hours after vaccinations started experience lower back pain.  No other symptoms.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Apnoea, Convulsion, Pyrexia
Clinical narrative: Fever rose to 104.9 degrees and seizure occured. Seized the entire duration of the ambulance, approximately 30 minutes. Stopped breathing on the way to the hospital, was intubated, put on life support and flown to hospital where he then had another seizure. Was stabilized and given phenobarbitol, which he has to take for 6 months.
Age: 25.0
Sex: F
Vaccine: MEA
Symptoms: Pharyngolaryngeal pain, Pruritus, Pyrexia, Rash
Clinical narrative: On 9/25/04 patient reported mild fever (100) and sore throat.  On 9/26/04 patient developed an itchy, bumpy rash.  Rash disappears when patient takes Benadryl.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphadenopathy, Rash papular
Clinical narrative: Diffuse nonpruritic papular rash on upper torso with axillary lymphadenopathy which started 3 days post vaccination (Anthrax #3) and lasted 5 days.  This resolved completely without treatment.
Age: 0.05
Sex: M
Vaccine: DTP, HIBV, IPV
Symptoms: Cognitive disorder, Constipation, Diarrhoea, Lethargy, Pyrexia
Clinical narrative: Prolonged lethargy, high fever, constipation, diarhea, developmental delay, speech delay, fine and gross motor skill deficit, cognitive deficit
Age: 0.05
Sex: M
Vaccine: DTP, HIBV, IPV
Symptoms: Speech disorder
Clinical narrative: Prolonged lethargy, high fever, constipation, diarhea, developmental delay, speech delay, fine and gross motor skill deficit, cognitive deficit
Age: 1.13
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient developed hives 24 hrs after vaccine was administered.  He was examined on 9-30-04, 2 days after the vaccine, and still had hives which were treated with Benadryl.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Anorexia, Constipation, Diarrhoea, Influenza like illness, Insomnia
Clinical narrative: Flu-like symptoms- Runny/stuffy nose, Fever, Constipation then diarrhea, extreme irritability, loss of appetite, difficulty sleeping, pale skin, weight loss due to loss of appetite, rash on back, chest, face and head.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Irritability, Nasal congestion, Pallor, Pyrexia, Rash
Clinical narrative: Flu-like symptoms- Runny/stuffy nose, Fever, Constipation then diarrhea, extreme irritability, loss of appetite, difficulty sleeping, pale skin, weight loss due to loss of appetite, rash on back, chest, face and head.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Rhinorrhoea, Weight decreased
Clinical narrative: Flu-like symptoms- Runny/stuffy nose, Fever, Constipation then diarrhea, extreme irritability, loss of appetite, difficulty sleeping, pale skin, weight loss due to loss of appetite, rash on back, chest, face and head.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site inflammation, Medication error, Pain, Paraesthesia
Clinical narrative: As a result of the accidental intradermal tentanus instead of PPD, I had to go back to the doctor's office.  I was put on Prednisone and a steroid cream because of the redness and infammation.  I suffered shooting pain into my pinkie and ring finger and tingling in my hand, I believe as a result to how low the shot was givin.  The "skin test" was administered two inches above my wrist.  It is my belief that this should be somewhat farther from my wrist.  When I went back to receive my actual test the other arm was brushed aside and no one really wanted to look at it.  Whne I asked what had happened they simply said, "Oh she just grabbed the wrong thing."
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Erythema, Injection site pain, Pyrexia
Clinical narrative: S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM     PPD: Patient had a NEGATIVE ppd skin test reading.   Result: Negative Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM        O: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Injection site erythema, Injection site pain
Clinical narrative: S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM     PPD: Patient had a NEGATIVE ppd skin test reading.   Result: Negative Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM        O: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Injection site pain
Clinical narrative: S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM     PPD: Patient had a NEGATIVE ppd skin test reading.   Result: Negative Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM        O: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.