chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Hypotension, Lyme disease, Pyrexia, Rash
Clinical narrative: Narrative: patient reported to have rash/hives behind knee and spreading one day after receiving vaccine. Also reported shortness of breath, fever (104) and hypotension (80/60). Patient admitted to local hospital (date of admission/length of stay not clear) patient was given IV antibiotic and discharged on 14 days of doxycycline for lyme flare-up. Symptoms: Symptoms: 1. Fever, 2. RespDepression, 3. Rash, 4. HYPOtension  10/17/08 Reviewed ER medical records of 7/25 & 7/26/2008. FINAL DX: injection site allergic reaction, Lyme's disease Records reveal patient experienced fever, chills, aches, back & joint pain, weakness, right popliteal swelling & rash. Left arm injection site allergic reaction, erythema, induration.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Respiratory depression, Urticaria
Clinical narrative: Narrative: patient reported to have rash/hives behind knee and spreading one day after receiving vaccine. Also reported shortness of breath, fever (104) and hypotension (80/60). Patient admitted to local hospital (date of admission/length of stay not clear) patient was given IV antibiotic and discharged on 14 days of doxycycline for lyme flare-up. Symptoms: Symptoms: 1. Fever, 2. RespDepression, 3. Rash, 4. HYPOtension  10/17/08 Reviewed ER medical records of 7/25 & 7/26/2008. FINAL DX: injection site allergic reaction, Lyme's disease Records reveal patient experienced fever, chills, aches, back & joint pain, weakness, right popliteal swelling & rash. Left arm injection site allergic reaction, erythema, induration.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Condition aggravated, Pyrexia
Clinical narrative: Patient received 4 month immunizations 8/14/08.  Patient had fever of 101.5 the morning of 8/15/08 at 8 am.  Patient is also on an apnea monitor, and it has alerted 3 times since the morning of 8/15.  Her monitor has not gone off since 7/24/08.  9/5/08 Reviewed hospital medical records of 8/15-8/19/2008. FINAL DX: fever post immunizations Records reveal patient experienced fever & bradycardia on apnea monitor day after vaccinations.  Tx w/antipyretics, fever resolved & progressed well.  D/C to home on continued apnea monitor.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Eye pain, Headache, Hypoaesthesia, Lumbar puncture, Mobility decreased
Clinical narrative: 7/07 Severe headaches going from neck to front of head and eye socket, numbness, muscle weakness, difficulty work mostly left leg. Problems with sight.  9/04/2008 Pt seen 5/1/2007 for 3rd HPV. Pt c/o R middle finger and ankle swelling. 11/3/2008 MR received from neurologist which includes H&P and consult for admission 9/27/08 for intractable headache, agitation, sweating, photophobia, low grade fever.  Admitted to r/o meningitis. DTRs 3+ in upper extremities, decreased sensation on L side. 12/16/2008 Additional records received. DX: Severe h/a as adverse effect of steroids. Pt developed loss of vision of L eye in summer 2007 and given dx of MS. Had been started on Solumedrol for MS exacerbation  and developed severe h/a with photophobia unrelieved by pain meds. PE (+) for decreased sensation in the L face and extremities, DTRs elevated in upper extremities. Pt agitated with labile emotions. Admitted for o/n observation.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Multiple sclerosis, Muscular weakness, Neck pain, Nuclear magnetic resonance imaging abnormal, Visual disturbance
Clinical narrative: 7/07 Severe headaches going from neck to front of head and eye socket, numbness, muscle weakness, difficulty work mostly left leg. Problems with sight.  9/04/2008 Pt seen 5/1/2007 for 3rd HPV. Pt c/o R middle finger and ankle swelling. 11/3/2008 MR received from neurologist which includes H&P and consult for admission 9/27/08 for intractable headache, agitation, sweating, photophobia, low grade fever.  Admitted to r/o meningitis. DTRs 3+ in upper extremities, decreased sensation on L side. 12/16/2008 Additional records received. DX: Severe h/a as adverse effect of steroids. Pt developed loss of vision of L eye in summer 2007 and given dx of MS. Had been started on Solumedrol for MS exacerbation  and developed severe h/a with photophobia unrelieved by pain meds. PE (+) for decreased sensation in the L face and extremities, DTRs elevated in upper extremities. Pt agitated with labile emotions. Admitted for o/n observation.
Age: 12.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 12cm X 9cm swollen area with redness and itching.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy
Clinical narrative: 2"x2" lymph node in L axilla - appeared 24h +/- after Tdap vaccine injected in L deltoid.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling a injection site.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Localized reaction Rt deltoid red & slight swelling.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test abnormal, Unevaluable event
Clinical narrative: "none"
Age: 14.0
Sex: F
Vaccine: HEPA, IPV, MMR, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given extra MMR and IPV because records were incorrectly entered by Dr.
Age: 31.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Tenderness
Clinical narrative: Patient developed area of erythema and tenderness below where shot given - treated for presumed cellulitis on 8/25/08 follow up arranged for 8/26
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Loss of consciousness, Pallor, Vision blurred
Clinical narrative: Patient passed out approximately 10 minutes after injection. Face pale; continued to talk. B/P 90/60 Complaint "lights going out." Complaining of difficulty focusing. Approximately 5 minutes later B/P 120/72. Given juice and crackers. After sitting in chair 10 minutes escorted to friends car at 12:30 PM.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient received Tdap, MCV4, varicella, and HPV vaccine during routine well child visit on 9/24/07. It was later discovered that she was pregnant at the time, approximately 19 weeks. Patient delivered on 1/29/08, no adverse event known to this practice.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antinuclear antibody, Asthenia, Fatigue, Headache, Red blood cell sedimentation rate
Clinical narrative: Shortly after 3rd  HPV vaccine developed extreme fatigue, weakness, headache  2/26/09 Received hospital medical records of 8/6-8/7/08. FINAL DX: generalized weakness, intermittent spisodes of dyspnea & HA s/p vaccination Records revea patient experienced weakness, fatigue x 3 weeks.  Had been eval at outlying ER & PCP referred to higher level of care for concerns of GBS.  Neuro consult WNL & referred to PCP on d/c to home.  2/27/09 Received ER records of 8/5/08. FINAL DX: HA, malaise, fatigue Records reveal patient experienced weakness, anxiety, dyspnea, possible medication reaction x 2 wks.  Currently on meds for UTI & PUD.  9/23/08 Reviewed PCP medical records of 1/2/08-8/8/08. FINAL DX: Records reveal patient experienced good health day of first HPV vaccine.  Developed UTI & low back pain, tx w/antibiotics.  On 7/2 vs, c/o stomach pain & burning, nausea.  RTC 8/8/08 w/extreme fatigue, HA w/photophobia, weight loss, jaw pain.  Tx for H. pylori infection.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram, Dyspnoea, Fatigue, Gait disturbance, Headache
Clinical narrative: Shortly after 3rd  HPV vaccine developed extreme fatigue, weakness, headache  2/26/09 Received hospital medical records of 8/6-8/7/08. FINAL DX: generalized weakness, intermittent spisodes of dyspnea & HA s/p vaccination Records revea patient experienced weakness, fatigue x 3 weeks.  Had been eval at outlying ER & PCP referred to higher level of care for concerns of GBS.  Neuro consult WNL & referred to PCP on d/c to home.  2/27/09 Received ER records of 8/5/08. FINAL DX: HA, malaise, fatigue Records reveal patient experienced weakness, anxiety, dyspnea, possible medication reaction x 2 wks.  Currently on meds for UTI & PUD.  9/23/08 Reviewed PCP medical records of 1/2/08-8/8/08. FINAL DX: Records reveal patient experienced good health day of first HPV vaccine.  Developed UTI & low back pain, tx w/antibiotics.  On 7/2 vs, c/o stomach pain & burning, nausea.  RTC 8/8/08 w/extreme fatigue, HA w/photophobia, weight loss, jaw pain.  Tx for H. pylori infection.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Scan brain
Clinical narrative: Shortly after 3rd  HPV vaccine developed extreme fatigue, weakness, headache  2/26/09 Received hospital medical records of 8/6-8/7/08. FINAL DX: generalized weakness, intermittent spisodes of dyspnea & HA s/p vaccination Records revea patient experienced weakness, fatigue x 3 weeks.  Had been eval at outlying ER & PCP referred to higher level of care for concerns of GBS.  Neuro consult WNL & referred to PCP on d/c to home.  2/27/09 Received ER records of 8/5/08. FINAL DX: HA, malaise, fatigue Records reveal patient experienced weakness, anxiety, dyspnea, possible medication reaction x 2 wks.  Currently on meds for UTI & PUD.  9/23/08 Reviewed PCP medical records of 1/2/08-8/8/08. FINAL DX: Records reveal patient experienced good health day of first HPV vaccine.  Developed UTI & low back pain, tx w/antibiotics.  On 7/2 vs, c/o stomach pain & burning, nausea.  RTC 8/8/08 w/extreme fatigue, HA w/photophobia, weight loss, jaw pain.  Tx for H. pylori infection.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Dizziness- followed-up by syncope & pallor. TRENDELENBURG position, after approximately 2 minutes color back. Kept patient approximately 1/2 hour for observation.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising, Rash pruritic
Clinical narrative: Marked bruising at injection site one hour after injection. Generalized pruritus rash over both arms, neck, and face which began 48 hours after injection.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient fainted in exam room after receiving vaccinations. No trauma occurred. Had not eaten anything or had anything to drink prior to vaccinations. Patient responsive almost immediately after fainting. Given watermelon to eat. Kept patient in clinic for about 15 minutes.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Feeling abnormal, Headache, Myalgia, Nausea
Clinical narrative: Patient's mother called at 8:10 AM stating that her son started feeling bad around 11 PM last night. This morning he had a fever of 100.4, chills, muscle aching, severe headache, teeth chattering, and nausea.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Patient's mother called at 8:10 AM stating that her son started feeling bad around 11 PM last night. This morning he had a fever of 100.4, chills, muscle aching, severe headache, teeth chattering, and nausea.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Basedow's disease
Clinical narrative: Graves Disease  10/14/08 Reviewed PCP medical records of 6/2007-9/2008. FINAL DX: Graves disease Records reveal patient experienced usual state of good health on 6/8/2007 visit & received HPV#1 & varicella.  Received HPV#2 8/10/2007. HPV#3 11/12/2007.  Referred to ortho 10/07 for chest deformity & scoliosis.  Dx w/ADHD 11/07.  Had fatigue/malaise & acute URI 11/07.  RTC 2/25 w/swollen neck, throat pressure, increased HR & BP & dx w/goiter.  Labs & US ordered & referred to endocrine.  Exam revealed prominent eyes w/periorbital edema, tremors of tongue & extremities, jittery, speech fast, difficulty sleeping. Tx w/meds.  Developed allergic reaction & seen in ER where dx w/dermatographic urticaria.  Referred to allergist.  Referred for second endocrine opinion which concurred.  Developed myalgias & frequent hives.  Developed weight gain & hair loss, meds adjusted.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given extra MMR & IPV because records were incorrectly entered by doctor's MA.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness around injection site the size of a CD. Painful
Age: 1.1
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Eye swelling, Rash, Swelling face
Clinical narrative: Patient received vaccines at 15:00 in clinic, presented to ER at approximately 19:00 complaining of rash on torso, face/eyes swollen, no respiratory distress- 08/18/08.
Age: 35.0
Sex: U
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Chronic fatigue syndrome, Cognitive disorder, Migraine, Myalgia
Clinical narrative: Chronic fatigue syndrome: Myalgias, arthralgias, migraine HA, cognitive dysfunction, unrestful sleep after AVA. Began in 1999 after AVA #1. Had 6 AVA vaccinations since 1999. No immediate worsening of sxs after each shot but pt reports sxs worsened as years progressed. Deployment out of country also involved with significant worsening of sxs in 2003. Symptoms: Joint Pain, multiple joints, Muscle pain, Fatigue, Malaise >60 Days, Memory Loss, short term, Headache, Migraine, Restless sleep.
Age: 35.0
Sex: U
Vaccine: ANTH, TYP
Symptoms: Poor quality sleep
Clinical narrative: Chronic fatigue syndrome: Myalgias, arthralgias, migraine HA, cognitive dysfunction, unrestful sleep after AVA. Began in 1999 after AVA #1. Had 6 AVA vaccinations since 1999. No immediate worsening of sxs after each shot but pt reports sxs worsened as years progressed. Deployment out of country also involved with significant worsening of sxs in 2003. Symptoms: Joint Pain, multiple joints, Muscle pain, Fatigue, Malaise >60 Days, Memory Loss, short term, Headache, Migraine, Restless sleep.
Age: 5.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Rash maculo-papular
Clinical narrative: 1-2 days after acell DPT vaccine the patient developed swelling, redness and tenderness at site. Irregular maculo papular rash at site. Irregular maculo papular rash at site. Seen at Med check and KEFLEX started. Pt rash better 8/25
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal X-ray, Abdominal pain, Culture stool negative, Diarrhoea, Haematochezia
Clinical narrative: Myalgia, malaise, severe diarrhea with Abd Pain onset day approx 3 with WBC's and Blood in Stool sc Neg faint.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Helicobacter pylori identification test negative, Malaise, Myalgia, Parasite blood test, Rotavirus test negative
Clinical narrative: Myalgia, malaise, severe diarrhea with Abd Pain onset day approx 3 with WBC's and Blood in Stool sc Neg faint.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: White blood cells stool positive, X-ray normal
Clinical narrative: Myalgia, malaise, severe diarrhea with Abd Pain onset day approx 3 with WBC's and Blood in Stool sc Neg faint.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Afebrile. Pt. received DTaP, PCV7, and Hepatitis A at health center on 8/13/08. That nght (L) anterior thigh erythema -> increase in size yesterday, increased today with warmth, redness-Dx with cellulitis (L) thigh 8/15/08
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, MMR
Symptoms: Aphasia, Eye rolling, Pyrexia, Regressive behaviour
Clinical narrative: Developmental regression-loss of speech-fever, eye tic-eyes rolling back for few seconds periodically-lasted 1-2 weeks then resumed normal speech progression
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, MMR
Symptoms: Aphasia, Developmental delay, Pyrexia, Regressive behaviour, Tic
Clinical narrative: Developmental regression-loss of speech-fever, eye tic-eyes rolling back for few seconds periodically-lasted 1-2 weeks then resumed normal speech progression
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: (R) shoulder redness/hot
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pt with Lt upper arm soreness and redness. There was no numbness, tingling, or weakness. There was no H/A or fever.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Mood altered, Pyrexia
Clinical narrative: Red swollen at sight x 2 1/2 days (R thigh). Fever of 101 8-19-08 in am fever resolved by evening. Change in eating and temper x 4 days. Symptoms now resolved
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: redness and itching per parent (L) thigh. Went to ER 8-24-08 given KEFLEX. Red area today 8-25-08 4X5 cm (L) thigh
Age: 14.0
Sex: U
Vaccine: HPV4
Symptoms: Dizziness, Flushing
Clinical narrative: C/O DIZZINESS & FLUSHED CHEEKS
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash generalised
Clinical narrative: All over body rash, mostly on truck, spreading towards extremeties and itchy.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: On august 26 2008 exactly a week from the injection(8/19) of the MMR, patient's injections site started to get red and swollen then he started to run a slight fever of 100.5. Called physcians office they said just to keep and eye on him give plenty of liquids. By thursday August 28th his fever had went up to 102 and started breaking out in a rash. Spoke with doctors office that evening and Dr stated it was a reaction to the shot and just to keep and eye on him if he got worse to call but that high fever should only last 1-3 days.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash
Clinical narrative: iTCHY RASH RIGHT SIDE OF FACE STARTED ON 8-26-08.  SHOT GIVEN IN LEFT DELTOID ON 8-25-08.  TREATED WITH BENDRYL AND XYZAL.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site pruritus, Injection site rash, Rash papular
Clinical narrative: HEPATITIS A VACCINE GIVEN ON 8-25-08 IN LEFT DELTOID.  ON 8-26-08 ITCHY RAISED PAPULAR RASH AROUND INJECTION SIGHT AND LEFT UPPER ARM AND RIGHT SIDE OF FACE BEGAN.  WORSENED BY TIME OFFICE VISIT ON 8-28-08.  GIVEN BENEDRYL AND XYZAL
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: recieved rotateq po 08/25/2008 and 07/07/2008 within 24 hrs of both pt had blood to stool resolved on own , no pain or other complications occurred. Dr ordered child not to receive next dose
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria reported by child's primary care physician on 8/28/08
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Full blood count normal, Laboratory test normal, Neurological examination normal, Tremor
Clinical narrative: Received Gardisil and Hepatitis A vaccine.  Noticed uncontrollable "shaking" to left side of body and face 24 hours later.  Seen in ER, bloodwork normal.  Neurological exam normal.  Sent home.  No further problems. 9/5/08 Reviewed PCP medical records which included ER medical records of 8/23/08. FINAL DX: allergic reaction to vaccine Records reveal patient experienced lower abdominal pain, uncontrollable shaking of left arm, shoulder & face.  When seen in ER, noted to have rhythmic movement of left face & arm.  Dx in ER: possible extrapyramidal symptoms & muscle contractions.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Abdominal pain lower, Alanine aminotransferase decreased, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Blood glucose normal
Clinical narrative: Received Gardisil and Hepatitis A vaccine.  Noticed uncontrollable "shaking" to left side of body and face 24 hours later.  Seen in ER, bloodwork normal.  Neurological exam normal.  Sent home.  No further problems. 9/5/08 Reviewed PCP medical records which included ER medical records of 8/23/08. FINAL DX: allergic reaction to vaccine Records reveal patient experienced lower abdominal pain, uncontrollable shaking of left arm, shoulder & face.  When seen in ER, noted to have rhythmic movement of left face & arm.  Dx in ER: possible extrapyramidal symptoms & muscle contractions.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Blood potassium decreased, Blood sodium increased, Convulsion, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Received Gardisil and Hepatitis A vaccine.  Noticed uncontrollable "shaking" to left side of body and face 24 hours later.  Seen in ER, bloodwork normal.  Neurological exam normal.  Sent home.  No further problems. 9/5/08 Reviewed PCP medical records which included ER medical records of 8/23/08. FINAL DX: allergic reaction to vaccine Records reveal patient experienced lower abdominal pain, uncontrollable shaking of left arm, shoulder & face.  When seen in ER, noted to have rhythmic movement of left face & arm.  Dx in ER: possible extrapyramidal symptoms & muscle contractions.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Hypersensitivity, Tremor, White blood cell count increased
Clinical narrative: Received Gardisil and Hepatitis A vaccine.  Noticed uncontrollable "shaking" to left side of body and face 24 hours later.  Seen in ER, bloodwork normal.  Neurological exam normal.  Sent home.  No further problems. 9/5/08 Reviewed PCP medical records which included ER medical records of 8/23/08. FINAL DX: allergic reaction to vaccine Records reveal patient experienced lower abdominal pain, uncontrollable shaking of left arm, shoulder & face.  When seen in ER, noted to have rhythmic movement of left face & arm.  Dx in ER: possible extrapyramidal symptoms & muscle contractions.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Induration, Mass, Pruritus, Skin warm
Clinical narrative: Received injection on 8/25/08. On the 26th on the (R) arm. Area red and warm to the touch.  Hard to the touch and the size of a 50 cent piece. No temperature.  Itchy.  Not red on 8/29, but still hard and a lump.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Blood immunoglobulin G increased, Blood immunoglobulin M increased, Immunology test, Infection, Rash
Clinical narrative: 31 year old man without prior history of smallpox vaccination reported rash (onset date of 11-June-2008 approx). Lab testing performed by CDC showed anti-vaccinia IgM and IgG ELISA positive. Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccinia
Clinical narrative: 31 year old man without prior history of smallpox vaccination reported rash (onset date of 11-June-2008 approx). Lab testing performed by CDC showed anti-vaccinia IgM and IgG ELISA positive. Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Polymerase chain reaction, Rash, Secondary transmission, Vaccinia, Virus culture positive
Clinical narrative: 26 year old man without prior history of smallpox vaccination reported rash (onset date of 16-June-2008 approx). Subject was hospitalized briefly (no dates provided.) Lab testing: virus isolated by tissue culture, PCR testing of isolated virus identified orthopox/vaccinia, DNA sequencing by CDC reportedly indicates strain is ACAM2000 strain.  Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Blood immunoglobulin G increased, Blood immunoglobulin M increased, Immunology test, Immunology test abnormal, Infection
Clinical narrative: 28 year old man without prior history of smallpox vaccination reported rash (onset date of mid-June 2008 approx). Lab testing performed: orthopox/vaccinia PCR positive, anti-vaccinia IgM and IgG ELISA positive (by CDC). Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Polymerase chain reaction, Rash, Vaccinia
Clinical narrative: 28 year old man without prior history of smallpox vaccination reported rash (onset date of mid-June 2008 approx). Lab testing performed: orthopox/vaccinia PCR positive, anti-vaccinia IgM and IgG ELISA positive (by CDC). Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: ERYTHEMA, PAIN, EDEMA INJECTION SITE. RX ANTIBIOTIC , IBUPROFEN. ADMINISTERING VACCINATOR ADMINISTERED PROPHYLACTIC MUCIPIROCIN TX NASALLY X 5 DAYS
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Immunology test, Rash, Secondary transmission, Vaccinia
Clinical narrative: 27 year old man without prior history of smallpox vaccination reported rash (onset date of 26-June-2008 approx). Lab testing performed: anti-vaccinia IgM and IgG ELISA positive (by CDC). Case is linked to 3 other contact transmission cases all of which are members of the same facility.  There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Slight edema and induration at injection site measuring 1.5cm x 1.0 cm. Resolved with ice and Ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PPV, VARCEL
Symptoms: Injection site discomfort, Injection site erythema, Pyrexia
Clinical narrative: site of injection r)arm c/o discomfort today. Fever on 08/28/08 of 102.Temp today 99.2.Exam shows 4x3" area of erythemia at site of pneumovax vaccine.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fall, Head injury, Syncope
Clinical narrative: After administration of Tdap & MCV4 adolescent continued to talk and state he was fine. Administrator turned to document injection site and client fainted and fell on carpeted clinic floor, first to his knees and then fell further to the floor on his right side causing a nickel sized raised area on right forehead near hairline. No open wounds found. First Aid provided along with vital signs. Client denied any pain or discomfort. Client stated he had not eaten or drank anything all day. Parent verbalized understaning of the S/S of concussion and to take client to ER if S/S occured. After 15 mins client left in custody of father. Ambulatory without assistance in a normal gait. Next day client's father was called and no adverse effects were reported.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Head injury, Loss of consciousness, Vision blurred
Clinical narrative: Patient and witnesses state at approx. 10:35 am patient became lightheaded and dizzy, vison became fuzzy and she passed out hitting her head on a door. Patient given orange juice and animal crackers.Evaluated by medical provider with no further interventin required.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Dysuria, Lymph node pain, Rash
Clinical narrative: 24 hours after receiving Anthrax #1, member experienced abdominal pain, urinary discomfort, tender lymph nodes, and a rash under armpits, and in groin.  Pain lasted 1 week, rash 3 days.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Pharyngolaryngeal pain, Rash pruritic
Clinical narrative: complainted itchy rashes over body and discomfort feeling inside the throat three and half hours after receiving immunizations.  Mom gave client Benadryl.  Symptoms resolve at evening per mom on next day phone call.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Asthenia, Confusional state, Dizziness, Dyskinesia, Electrocardiogram normal
Clinical narrative: Patient developed lightheadedness, weakness, dilated pupils and bucking of legs approx 30 minutes post vaccine, recovered after 15 minutes, then developed another episode with syncope this time for a few seconds and then confusion for a few seconds.  Sent to ER for evaluation -- EKG was normal, Compr met panel was normal, urinalysis was normal, patient no orthostatic, vital signs were stable,
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Metabolic function test, Mydriasis, Syncope, Urine analysis normal
Clinical narrative: Patient developed lightheadedness, weakness, dilated pupils and bucking of legs approx 30 minutes post vaccine, recovered after 15 minutes, then developed another episode with syncope this time for a few seconds and then confusion for a few seconds.  Sent to ER for evaluation -- EKG was normal, Compr met panel was normal, urinalysis was normal, patient no orthostatic, vital signs were stable,
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Patient developed lightheadedness, weakness, dilated pupils and bucking of legs approx 30 minutes post vaccine, recovered after 15 minutes, then developed another episode with syncope this time for a few seconds and then confusion for a few seconds.  Sent to ER for evaluation -- EKG was normal, Compr met panel was normal, urinalysis was normal, patient no orthostatic, vital signs were stable,
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: LAST GARDASIL VACCINE WAS GIVEN BEFORE THE DATE IT WAS DUE.
Age: 0.75
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site induration
Clinical narrative: Child developed a induration at injection site.  No redness, itching or fever noted.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Client stated two days after 1st dose of Hep. B was give that he developed very small little red dots on his arms/hands/legs/back...stated they caused minor itching and that when they currents bumps would heal new ones would arise.
Age: 17.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Axillary pain, Full blood count, Injection site erythema, Injection site induration, Lymph node pain
Clinical narrative: Right axillary lymph node swelling and tenderness with normal injection site right deltoit; redness and induration at injection site left arm.
Age: 17.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Lymphadenopathy, Mononucleosis heterophile test negative, Red blood cell sedimentation rate normal
Clinical narrative: Right axillary lymph node swelling and tenderness with normal injection site right deltoit; redness and induration at injection site left arm.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Blood potassium decreased, Chest X-ray normal, Chest discomfort, Dizziness
Clinical narrative: I am unsure if my symptoms are vaccine related, but they were new and did occur the evening of the next day after the vaccine Tdap was taken.  I forgot about the vaccine at the time of the ER visit and did not mention it to the provider at the time.  I had fluttering in my chest, weakness, and light-headedness that lasted off and on, but mostly on for a total of about 50 minutes.  My pulse felt normal at the time at 64. I called the ambulence because symptoms were not abating with calming deep breaths.  I had had a few seconds of light-headedness about 2 hours before with no other symptoms while cooking dinner.  At the time of symptoms in the chest, I was laying down channel surfing on the couch.  I had no pain. In the ambulence and at ER my EKG's were normal.  I did have a low potassium, but not very low.  I had eaten 5 times during the day, as usual with balanced nutrition. The ER doctor has scheduled a halter monitor, thinking that I could have had a session of bigeminal rhythms that just self corrected before the EKG's were done.  I felt symptom free after a while with only oxygen.  The ER doctor thought the potassium might explain the weakness and I took a dose of 40 meq. before discharge.    I have no cardiac history and my only risk factors are high blood pressure, being menopausal, and my age. All other lab values and chest X-ray were normal.  I am rarely ever ill.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Electrocardiogram ambulatory, Electrocardiogram normal, Full blood count normal, Heart rate normal, Laboratory test normal
Clinical narrative: I am unsure if my symptoms are vaccine related, but they were new and did occur the evening of the next day after the vaccine Tdap was taken.  I forgot about the vaccine at the time of the ER visit and did not mention it to the provider at the time.  I had fluttering in my chest, weakness, and light-headedness that lasted off and on, but mostly on for a total of about 50 minutes.  My pulse felt normal at the time at 64. I called the ambulence because symptoms were not abating with calming deep breaths.  I had had a few seconds of light-headedness about 2 hours before with no other symptoms while cooking dinner.  At the time of symptoms in the chest, I was laying down channel surfing on the couch.  I had no pain. In the ambulence and at ER my EKG's were normal.  I did have a low potassium, but not very low.  I had eaten 5 times during the day, as usual with balanced nutrition. The ER doctor has scheduled a halter monitor, thinking that I could have had a session of bigeminal rhythms that just self corrected before the EKG's were done.  I felt symptom free after a while with only oxygen.  The ER doctor thought the potassium might explain the weakness and I took a dose of 40 meq. before discharge.    I have no cardiac history and my only risk factors are high blood pressure, being menopausal, and my age. All other lab values and chest X-ray were normal.  I am rarely ever ill.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Oxygen supplementation
Clinical narrative: I am unsure if my symptoms are vaccine related, but they were new and did occur the evening of the next day after the vaccine Tdap was taken.  I forgot about the vaccine at the time of the ER visit and did not mention it to the provider at the time.  I had fluttering in my chest, weakness, and light-headedness that lasted off and on, but mostly on for a total of about 50 minutes.  My pulse felt normal at the time at 64. I called the ambulence because symptoms were not abating with calming deep breaths.  I had had a few seconds of light-headedness about 2 hours before with no other symptoms while cooking dinner.  At the time of symptoms in the chest, I was laying down channel surfing on the couch.  I had no pain. In the ambulence and at ER my EKG's were normal.  I did have a low potassium, but not very low.  I had eaten 5 times during the day, as usual with balanced nutrition. The ER doctor has scheduled a halter monitor, thinking that I could have had a session of bigeminal rhythms that just self corrected before the EKG's were done.  I felt symptom free after a while with only oxygen.  The ER doctor thought the potassium might explain the weakness and I took a dose of 40 meq. before discharge.    I have no cardiac history and my only risk factors are high blood pressure, being menopausal, and my age. All other lab values and chest X-ray were normal.  I am rarely ever ill.
Age: 60.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Patient c/o itching on left upper arm. Pt. recieved TB skin test along with a varicella vaccine...no induration was noted on LUA, but slight reddness was seen.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Body temperature increased, Erythema, Injection site urticaria, Lymphadenopathy
Clinical narrative: Left deltoid swollen, red and warm to touch. Temperature the next day and 2 days after of 102. All joints achy and crampy. Lymph nodes in left axillary area swollen up to left cervical area. After swelling went down on day 5 post shot a huge hive developed in area where shot was given. Believe this compromised my immune system and lymph nodes in neck got swollen and had a sore throat and sinus infection developed day 7 post shot. A Z-pack was given on day 7 post shot.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pharyngolaryngeal pain, Sinusitis, Skin warm
Clinical narrative: Left deltoid swollen, red and warm to touch. Temperature the next day and 2 days after of 102. All joints achy and crampy. Lymph nodes in left axillary area swollen up to left cervical area. After swelling went down on day 5 post shot a huge hive developed in area where shot was given. Believe this compromised my immune system and lymph nodes in neck got swollen and had a sore throat and sinus infection developed day 7 post shot. A Z-pack was given on day 7 post shot.
Age: 13.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient inadvertently given DTaP vaccine instead of Tdap.  No adverse reaction.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, MMR, PNC, VARCEL
Symptoms: Blood culture negative, CSF test normal, Convulsion, Culture urine negative, Pyrexia
Clinical narrative: Fever lasting more than 3 days treated with ibuprofen and tylenol; Seizures treated with Phenobarbital loading.  09/12/2008 MR received for DOS 8/26-28/2008 with DX: New onset seizures. Pt presented  to local hospital after 3 1-2 minute episodes of seizure with stiffening and eye deviation with subsequent period of limpness and unresponsiveness after. Pt later had 3 10-30 minute episodes of loss of tone and decreased reactivity so pt transferred to current facility for eval. (+) fever. PE (+) for sluggishness, irritablity mild ptosis bilaterally, decreased tone, unsteady at times in sitting position and mildly ataxic gait. Started on phenobarb with no further seizures.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, MMR, PNC, VARCEL
Symptoms: Blood culture negative, Confusional state, Convulsion, Culture urine negative, Disturbance in attention
Clinical narrative: Fever lasting more than 3 days treated with ibuprofen and tylenol; Seizures treated with Phenobarbital loading.  09/12/2008 MR received for DOS 8/26-28/2008 with DX: New onset seizures. Pt presented  to local hospital after 3 1-2 minute episodes of seizure with stiffening and eye deviation with subsequent period of limpness and unresponsiveness after. Pt later had 3 10-30 minute episodes of loss of tone and decreased reactivity so pt transferred to current facility for eval. (+) fever. PE (+) for sluggishness, irritablity mild ptosis bilaterally, decreased tone, unsteady at times in sitting position and mildly ataxic gait. Started on phenobarb with no further seizures.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, MMR, PNC, VARCEL
Symptoms: Dysstasia, Electroencephalogram normal, Gait disturbance, Hypokinesia, Loss of consciousness
Clinical narrative: Fever lasting more than 3 days treated with ibuprofen and tylenol; Seizures treated with Phenobarbital loading.  09/12/2008 MR received for DOS 8/26-28/2008 with DX: New onset seizures. Pt presented  to local hospital after 3 1-2 minute episodes of seizure with stiffening and eye deviation with subsequent period of limpness and unresponsiveness after. Pt later had 3 10-30 minute episodes of loss of tone and decreased reactivity so pt transferred to current facility for eval. (+) fever. PE (+) for sluggishness, irritablity mild ptosis bilaterally, decreased tone, unsteady at times in sitting position and mildly ataxic gait. Started on phenobarb with no further seizures.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, MMR, PNC, VARCEL
Symptoms: Lumbar puncture normal, Psychomotor skills impaired, Pyrexia
Clinical narrative: Fever lasting more than 3 days treated with ibuprofen and tylenol; Seizures treated with Phenobarbital loading.  09/12/2008 MR received for DOS 8/26-28/2008 with DX: New onset seizures. Pt presented  to local hospital after 3 1-2 minute episodes of seizure with stiffening and eye deviation with subsequent period of limpness and unresponsiveness after. Pt later had 3 10-30 minute episodes of loss of tone and decreased reactivity so pt transferred to current facility for eval. (+) fever. PE (+) for sluggishness, irritablity mild ptosis bilaterally, decreased tone, unsteady at times in sitting position and mildly ataxic gait. Started on phenobarb with no further seizures.
Age: 25.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal pain, Coeliac disease, Depression, Diarrhoea, Fatigue
Clinical narrative: Within an few hours of receiving FLUMIST developed abdominal cramping, followed by diarrhea.  Fatigue, weight loss, abd pain and cramping, depression these persisted from Thanksgiving holiday till present.  Initially, diagnosed as IBS and then later Celiac disease.  Patient still intermittantly has symptoms.
Age: 25.0
Sex: M
Vaccine: FLUN3
Symptoms: Irritable bowel syndrome, Weight decreased
Clinical narrative: Within an few hours of receiving FLUMIST developed abdominal cramping, followed by diarrhea.  Fatigue, weight loss, abd pain and cramping, depression these persisted from Thanksgiving holiday till present.  Initially, diagnosed as IBS and then later Celiac disease.  Patient still intermittantly has symptoms.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: fewver and rash 10 days after MMR
Age: 12.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP, TYP, YF
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On 7/23/08 12yr old girl was given yellow fever vaccine without me realizing 13days earily she received MMR from her Private Care Privider on 7/10/08. After giving her the yellow fever vaccine and reviewing NCIR I realized the girl had been given a invalid dose of yellow fever. The girl and family were leaving 8/22/08 for Nigeria staying 9 days. When invalid dose of yellow fever was given CDC was called who informed use studies had been done on single-antigen measles vaccine that demonstrated that yellow fever vaccine is not affected by measles vaccine given 1-27 days earlier.  The effect of nonsimultaneously administered rebella, mumps, varicell, aoster, LAIV and yellow fever vaccines in not known.  Client parents were informed of incidence and told to return for a valid yellow fever vaccine.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Had initial site discomfort that resolved, then on 8/26/2008 "flared" with stronger reaction of 11 cm. erythema, mild edema, pain @ injection site Right deltoid.
Age: 17.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dyspnoea, Syncope
Clinical narrative: TELEPHONE CALL FROM A FAMILY FRIEND REPORTING CLIENT HAD RECEIVED A MENINGITIS SHOT YESTERDAY AND TODAY SHE WAS FAINTING AND HAVING PROBLEMS BREATHING.THE MOTHER WAS ALSO THERE AT THE RESIDENCE.INSTRUCTED CALLER TO CALL 911 NOW AND NOTIFY R.N. OF OUTCOME. Client seen Dr on 8-29-08 and was told she may have had a reaction to the HYDROCODONE she had been taking so he discountinued HYDROCODONE. The father of the client also states the breathing problems resolved after she stated using her asthma inhaler all symptoms now resolved.
Age: 76.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Blood pressure decreased, Blood test, Chest X-ray, Dizziness
Clinical narrative: 4 hours after admin of SHINGLES vaccine, felt rapid heartbeat, pulse suddenly over 170, dizziness, weakness. Home BP monitor (Omron HEM711AC) read "error" for first 20 minutes. With legs raised, I finally got readings between 87/65 and 90/70, pulse 145. Called my doctor, who recommended ambulance to emergency. EMT administered medication via IV, with almost immediate effect reducing pulse to 105 and raising BP to normal range. Further medication in hospital. Fully recovered by 2 a.m. Possible factor: One Latte 10 a.m., 1.5 cups coffee 3 p.m.
Age: 76.0
Sex: M
Vaccine: VARCEL
Symptoms: Electrocardiogram, Heart rate increased
Clinical narrative: 4 hours after admin of SHINGLES vaccine, felt rapid heartbeat, pulse suddenly over 170, dizziness, weakness. Home BP monitor (Omron HEM711AC) read "error" for first 20 minutes. With legs raised, I finally got readings between 87/65 and 90/70, pulse 145. Called my doctor, who recommended ambulance to emergency. EMT administered medication via IV, with almost immediate effect reducing pulse to 105 and raising BP to normal range. Further medication in hospital. Fully recovered by 2 a.m. Possible factor: One Latte 10 a.m., 1.5 cups coffee 3 p.m.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Erythema, Local reaction, Pyrexia, Swelling
Clinical narrative: Fever : 101-102 F x 3 days (starting same evening as vaccination); Mild diarrhea, occasional vomitting x 3 days; Localized redness & swelling x 3 days- Local ice packs, motrin as needed & benadryl as needed
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Fever : 101-102 F x 3 days (starting same evening as vaccination); Mild diarrhea, occasional vomitting x 3 days; Localized redness & swelling x 3 days- Local ice packs, motrin as needed & benadryl as needed
Age: 71.0
Sex: M
Vaccine: TD, VARZOS
Symptoms: Diarrhoea, Malaise, Muscle spasms, Nausea, Vomiting
Clinical narrative: Vacinnated 26 Aug, 08.  That evening, cramps in legs, nauseated, vomiting and diarhea.  Please Note:  My wife also had the same vacines the same day, same lots # etc.  She became ill 27 August in the p.m.  She also fainted on 28 August.  We are still struggling with feeling sick.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site irritation, Injection site pruritus, Injection site vesicles
Clinical narrative: Arm began to swell at 3pm 8/28/08. Blistering appeared on arm at site of vaccine (left tricep) at 10-11pm 8/28/08. Patient presented with mother to clinic at 9:30am, 8/29/08 with complaint of blistering, itching and burning sensation at site and burning sensation on left anterior and lateral aspect of lower leg. I, PHN, observed confluent blistering with irregular borders measuring 1.5cm by 3cm. Suggested palliative tx-ice, Domboro, calamine, benadryl for itching, cover with gauze to prevent scratching or transmission, keep clean, seek antibiotic tx if area becomes infected. acetaminophen if fever develops. RTC if worse.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Lip swelling, Urticaria
Clinical narrative: Rec'd injection for Tdap on 8/28/08 at 1pm around 6:30pm. Starting from my neck down quarter sized whelps and hives appeared. Did take BENADRYL throughout evening. 8/29/08 lip still slightly swollen
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: 15 y/o female given VARIVAX and GARDASIL while pregnant, uncertain age but likely 1st trimester. No adverse events but harmful for fetus.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Hypoaesthesia, Pain, Pruritus, Urticaria
Clinical narrative: 2-3 hrs after injection c/o itching, burning, numbness and pain all rec. Severe itching, no whelps noticed until after child began vaccinating. No fever in site area. Unable to move arm when woke up. Now full range of injection
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: pain at injection site within 24 hrs. Now fever, chills, body aches (101.4)
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme, 40-50 lesions by 8/18, treated with 2 weeks of prednisone