chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Hypoaesthesia oral, Muscular weakness, Paraesthesia oral, Rash macular, Sensation of heaviness
Clinical narrative: 12:15 - Pt in today for yellow fever and Hep A vaccine for travel to Peru. Vaccine was given (yellow fever) SQ in left arm and Hep A IM in R deltoid at 11:45 am. Pt started c/o feeling tired, then mild SOB, just not being able to take a deep breath. Hives appeared on neck, bright red splotchie but non-puritic. B/P 163/96 P- 110, O2 SAT 99%, lips pink. Doctor notified immediately. 12:20 Epi .3 cc SQ given in L arm, pt. began feeling light headed and dizzy. Transport from immunization room to u/s room via WC. Assisted from chair to wheel chair and then from wheel chair to exam table. Upon transfer from wheel chair to exam table pt reported that her legs were weak feeling and very heavy. Doctor aware of legs feeling weak and very heavy. B/P 168/100 P- 98; O2 Sat 99% lying on exam table with head down and feet elevated. 12:25 Pt remains stable, no change in condition except lips starting to tingle slightly. SOB has subsided some. Spoke with Doctor about pt starting to have some tingling sensations in her lips. Orders received at this time 1 SOLUMEDROL 125 mg IM and 2 BENADRYL 50 mg po (stat). 12:30 BENADRYL 50mg po given and SOLUMEDROL 125 mg IM given in R hip. B/P 155/98 P- 96; O2 Sat 99%. Significant other notified of his need to come to health dept that his wife was having an allergic reaction to the Yellow Fever vaccine. 12:35 Significant other present. Pt reports that she is feeling "some"better. Pt was assisted to semi-fowlers position and was given some coca-cola to sip on. Pt awake, alert, orientated, talking coherently. Color is returning to lips. Hives are faded tremendously and hardly viable. Talking with significant other. 12:50 Pt was noted to take a very deep breath with a sigh and when asked she reported that the SOB, tiredness, and heaviness of her legs were returning. Pt asked to be laid back down in supine position. B/P 152/99 HR - 98. Doctor notified. 12:53 EMS called for a 1018 transport to medical center secondary to an allergic reaction to yellow fever vaccine. 12:55 Pt cont. to be the same, mild SOB, lips tingling, able to talk and communicate. 12:57 B/P 164/103 P - 101 O2 Sat 98%. Pt encouraged to take slow deep breaths. Significant other at bedside. 12:59 Pt c/o being unable to swallow and her tongue was numb. Dr. notified orders recovered 1 Epi .3 SQ (STAT) 13:00 Epi .3 cc SQ given in R arm. Talked with pt and encouraged to calm down and take slow deep breaths. 13:02Pt reports that she is starting to get some feeling back in her tongue. 13:04 Pt remains stable, she reports that the SOB is easing some, the tingling is gone in her tongue. 13:05 EMS arrived. Report given and meds and dosages given.
Age: 41.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Urticaria
Clinical narrative: 12:15 - Pt in today for yellow fever and Hep A vaccine for travel to Peru. Vaccine was given (yellow fever) SQ in left arm and Hep A IM in R deltoid at 11:45 am. Pt started c/o feeling tired, then mild SOB, just not being able to take a deep breath. Hives appeared on neck, bright red splotchie but non-puritic. B/P 163/96 P- 110, O2 SAT 99%, lips pink. Doctor notified immediately. 12:20 Epi .3 cc SQ given in L arm, pt. began feeling light headed and dizzy. Transport from immunization room to u/s room via WC. Assisted from chair to wheel chair and then from wheel chair to exam table. Upon transfer from wheel chair to exam table pt reported that her legs were weak feeling and very heavy. Doctor aware of legs feeling weak and very heavy. B/P 168/100 P- 98; O2 Sat 99% lying on exam table with head down and feet elevated. 12:25 Pt remains stable, no change in condition except lips starting to tingle slightly. SOB has subsided some. Spoke with Doctor about pt starting to have some tingling sensations in her lips. Orders received at this time 1 SOLUMEDROL 125 mg IM and 2 BENADRYL 50 mg po (stat). 12:30 BENADRYL 50mg po given and SOLUMEDROL 125 mg IM given in R hip. B/P 155/98 P- 96; O2 Sat 99%. Significant other notified of his need to come to health dept that his wife was having an allergic reaction to the Yellow Fever vaccine. 12:35 Significant other present. Pt reports that she is feeling "some"better. Pt was assisted to semi-fowlers position and was given some coca-cola to sip on. Pt awake, alert, orientated, talking coherently. Color is returning to lips. Hives are faded tremendously and hardly viable. Talking with significant other. 12:50 Pt was noted to take a very deep breath with a sigh and when asked she reported that the SOB, tiredness, and heaviness of her legs were returning. Pt asked to be laid back down in supine position. B/P 152/99 HR - 98. Doctor notified. 12:53 EMS called for a 1018 transport to medical center secondary to an allergic reaction to yellow fever vaccine. 12:55 Pt cont. to be the same, mild SOB, lips tingling, able to talk and communicate. 12:57 B/P 164/103 P - 101 O2 Sat 98%. Pt encouraged to take slow deep breaths. Significant other at bedside. 12:59 Pt c/o being unable to swallow and her tongue was numb. Dr. notified orders recovered 1 Epi .3 SQ (STAT) 13:00 Epi .3 cc SQ given in R arm. Talked with pt and encouraged to calm down and take slow deep breaths. 13:02Pt reports that she is starting to get some feeling back in her tongue. 13:04 Pt remains stable, she reports that the SOB is easing some, the tingling is gone in her tongue. 13:05 EMS arrived. Report given and meds and dosages given.
Age: 21.0
Sex: M
Vaccine: FLUN3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Pt received FLUMIST on 10-8-08, but still tested positive for influenza B on 2-4-09.
Age: 18.0
Sex: F
Vaccine: FLUN3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Pt received FLUMIST on 10-9-08, but still tested positive for influenza A on 1-31-09.
Age: 21.0
Sex: M
Vaccine: FLUN3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Pt received FLUMIST on 10-8-08, but still tested positive for influenza A on 2-2-09.
Age: 17.0
Sex: M
Vaccine: FLUN3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Patient received FLUMIST on 10-9-08, but still tested positive for A and B influenza on 12-7-08.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chapped lips, Lip dry, Lip swelling
Clinical narrative: Had flu shot in Oct - (first shot ever for flu). By next am lips were swollen and remained for the day. By evening lips started getting dry and chapped and have remained so in particular a spot on upper L lip. Denies changing makeup, new soap, etc.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Decreased appetite
Clinical narrative: 5 hrs of unconsolable crying, poor feeding
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Induration, Injection site erythema, Injection site pain, Nausea, No reaction on previous exposure to drug
Clinical narrative: Right deltoid has 2cm annular red induration - Pt c/o nausea, vomiting, & fever of 101.4 F 2 days after injection was given.  States she has never had reactions to previous tetanus no drainage.  Injection site still tender to touch
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Right deltoid has 2cm annular red induration - Pt c/o nausea, vomiting, & fever of 101.4 F 2 days after injection was given.  States she has never had reactions to previous tetanus no drainage.  Injection site still tender to touch
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: High-pitched crying
Clinical narrative: high pitch cry after PENTACEL vaccine
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: 3-4 hours after Vaccine given patient called with an intense PRURITIC Response - patient returned to office for DEPO MEDROC Injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Headache, Injection site erythema
Clinical narrative: Was given MMR & DTAP into left deltoid & VARICELLA & IPV in right  PT got 10 X 10 area of erythema on left deltoid & a headache
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient called the pharmacy with concern about red area excessive swelling and redness at the injection site (size of a grapefruit).  Patient was concerned that the area resembled cellulitis.  By the time she saw the doctor on 2/16/09- swelling & redness substantially reduced.  Physician recommended BENADRYL or CORICIDIN for symptoms.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Skin lesion
Clinical narrative: I received the shingles vaccine 7-07 and developed shingles exactly at the injection site and then spread down my arm numerous lesions and tremendous pain associated.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Musculoskeletal stiffness, Pain
Clinical narrative: I received the shingles vaccine 7-07 and developed shingles exactly at the injection site and then spread down my arm numerous lesions and tremendous pain associated.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain
Clinical narrative: Chest Pain
Age: 61.0
Sex: U
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus
Clinical narrative: got the shot on Jan 7-09- my arm ached- the place were the shot was given it got red and swelled up bigger then a 50 cent piece.  The worst is my neck it still itches  If I still itch by July-09 I will know there is something wrong
Age: 1.1
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Allergy to vaccine, Hypersensitivity, Swelling face, Vomiting
Clinical narrative: Mother reports child with facial swelling and vomiting started 2/6/09. Seen ER at medical center 2/6/09. Mom reports "Dr said she had allergic reaction to immunizations. Given "med" for vomiting and told to give her BENADRYL. Still vomiting 2/9 has /// /// 2/9/09
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Swelling/redness/warmth of (R) arm. Area of induration 7 cm x 8 cm. Treated with 3 d of Prednisone.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Fatigue, Gaze palsy, Unresponsive to stimuli
Clinical narrative: Following 15 min. Wait after Hep B injection, pt stated she felt tired. Helped to exam table where she started having seizure like movements of arms. Eyes rolled back and she was verbally unresponsive for approx. 3 minutes. EMS called and pt was transported to hospital via ambulance.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site warmth, Lymph node pain, Malaise
Clinical narrative: Red, warm area longer than palm size, tender notes to L auxilla, low grade temp + malaise
Age: 32.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Fatigue, Night sweats, Pain, Pyrexia
Clinical narrative: Patient complained of severe body ache's, fatigue, night sweats, + fever.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 24 hr after injection, itching L deltoid at 48 hrs, 8 x 8 cm red indurated area
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Developed raised, red area at injection site used ice with relief this am.  C/O severe pain to right arm - no pain medication taken by RN advised to take IBUPROFEN or TYLENOL.
Age: 29.0
Sex: M
Vaccine: RAB
Symptoms: Chills, Hyperhidrosis, Malaise, Pyrexia
Clinical narrative: High fever (103.6), sweats, chills, malaise. No treatment.
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dysgeusia, Dyspnoea, Parosmia, Pyrexia
Clinical narrative: The Flu Vaccine was administered at 11:30am on Wednesday, 2/18/2009.  On the way home from her CF appointment, I stopped at our Chiropractor's and had her adjusted at 1:00pm. By 3:00pm, patient started with a fever of 100.3.  By 5pm, the fever was at 102.3 and held there until 2:00am, 2/19, when it spiked to 103.4.  At 9:00am on 2/19, it was 104, she was complaining of not being able to breath and that her heart was splitting in two. I took her to the Chiropractor's again and had left messages with her pediatrician and the Pulmonology Dept. She had short rapid breaths and was weak and had no energy to move.  I was instructed by telephone to give her an Albuterol/Pulmocort breathing treatment and then I took her back down to hospital at 1:00pm 2/19 (it's a 2 hour drive), and Dr. did a thorough examination.  Her lungs were clear and open, (probably due to the breathing treatment.)  Dr. could not say if her symptoms were the result of the flu vaccine and said that she probably had the virus before the vaccine was administered, as they have been seeing children in the hospital with RSV, the flu and strep throat.  They gave patient a dose of Children's Motrin, 1 1/2 tsp (for 35lbs), and told me to alternate Motrin and Tylenol every 4 hours.  At 3:15pm when we got home, her temp was 101.7, and went back up to 102.7 by 6:30pm.  After a dose of Tylenol at 6:30pm, her fever dropped to 99.4 by 8:30pm.  As of 7:00am today, 2/20, her fever is at 100.2.  She is still weak, she is having difficulty eating, saying that the food tastes and smells funny.
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Respiratory rate increased
Clinical narrative: The Flu Vaccine was administered at 11:30am on Wednesday, 2/18/2009.  On the way home from her CF appointment, I stopped at our Chiropractor's and had her adjusted at 1:00pm. By 3:00pm, patient started with a fever of 100.3.  By 5pm, the fever was at 102.3 and held there until 2:00am, 2/19, when it spiked to 103.4.  At 9:00am on 2/19, it was 104, she was complaining of not being able to breath and that her heart was splitting in two. I took her to the Chiropractor's again and had left messages with her pediatrician and the Pulmonology Dept. She had short rapid breaths and was weak and had no energy to move.  I was instructed by telephone to give her an Albuterol/Pulmocort breathing treatment and then I took her back down to hospital at 1:00pm 2/19 (it's a 2 hour drive), and Dr. did a thorough examination.  Her lungs were clear and open, (probably due to the breathing treatment.)  Dr. could not say if her symptoms were the result of the flu vaccine and said that she probably had the virus before the vaccine was administered, as they have been seeing children in the hospital with RSV, the flu and strep throat.  They gave patient a dose of Children's Motrin, 1 1/2 tsp (for 35lbs), and told me to alternate Motrin and Tylenol every 4 hours.  At 3:15pm when we got home, her temp was 101.7, and went back up to 102.7 by 6:30pm.  After a dose of Tylenol at 6:30pm, her fever dropped to 99.4 by 8:30pm.  As of 7:00am today, 2/20, her fever is at 100.2.  She is still weak, she is having difficulty eating, saying that the food tastes and smells funny.
Age: 14.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, VARCEL
Symptoms: Arthralgia, Dizziness, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: the day after the vaccine was given the patient noticed, redness, swelling, itching and pain of her right arm.  Dizziness and sleepiness notices as well., vomited x 2, on day 2 the area increased in erythema, elbow was painful., directed to take Motrin, Benadryl and apple cool compresses
Age: 14.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, VARCEL
Symptoms: Pruritus, Somnolence, Vomiting
Clinical narrative: the day after the vaccine was given the patient noticed, redness, swelling, itching and pain of her right arm.  Dizziness and sleepiness notices as well., vomited x 2, on day 2 the area increased in erythema, elbow was painful., directed to take Motrin, Benadryl and apple cool compresses
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Headache, Pain, Vomiting
Clinical narrative: Vomiting, headache and achy, a few hours after receiving vaccines.
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pruritus, Rash generalised, Urticaria
Clinical narrative: patient states she had itchy, red spots all over arms, legs, trunk and scalp a few hours after receiving the vaccine (2/19) that lasted until 3am this morning.  She took Benadryl every 4 hours for symptom relief.  Presented to clinic this morning 10am with no symptoms.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Patient was given 4 vaccines on 2/17/09 afternoon (menactra, varivax, gardasil, adacel).  Late that evening note redness and soreness to the back of her left arm.  Mom treated with cold compress, but soreness and redness did not resolve.  Seen her on 2/19/09; teen has circumscribed area of pink inflammation to back of left upper arm.  Approximately the size of 1/2 dollar coin.  No induration or fluctuance.  This site is consistent with where varivax vaccine was given, both per record and per LPN who gave vaccine.  Due to teen's hx of eczema and cannot absolutlely r/o secondary infection, was placed on Amoxicillin.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site erythema, Injection site pruritus, Injection site swelling, Local swelling
Clinical narrative: Reported observing redness and swelling at injection site the morning after the Tdap was administered. Swelling and pain has increased today (day two after administration) to arm, front of shoulder/clavical, and swelling up to neck. Also reports itching at the site. Reported having "chills" earlier; denies elevated temperature.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Reported observing redness and swelling at injection site the morning after the Tdap was administered. Swelling and pain has increased today (day two after administration) to arm, front of shoulder/clavical, and swelling up to neck. Also reports itching at the site. Reported having "chills" earlier; denies elevated temperature.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dysarthria, Headache, Hypoaesthesia
Clinical narrative: Patient C/O of headache, swelling resulting in left arm numbness, swollen tongue and slurred speech.  Patient seen in ER and treated with Prednisone, Benedryl, and pain medication (dosages unknown)Patient releasedto mother and reports doing better the next morning  3/18/09 Received ER medical records for 2/19 & 2/21/2009. FINAL DX: Allergic reaction to Gardasil, left arm injection site reaction allergic Records reveal patient experienced tongue swelling, slurred speech, reddened & swollen left arm injection site from elbow to neck w/decreased left hand grip strength on 2/19.  Returned to ER on 2/21 due to increased left deltoid/shoulder pain w/numbness & tingling of arm, subjective fever, chills, sore throat, anxiety since HPV shot.  Exam revealed soft tissue tenderness  swelling w/decreased ROM of left shoulder.  Tx w/pain meds, improved & d/c to home on continued pain meds, steroids & antihistamine.
Age: 43.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: FINE RED RASH ON UPPER TRUNK AND BOTH ARMS, TOOK BENEDRYL AT 6PM 2/19/09 AND 8AM 2/20/09.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: Grandmother called and spoke with RN in clinic on 2/18/09 informing her patient had seizure on morning of 2/18/09, and wanted Dr informed. Phone message transfered to Dr by RN who took call. Grandmother also spoke with receptionist from clinic same morning who transferred her call to Pediatric Neurologist's office. Seizure not witnessed by medical personel. Child has been referred in past to peds neurology, genetics, nephrology, cardiology, dietician, opthamologist, nuerology, home health nurse.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local swelling and erythema 2 days after injection with Tdap (ADACEL) and HPV4 at same site.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, Cardiac monitoring, Crying, Gaze palsy, Irritability
Clinical narrative: Approximately 10 minutes after immunizations, parent reported stiffening and eyes rolled. Patient was not in office at this time/was with parents.   Baby carried back to office by parent.  Baby is crying a lot.   Observed in office for approx. 1/2 hr.   Oxygen saturation was 100% - parent concerned that complexion looked purple.  Dr. admitted baby to pediatric floor of Medical Center for 23 hours of observation.  Doctor's notes as follows:  Baby had well baby exam.  She received Pentacel, Rotateq and Prevnar.  About 10 minutes after immunizations, patient had 30 second episode of stiffening, eyes seemed to roll and patient was pale and crying.  Doctor ordered vital signs q4 hrs, clears and if okay, formula, tylenol prn temp >100 or fussiness, O2 sat - use O2 if <90.  Cardiac monitor.  2/25/09 MR received for DOS 2/20-23/09 with dx: seizure like activity after immunizations. Pt presented back to PCP 10" s/p vax with seizure-like activity of stiffening and eyes rolling back. Admitted for observation and w/u.  Frequent PVCs noted on EKG and transferred to higher level of care fur further eval. 4/1/09 MR received from transfer facility DOS 2/23/09 with dx:  Arrhythmia with frequent PVCs/bigeminy. Apneic episode-sx most c/w GERD.  D/C in <23 hrs.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Musculoskeletal stiffness, Oxygen saturation normal, Pallor, Skin discolouration
Clinical narrative: Approximately 10 minutes after immunizations, parent reported stiffening and eyes rolled. Patient was not in office at this time/was with parents.   Baby carried back to office by parent.  Baby is crying a lot.   Observed in office for approx. 1/2 hr.   Oxygen saturation was 100% - parent concerned that complexion looked purple.  Dr. admitted baby to pediatric floor of Medical Center for 23 hours of observation.  Doctor's notes as follows:  Baby had well baby exam.  She received Pentacel, Rotateq and Prevnar.  About 10 minutes after immunizations, patient had 30 second episode of stiffening, eyes seemed to roll and patient was pale and crying.  Doctor ordered vital signs q4 hrs, clears and if okay, formula, tylenol prn temp >100 or fussiness, O2 sat - use O2 if <90.  Cardiac monitor.  2/25/09 MR received for DOS 2/20-23/09 with dx: seizure like activity after immunizations. Pt presented back to PCP 10" s/p vax with seizure-like activity of stiffening and eyes rolling back. Admitted for observation and w/u.  Frequent PVCs noted on EKG and transferred to higher level of care fur further eval. 4/1/09 MR received from transfer facility DOS 2/23/09 with dx:  Arrhythmia with frequent PVCs/bigeminy. Apneic episode-sx most c/w GERD.  D/C in <23 hrs.
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site swollen, red, itchy and painful for over 1 week.  No treatment.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Balance disorder, Borrelia burgdorferi serology, Diplopia, Dizziness, Fluorescent in situ hybridisation
Clinical narrative: Loss of balance, double vision, dizziness, nausea, abnormally high blood platelet count.  3/12/09 Received ER medical records of 11/28/2008. FINAL DX: migraine HA; dizziness Records reveal patient experienced dizziness & blurred vision right eye, nausea x 3 days.  Seen by neuro, dx w/migraine & scheduled for ophtho eval all as outpatient.  PCP requested CT scan.  Remained stable in ER & d/c to home w/PCP & neuro f/u.    4/16/09 Received vaccine & PCP medical records of 6/21/07-3/12/09. FINAL DX:  likely TIA due to thrombocytosis Records reveal patient experienced good general health on 9/19/07 for HPV #1 & tol well.  RTC 11/20 only for HPV #2.  RTC 12/11/08 for Heme consult & dx w/thrombocytosis & on baby ASA; had lump left arm x 1 mo.  RTC 12/30 w/ double vision.  Neuro consult done 1/8/09 reveals pt w/dizziness & double vision & seen in ER.  Previous optometry exam revealed stroke/clot right eye.  Now w/double vision intermittently.  Tx w/meds.  RTC 3/12/09 meds changed.  RTC 3/19/09 states 2 days s/p HPV#2, lost balance, lost vision right eye x 3 days & nauseated.  6/16/09 Received Neuro-Ophtho medical records of 6/4/09. FINAL DX: episode of sudden vision loss on 11/23/08; episodic diplopial blurriness; ataxia & imbalance; episodic numbness, tinnitus; daily migraines; r/o vertebral/basilar insufficiency; questionable right 4th nerve palsy.  6/17//09 Medical and neurology records received DOS 9/29/03 to 4/23/09. Assessment: Dizziness, migraine, diplopia. Patient c/o dizziness, migraine, diplopia, lightheaded, headache.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Scan brain
Clinical narrative: Loss of balance, double vision, dizziness, nausea, abnormally high blood platelet count.  3/12/09 Received ER medical records of 11/28/2008. FINAL DX: migraine HA; dizziness Records reveal patient experienced dizziness & blurred vision right eye, nausea x 3 days.  Seen by neuro, dx w/migraine & scheduled for ophtho eval all as outpatient.  PCP requested CT scan.  Remained stable in ER & d/c to home w/PCP & neuro f/u.    4/16/09 Received vaccine & PCP medical records of 6/21/07-3/12/09. FINAL DX:  likely TIA due to thrombocytosis Records reveal patient experienced good general health on 9/19/07 for HPV #1 & tol well.  RTC 11/20 only for HPV #2.  RTC 12/11/08 for Heme consult & dx w/thrombocytosis & on baby ASA; had lump left arm x 1 mo.  RTC 12/30 w/ double vision.  Neuro consult done 1/8/09 reveals pt w/dizziness & double vision & seen in ER.  Previous optometry exam revealed stroke/clot right eye.  Now w/double vision intermittently.  Tx w/meds.  RTC 3/12/09 meds changed.  RTC 3/19/09 states 2 days s/p HPV#2, lost balance, lost vision right eye x 3 days & nauseated.  6/16/09 Received Neuro-Ophtho medical records of 6/4/09. FINAL DX: episode of sudden vision loss on 11/23/08; episodic diplopial blurriness; ataxia & imbalance; episodic numbness, tinnitus; daily migraines; r/o vertebral/basilar insufficiency; questionable right 4th nerve palsy.  6/17//09 Medical and neurology records received DOS 9/29/03 to 4/23/09. Assessment: Dizziness, migraine, diplopia. Patient c/o dizziness, migraine, diplopia, lightheaded, headache.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Pruritus, Rash, Skin lesion, Varicella
Clinical narrative: Developed entire body rash with lesions, itching, elevated temp.  lasted for 8 days.  Parent states "looked like regular case of Chicken Pox".  Child adopted from China - has had vaccines in China without reactions. Treatment with Tylenol and fluids & rest.
Age: 4.0
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Pallor, Rash, Rash papular, Rash pruritic
Clinical narrative: Vaccine administered 2/6/2009 on february 19, 2009 rash covering trunk and face no fever otherwise normal . rash pruritic blanching raised papule on trunk face arms
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Abdominal pain, Aggression, Heart rate increased, Hyperhidrosis, Hypoventilation
Clinical narrative: Approximately 5 min after giving immunizations, pt became combative, c/o severe abd pain, throat pain. Patient was sweating and scratching skin. Mild exp. wheezes were noted, nasalcongestion also developed. Heart rate was 120bpm, BP was 115/60. Resp were rapid and shallow. Child was given 12.5mg oral benadryl, 40mg Solumedrol IM to L deltoid, .2mg epi SQ to L arm, one MA treatment of Xopenex 0.63. Child s/s did not improve so he was transferred to ER and admitted.  2/26/09 Received hospital medical records of 2/19-2/20/2009. FINAL DX: anaphylactic reaction to immunizations Records reveal patient treated w/steroids, nebs & antihistamines.  Improved & d/c to home w/PCP f/u.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Nasal congestion, Oropharyngeal pain, Pruritus, Respiratory rate increased, Wheezing
Clinical narrative: Approximately 5 min after giving immunizations, pt became combative, c/o severe abd pain, throat pain. Patient was sweating and scratching skin. Mild exp. wheezes were noted, nasalcongestion also developed. Heart rate was 120bpm, BP was 115/60. Resp were rapid and shallow. Child was given 12.5mg oral benadryl, 40mg Solumedrol IM to L deltoid, .2mg epi SQ to L arm, one MA treatment of Xopenex 0.63. Child s/s did not improve so he was transferred to ER and admitted.  2/26/09 Received hospital medical records of 2/19-2/20/2009. FINAL DX: anaphylactic reaction to immunizations Records reveal patient treated w/steroids, nebs & antihistamines.  Improved & d/c to home w/PCP f/u.
Age: 8.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LEFT UPPER ARM PAIN, SWELLING, AND WARM TO THE TOUCH MEASURING 5X5 CM. SYMPTOMS STARTED ON 2/19/09 AM. PT SEEN BY DR ON 2/20/2009 AND GIVEN RX FOR KEFLEX AND TYLENOL.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Hyperhidrosis, Injection site swelling, Pyrexia
Clinical narrative: Pt came back to clinic today to report a reaction to receiving the Pneumovax vaccine in our clinic two days prior.  Pt states receiving the vaccine in the morning and that afternoon she developed swelling at and around the injection site.  Patient described at "three red splotches on my arm."  Patient also states that she developed a headache and a fever that evening.  Pt does not know her temperature maximum as she didn't actually take her temperature but she felt warm and was sweating.  Pt states that she still has some swelling to her arm but it has greatly decreased. Pt didn't take any medications for fever or swelling.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Rash macular, Skin warm
Clinical narrative: Pt came back to clinic today to report a reaction to receiving the Pneumovax vaccine in our clinic two days prior.  Pt states receiving the vaccine in the morning and that afternoon she developed swelling at and around the injection site.  Patient described at "three red splotches on my arm."  Patient also states that she developed a headache and a fever that evening.  Pt does not know her temperature maximum as she didn't actually take her temperature but she felt warm and was sweating.  Pt states that she still has some swelling to her arm but it has greatly decreased. Pt didn't take any medications for fever or swelling.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: None at this time
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 14-16 days post Varivax immunization ( 1st dose) Employee developed itching rash on arms & legs , tiny, raised " pimple like" ,fluid filled rash Employee denied fever or any other known exposure to a varicella virus. Some areas were dried and others as above. Denied headache or malaise
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Lymphadenopathy, Rash, Swelling face
Clinical narrative: "massive" headache. Facial swelling w/rash. Lymphandopathy. Prednisone at tapering dose. Doxycycline.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUX, IPV, MMR, VARCEL
Symptoms: Cold sweat, Irritability, Loss of consciousness, Pallor
Clinical narrative: Patient passed out about 10 minutes after receiving 5 vaccinations at her 4 year old well check up.  While under observation, she passed out in her mother's arms.  These episodes could have been mini seizures.  She lost color in her skin and lips, became clammy to the touch and irritable.  Patient was able to leave the drs after 30 minutes.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Balance disorder, Dizziness, Feeling abnormal, Gaze palsy, Hypotonia
Clinical narrative: After giving Varicella vaccine, Tdap, then HPV, child's eyes rolled back, body slumped to right side, b/l arms and legs waved/flapped side to side.  No jerking motions.  No rigidity of child's body noted.  No pallor or cyanosis.  Immediately requested mother to notify MD.  Laid child down flat on exam table.  Within seconds, child opened her eyes and asked what was the matter.  I asked her if she remembered what happened.  She remembered feeling light-headed.  Then felt like she "had a dream".  Child A,A,Ox3.  Child c/o tingling feeling in arms and lips.  BP done (refer to vitals section).  Had child lay flat until feeling of dizziness passed.  Water given.  Had child sit with feet dangling.  Then had child stand.  When initially stood up, child c/o unsteady feeling.  Sat child in chair for 15-20min.  Child reported that she felt fine, was able to walk steadily, no feeling of dizziness.  Dr okayed that child go home.  Left with mother and sibling.  Father was driving family home.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Paraesthesia oral
Clinical narrative: After giving Varicella vaccine, Tdap, then HPV, child's eyes rolled back, body slumped to right side, b/l arms and legs waved/flapped side to side.  No jerking motions.  No rigidity of child's body noted.  No pallor or cyanosis.  Immediately requested mother to notify MD.  Laid child down flat on exam table.  Within seconds, child opened her eyes and asked what was the matter.  I asked her if she remembered what happened.  She remembered feeling light-headed.  Then felt like she "had a dream".  Child A,A,Ox3.  Child c/o tingling feeling in arms and lips.  BP done (refer to vitals section).  Had child lay flat until feeling of dizziness passed.  Water given.  Had child sit with feet dangling.  Then had child stand.  When initially stood up, child c/o unsteady feeling.  Sat child in chair for 15-20min.  Child reported that she felt fine, was able to walk steadily, no feeling of dizziness.  Dr okayed that child go home.  Left with mother and sibling.  Father was driving family home.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: swelling, warmth, pain/soreness and itchiness since vaccine was administered at left upper arm
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Headache, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Increasing Fever and stomach ache during the night.  To 101.2 degrees Farenheit by 8am 02/19/2009.  Patient complained of headache and nausea as well.  Patient vomited at 11 am 02/19/2009.             Fever noted as high as 102.5 degrees Farenheit by 12pm 02/19/2009.                                                                      Patient vomited at 10pm on 02/19/2009.               Patient's average temperature has been above 100 degrees Farenheit.  Her school denies that other children are calling in sick with high fever and vomiting.  Her temp. is now 100.2 and she is complaining of a stiff neck but denies any other listed symptom.  She has not vomited, had a temp. above 101 degrees, complained of headache, stomach ache, or nausea today.  If there is a return of any of those symptoms, we will be going immediately to a Dr. or Emergency Department.  The  vaccine was given at her junior high by the county health department personnel.  It is currently closed for the weekend, so I am unable to get a hold of them until Monday 02/23/2009 to get the manufacturer and lot number.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Increasing Fever and stomach ache during the night.  To 101.2 degrees Farenheit by 8am 02/19/2009.  Patient complained of headache and nausea as well.  Patient vomited at 11 am 02/19/2009.             Fever noted as high as 102.5 degrees Farenheit by 12pm 02/19/2009.                                                                      Patient vomited at 10pm on 02/19/2009.               Patient's average temperature has been above 100 degrees Farenheit.  Her school denies that other children are calling in sick with high fever and vomiting.  Her temp. is now 100.2 and she is complaining of a stiff neck but denies any other listed symptom.  She has not vomited, had a temp. above 101 degrees, complained of headache, stomach ache, or nausea today.  If there is a return of any of those symptoms, we will be going immediately to a Dr. or Emergency Department.  The  vaccine was given at her junior high by the county health department personnel.  It is currently closed for the weekend, so I am unable to get a hold of them until Monday 02/23/2009 to get the manufacturer and lot number.
Age: 30.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: Nov. 14, 08 pt received anthrax and typhoid vaccines. The following day pt c/o generalized tingling throughout her body. Nov. 17, seen by Dr. at which time she reported having tingling in her hands and intermittently feeling tingling throughout her body, but not the soles of her feet. She also c/o soreness at anthrax injection site. No treatment given, told to RTC if sx worsened.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Death, Respiratory arrest, Respiratory disorder, Resuscitation
Clinical narrative: 02/09/09, mother of Pt said that 02/22/09 Pt was taken to ED of medical center for respiratory illness by his father. Pt was arrested in ED and after resuscitation, transferred to a different medical center. Pt passed away 01/24/09.  3/11/09 Autopsy report received with the following DX: Large right pleural empyema-collapse of R lung with no evidence of pneumonia-small R pneumothorax-Gram (+) cocci present in fibrinopurulent coagulum from R pleural space.  Multi-focal acute bronchopneumonia of L lung (early?).  Focal hemorrhage, base of L lung. Left pleural effusion.  Tri-lobed left lung (with normal bronchial branching pattern).  Mild cardiomegaly with dilated tricuspid valve.  Moderate congestive hepatosplenomegaly. Findings c/w acute physiologic stress: Moderate to marked thymic involution, moderate lipid depletion of adrenal cortex, moderate arrest of rib growth plate.  Small pericardial and peritoneal effusions.  Small fragment of apparent old blood clot in bladder.  Myeloid hyperplasia of bone marrow, with left shift 4/6/09 Coroner's report received with COD: Acute Respiratory Insufficiency due to Empyema, Sepsis and presumed pneumonia
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Cough, Influenza serology positive, Pneumonia, Pyrexia
Clinical narrative: Fever, cough. Diffuse bilateral pneumonia. Staph aureus MRSA.  5/12/09 Autopsy report states COD as organizing diffuse alveolar damage w/bronchiectasis; multiple bronchopleural fistulas secondary to influenza B & MRSA infection; extensive pleural adhesions.  Autopsy limited to lung only.    4/15/09 Received hospital medical records of 2/16-3/21/2009. FINAL DX: death; influenza B pneumonia w/secondary MRSA pneunonia; ARDS; leukopenia; thrombocytopenia; hyponatremia; coagulopathy; hypotension requiring pressors; high frequency oscillatory ventilation; bilateral pneumothorax; bilateral bronchopulmonary fistulas. Records reveal patient experienced sorethroat, fever, cough, post-tussive emesis x 4-5 days & hemoptysis x 1 day prior to admit w/increased work of breathing.   Admitted PICU for severe respiratory distress secondary to bilat pneumonia & leukopenia.  Pulm, ID, heme consults done.  Patient had long & complicated PICU course while continuously vented, feeding tube, bilateral chest tubes, tracheostomy, multiple blood product transfusions, IV antibiotics & steroids, Tamiflu, IVIG.  Progressively declined, extubated per family request & expired shortly therafter.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Staphylococcal identification test positive
Clinical narrative: Fever, cough. Diffuse bilateral pneumonia. Staph aureus MRSA.  5/12/09 Autopsy report states COD as organizing diffuse alveolar damage w/bronchiectasis; multiple bronchopleural fistulas secondary to influenza B & MRSA infection; extensive pleural adhesions.  Autopsy limited to lung only.    4/15/09 Received hospital medical records of 2/16-3/21/2009. FINAL DX: death; influenza B pneumonia w/secondary MRSA pneunonia; ARDS; leukopenia; thrombocytopenia; hyponatremia; coagulopathy; hypotension requiring pressors; high frequency oscillatory ventilation; bilateral pneumothorax; bilateral bronchopulmonary fistulas. Records reveal patient experienced sorethroat, fever, cough, post-tussive emesis x 4-5 days & hemoptysis x 1 day prior to admit w/increased work of breathing.   Admitted PICU for severe respiratory distress secondary to bilat pneumonia & leukopenia.  Pulm, ID, heme consults done.  Patient had long & complicated PICU course while continuously vented, feeding tube, bilateral chest tubes, tracheostomy, multiple blood product transfusions, IV antibiotics & steroids, Tamiflu, IVIG.  Progressively declined, extubated per family request & expired shortly therafter.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Computerised tomogram, Immunoglobulin therapy, Lumbar puncture, Muscular weakness, Paraesthesia
Clinical narrative: Tingling both legs and arms with weakness. Muscle weakness (not working right in func). Speech impairment.  4/20/09 Received hospital & rehab medical records (referred to but not included 12/31/2008-1/14/2009), 1/14-1/22/09,  1/22-2/3/09 & 2/3-2/14/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced LE weakness/numbness/tingling & inability to lift legs which had been preceded by possible viral illness.  Tx w/IVIG.  Improved slightly & admitted to inpatient rehab 1/14-1/22/2009.  While in rehab, noted to have worsening facial weakness & dysphagia & was readmitted to hospital 1/22-2/3/2009 for plasma exchange x 5.   Minimally improved & d/c to inpatient rehab 2/3-2/14/2009 where he improved considerably although unable to fully close both eyelids.  D/C home using walker & referred to outpatient PT & ST . Follow-up: Has mild residual weakness.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Speech disorder
Clinical narrative: Tingling both legs and arms with weakness. Muscle weakness (not working right in func). Speech impairment.  4/20/09 Received hospital & rehab medical records (referred to but not included 12/31/2008-1/14/2009), 1/14-1/22/09,  1/22-2/3/09 & 2/3-2/14/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced LE weakness/numbness/tingling & inability to lift legs which had been preceded by possible viral illness.  Tx w/IVIG.  Improved slightly & admitted to inpatient rehab 1/14-1/22/2009.  While in rehab, noted to have worsening facial weakness & dysphagia & was readmitted to hospital 1/22-2/3/2009 for plasma exchange x 5.   Minimally improved & d/c to inpatient rehab 2/3-2/14/2009 where he improved considerably although unable to fully close both eyelids.  D/C home using walker & referred to outpatient PT & ST . Follow-up: Has mild residual weakness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received DTAP, IPR, MMR & VARIVAX IZ on 2-19-09.  Came in 2-21-09 to clinic to have PPD read.  Left upper arm red, swollen, tender & hot to touch
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on lower back bilateral 2 days after vaccine administration.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Fatigue, Headache
Clinical narrative: 2/12/09 - tiredness from 14:00pm - 14:30pm. 2/17/2009 headache @ 15:00pm, took two TYLENOL gel capsules @ 15:00 pm, Sx resolved by 15:15 pm or 15:20 pm on 2/17/09.
Age: 18.0
Sex: F
Vaccine: HEP, IPV, MMR, MNQ, TD
Symptoms: Arthralgia, Erythema, Gait disturbance, Malaise, Oedema peripheral
Clinical narrative: Shots were given 2-09-09 (Monday).  Mom called Thursday 2-12-09, she reported following: Pt had slight fever and didn't feel great and some itching on 2-10-09 Tuesday.  Tuesday 2-10-09 PM swollen and red hands and both feet itched.  Wednesday 2-11-09 both hands swollen, bottom of 1 foot swollen and red could hardly walk.  Thursday 2-12-09 states foot and hands are better states has hives on L leg above knee lateral side.  Reports achy joints with rash.  I recommend they see a doctor.  States ok.  Tuesday 2-17-09 I spoke with mom.  She states that symptoms decreased gradually after Thursday and were all gone by Sunday 2-15-09.  She also stated that rash had developed below knees - at waist - buttocks and at level of bra strap Thursday but again were all gone by Sunday 2-15-09.  Also stated that the rash would come and go.  2/17/09 Mom states called a doctor's office on 2-12-09 said would not have appt till Tuesday 2-17-09 but that all they would do would be to give her BENADRYL told her if got worse go to ER.
Age: 18.0
Sex: F
Vaccine: HEP, IPV, MMR, MNQ, TD
Symptoms: Pruritus, Pyrexia, Rash, Urticaria
Clinical narrative: Shots were given 2-09-09 (Monday).  Mom called Thursday 2-12-09, she reported following: Pt had slight fever and didn't feel great and some itching on 2-10-09 Tuesday.  Tuesday 2-10-09 PM swollen and red hands and both feet itched.  Wednesday 2-11-09 both hands swollen, bottom of 1 foot swollen and red could hardly walk.  Thursday 2-12-09 states foot and hands are better states has hives on L leg above knee lateral side.  Reports achy joints with rash.  I recommend they see a doctor.  States ok.  Tuesday 2-17-09 I spoke with mom.  She states that symptoms decreased gradually after Thursday and were all gone by Sunday 2-15-09.  She also stated that rash had developed below knees - at waist - buttocks and at level of bra strap Thursday but again were all gone by Sunday 2-15-09.  Also stated that the rash would come and go.  2/17/09 Mom states called a doctor's office on 2-12-09 said would not have appt till Tuesday 2-17-09 but that all they would do would be to give her BENADRYL told her if got worse go to ER.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh redden, hot to touch at injection site with swelling, no fever, no rash, no difficulty breathing, reported 2/2/09 TX.  Benadryl ETix 120 mg 2.3 tsp every 4 hours, cold compress to site, rest.
Age: 77.0
Sex: F
Vaccine: FLUX
Symptoms: Biopsy skin abnormal, Squamous cell carcinoma
Clinical narrative: Pt reports that she had a flu shot here in our clinic in early December 2007.  Although there is no record of it being administered here.  Dime-sized area on Rt upper arm was crusted over, never healed.  Sent to derm and diagnosed with squamous cell carcinoma.
Age: 29.0
Sex: M
Vaccine: FLU3, HEPA, TDAP, TYP, YF
Symptoms: Blood test normal, Computerised tomogram normal, Grand mal convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Grand mal seizure. PMH negative.
Age: 1.3
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: 4 days ago developed pinpoint red rash (dots) on torso, legs and arms -
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Local swelling, Pruritus
Clinical narrative: Local swelling & itching.
Age: 8.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Erythema, Induration, Injection site pain, Injection site vesicles, Skin warm
Clinical narrative: Child presents with pain in upper right arm.  Outer aspect of upper arm is noted to be red, raised, increased temp hard & 35 mm x 25 mm blistered weaping area noted in center of site.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: Redness itching pain began 1 day post-vaccine
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Hardness at vaccine site with 3X4 cm mild redness on LDT.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mom notice today 2/20/09 vaccine Tdap has reaction swollen and redness, - as per phone call with mom.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: Today 2/20/09 mom saw arm swollen & red on area of DTAP vaccine area.  Mom will apply ice on edutal arm as per phone call with mom on 2/20/09
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Nausea, Skin lesion
Clinical narrative: 72 hours after vaccine administered pt developed a festering lesion about 1 in x 1/2 in under arm (R) that did not itch or hurt. Also had numbness in upper (R) arm and nausea.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Allergy test, Decreased activity, Injection site erythema, Injection site swelling
Clinical narrative: Swollen reddened thigh with 1 1/2 2-d of decreased interaction (per mom; "out of it" X 1-2 d) (did not bring in to this MD for eval subsequently fine)