chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MEN, MMR, PPV, FLU3, HEP, HEPA, MMR, PPV, TTOX, FLU3, HEP, HEPA, MEN, MMR, PPV
Symptoms: Meningitis
Clinical narrative: Information has been received from a health professional concerning an 18 year old male patient who on 11/14/2002 was vaccinated with a dose of MMRII (Lot # not reported).  Concomitant therapy on 11/14/2002 included a dose of hepatitis A vaccine (inactive)(manufacturer unknown)(Lot # not reported), a dose of hepatitis B virus vaccine rHBsAg (yeast)(manufacturer unknown)(Lot # not reported), a dose of pneumococcal vaccine 23 polyvalent (MSD) (Lot # not reported), a dose of tuberculin purified protein derivative (TUBERSOL)(Lot # not reported), a dose of influenza virus vaccine (FLUZONE)(Lot # not reported) and a dose of meningococcal polysaccharide vaccine (MENOMUNE-A/C/Y/W-135)(Lot # UB245AA).  Subsequently the patient died on 12/15/2002.  It was confirmed that the patient was positive for serogroup C Meningococcal infection.  The onset date of signs and symptoms were not reported.  An autopsy was performed; however, the results were not available at the time of the report.  Other business partner numbers include 2003-01574.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial infection, Decreased appetite, Dysphagia, Dyspnoea, Lethargy
Clinical narrative: Lethargy, stiffness in limbs, inability to swallow, labored breathing, spitting white foam, lack of appetite. Autopsy Report received on 12/10/2003 states COD was bronchial pneumonia.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Musculoskeletal stiffness, Pneumonia
Clinical narrative: Lethargy, stiffness in limbs, inability to swallow, labored breathing, spitting white foam, lack of appetite. Autopsy Report received on 12/10/2003 states COD was bronchial pneumonia.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Febrile convulsion, Nasal congestion, Pyrexia
Clinical narrative: Febrile seizure x 2 approx. 9 hrs after immunization given. The medical records state fever and congestion.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Laboratory test abnormal, Lung neoplasm malignant, Pallor
Clinical narrative: This subject is a 73 year old female who was admitted to the hospital due to increased dyspnea, cough and sputum on 8/7/03 while enrolled in the RSV 11 study with RSV vaccine. The subject received RSV vaccine or placebo and Influenza vaccine on 10/16/02. The subject developed lung cancer 6 months post immunization (diagnosed in April 2003) and presented with increased dyspnea, cough and sputum 295 days post immunization and was admitted to the hospital 295 days later on 8/7/03. Subject died in hospital 6 days later on 8/13/03. The event was reported by the investigator as not related to the study product. A follow up report received 8/26/2003 adds: This subject is a 73 year old female who was admitted to the hospital due to increased dyspnea, cough and sputum on 08/07/2003 while enrolled in the RSV 11 study with RSV Vaccine. The pt received RSV Vaccine or Placebo and Influenza vaccine on 10/16/2002.  The subject developed lung cancer 6 months post immunization (diagnosed in April 2003) and presented with increased dyspnea, cough and sputum 295 days post immunization and was admitted to the hospital 295 days later on 08/07/2003. Pt died in hospital 6 days later on 08/13/2003.  The event was reported by the Investigator as not related to the study product. Medical Records received on 8/26/2003 states pallor and unresponsive.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Productive cough, Stupor
Clinical narrative: This subject is a 73 year old female who was admitted to the hospital due to increased dyspnea, cough and sputum on 8/7/03 while enrolled in the RSV 11 study with RSV vaccine. The subject received RSV vaccine or placebo and Influenza vaccine on 10/16/02. The subject developed lung cancer 6 months post immunization (diagnosed in April 2003) and presented with increased dyspnea, cough and sputum 295 days post immunization and was admitted to the hospital 295 days later on 8/7/03. Subject died in hospital 6 days later on 8/13/03. The event was reported by the investigator as not related to the study product. A follow up report received 8/26/2003 adds: This subject is a 73 year old female who was admitted to the hospital due to increased dyspnea, cough and sputum on 08/07/2003 while enrolled in the RSV 11 study with RSV Vaccine. The pt received RSV Vaccine or Placebo and Influenza vaccine on 10/16/2002.  The subject developed lung cancer 6 months post immunization (diagnosed in April 2003) and presented with increased dyspnea, cough and sputum 295 days post immunization and was admitted to the hospital 295 days later on 08/07/2003. Pt died in hospital 6 days later on 08/13/2003.  The event was reported by the Investigator as not related to the study product. Medical Records received on 8/26/2003 states pallor and unresponsive.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchitis, Cardiac failure, Condition aggravated, Lung disorder, Polyp
Clinical narrative: This subject is a 76 year old male who died on 7/24/03 due to his emphysema while enrolled in the RSV 11 study with RSV vaccine. The subject received RSV vaccine or Placebo and Influenza vaccine on 10/10/02. The subject died 287 days post immunization. The subject's family phoned on 8/15/03 to notify the investigator that the subject expired from emphysema on 7/24/03. The event was reported by the investigator as unrelated to the study product. A 15-day follow up report received 8/26/03 adds: Additional info received 08/22/2003. Previous medical history received and available in source documents. Discharge Summary: 04/24/2002. History and Physical: 04/24/2002. Progress Notes: 1/4/00, 1/25/00, 3/6/00, 3/1/01, 6/29/02, 7/8/02. Final diagnoses: 1. Exacerbation of chronic obstructive pulmonary disease with bronchitis. 2. Gastrointestinal bleed secondary to polyps. He will be discharged on Atrovent metered dose inhaler two puffs p.o. q6h. Ventolin metered dose inhaler two puffs spo q6h. Theophylline 300mg po bid, Ceftin 500mg po bid for the next five days and Prednisone 6mg po once a day to be tapered as an outpatient. Diet and activity can be as tolerated. He will follow-up with myself and with Dr. Hospital Course: He was admitted for exacerbation of COPD. He was placed on bronchodilators, antibiotics, oxygen and IV Theophylline and steroids. He showed a steady improvement as his medication was tapered on the final hospital day. He was back to his baseline and did not have dyspnea on exertion. While in the hospital, he had an episode of GI bleeding. Dr. was consulted. Colonoscopy was done. He had noted to have a rectal mass and multiple colon polyps and anal stenosis. Biopsies were done. H&H remained stable. At this time, no further in-hospital management is planned and he can be followed as an outpatient. Impression: 1. Severe COPD. 2. Weight loss. Maintain Prednisone at 20mg per day. Continue on Pulmicort, Atrovent, and Albuterol. Follow-up again in one month. Death certificate states congestive heart failure. Additional info received 9/19/03. Follow up report. Diagnosis: Emphysema, chronic obstructive pulmonary disease, congestive heart failure. Progress notes: 9/19/03. Patients certificate of death received and noted. Immediate cause linked as COPD and congestive heart failure. Review reveals no evidence of cong. failure in this facility. Pt received his injection of RSV vaccine in Oct. 2002. Deceased July 24, 2003. Death certificate received. Cause of death: End stage chronic obstructive pulmonary disease, congestive heart failure. The investigator assessed the events as unrelated to the study products. Follow up on 09/17/2003: "Additional information received 09/05/2003.  Family reports death certificate states: A-End stage of chronic osbructive pulmonary disease.  B-Congestive heart failure.  Copy pending.  Diagnosis: Chronic Obstructive Pulmonary Disease, Emphysema.  The death was reported by the investigator as not related to the study product."
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Weight decreased
Clinical narrative: This subject is a 76 year old male who died on 7/24/03 due to his emphysema while enrolled in the RSV 11 study with RSV vaccine. The subject received RSV vaccine or Placebo and Influenza vaccine on 10/10/02. The subject died 287 days post immunization. The subject's family phoned on 8/15/03 to notify the investigator that the subject expired from emphysema on 7/24/03. The event was reported by the investigator as unrelated to the study product. A 15-day follow up report received 8/26/03 adds: Additional info received 08/22/2003. Previous medical history received and available in source documents. Discharge Summary: 04/24/2002. History and Physical: 04/24/2002. Progress Notes: 1/4/00, 1/25/00, 3/6/00, 3/1/01, 6/29/02, 7/8/02. Final diagnoses: 1. Exacerbation of chronic obstructive pulmonary disease with bronchitis. 2. Gastrointestinal bleed secondary to polyps. He will be discharged on Atrovent metered dose inhaler two puffs p.o. q6h. Ventolin metered dose inhaler two puffs spo q6h. Theophylline 300mg po bid, Ceftin 500mg po bid for the next five days and Prednisone 6mg po once a day to be tapered as an outpatient. Diet and activity can be as tolerated. He will follow-up with myself and with Dr. Hospital Course: He was admitted for exacerbation of COPD. He was placed on bronchodilators, antibiotics, oxygen and IV Theophylline and steroids. He showed a steady improvement as his medication was tapered on the final hospital day. He was back to his baseline and did not have dyspnea on exertion. While in the hospital, he had an episode of GI bleeding. Dr. was consulted. Colonoscopy was done. He had noted to have a rectal mass and multiple colon polyps and anal stenosis. Biopsies were done. H&H remained stable. At this time, no further in-hospital management is planned and he can be followed as an outpatient. Impression: 1. Severe COPD. 2. Weight loss. Maintain Prednisone at 20mg per day. Continue on Pulmicort, Atrovent, and Albuterol. Follow-up again in one month. Death certificate states congestive heart failure. Additional info received 9/19/03. Follow up report. Diagnosis: Emphysema, chronic obstructive pulmonary disease, congestive heart failure. Progress notes: 9/19/03. Patients certificate of death received and noted. Immediate cause linked as COPD and congestive heart failure. Review reveals no evidence of cong. failure in this facility. Pt received his injection of RSV vaccine in Oct. 2002. Deceased July 24, 2003. Death certificate received. Cause of death: End stage chronic obstructive pulmonary disease, congestive heart failure. The investigator assessed the events as unrelated to the study products. Follow up on 09/17/2003: "Additional information received 09/05/2003.  Family reports death certificate states: A-End stage of chronic osbructive pulmonary disease.  B-Congestive heart failure.  Copy pending.  Diagnosis: Chronic Obstructive Pulmonary Disease, Emphysema.  The death was reported by the investigator as not related to the study product."
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who received HibTiter on an unspecified date (s) "in or about" 1994. Relevant medical history was not provided. Additional suspect vaccines included Acel-Imune and Engerix B administered on unspecified date (s) "in or about" 1994. Concomitant medication were not reported. It is alleged that as a result of cumulative of mercury in the thimerosal containing vaccine (s), the child developed "toxic" neurological effects of mercury poisoning including but not limited to autism. The reporter indicated that the "first onset of symptoms of the minor plaintiff's vaccine-related injuries occurred prior to 36 months from 2/17/03." The legal complaint states that "the last significant aggravation on the minor plaintiff's vaccine-related injuries occurred prior to 36 months from 2/17/03." Mercury poisoning and autism were considered medically important (OMIC). No additional info was available at the time of this report.
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who received HibTiter vaccine on an unspecified date "in or about" 1994. Relevant medical history was not provided. Additional suspect vaccines included Acel-Imune vaccine administered on unspecified date "in or about 1999," Tripedia and Act-Hib administered on an unspecified date (s) "in or about" 1994 and 1995, as well as, Recombivax-HB administered on an unspecified date (s) "in or about" 1994 and 1996. Concomitant medications were not reported. It is alleged that as a result of cumulative doses of mercury in the thimerosal containing vaccine (s), the child developed "toxic" neurological effects of mercury poisoning including but not  limited to autism. The legal complaint states that the "first onset of symptoms of the plaintiff's vaccine-related injuries occurred prior to 36 months from 3/17/03." The reporter indicated that the "last significant aggravation of the minor plaintiff's vaccine-related injuries occurred prior to 36 months from 3/17/03." Mercury poisoning and autism were considered medically important (OMIC) No additional info was available at the time of this report.
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: A consumer reported that she received a dose of flu vaccine (manufacturer unknown) in 1995 and subsequently developed a runny nose for a week. No further information was available at the date of this report.
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: A female consumer reported that she received a dose of influenza virus vaccine, trivalent, types A & B in 1999. Medical history included allergy to sulfonamides. Subsequent to immunization, she experienced soreness at the injection site oh her arm, which lasted 1-2 days. The caller reported she had the same reaction she after she received the influenza virus vaccine in 1998, 2000 and 2001. No further information was available at the date of this report.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Alanine aminotransferase increased, Liver function test abnormal
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 8/2/03 was vaccinated with a dose of hep A virus vaccine. There was no concomitant medication. On 8/5/03 the pt developed an "increase in LFT's"; "alt-146" and "AST" was "normal" twice. It was noted that the pt was not pregnant and was not hospitalized. Unspecified medial attention was sought. There was no product quality complaint involved. Upon internal medical review an "increase in LFT's" was considered an other important medical event (OMIC). Additional info has been requested.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Unintended pregnancy, Vaginal candidiasis
Clinical narrative: Initial and follow up information has been received from a certified nurse midwife concerning a 26 year old female hispanic patient who on 11/14/02 was vaccinated with a dose of MMR (second generation) (lot number not reported). The reporter indicated that the patient was pregnant. It was reported that the patient received the vaccine 3 weeks (also reported as 4 weeks) after her last menstrual period. This was the patient's first pregnancy and the pregnancy was confirmed by a urine test and positive heart tones. The patient's last menstrual period was on 10/20/02. The patient experienced a yeast infection 27 weeks from her last menstrual period. It was reported that the patient had not taken any prescription drugs during the pregnancy. Lab evaluation on an unspecified date revealed Rh negative. The patient had received globulin, immune. Her expected date of delivery was 8/1/03. The patient did have diagnostic tests during pregnancy (unspecified). Lab evaluation on an unspecified date revealed Rh negative. The patient experienced cephalopelvic disproportion and required a cesarean section on 8/1/03. The patient delivered a normal male baby via cesarean section 40 weeks from the last menstrual period. The baby's birth weight was 9 pounds and 7.4 ounces. The baby had no congenital anomalies and no complications. Upon internal review, cephalo-pelvic disproportion was determined to be an other important medical event (OMIC). No further information is expected.
Sex: U
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site mass, Injection site oedema, Pain
Clinical narrative: Right thigh swelling 0.5cm by 0.5cm node, slightly tender.
Age: 1.28
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: 8 days after vaccine, patient developed high fever (> 104) for four days as well as vomiting. he was seen in ED and recovered completely without treatment.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Swelling, heat, erythema left upper arm from shoulder to elbow; urticaria.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Edema, redness and warmth to left forearm 4 days after administering DTaP left deltoid region. Referred to PCP.
Age: 4.9
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 8/7/03 P/C from Dr's office reporting swelling and redness of right arm 2 hours after DTaP given 8/5/03. Mom's report that symptoms started evening of vax and worsened 8/6/03. Child in MD office at this time. MD measured redness at 2cm and arm circ. of 21 cm. No obvious distress. Was given Keflex to take for 7 days for possible cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Left arm swollen/red, sore to touch. Reaction covered entire upper arm. Temp 98.0. No rash noted. Triage. Ped appt. 6/19/03.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Convulsion, Pyrexia
Clinical narrative: We were not able to reach mother to get specific details but sketchy info was given to our interpreter when he returned to our clinic on 5/8/03. The mother said she gave 1 dose of Tylenol because pt hadn't had problems with previous immunizations. His temperature was elevated by evening and the baby had a seizure. He was taken to a hospital ER and was discharged around midnight after the baby's temp was WNL. Only Tylenol was given at ER.
Age: 1.08
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Pyrexia
Clinical narrative: Home call mother states right arm red and swollen, scratching and fever. Took child to MD 06/17/03 where Motrin and Benadryl was given. Reported to clinic by phone 6/18/03 1:15 PM.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Mom took child to ER 8/10/03 with complaint of redness to left inner thigh since vaccine administered on 8/8/03. No treatment was indicated. Seen here on 8/11/03. Again, no treatment necessary-mild erythema to left leg.
Age: 1.4
Sex: U
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Eye oedema, Urticaria
Clinical narrative: Generalized hives within 2 hours of receiving vaccinations. Swelling around eyes following morning. Treated with po Benadryl. Evaluated by family MD following day. On 8/7 still has a few hives on back.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Dyspnoea, Pain, Vomiting
Clinical narrative: Client's mother called and stated that client was having difficulty breathing and was in pain at injection site. Called later and stated child was vomiting (at 4 PM).
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Fatigue, Pyrexia, Rash, Urticaria
Clinical narrative: Vaccines given 8/8/03 AM. Fever 101 degrees and hives all over, very tired. By Saturday AM rash all over her body. Rx 80 mg Depomedrol, Ataraz, Prednisone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Red-mild induration right upper arm. 10 x 14cm, no pain on palpation. Children's Motrin and cool compresses as needed.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Coordination abnormal, Rash papular
Clinical narrative: Ataxia 1 hour after vaccine, persisted intermittently for 2 weeks. Brief papular rash, intermittent, 1-2 weeks following vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema left upper arm on 8/14/03.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria. Neomycin clipped into vaccine, unbeknownst to me.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Pt developed rubella looking rash 12 days after MMR-face, neck, chest-4 days high fever 103.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness/swelling at DTaP site-upper left deltoid muscle. Evaluated at clinic on 8/15/03. Dx: local reaction only. No Tx except Motrin and cold compresses.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Hyperhidrosis, Nausea, Pharyngolaryngeal pain, Sinusitis, Upper respiratory tract infection
Clinical narrative: URI symptoms, sore throat, sinus pain, nausea, perspiring
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Left deltoid red, no heat, mild swelling and itchy. Mother spoke to MD on 8/14/03 evening. He advised mother to give Benadryl and call in AM. Triage nurse spoke with mother at 9 AM. Redness and itching decreased.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Rash papular
Clinical narrative: 6 PM exam by MD. Bumpy papular rash over right deltoid. Swelling. No redness left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Per telephone and triage nurse, left deltoid red with medium swelling. No warmth. Afebrile but slightly itchy. Advised to give Benadryl and to follow up in office if no improvement.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid red, no warmth, mild swelling. Afebrile.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Swelling, redness.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Coma, Pallor
Clinical narrative: Mom goes to crib and picks up baby at 11:30 PM, baby stops breathing for approx 10 seconds, takes a breath then stops again; baby "very pale", not moving. Transported to hospital by ambulance. Before transporting, baby's HR 150, unresponsive, at hospital HR 97, crying, pink. Recovered okay.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash
Clinical narrative: 24 hours after immunization a raised, itchy rash began on thighs, continued onto torso (front and back), then arms and finally to back of hands and top of feet within 24 hours. Given Benadryl Fri, Sat and Sun. Rx'd Zyrtec on Mon (8/18). Intensity of both itch and rash began to decrease on Tues (8/19) on arms and legs.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Maculopapular rash at site of injection Fever and irritability for 3 days that occurred 9 days after immunizations
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site hypersensitivity, Injection site induration
Clinical narrative: The patient seemed to have an uneventful course until about day 7 when he noticed a red streak that appeared to be coming from his vaccination site, but did not directly emerge from there. He also described it as "very itchy". Upon inspection it appeared that he was having a local reaction to the vaccination which has been seen before in other Primary vaccinees. To be safe we asked him to RTC on Friday for F/U evaluation. Today we saw him and the erythema had extended to 15.7cm x19.2cm; was hot to touch and slightly indurated. Definitely tender to touch.  Dr. was notified and felt that the patient has since started cellulitis and put him on Keflex for treatment. He will start treatment today, so situation has not resolved. We took photos of the site; and marked him with a skin marker. We gave instructions to RTC if erythema continued to extend beyond the marker.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Skin striae
Clinical narrative: The patient seemed to have an uneventful course until about day 7 when he noticed a red streak that appeared to be coming from his vaccination site, but did not directly emerge from there. He also described it as "very itchy". Upon inspection it appeared that he was having a local reaction to the vaccination which has been seen before in other Primary vaccinees. To be safe we asked him to RTC on Friday for F/U evaluation. Today we saw him and the erythema had extended to 15.7cm x19.2cm; was hot to touch and slightly indurated. Definitely tender to touch.  Dr. was notified and felt that the patient has since started cellulitis and put him on Keflex for treatment. He will start treatment today, so situation has not resolved. We took photos of the site; and marked him with a skin marker. We gave instructions to RTC if erythema continued to extend beyond the marker.
Age: 0.0
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Oedema
Clinical narrative: MOM STATES THAT CHILDS RIGHT ANKLE AND FOOT SWELLED AFTER THE INJECTION.  SWELLING DID NOT EXTEND UP LEG.    UPON EXAMINATION, PATIENT NO LONGER HAD SWELLING.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Pain, Pyrexia, Screaming
Clinical narrative: My son was two weeks old when he received this vaccine. He began having trouble breathing, screamed in a high pitched scream, wrenched his face and body in pain, & had a high fever of 103.7. When we arrived at ER and he had a spinal tap (came back clear) but he had problems with his blood count.  The pediatrician in the NICU would not comment if it was related to the Hep B vaccine, but our pediatrician was kind enough to suggest that it could have been a reaction, and suggested that we skip future doses for my son- and any future children. We have done so, and thankfully escaped any more issues with this vaccine.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis
Clinical narrative: onset of degenerative osteo arthritis
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Muscle rigidity, Oedema, Pain
Clinical narrative: Edema in upper Left Deltoid/Tricept region.  POS errythema, SKIN- hot to touch.  PT complains that area is throbing.  Streaking from proximal to distal on L Upper arm.  Area in question is rigid.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site inflammation, Pruritus
Clinical narrative: Notified on 8/18/03 at 6am that she had developed a hard white area on her smallpox vaccination site (vaccinated 3/13/03). The area was itching, red and had a white area that almost looked like a pimple. Three 1/2 hrs later she was complaining of the area all around being red and inflammed looking. Arrangements were made for her to see Dr. for evaluation and treatment as needed on that day. She elected to be seen by Dr. the following am (8/19/03).  On the afternoon of 8/22/03 we received a faxed evaluation from Dr that this was a local reaction of 1 cm erythema and induration. There were no vesicles or satellite lesions. This did not appear to be virally mediated but rather allergic or early cellulitic in nature. No therapy is required at this time, but it was advised that she begin antibiotic therapy if the lesion enlarged.  On 1/22/04 PT called with a second occurrence of ~1 cm indurated, red, itchy area on the vaccination site. Forearm is also reported to be hot to the touch and very achy. She denies any fever and was initiated on Tequin 400 mg qD po antibiotic therapy 1/21 for a sinus infection. She has an appointment with Dr Tues am (1/27) and spoke with Dr via phone on 1/25. Photos were taken with digital camera and sent to Dr on 1/23.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Headache, Injection site erythema, Pyrexia
Clinical narrative: MOM NOTED REDNESS AT INJECTION SITE OF LEFT LEG ON 08-21-2003.  PATIENT PRESENTS TODAY WITH RED RASH ON LEFT THIGH.  MEASURES 4 1/2 BY 4 3/4.  PATIENT COMPLAINED OF HEADACHE YESTERDAY.  MOM ALSO REPORTS PATIENT HAD FEVER YESTERDAY.  TYLENOL AND MOTRIN WERE GIVEN YESTERDAY.
Age: 0.24
Sex: F
Vaccine: HEP
Symptoms: Oedema, Rash, Tremor
Clinical narrative: Shaking episodes. She would shake for a few seconds  then a few seconds later there would be another episode, then a break then another, so they would come in clusters. Her eyes would be at half mast. The next time she got the vaccination her leg swelled up and sore and a rash that lasted for a month.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Oedema
Clinical narrative: 8/19/2003 RIGHT THIGH INJECTION SITE WITH REDNESS GRADUALLY GETTING WORSE.  8/22/2003 PRESENTS TODAY WITH SWELLING AND REDNESS .  MEASURES APPROXIMATELY3 INCHES BY 1 1/2 INCH.  PARENTS HAVE APPLIED COOL COMPRESSES.
Age: 49.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Muscular weakness, Pain
Clinical narrative: Started fealing pain in both shoulders and arms 2 days after injection of Td.  Lost strength in both arms and hands cannot grip.  Muscles began wasting.  Have severe pain in upper arms/shoulders and tingling and numbness in fingers/hands.  Cannot raise arms over head.  At first didn't know cause.  After 2 weeks of suffering saw a physician.  Physician had never heard of this type of reaction and referred me to a neurologist, suggested resting arms and prescribed Tylenol#3.  Have appointment pending with neurologist.
Age: 49.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Asthenia, Hypoaesthesia, Joint range of motion decreased, Pain, Paraesthesia
Clinical narrative: Started fealing pain in both shoulders and arms 2 days after injection of Td.  Lost strength in both arms and hands cannot grip.  Muscles began wasting.  Have severe pain in upper arms/shoulders and tingling and numbness in fingers/hands.  Cannot raise arms over head.  At first didn't know cause.  After 2 weeks of suffering saw a physician.  Physician had never heard of this type of reaction and referred me to a neurologist, suggested resting arms and prescribed Tylenol#3.  Have appointment pending with neurologist.
Age: 3.0
Sex: U
Vaccine: ANTH, SMALL
Symptoms: Rash erythematous
Clinical narrative: RED BUMPS ON LEGS ,ARME, AND CHEST.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: Seondary infection of cellulitis
Age: 1.2
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Patient broke out into hives 1 hour after treatment. Hives were relieved completely after 12 hours.
Age: 1.0
Sex: M
Vaccine: VARCEL, MMR, PNC, VARCEL
Symptoms: Cyanosis, Dyspnoea, Electroencephalogram normal, Gaze palsy, Hypotonia
Clinical narrative: Pt received 0.5ml MMR, 0.5ml Varivax, and 0.5ml Prevnar vaccines at 1000 on 07/09/2003. At 1900 on 07/09/2003, the pt was in his walker and walked to his mother acting like he wanted to cry. He gasped for air like he couldn't breathe and started to turn blue. His body then became limp and his eyes rolled back and he developed a stiff body. 911 was called and he was brought to the ER.
Age: 1.0
Sex: M
Vaccine: VARCEL, MMR, PNC, VARCEL
Symptoms: Musculoskeletal stiffness
Clinical narrative: Pt received 0.5ml MMR, 0.5ml Varivax, and 0.5ml Prevnar vaccines at 1000 on 07/09/2003. At 1900 on 07/09/2003, the pt was in his walker and walked to his mother acting like he wanted to cry. He gasped for air like he couldn't breathe and started to turn blue. His body then became limp and his eyes rolled back and he developed a stiff body. 911 was called and he was brought to the ER.
Age: 1.0
Sex: M
Vaccine: VARCEL, MMR, PNC, VARCEL
Symptoms: Cyanosis, Dyspnoea, Eye movement disorder, Hypotonia, Musculoskeletal stiffness
Clinical narrative: Pt received 0.5ml MMR, 0.5ml Varivax, and 0.5ml Prevnar vaccines at 1000 on 07/09/2003. At 1900 on 07/09/2003, the pt was in his walker and walked to his mother acting like he wanted to cry. He gasped for air like he couldn't breathe and started to turn blue. His body then became limp and his eyes rolled back and he developed a stiff body. 911 was called and he was brought to the ER.
Age: 1.0
Sex: M
Vaccine: VARCEL, MMR, PNC, VARCEL
Symptoms: Stupor
Clinical narrative: Pt received 0.5ml MMR, 0.5ml Varivax, and 0.5ml Prevnar vaccines at 1000 on 07/09/2003. At 1900 on 07/09/2003, the pt was in his walker and walked to his mother acting like he wanted to cry. He gasped for air like he couldn't breathe and started to turn blue. His body then became limp and his eyes rolled back and he developed a stiff body. 911 was called and he was brought to the ER.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Myalgia
Clinical narrative: Three to 4 weeks after the shot I recognized pain in my shoulder, knees and hip joints. Also pain in muscle group in right upper arm. Taking aspirin daily to relieve pain.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Migraine, Nausea, Photophobia
Clinical narrative: 23 year old developed migraine headaches with photophobia and nausea which were ongoing. No history of headaches. Prevented deployment to Iraq. Seen in neurology. Placed on triptans. Last contact 03/13/03. Still symptomatic. Pt has not responded to calls, therefore do not have follow-up or all data for address/unit, etc.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Lethargy, Pain
Clinical narrative: Localized reaction, induration of 4.5cm with warmth and tenderness and erythema. Near syncope after taking Ultram (?) and Zyrtec. Pt also received Ultram 20 minutes prior to symptoms. Lethargy.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Syncope
Clinical narrative: Localized reaction, induration of 4.5cm with warmth and tenderness and erythema. Near syncope after taking Ultram (?) and Zyrtec. Pt also received Ultram 20 minutes prior to symptoms. Lethargy.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Within 24 hours of vaccine, pt developed erythema at site of injection. Skin was very warm, erythematous, somewhere from 3 1/4" x 2 1/2" area of erythema at injection site. Subsided spontaneously 8/1/03. Was given cold compresses and Motrin.
Age: 15.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Cold sweat, Disturbance in attention, Hyperhidrosis, Nausea, Respiratory rate increased
Clinical narrative: 09:45 Unable to focus, nauseated, cold clammy perspiration, breathing fast 35 minutes after shots. Tx: H/S I.V. 400 cc, Kenalog 20 mg l.m., Benadryl 50 mg l.m.
Age: 18.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Injection site erythema, Rash maculo-papular
Clinical narrative: Erythema in left arm in maculo-papular design in lower arm >6" from injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pain
Clinical narrative: 3 x 4 cm - local reaction, mild erythema, slight tenderness right deltoid.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash pruritic, Rash vesicular, Skin ulcer
Clinical narrative: Pt developed vesicular pruritic rash (on 8/10) with varicella vaccine on 07/21/03. Seen on 8/12 with topical lesions.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Pt received DtaP #5 in right thigh and Hep A #1 in left thigh on 8/12/03. Parents contacted our office 8/14/03 with pt cc. Right thigh swollen, warm to touch. Pt seen 8/15/03 in our office and treated with Benadryl and Keflex.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Crying, Pyrexia, Rash erythematous, Screaming
Clinical narrative: Crying most of evening 8/15/03 with subsequent screaming for 1 hour. Temp 100 (Ax). 8/16/03 noted red, raised spotty rash to face and chest, lasted about 24 hours. Denies involvement to DTaP injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Within a few hours, area of injection became very swollen, hot. Erythema/swelling extended from mid-thigh to knee. No fever.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever T max 103.8 on D7 after MMR vaccination.
Age: 0.9
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Skin ulcer
Clinical narrative: Few, scattered maculopapular lesions (<10) over trunk and limbs. 1-2 lesions are vesicles.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Rash erythematous
Clinical narrative: Developed circular erythamatous 2" rash around site of injection approximately 5 minutes after vaccine. Reported feeling dizzy. Given Benadryl 25 mg po and juice. Felt better. No further dizziness.
Age: 64.0
Sex: U
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Pruritus, Rash
Clinical narrative: Rash noted below Td injection site. Red, warm to touch, some itching.
Age: 11.0
Sex: F
Vaccine: HEP, TTOX, VARCEL
Symptoms: Erythema, Injection site induration, Oedema
Clinical narrative: Left shoulder swelling (5 cm indurated/red) no pain.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Orange sized red area right arm.
Age: 71.0
Sex: M
Vaccine: LYME
Symptoms: Anaemia, Arthralgia, Back pain, Dyspepsia, Fatigue
Clinical narrative: Increasingly severe indigestion, low-grade fever, flu-like symptoms, tingling fingers, anemia, upper body joint and muscle pain (hips, backbone/spine, neck, shoulders, throat, jaw, cheekbones) progressing from mild to severe upper body muscular pain (neck, jaw, shoulders, arms) fatigue, anemia.  May through July diagnosed with Lyme Disease.  Treated with Doxycycline 21 day prescription 08/19/2003.  Currently seems to be recovering, but no recovered.
Age: 71.0
Sex: M
Vaccine: LYME
Symptoms: Influenza like illness, Laboratory test abnormal, Myalgia, Neck pain, Pain in jaw
Clinical narrative: Increasingly severe indigestion, low-grade fever, flu-like symptoms, tingling fingers, anemia, upper body joint and muscle pain (hips, backbone/spine, neck, shoulders, throat, jaw, cheekbones) progressing from mild to severe upper body muscular pain (neck, jaw, shoulders, arms) fatigue, anemia.  May through July diagnosed with Lyme Disease.  Treated with Doxycycline 21 day prescription 08/19/2003.  Currently seems to be recovering, but no recovered.
Age: 71.0
Sex: M
Vaccine: LYME
Symptoms: Paraesthesia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Increasingly severe indigestion, low-grade fever, flu-like symptoms, tingling fingers, anemia, upper body joint and muscle pain (hips, backbone/spine, neck, shoulders, throat, jaw, cheekbones) progressing from mild to severe upper body muscular pain (neck, jaw, shoulders, arms) fatigue, anemia.  May through July diagnosed with Lyme Disease.  Treated with Doxycycline 21 day prescription 08/19/2003.  Currently seems to be recovering, but no recovered.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Local DTaP reaction, swollen left arm 16 x 13cm around injection site. Benadryl 1 tsp tid.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, PNC
Symptoms: Alopecia
Clinical narrative: Pt received MMR, PCV, IPV and Hib vaccines on 11/23/2002. Hair started falling out in patches in January 2003. Completely bald by March 2003.
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Rash
Clinical narrative: Rash with vesicles some open areas, with slight ulceration appeared all at once.  Symp tx.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: DTAP given right arm 08/08/2003.  Complained of fever (100.0 AX).  08/09/2003 AM and 100.7 AX 07/09/2003 evening.  Complained of swelling, redness, warmth right upper arm starting 08/09/2003.  Using arm OK. Denies pain involvement.  Diagnosis: Local reaction.
Age: 1.4
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Body temperature increased, Urticaria
Clinical narrative: Urticaria, Temperature 99-100 day after receiving immunizations, continued on day 2 treated with per mouth benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: Local cellulitic reaction to DTaP at right upper arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: Mother states child left arm swelled "to the size of a baseball" 2 days after shots were given.  "area was hot and red".  "Fever of 101 orally".  Took child to clinic who administered IM antibiotics and repeated this several days later.  As of today, swelling is decreased, but still present.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema
Clinical narrative: Swelling of the left thigh with left thigh slightly bigger than right thigh; 5 inch raised, round erythema over the left anterometplateral portion of upper thigh with mild tenderness.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Viral infection
Clinical narrative: Patient developed chicken pox about 2 weeks after vaccine
Age: 1.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Had 5 shots on 08/01/2003: DTAP, IPV, Prevnar, Comvax, Varivax.  Came back to office on 08/13/2003 with a rash (vesicular lesions) around neck and body (very mild) maybe 8-10 bumps.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Very red, and swollen warm to touch.
Age: 5.0
Sex: F
Vaccine: DTP, HIBV, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Right thigh reddened area size of a dime at injection site.  Instructed to use cool compresses and observe.  If any changes in area, call office to be seen by physician.  Information supplied by mother.  When nurse called regarding about another sibling.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Pharyngolaryngeal pain, Pruritus, Rash
Clinical narrative: Complained of rash over entire body, sore throat on 08/13/2003.  Patient complained of itching only on face and arms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site pain
Clinical narrative: Area of induration (3 x 4 cm) and erythema (6 x 5 cm) on upper right arm.  Area blanching minimally tender but tense.  Full range of motion of shoulder/elbow.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Crying, Erythema, Feeling hot, Oedema
Clinical narrative: Crying, screaming, left thigh swollen, red, hot to touch.  Temperature 99-100 (R).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left upper arm erythematous circumferential, swollen hot.  Treated with cephalexin, Benadryl, tuamcinalone
Age: 1.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Urticaria
Clinical narrative: Hives present on face-not at injection site.  No redness or induration at injection site.  Eating, drinking and playing fine.  No scratching.  Given orapred, Benadryl and Tylenol.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 24 hours after injection, mom noted edema and warmth.  No Pain no fever.  acting well.  Area of erythema and edema measured 12 x 9 cm.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Within 2 hours of DTAP, very irritable, fever and persisted > 24 hours.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV
Symptoms: Eczema, Injection site erythema, Injection site induration, Pain, Rash
Clinical narrative: Indurated erythematous, eczymotic, rash at site of injection,  painful.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration
Clinical narrative: 10 cm x 10 cm erythematous indurated reaction at site of injection (thigh) with eccymotic center.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Right arm-deltoid-red and swollen, tender to touch 2-3 inches in size at injection site, painful.  Per Dr., DTaP reaction with cellulitis.  Was put on Cefzil 250mg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Quarter size reaction on right arm at injection site.  Was told to use cool compresses and Benadryl every 6 hours as needed.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site pain, Pruritus, Rash erythematous
Clinical narrative: Red, raised 3 x 2 inch area on right deltoid.  Tender axillia tender.  Area warm to touch, itching.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Influenza like illness, Injection site pain, Injection site rash, Pyrexia
Clinical narrative: 08/22/2003: Patient called today to report reaction.  Received PPV on 08/20/2003.  Stated she felt "Lightheaded" approximately 4-5 hours after dose.  On 08/21/2003 developed rash around injection site, extreme tenderness around injection site, fever up to 104, flu-like symptoms.  States she feels better today.  Fever 101.  Arm not as painful.  Rash gone.  Instructed to see PCP.  Patient chose not to for now.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Oedema
Clinical narrative: Hard, red, and swollen area left deltoid-patient returned to have checked 08/22/2003.  Dr advised use cold pack and Benadryl and call if not better.
Age: 5.0
Sex: F
Vaccine: IPV
Symptoms: Feeling hot, Injection site induration, Rash erythematous
Clinical narrative: At site of injection-6 cm x 3 cm area of raised, indurated, red, warm, charge to skin.  Parents reported irritability of child.
Age: 72.0
Sex: F
Vaccine: RUB
Symptoms: Polyarthritis
Clinical narrative: polyarthritis
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site warmth, Pruritus, Rash erythematous
Clinical narrative: Baseball size raised red area on right thigh and very itchy, warm to the touch
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Malaise, Oedema peripheral, Paralysis
Clinical narrative: Awoke 7-17-03 crying c/o couldn't move legs, fever (101-102) right leg kept getting "bigger" for the next 3 days. Ran fever 3-4 days and did not feel well.  Right leg injection site swollen and painful.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Awoke 7-17-03 crying c/o couldn't move legs, fever (101-102) right leg kept getting "bigger" for the next 3 days. Ran fever 3-4 days and did not feel well.  Right leg injection site swollen and painful.
Age: 3.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccinated on 8/18/03. Client complained of site being itchy. Mom states that site was red, swollen and hot. Fever of 102. Mom gave tylenol. Child has been active but somewhat irritable since inj. Mom still giving Tylenol, Temp today 100.06 Axilla. Today site red warm and itchy. C/O pain at site (lt arm).
Age: 3.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Pruritus, Pyrexia
Clinical narrative: Vaccinated on 8/18/03. Client complained of site being itchy. Mom states that site was red, swollen and hot. Fever of 102. Mom gave tylenol. Child has been active but somewhat irritable since inj. Mom still giving Tylenol, Temp today 100.06 Axilla. Today site red warm and itchy. C/O pain at site (lt arm).
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: Patient complains of severe pain in left deltoid muscle and loss of range of movement beginning July 26, 2003 and states that her shoulder continues to hurt as of August 25,2003.