chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: YF
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram normal, Laboratory test normal
Clinical narrative: This serious case was received on 21 April 2009 from a health care professional. A 29 year old female patient received YF VAX (lot number UF428AA) subcutaneously in the left arm on 26 January 2009. Four weeks prior to administration of YF VAX the patient received TYPHOID VACCINE (manufacturer and date not known). On 27 January 2009 at 5:00 AM the patient developed chest pain. She was admitted to the hospital for three days, dates of hospitalization were not provided. Pericarditis was ruled out and the chest pain was described mid substernal which was sharp but without radiation. The patient did not have nausea, vomiting, palpitations, or shortness of breath associated with the chest pain. The patient self treated with ADVIL pre hospitalization which was effective. The patient returned for follow up on 06 February 2009 with no further episodes of chest pain at that time. The patient was reported as recovered. The recovery date was not provided. List of Documents held by Sender: None.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Full blood count, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Initial report received on 24 April 2009 from a health care professional. A 35-year-old female patient, who had a concurrent urinary tract infection, had received at the patient's request since she works with children, a first intramuscular left deltoid injection of ADACEL (lot number C3098BA) on 20 April 2009 at 16:58 pm. The afternoon after receiving the ADACEL injection, the area was red, swollen, sore and had a "knot." Two days later, the patient was seen in the physician's office for several days of sudden onset of severe arm pain that was episodic and constant. Physical examination revealed left upper extremity with erythema approximately 7cm in size. The patient was diagnosed with cellulitis and given LEVAQUIN. She was also prescribed LORTAB 5 the same day. Two days later, the patient returned to the physician's office and the area was larger and more reddened. A CBC (complete blood count) was completed that revealed 50.8% lymphocytes (normal range 20.0-50.0%). The rest of the CBC was unremarkable. The redness and edema did resolve after antibiotic treatment, and the pain was improving by day four. At the time of this report, the recovery status of the patient was unknown. Documents held by sender: Physician notes, laboratory results.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphocyte percentage increased, Pain in extremity
Clinical narrative: Initial report received on 24 April 2009 from a health care professional. A 35-year-old female patient, who had a concurrent urinary tract infection, had received at the patient's request since she works with children, a first intramuscular left deltoid injection of ADACEL (lot number C3098BA) on 20 April 2009 at 16:58 pm. The afternoon after receiving the ADACEL injection, the area was red, swollen, sore and had a "knot." Two days later, the patient was seen in the physician's office for several days of sudden onset of severe arm pain that was episodic and constant. Physical examination revealed left upper extremity with erythema approximately 7cm in size. The patient was diagnosed with cellulitis and given LEVAQUIN. She was also prescribed LORTAB 5 the same day. Two days later, the patient returned to the physician's office and the area was larger and more reddened. A CBC (complete blood count) was completed that revealed 50.8% lymphocytes (normal range 20.0-50.0%). The rest of the CBC was unremarkable. The redness and edema did resolve after antibiotic treatment, and the pain was improving by day four. At the time of this report, the recovery status of the patient was unknown. Documents held by sender: Physician notes, laboratory results.
Sex: F
Vaccine: DT
Symptoms: Cellulitis, Erythema, Incorrect route of drug administration, Induration, Mass
Clinical narrative: This serious case was received on 27 April 2009 from a health care professional. A female patient (age not specified) with a history of high blood pressure and no known allergies inadvertently received 0.5 ml of DECAVAC (lot number not known) intradermally on 24 April 2009 instead of 0.1 ml of TUBERSOL. Concomitant therapy included FLONASE, LORATIDINE, ZOLOFT, hydrochlorothiazide, and BENZOPRIL. On 24 April 2009, the patient appeared to have cellulitis with a possible abscess and approximately 4 finger breadth area of erythema with a hard knot. The patient was not recovered at the time of the report. List of Documents held by Sender: none.
Sex: F
Vaccine: DT
Symptoms: Wrong drug administered
Clinical narrative: This serious case was received on 27 April 2009 from a health care professional. A female patient (age not specified) with a history of high blood pressure and no known allergies inadvertently received 0.5 ml of DECAVAC (lot number not known) intradermally on 24 April 2009 instead of 0.1 ml of TUBERSOL. Concomitant therapy included FLONASE, LORATIDINE, ZOLOFT, hydrochlorothiazide, and BENZOPRIL. On 24 April 2009, the patient appeared to have cellulitis with a possible abscess and approximately 4 finger breadth area of erythema with a hard knot. The patient was not recovered at the time of the report. List of Documents held by Sender: none.
Age: 1.02
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site oedema, Staphylococcal infection
Clinical narrative: Pt vaccinated at approx. 0830 4/22/09. Mother reports that pt. had increased temp starting at 1200 4/22/09. Mother reports to clinic 4/22/09 with child & c/o erythema, edema, and hardness in (L) & (R) D. C/o temp of 103.5, mother instructed to visit PCP for temp. TC 4/24/09 from mother. Pt has been admitted to the hospital 4/23/09 at approx 11:40 with temp of 103.8 F.   6/29/09 Hospital ER records received DOS 4/24/09 to 4/25/09. Assessment: Febrile illness. Patient presented with fever, runny nose, cough, fussy, decreased PO intake. Short of breath. Exanthum, 'masses' upper arms area of injection.   7/23/09 ICD-9 Codes: 780.60
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pruritus
Clinical narrative: Pt was given SQ left arm of VARICELLA vaccine #2.  Soon after applying band aid pt complained of itching.  I talked to M.D. and he ordered 50mg IM of BENADRYL.  Pt was kept 30 min after for observation then was evaluated by M.D. then released home.  I called the next day to see how pt was doing.  G-mother and guardian stated he is fine.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Chills, Headache, Nausea
Clinical narrative: 8 hours after shot, fever, headaches, chills, body aches, nausea symptoms resolved completely- 4 pm 4/28/09
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, PNC, RV5
Symptoms: Hypersomnia, Infantile spitting up, Vomiting
Clinical narrative: See ER sheet - mom reports infant spit up milk and some "white" stuff and declared it had to be due to the liquid medicine we gave. Had 2 mos shots yesterday - slept longer, vomited his milk. Mother got scared. Said this didn't happen with their little girl. Mom gave TYLENOL this AM.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given initial dose of ROTARIX @ 28 weeks.  Then follow up dose 4 weeks later was given.  However ROTATEQ was given at that point.
Age: 54.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Chest discomfort, Respiratory distress
Clinical narrative: Suprasternal chest tightness without wheezing - within 5 min of HAVRIX (Hepatitis A) & POLIO (IePV) vaccine Resolved in 20 min after liquid BENADRYL given Respiratory distress - Allergy. ? may be secondary to 2-phenoxyethanl?
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pruritus
Clinical narrative: There is a darkened raised area on Pt's left upper arm over deltoid muscle that measures 8 MM X 5 MM. Pt. C/o dull pain when spot is touched. Also itches when lightly touched by shirt.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Convulsion, Loss of consciousness, Tonic clonic movements, Urinary incontinence
Clinical narrative: Child received 2 vaccines, MENACTRA and GARDASIL # #3, in opposite deltoids. Within 5 seconds after receiving the 2nd shot child had a seizure which lasted about 10-15 seconds. Seizure included loss of consciousness, tonic clonic movements of arms and urinating on self.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: 5 days after vaccine was administered site was red and "bumpy".
Age: 37.0
Sex: M
Vaccine: FLU3, MNQ, TYP
Symptoms: Arthralgia, Erythema, Joint swelling, Oedema peripheral, Pain in extremity
Clinical narrative: 48 hrs - following vaccine, swelling distal to vaccination site - specifically dorsum of hand & wrist (left arm only); pain and reddish (blanching) discoloration. Symptoms & signs peaked at 3 days, resolving at day six.
Age: 37.0
Sex: M
Vaccine: FLU3, MNQ, TYP
Symptoms: Pallor
Clinical narrative: 48 hrs - following vaccine, swelling distal to vaccination site - specifically dorsum of hand & wrist (left arm only); pain and reddish (blanching) discoloration. Symptoms & signs peaked at 3 days, resolving at day six.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Typical post vaccine rash "mini measles" all over trunk. Not ill.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever >103, start at 9pm & vomited x2.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Screaming
Clinical narrative: Prolonged screaming/crying.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Asthenia, Chest discomfort, Cough, Dizziness, Dyspnoea
Clinical narrative: Within 10 hours of shot fever,paleness, weakness, dizziness,tight chest, hard to breath.Patient remains sick still after 6 days with contiued fever, dizziness, cough, weakness,vomiting. Treating with tylenol and ibuprofen. Doctor's notified and seen several times.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Pallor, Pyrexia, Vomiting
Clinical narrative: Within 10 hours of shot fever,paleness, weakness, dizziness,tight chest, hard to breath.Patient remains sick still after 6 days with contiued fever, dizziness, cough, weakness,vomiting. Treating with tylenol and ibuprofen. Doctor's notified and seen several times.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Band neutrophil count, Chest X-ray abnormal, Cough, Expired drug administered, Fatigue
Clinical narrative: Within 10 hours of shot fever,paleness, weakness, dizziness,tight chest, hard to breath.Patient remains sick still after 6 days with contiued fever, dizziness, cough, weakness,vomiting. Treating with tylenol and ibuprofen. Doctor's notified and seen several times.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Lymphocyte percentage decreased, Malaise, Monocyte count increased, Neutrophil count, Pneumonia
Clinical narrative: Within 10 hours of shot fever,paleness, weakness, dizziness,tight chest, hard to breath.Patient remains sick still after 6 days with contiued fever, dizziness, cough, weakness,vomiting. Treating with tylenol and ibuprofen. Doctor's notified and seen several times.
Age: 18.0
Sex: F
Vaccine: MEN, MNQ
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Within 10 hours of shot fever,paleness, weakness, dizziness,tight chest, hard to breath.Patient remains sick still after 6 days with contiued fever, dizziness, cough, weakness,vomiting. Treating with tylenol and ibuprofen. Doctor's notified and seen several times.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness and swelling, painful at site of injection, approx 4 inches in diameter
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness, pain and swelling at injection site
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Patient reports extreme pain at site of injection which began immediately and continues x 11 days.  No fever, no local redness, swelling or induration.  Self treated x 8 days with Ibuprofen, then visited practitioner and received "2 shots of steroids, one fast acting and the other long acting"--pain is decreasing now but not resolved.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injected limb mobility decreased
Clinical narrative: 2 days after receiving the for about 4 weeks after the shot I experienced deep aching of my muscle and arm and couldnt move my arm without pain. Was unable to move above shoulder til aobut 4 weeks after shot. I thought this was normal after getting the shot but later found out it was not.
Age: 54.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: redness and pain at site of injection and medial arm.  Redness approx 5-6 inches medial to injection site.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site reaction, Injection site urticaria, Vulvovaginal pruritus
Clinical narrative: Patient received Zostavax Vaccine on 4-29-09 and had been warned about the localized red itchy welt that could occur at the injection sight and it did appear 24 hours after the injection.  Then patient called pharmacy on 5-4-09 and said besides the welt at the injection sight, she had a red itching rash appear on 5-2-09 vaginally.  The patient has had a history of UTI's and had a course of Doxycycline 100mg on 3-23-09 and Nitrofurantoin BID 100mg 3-4-09 & 2-25-09.  I advised the patient to contact her physician & make an appt. for further evaluation
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Blood culture negative, C-reactive protein normal, Culture urine negative, Drug exposure via breast milk, Full blood count normal
Clinical narrative: I received the MMR vaccine on 4-20-09.  I am exclusively breastfeeding a 14 week old infant.    On 4-29-09 she developed a fever of unknown origin. She became lethargic, restless, diaphoretic, and irritable. On 5-1-09 she was hospitalized. CBC, UC, blood cultures were all normal.  An LP was attempted, but unsuccessful. On 5-2-09 she developed a rash.  She was discharged on 5-3-09 without a diagnosis.  I am concerned she developed this illness via my breastmilk after I was vaccinated. 5/26/09 Received hospital medical records for 5/1-5/3/2009. FINAL DX: fever (rule out sepsis), irritability. Records reveal patient experienced fever, irritability, poor feeding, increased drowsiness, increased stools x 3 days.  LP attempted but unsuccessful.  Tx w/IV antibiotics until c/s neg then d/c antibiotics.  Markedly improved w/good feeding. D/C to home w/PCP f/u. 8/17/09 Received ICD9 codes: 0389, septicemia; 3229, meningitis NOS; 78791, diarrhea; 99591, SIRS, d/t infectious process w/o acute organ dysfunction.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Hyperhidrosis, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: I received the MMR vaccine on 4-20-09.  I am exclusively breastfeeding a 14 week old infant.    On 4-29-09 she developed a fever of unknown origin. She became lethargic, restless, diaphoretic, and irritable. On 5-1-09 she was hospitalized. CBC, UC, blood cultures were all normal.  An LP was attempted, but unsuccessful. On 5-2-09 she developed a rash.  She was discharged on 5-3-09 without a diagnosis.  I am concerned she developed this illness via my breastmilk after I was vaccinated. 5/26/09 Received hospital medical records for 5/1-5/3/2009. FINAL DX: fever (rule out sepsis), irritability. Records reveal patient experienced fever, irritability, poor feeding, increased drowsiness, increased stools x 3 days.  LP attempted but unsuccessful.  Tx w/IV antibiotics until c/s neg then d/c antibiotics.  Markedly improved w/good feeding. D/C to home w/PCP f/u. 8/17/09 Received ICD9 codes: 0389, septicemia; 3229, meningitis NOS; 78791, diarrhea; 99591, SIRS, d/t infectious process w/o acute organ dysfunction.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Restlessness, Urine analysis normal
Clinical narrative: I received the MMR vaccine on 4-20-09.  I am exclusively breastfeeding a 14 week old infant.    On 4-29-09 she developed a fever of unknown origin. She became lethargic, restless, diaphoretic, and irritable. On 5-1-09 she was hospitalized. CBC, UC, blood cultures were all normal.  An LP was attempted, but unsuccessful. On 5-2-09 she developed a rash.  She was discharged on 5-3-09 without a diagnosis.  I am concerned she developed this illness via my breastmilk after I was vaccinated. 5/26/09 Received hospital medical records for 5/1-5/3/2009. FINAL DX: fever (rule out sepsis), irritability. Records reveal patient experienced fever, irritability, poor feeding, increased drowsiness, increased stools x 3 days.  LP attempted but unsuccessful.  Tx w/IV antibiotics until c/s neg then d/c antibiotics.  Markedly improved w/good feeding. D/C to home w/PCP f/u. 8/17/09 Received ICD9 codes: 0389, septicemia; 3229, meningitis NOS; 78791, diarrhea; 99591, SIRS, d/t infectious process w/o acute organ dysfunction.
Age: 26.0
Sex: F
Vaccine: YF
Symptoms: Dyspnoea, Pyrexia, Visual impairment
Clinical narrative: Administered yellow fever vaccination to rt deltoid. 20 minutes after vaccination, pt. left clinic and reportedly walked to another building to complete the PHA process. Pt. c/o fever, difficulty breathing, and visual disturbances. Pt. was escorted back to the treatment room of the clinic by staff and notified PA. During evaluation, clinical staff began intervening with the presumption of anaphylaxis and called for emergency transport. Oxygen administered, IV started, Benadryl and Solumedrol given. Within 5 minutes of presenting in the treatment room, ambulance personnel arrived and assumed care of patient.  5/15/09 ED records received DOS 5/1/09 FINAL DIAGNOSIS: Acute allergic reaction to Yellow Fever vaccine. Post vaccine adminstration: facial swelling, diffuse rash, trouble breathing, chest pain, cough.
Age: 36.0
Sex: F
Vaccine: TYP, YF
Symptoms: Angiogram normal, Computerised tomogram normal, Coordination abnormal, Dizziness, Dyspnoea
Clinical narrative: WITHIN 12 HOURS:  SEVERE DROWSINESS; 24 HOURS:  VERTIGO, DIZZINESS; 36 HOURS:  NUMBNESS & TINGLING LEFT ARM, SHORTNESS OF BREATH, FATIGUE  48 HOURS: LOSS OF COORDINATION OF LEFT ARM WITH CONTINUED NUMBNESS & TINGLING.  WENT TO EMERGENCY ROOM AND WAS SUBSEQUENTLY ADMITTED. RULED OUT TIA, STROKE, TUMOR, PINCHED NERVE.  BRAIN CT, MRI, MRA, ECHO AND EKG ALL WNL.  72 HOURS: LEFT ARM NUMBNESS & TINGLING GONE, BUT SLIGHT WEAKNESS REMAINS, EXTREME DROWSINESS & FATIGUE CONTINUE. DISCHARGED FROM HOSPITAL.  INCONCLUSIVE AS TO CAUSE FOR NUMBNESS, TINGLING AND DIZZINESS.  6/2/09 Hospital records received DOS 5/2/09 to 5/3/09. FINAL DIAGNOSIS: Transient Ischemic Attack. Post vaccination presented with numbness left arm, dropped bowl of cereal earlier that day. Weak, dizziness, headache. Neurological consult - hypoesthesia left upper extremity. ICD-9 Code: 435.9 Trans Cereb Ischemia NO.
Age: 36.0
Sex: F
Vaccine: TYP, YF
Symptoms: Echocardiogram normal, Electrocardiogram normal, Fatigue, Hypoaesthesia, Laboratory test normal
Clinical narrative: WITHIN 12 HOURS:  SEVERE DROWSINESS; 24 HOURS:  VERTIGO, DIZZINESS; 36 HOURS:  NUMBNESS & TINGLING LEFT ARM, SHORTNESS OF BREATH, FATIGUE  48 HOURS: LOSS OF COORDINATION OF LEFT ARM WITH CONTINUED NUMBNESS & TINGLING.  WENT TO EMERGENCY ROOM AND WAS SUBSEQUENTLY ADMITTED. RULED OUT TIA, STROKE, TUMOR, PINCHED NERVE.  BRAIN CT, MRI, MRA, ECHO AND EKG ALL WNL.  72 HOURS: LEFT ARM NUMBNESS & TINGLING GONE, BUT SLIGHT WEAKNESS REMAINS, EXTREME DROWSINESS & FATIGUE CONTINUE. DISCHARGED FROM HOSPITAL.  INCONCLUSIVE AS TO CAUSE FOR NUMBNESS, TINGLING AND DIZZINESS.  6/2/09 Hospital records received DOS 5/2/09 to 5/3/09. FINAL DIAGNOSIS: Transient Ischemic Attack. Post vaccination presented with numbness left arm, dropped bowl of cereal earlier that day. Weak, dizziness, headache. Neurological consult - hypoesthesia left upper extremity. ICD-9 Code: 435.9 Trans Cereb Ischemia NO.
Age: 36.0
Sex: F
Vaccine: TYP, YF
Symptoms: Muscular weakness, Paraesthesia, Scan brain, Somnolence, Vertigo
Clinical narrative: WITHIN 12 HOURS:  SEVERE DROWSINESS; 24 HOURS:  VERTIGO, DIZZINESS; 36 HOURS:  NUMBNESS & TINGLING LEFT ARM, SHORTNESS OF BREATH, FATIGUE  48 HOURS: LOSS OF COORDINATION OF LEFT ARM WITH CONTINUED NUMBNESS & TINGLING.  WENT TO EMERGENCY ROOM AND WAS SUBSEQUENTLY ADMITTED. RULED OUT TIA, STROKE, TUMOR, PINCHED NERVE.  BRAIN CT, MRI, MRA, ECHO AND EKG ALL WNL.  72 HOURS: LEFT ARM NUMBNESS & TINGLING GONE, BUT SLIGHT WEAKNESS REMAINS, EXTREME DROWSINESS & FATIGUE CONTINUE. DISCHARGED FROM HOSPITAL.  INCONCLUSIVE AS TO CAUSE FOR NUMBNESS, TINGLING AND DIZZINESS.  6/2/09 Hospital records received DOS 5/2/09 to 5/3/09. FINAL DIAGNOSIS: Transient Ischemic Attack. Post vaccination presented with numbness left arm, dropped bowl of cereal earlier that day. Weak, dizziness, headache. Neurological consult - hypoesthesia left upper extremity. ICD-9 Code: 435.9 Trans Cereb Ischemia NO.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: mother noted thigh swelling at injection site two days after immunization.  Patient was seen in office and examined: left thigh with 10x6 cm indurated, erythematous, tender. No fever, no systemic symptoms
Age: 1.5
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Irritability, Petechiae, Pyrexia, Rash
Clinical narrative: Fever, irritablity and rash about 9 days after the well visit on 04/14/09.  Patient seen in office on 04/24/09 for rash- five petechial on neck and chest.
Age: 1.6
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Within 15 minutes post injection patient developed redness, swelling, 30 mm in size4 with warmth and hardness at the injection site.  Dr. notified, and Benadryl 7.5 ml dgiven along with cold compress.  Area inproved in appearanceafter treatment.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Injected limb mobility decreased, Laboratory test, Oedema peripheral
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2.  Mother states he could not move arm without extreme pain, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase inpain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this,the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Pain in extremity, Staphylococcal infection
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2.  Mother states he could not move arm without extreme pain, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase inpain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this,the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Injected limb mobility decreased, Oedema peripheral, Pain
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2.  Mother states he could not move arm without extreme pain, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase inpain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this,the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Pyrexia, Staphylococcal infection
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2.  Mother states he could not move arm without extreme pain, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase inpain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this,the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Injected limb mobility decreased, Laboratory test, Oedema peripheral
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2 Mother states he could not move arm without extreme pair, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase in pain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this, the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Pain in extremity, Staphylococcal infection
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2 Mother states he could not move arm without extreme pair, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase in pain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this, the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Injected limb mobility decreased, Oedema peripheral, Pain
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2 Mother states he could not move arm without extreme pair, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase in pain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this, the mother did not know.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, TDAP, VARCEL
Symptoms: Pyrexia, Staphylococcal infection
Clinical narrative: Vaccination was received on 4/28/2009 in Left Arm.  Client was brought back in the HD on 05/01 with very red swollen LA, with a temperature of 100.2 Mother states he could not move arm without extreme pair, and could not touch.  Was instructed to give child Advil or Tylenol for pain and apply ice packs to area and to take to PMD if worse.  Fever increased to 101.8 with child co increase in pain.  He was taken to his PMD for care and was given Keflex 500mg 1 po tid for 10 days.  PMD said he had a Staph infection.  When asked what test was performed to confirm this, the mother did not know.
Age: 0.45
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Dehydration, Lethargy, Pyrexia, Respiratory arrest
Clinical narrative: High fever, projectile vomiting, lethargic, dehydration, stopped breathing while sleeping - we were able to resuscitate him, lips turned blue.
Age: 0.45
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting projectile
Clinical narrative: High fever, projectile vomiting, lethargic, dehydration, stopped breathing while sleeping - we were able to resuscitate him, lips turned blue.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth, No reaction on previous exposure to drug
Clinical narrative: Adverse reaction to right deltoid after Tdap administered "started two days after the shot was given." (Hep B immunization was administered to patient to the left deltoid approximately 24 hours after the Tdap; no right arm adverse events noted at that time or until reported on 05/04/09.) Described adverse reaction as "had softball size raised [area] with redness and it was warm to touch..." Patient did not know if she had an elevated temperature, "I don't have a thermometer." Patient also reported, "I had an IV when I had my daughter about 8 years ago and had to be hospitalized for 6 days with antibiotics. So, I wanted to get on top of it." Patient, who works in the Emergency Dept, stated, "I showed one of the doctors who gave me a prescription for Keflex." Area assessed, no redness, swelling or redness observed; however, patient complains of tenderness upon light palpation. In addition, patient reports a lump to the right lateral neck, just below the ear (lymph node area). This area was palpated, approximate 3 cm raised area felt. Patient encouraged to seek medical care for follow-up. "I don't have a regular doctor. I just go to clinic."
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Adverse reaction to right deltoid after Tdap administered "started two days after the shot was given." (Hep B immunization was administered to patient to the left deltoid approximately 24 hours after the Tdap; no right arm adverse events noted at that time or until reported on 05/04/09.) Described adverse reaction as "had softball size raised [area] with redness and it was warm to touch..." Patient did not know if she had an elevated temperature, "I don't have a thermometer." Patient also reported, "I had an IV when I had my daughter about 8 years ago and had to be hospitalized for 6 days with antibiotics. So, I wanted to get on top of it." Patient, who works in the Emergency Dept, stated, "I showed one of the doctors who gave me a prescription for Keflex." Area assessed, no redness, swelling or redness observed; however, patient complains of tenderness upon light palpation. In addition, patient reports a lump to the right lateral neck, just below the ear (lymph node area). This area was palpated, approximate 3 cm raised area felt. Patient encouraged to seek medical care for follow-up. "I don't have a regular doctor. I just go to clinic."
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Fatigue, Injected limb mobility decreased, Injection site pustule, Injection site swelling
Clinical narrative: Temp of 100-102 within 24 hours.  Muscle spasms x5 days now. 4 inch area of swelling around injection site.  Pustule at injection site.  Soreness limiting range of motion.  Nausea, fatigue, vertigo.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Nausea, Pain in extremity, Vertigo
Clinical narrative: Temp of 100-102 within 24 hours.  Muscle spasms x5 days now. 4 inch area of swelling around injection site.  Pustule at injection site.  Soreness limiting range of motion.  Nausea, fatigue, vertigo.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient described onset of large 'orange sized' hot lump in the area of administration, onset was approx 72 hours after admin.  patient stated lump was hot to the touch but not painful.  patient denied systemic fever.  patient reports slight rash like appearance to the area as well.  all symptoms are subsided after ~2 days after onset.
Age: 0.42
Sex: F
Vaccine: PNC, PNC
Symptoms: Haematemesis
Clinical narrative: Pt recieved regular vaccines at two months and began spitting up blood for the following 24 hours.  At 4 months we administered only one vacc/week in order to see if one of the imm. caused this problem.  There were no further problems until we gave the Prevnar when the patient was 5 months.  She began spitting up blood again for the next 24 hours.
Age: 0.42
Sex: F
Vaccine: PNC, PNC
Symptoms: Haematemesis, Vaccine positive rechallenge
Clinical narrative: Pt recieved regular vaccines at two months and began spitting up blood for the following 24 hours.  At 4 months we administered only one vacc/week in order to see if one of the imm. caused this problem.  There were no further problems until we gave the Prevnar when the patient was 5 months.  She began spitting up blood again for the next 24 hours.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: 10/11/09 awoke with severe pain and weakness in Right deltoid.  Significant Pain and weakness continued for 2-3 days.  Then the pain decresed to moderate lasting 2 -3 weeks. Pain and weakness continue today when raising right arm. She is able to lift the same amount of weight with both arms but the right arm tires easily and she is unable to perform as many reps with the right arm.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Right arm cellulitis developed at immunization site 2 days after immunization given. Pt initially treated with Keflex and Bactrim but cellulitis worsened so patient treated with Clindamycin.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: On 4/26/09 patient started to develop red rash in which progressively increased in numbers and intensity.  Rash was coalescent.  Patient seen on 04/27/09 with servere rash.  Pictures were taken.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Injection site induration, Injection site streaking, Injection site swelling
Clinical narrative: Blue streaking across the leg from the site of injection, as well as a swollen, firm leg.  She was given injections today with Pentacel, HepB, and Prevnar today.  The list below does not include Prevnar as an option.  Our clinic nurse recalls the site of the adverse reaction as 'Prevnar', though not entirely sure.  It is manufactured by Wyeth and the lot number is provided below under 'vaccine not specified' (since there was no option for Prevnar.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours after injection - mom noted swelling tenderness and erythema - 36 hours after he has swelling 1.5 inches lareger on that arm with tenderness and warm to touch with no eryhtema or tenderness - tx is motrin for pain and benadryl prn
Age: 52.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: NONE. No adverse event.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Rash morbilliform
Clinical narrative: Had measle like red, raised bumps all over body.
Age: 1.0
Sex: M
Vaccine: HEPA
Clinical narrative: NO ADVERSE EVENTS, SYMPTOMS, OR TREATMENT
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site cellulitis
Clinical narrative: CELLULITIS LEFT LEG DIAGNOSED IN ER MAY 3, 2009.  CELLULITIS BEING TREATED WITH SEPTRA ORAL ANTIBIOTIC.
Age: 0.75
Sex: F
Vaccine: DTAP, RV5
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: 2 days after administration of rotateq child developed fever to 102, and a few episodes of loose stool and vomiting-- report being filed at mom's request
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Lymphadenopathy, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Mother, phoned clinic and left a message on 5-04-09. Her call was returned and the following information was received. 29 hours after immunizations were given (5-03-09 @4pm) fever presented at 102 degrees later to 103 degrees. Given Tylenol and Motrin throughout the evening. Right arm was slightly sore and red. Left arm very sore, swollen and red. The morning of 5-04, both arms remain red and sore with pain occurring under left arm and down into rib cage, with no elevation in temperature. Patient was seen by physician today at 1330 who says that lymph nodes under both arms are very swollen. He advised patient to never take a tetanus shot again. Patient responded that in 10 years, technology would have advanced and this reaction may be a moot point.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Tremor
Clinical narrative: Tremors in R hand started 12-24 hours after injections. Dizziness - resolved.5/18/09 records received-office visit 12/28/08 C/O swollen glands, lethargic, strep 1 month prior. 12/31/08-C/O fever times 3 days, started 5 weeks ago with sore throat, headache, malaise, headache, tired. 2/19/09-lump onleft side of hip. HX of strep 3 times since 11/08-shoddy nodes at neck. Impresion lymphadenopathy. 3/4/09-rash all over, swollen lymph nodes, had mono, strep. C/O headache, body aches, red face. 5/4/09-C/O shakiness right hand, tremors. Referred to neurologist.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Rash vesicular
Clinical narrative: Pt broke out with 9 blisters on 5-3-09 Mom states looks like chickenpox. Blisters on back and neck.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Rash generalised
Clinical narrative: Pt was given 2nd dose of Hep B series at 2:00pm 4-13-09 - At 5:00pm noticed a rash around belt line - progressed to entire body - He had also received an injection of his knee at an Ortho Specialty Clinic that same morning  at 10:30am - He received 3u MARCAINE and 2cc KENALOG and BETADINE cleaner and used prior to injection. Pt saw his Dr the next day - received PREDNISONE 10mg 2Xday X 7days - Was told to take BENADRYL as needed.
Age: 6.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Localized cellulitis at administration site - Started on OMNICEF.
Age: 11.2
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure, Fall, Head injury, Syncope
Clinical narrative: Teen had syncopal episode after taking 2 steps when she got off the exam table - 11 feet and hit head against door frame. BP was low and remained low for about 10 minutes.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt developed shingles 7 days after ZOSTAVAX injection.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature, Crying, Injection site swelling, Pain
Clinical narrative: TC received from stating pt seems to be in severe pain; severe hard crying off and on since vaccines received today.  Pt states left thigh is slightly swollen this RN could hear baby shrill in back ground.  Temp 99.! Instruction given to mom to report to PCP office for eval and to notify BCOH of disposition mother verbalized understanding
Age: 28.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pt. presented to GARDASIL clinic 7-22-08 to begin series. Completed series 4-17-09 after reporting LMP 3-26-09. Presented to health department for + pregnancy test 5-4-09.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & Lg redness at injection site
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) thigh swollen from upper thigh to knee. 3 cm larger than (R) thigh. Area a little reddened. Afebrile.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Fainted - lasting 15 seconds - returned to normal LOC.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Mechanical urticaria, Rash macular, Urticaria
Clinical narrative: Uticaria to R upper chest welt 3 cm raised macule + dermatographism benadryl given PO - will give benadryl + MMR -> #2.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen red left upper arm approx size quarter. Pt able to use arm.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Hepatitis B #3 vaccine given on 4-29-09. Pt. c/o swelling and redness of (L) arm where injection given on 4-30-09. Pt. stated on 5-1-09 that redness was better but swelling was worse. No c/o numbness, itching, swelling of face, etc. Advised BENADRYL 50 mg q 4g 16, elevate and call with new Sx PCP notified.
Age: 0.1
Sex: F
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: 1 month old given Hep A vaccine instead of Hep B. No immediate adverse reaction. No treatment given.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: L shoulder vaccine site (deltoid) was reddened, warm + itchy on 4/25-4/26 worsened @ 48 hrs after inj.  Patient went to ED to have checked.  Now resolving on Keflex @ day 4.  On day 4 annular reddened, hand knot, 2"x2"
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blood pressure decreased, Cyanosis, Hypoventilation, Lethargy, Pallor
Clinical narrative: About 5-10 min after vaccinations (HEP A #1, VARIVAX #2) child started vomiting and became increasingly lethargic, No total LOC. Non discrete urticaria (small lesions) noted on lower abdomen. BP dropped 80/50 (previously 90/56), HR 100/min shallow respirations, pale and mildly cyanotic. Epinephrine and SoluMedrol given to which she responded. Brought to ER by paramedics for further evaluation and abt.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: About 5-10 min after vaccinations (HEP A #1, VARIVAX #2) child started vomiting and became increasingly lethargic, No total LOC. Non discrete urticaria (small lesions) noted on lower abdomen. BP dropped 80/50 (previously 90/56), HR 100/min shallow respirations, pale and mildly cyanotic. Epinephrine and SoluMedrol given to which she responded. Brought to ER by paramedics for further evaluation and abt.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Erythema, Eye swelling, Ocular hyperaemia, Skin warm
Clinical narrative: Mom reports eyes red, puffy & warm red area right upper arm
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Injection site mass, Injection site warmth, Ocular hyperaemia, Rash
Clinical narrative: Inf received 6 mon vaccinations at 2 hrs after he ran a Temp of 100.4 and large warm red lumps formed at inj sites. Tylenol and bath given with some relief. 24 hrs after vaccinations rash on legs then belly then arms and face started. Mom took inf to MD on 3rd day. Both eyes were red also. Medicated with Prednisone 5mg/5ml; 1/2Tsp BID
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Cellulitis, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: Fever and rash trunk after  8 hrs. Temps are as high as 101. Maculopapular rash chest abdomen, legs face. Rash became cellulitis in 240 with continued fevers stating continually and then more peripheral. Measles type rash. No Koplik spots.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Fever and rash trunk after  8 hrs. Temps are as high as 101. Maculopapular rash chest abdomen, legs face. Rash became cellulitis in 240 with continued fevers stating continually and then more peripheral. Measles type rash. No Koplik spots.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Shot RA- 4/26 - Rt arm swollen, hot, red.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Mass, Pain
Clinical narrative: Pt describes reddened area around injection site that goes down arm to elbow.  Also reports pain under arm sore.  Knot increased from under quarter size to over quarter size in 24 hrs.  Tx'ed with BENADRYL & ice.  Saw M.D.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Parent of patient returned to clinic 2 days after vaccination to have right arm evaluated.  Raised reddened area 9 cm X 6 cm right upper posterolateral arm.  Denied  pain, numbness or tingling in arm.  No systemic reaction evident.  Recommended child be evaluated by their personal pediatrician.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Blood urine present, Erythema, Eye swelling, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Fever on 4-17-09, 7 PM. On 4-18-09 upon awakening had eyes swollen shut, face incl tongue puffy and red, eyes were also red. Facial swelling/redness resolved on 4-19-09 mid-day. Parent measured highest temp as 100.8. Seen in clinic 4-21-08, T 102, sneezing, nasal discharge, sore throat.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Protein urine present, Pyrexia, Rhinorrhoea, Sneezing, Specific gravity urine normal
Clinical narrative: Fever on 4-17-09, 7 PM. On 4-18-09 upon awakening had eyes swollen shut, face incl tongue puffy and red, eyes were also red. Facial swelling/redness resolved on 4-19-09 mid-day. Parent measured highest temp as 100.8. Seen in clinic 4-21-08, T 102, sneezing, nasal discharge, sore throat.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Streptococcal identification test negative, Swelling face, Swollen tongue, Urine leukocyte esterase positive, pH urine normal
Clinical narrative: Fever on 4-17-09, 7 PM. On 4-18-09 upon awakening had eyes swollen shut, face incl tongue puffy and red, eyes were also red. Facial swelling/redness resolved on 4-19-09 mid-day. Parent measured highest temp as 100.8. Seen in clinic 4-21-08, T 102, sneezing, nasal discharge, sore throat.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Cough, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: 6 cm red rash with pain and swelling; fever at injection site; cough, red throat; post-nasal drip; bruising - treated with ZITHROMAX antibiotic; cough syrup; BENADRYL; ZYRTEC and icing- lasted one week +
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Pharyngeal erythema, Postnasal drip, Streptococcal identification test negative
Clinical narrative: 6 cm red rash with pain and swelling; fever at injection site; cough, red throat; post-nasal drip; bruising - treated with ZITHROMAX antibiotic; cough syrup; BENADRYL; ZYRTEC and icing- lasted one week +
Age: 54.0
Sex: M
Vaccine: MNQ, PPV, TD
Symptoms: Chills, Fatigue, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Initial report was received 05 June 2008 from a health care professional. A 54-year-old male patient had received an intramuscular right deltoid injection of DECAVAC, lot number U2067DA, and an intramuscular right deltoid injections of MENACTRA, lot number U2632AA, and an intramuscular, left deltoid injection of PNEUMOVAX, lot number 0380U (Manufactured by Merck) on 03 June 2008 and one day later, he developed a 7cm by 6cm area of blotchy redness and edema with tenderness at the left deltoid region. The patient also complained of chills, muscle aches and pains, and generalized fatigue. Laboratory and diagnostic testing was marked "N/A" by the reporter. The patient had no pre-existing medical conditions and had not been ill at the time of vaccination. The patient had not been evaluated by their physician. At the time of the report, the patient's recovery status was not provided.