chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Infection susceptibility increased
Clinical narrative: Information has been received from a physician concerning a 19 year old female who in July 2009 and December 2009, was vaccinated with the first and second doses of GARDASIL, respectively. The patient experienced one week of feeling exhausted and brain fog after receiving her first dose of vaccine. She experienced severe brain fog and profound fatigue after the second dose. She was not able to attend spring semester of college as a result. Prior to receiving GARDASIL she was an athlete who excelled at track and excelled as a student and did not have an allergy to citrates prior to receiving GARDASIL. The patient was also experiencing a severe hypersensitivity to citrates and seemed to be more prone to Streptococcus infections. The physician also reported the patient just recently experienced intense bronchospasm for 1 hour after taking a lactobacillus mixture. It was discovered after the patient's reaction that the mixture contained an extremely small amount of citrate. At the time of report the patient had not recovered. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from an office manager concerning her niece (a female autistic patient) who on unspecified date was vaccinated with the first and second dose of GARDASIL. It was reported that "after receiving the first and second dose of vaccine the patient experienced four to five seizures. The office manager stated that the patient had recovered. The office manager also stated that the patient went to a completely different office (medical practice) and they did not treat her at their office". At the time of report the patient had recovered. Upon internal review, seizure was determined to be an other important medical event. No further information is available.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion spontaneous, Blood test, Drug exposure during pregnancy, Pregnancy test
Clinical narrative: Information has been received from a consumer, for the Pregnancy Registry for VARIVAX (Merck), concerning herself, a 33 year old female with latex allergy and no pertinent medical history reported who on 11-MAY-2009 was vaccinated with first dose of VARIVAX (Merck) (dose, route and lot number not reported). There was no concomitant medication. The patient reported that she had her last menstrual cycle on 23-MAY-2009. The patient was not about  five weeks pregnant. No adverse event was reported. Lab test performed included "pregnancy test and blood work", results not provided. The patient sought unspecified medical attention. Follow up information indicated that in July 2009 the patient had a miscarriage. Upon internal review miscarriage was determined to be an other important medical event. Additional information has been requested.
Age: 0.55
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cough, Injection site erythema, Injection site rash
Clinical narrative: Began with redness at each injection site, rash extending trunk, cough, afebrile. Seen at MD and prednisone ordered.
Age: 21.0
Sex: M
Vaccine: HEPA, IPV, TDAP, YF
Symptoms: Dizziness, Headache, Syncope, Tinnitus
Clinical narrative: CLIENT HAD FEELINGS OF DIZZINESS, HEADACHE, EARS RINGING.  HE TRIED PUTTING HIS HEAD BETWEEN HIS LEGS FOR ABOUT 5 MINUTES, SYMPTOMS BEGAN TO SUBSIDE AND RETURNED ABOUT A MINUTE LATER.  NURSE HELPED CLIENT TO A BED, ON THE WAY HE HAD A SYNCOPAL EPISODE THAT LASTED A COUPLE SECONDS.
Age: 62.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Varicella
Clinical narrative: Chicken Pox blisters on hand and leg
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm was red & swollen around injection site. It was a little sore & warm to the touch. Swollen area did increase in size, patient was told to ice the area.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Cellulitis, Diarrhoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Vomiting/diarrhea. Red, swelling to injection site. Felt hot to injection site. Treatment for cellulitis was given.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Vomiting
Clinical narrative: Vomiting/diarrhea. Red, swelling to injection site. Felt hot to injection site. Treatment for cellulitis was given.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Swelling started on left upper thigh on 5-11-10. Decreased swelling 5-26-10. Today 5-27-10 still knot on thigh. Child in no distress.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Sx forearm swollen/red, local reaction. BENADRYL / heat PRN.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Skin warm
Clinical narrative: Left arm was red and swollen around injection site. It felt sore and was warm to the touch. Swollen area did increase in size, patient was told to ice the area.
Age: 1.02
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL, DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Blisters & erythema on vaccine site.
Age: 1.02
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL, DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Blisters & erythema on vaccine site.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Crying, Injection site swelling, Irritability, Pyrexia, Vomiting
Clinical narrative: Fever of 103.2, vomiting, irritability, swelling to L) leg, unconsolable crying.
Age: 11.0
Sex: U
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Arthralgia
Clinical narrative: Arthralgia, ankle and elbow occurred 2 days after vaccines, no arthritis.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU(H1N1), HEPA
Symptoms: Convulsion, Crying, Enuresis, Gait disturbance, Injection site erythema
Clinical narrative: Left arm local reaction -> swollen and red - woke up in night and had wet the bed - mother described muscles as solid and he was walking funny and crying the night after vaccinations - mother reported this child "had a seizure after a shot when really little" - mother and sister have seizure diagnosis.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU(H1N1), HEPA
Symptoms: Injection site swelling, Local reaction
Clinical narrative: Left arm local reaction -> swollen and red - woke up in night and had wet the bed - mother described muscles as solid and he was walking funny and crying the night after vaccinations - mother reported this child "had a seizure after a shot when really little" - mother and sister have seizure diagnosis.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Local redness heat, swelling with central blistering at site of vaccine.
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Full blood count normal, Immunology test normal, Injection site erythema, Injection site haematoma, Injection site pain
Clinical narrative: This 30 yo male service member received a routine Typhoid #5 booster and 2nd AVA vaccine to left deltoid, with 2nd hepatitis B vaccine to right deltoid on 5/21/2010 (0930 am). He reported immediate pain with administration of "hep B vaccine and AVA vaccine" that quickly resolved (<60 seconds). 2 days later (Sunday morning) he awoke with redness, mild swelling and itching to left deltoid area with bruises to both deltoid at Hep B/Typhoid" vaccine sites. He denied bruising to AVA vaccine site left deltoid. He self treated with Motrin and Claritin x1. Monday morning the redness was progressing up towards his left shoulder and down towards mid-upper arm (above elbow). By Tuesday the redness now encircled most of his left bicep/deltoid region and was warm to touch. The site was pruritic, but not painful. There was no redness to right deltoid. He denied any hives, rashes, fever, paresthesia, weakness, chest pain, neck pain or limitation in ROM to either arm. He did note some tenderness to upper arms only around bruised areas bilaterally. He denied any trauma or injury to either arm. He also denied any history of blood disorders, easy bruising, gum bleeding or any illnesses or travel. Symptoms: Symptoms, inv skin/integumentary tissue NEC(782.9).
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Red blood cell sedimentation rate increased, Tenderness
Clinical narrative: This 30 yo male service member received a routine Typhoid #5 booster and 2nd AVA vaccine to left deltoid, with 2nd hepatitis B vaccine to right deltoid on 5/21/2010 (0930 am). He reported immediate pain with administration of "hep B vaccine and AVA vaccine" that quickly resolved (<60 seconds). 2 days later (Sunday morning) he awoke with redness, mild swelling and itching to left deltoid area with bruises to both deltoid at Hep B/Typhoid" vaccine sites. He denied bruising to AVA vaccine site left deltoid. He self treated with Motrin and Claritin x1. Monday morning the redness was progressing up towards his left shoulder and down towards mid-upper arm (above elbow). By Tuesday the redness now encircled most of his left bicep/deltoid region and was warm to touch. The site was pruritic, but not painful. There was no redness to right deltoid. He denied any hives, rashes, fever, paresthesia, weakness, chest pain, neck pain or limitation in ROM to either arm. He did note some tenderness to upper arms only around bruised areas bilaterally. He denied any trauma or injury to either arm. He also denied any history of blood disorders, easy bruising, gum bleeding or any illnesses or travel. Symptoms: Symptoms, inv skin/integumentary tissue NEC(782.9).
Age: 1.02
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella type rash (> 20 lesions).
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash generalised
Clinical narrative: GENERALIZED RASH, RESOLVED WITH DIPHENHYDRAMINE 25MG PO X1
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness
Clinical narrative: AFTER ADMINISTERING VACCINES TO THE PATIENT, THE PATIENT STOOD UP AND FELT LIGHT HEADED.  I ASKED IF SHE WAS OK, SHE SAID NO AND SAT BACK DOWN.  SHE WAS DIZZY AND FELT AS THOUGH SHE WAS GOING TO FAINT, BUT NEVER DID. AFTER 15 MINUTES AND SOME PO FLUIDS, SHE WAS WELL.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Dry throat, Dyspnoea, Injection site pain, Intensive care, Pharyngeal oedema
Clinical narrative: Extreme tight pain at injection site, throat tightness, dryness and swelling. Ice applied to injection site, given Epinephrine 0.3 mg per EpiPen, methylprednisolone acetate 120 mg IM, diphenhydramine 50 mg IM.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Throat tightness
Clinical narrative: Extreme tight pain at injection site, throat tightness, dryness and swelling. Ice applied to injection site, given Epinephrine 0.3 mg per EpiPen, methylprednisolone acetate 120 mg IM, diphenhydramine 50 mg IM.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Convulsion, Decreased immune responsiveness, Irritability, Muscle twitching, Nervous system disorder
Clinical narrative: Neurological problems, convulsions, twitching, pain, irritability, decrease in immunity.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Neurological problems, convulsions, twitching, pain, irritability, decrease in immunity.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure increased, Chest X-ray normal, Chills, Injection site pain, Rash
Clinical narrative: Upon arrival at home developed soreness/pain @ site. Next morning rash & hive-like reaction. That evening woke w/chills & elevated BP. Admitted to hosp where Prednisone & hydroxyzine were given.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria, White blood cell count increased
Clinical narrative: Upon arrival at home developed soreness/pain @ site. Next morning rash & hive-like reaction. That evening woke w/chills & elevated BP. Admitted to hosp where Prednisone & hydroxyzine were given.
Age: 46.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin warm
Clinical narrative: Left arm swelling, redness, "sore" pain with skin warm to touch. Cephalexin 500mg (1 cap) 4 times per day for 7 days.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pruritus
Clinical narrative: Patient received vaccine 4/28/10. Returned 5/5/10 with left arm redness, itchiness.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Dyspnoea, Throat tightness
Clinical narrative: Patient complained of persistent coughing, difficulty in breathing, throat tightness since last evening. Came to the hospital today treated with Benadryl and albuterol nebulizer treatment. Transferred via 911 to downtown hospital ER.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Neuralgia, Pain in extremity, Surgery
Clinical narrative: Received call from pt on 6/2/10, requesting vaccine manufacturer and lot number. Pt reported that 3 days after vaccination she had "excruciating" pain and numbness. Pain radiated down entire arm at first and then entire left index finger and thumb became numb. Patient states she had surgery 5/20/10. Still experiencing some nerve pain and numbness.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electromyogram abnormal, Hypoaesthesia, Laboratory test, Muscle spasms, Nerve conduction studies abnormal
Clinical narrative: Received call from pt on 6/2/10, requesting vaccine manufacturer and lot number. Pt reported that 3 days after vaccination she had "excruciating" pain and numbness. Pain radiated down entire arm at first and then entire left index finger and thumb became numb. Patient states she had surgery 5/20/10. Still experiencing some nerve pain and numbness.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Pruritus, Sensation of heaviness, Surgery
Clinical narrative: Received call from pt on 6/2/10, requesting vaccine manufacturer and lot number. Pt reported that 3 days after vaccination she had "excruciating" pain and numbness. Pain radiated down entire arm at first and then entire left index finger and thumb became numb. Patient states she had surgery 5/20/10. Still experiencing some nerve pain and numbness.
Age: 17.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Erythema, Pain, Pruritus, Urticaria
Clinical narrative: Hives on legs. Topical Benadryl applied.  Came and went over course of day, went away in afternoon. Next morning (06/02/2010), hives worse: larger and more extensive.  Loratidine 10 mg taken at ~ 7:30 AM.  Over course of morning hives became severe, spread all over both legs all the way to the crotch/buttocks and including ball of foot.  Very large, red with white surround, often bulbous, extremely itchy, even painful.  Subsided by noon and went away completely thereafter.  Began returning at ~ 5 PM, but relatively small and only in a few spots on the legs.  Did not get significantly worse.  25 mg Benadryl taken at 6:00 PM and again at 10:00 PM. Next morning (06/03/2010): Minor itchiness of legs but no focal lesions.  10 mg Loratadine at ~ 7:30 AM.  Mild itching and a couple of small hives over course of morning but not getting worse.
Age: 17.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Urticaria
Clinical narrative: Hives on legs. Topical Benadryl applied.  Came and went over course of day, went away in afternoon. Next morning (06/02/2010), hives worse: larger and more extensive.  Loratidine 10 mg taken at ~ 7:30 AM.  Over course of morning hives became severe, spread all over both legs all the way to the crotch/buttocks and including ball of foot.  Very large, red with white surround, often bulbous, extremely itchy, even painful.  Subsided by noon and went away completely thereafter.  Began returning at ~ 5 PM, but relatively small and only in a few spots on the legs.  Did not get significantly worse.  25 mg Benadryl taken at 6:00 PM and again at 10:00 PM. Next morning (06/03/2010): Minor itchiness of legs but no focal lesions.  10 mg Loratadine at ~ 7:30 AM.  Mild itching and a couple of small hives over course of morning but not getting worse.
Age: 17.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Erythema, Pain, Pruritus, Urticaria
Clinical narrative: Pt developed hives 1 week after receiving the vaccine.  She also had completed a Zpack (first time) for dental work 1-2 days before hives developed.
Age: 17.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Urticaria
Clinical narrative: Pt developed hives 1 week after receiving the vaccine.  She also had completed a Zpack (first time) for dental work 1-2 days before hives developed.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever 102, generalized aching, headache and nausea lasting for 6 days pt was advised to make appt on 06022010 if she was not better and she did not schedule appt...
Age: 1.29
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Erythema multiforme, Rash, Streptococcus test negative, Urticaria
Clinical narrative: Migratory rash - urticaria vs. erythema multiforme, has generally improved slightly over about 4 weeks, otherwise well, thriving, no fevers or other symtpoms.
Age: 0.62
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Ear infection, Fall, Immunoglobulin therapy, Petechiae
Clinical narrative: From birth until January, 2010, patient had been very healthy; but then children began getting ill at his daycare. 2/01/10 - Patient had his 6-month vaccinations at Dr.'s office. 2/16/10 - Child was hospitalized with RSV. Child completed a course of OMNICEF on 2/28/10 for an ear infection. 3/01/10 - Child received 2nd seasonal flu vaccine. 3/09/10 - Child received 1st H1N1 injection. Time frame is uncertain, but Mom states that patient started to fall one day and mother caught him when she noted petechiae on his arms where she caught him. She thought at first that maybe she had grabbed him too hard. 4/25/10 - Mom noticed petechiae on other body areas so she took him to the emergency room where blood tests and x-rays were done. His platelet count at that time was 9000. Patient was hospitalized overnight and was given a unit of immunoglobulin. He was then discharged on 4/26/10. 5/08/10 - Mom again noted petechiae and she took the child to Dr. again. Blood test showed a platelet count of 24,000. Patient was again hospitalized from May 8, 2010 - May 10, 2010. He received one unit of immunoglobulin on 5/8/10 and a 2nd unit on 5/9/10. Since that time, patient has had weekly platelets, which have gradually been going down. 5/17/10 - Patient was evaluated by a hematologist. His platelets remain very low.
Age: 0.62
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Platelet count decreased, Respiratory syncytial virus infection, X-ray
Clinical narrative: From birth until January, 2010, patient had been very healthy; but then children began getting ill at his daycare. 2/01/10 - Patient had his 6-month vaccinations at Dr.'s office. 2/16/10 - Child was hospitalized with RSV. Child completed a course of OMNICEF on 2/28/10 for an ear infection. 3/01/10 - Child received 2nd seasonal flu vaccine. 3/09/10 - Child received 1st H1N1 injection. Time frame is uncertain, but Mom states that patient started to fall one day and mother caught him when she noted petechiae on his arms where she caught him. She thought at first that maybe she had grabbed him too hard. 4/25/10 - Mom noticed petechiae on other body areas so she took him to the emergency room where blood tests and x-rays were done. His platelet count at that time was 9000. Patient was hospitalized overnight and was given a unit of immunoglobulin. He was then discharged on 4/26/10. 5/08/10 - Mom again noted petechiae and she took the child to Dr. again. Blood test showed a platelet count of 24,000. Patient was again hospitalized from May 8, 2010 - May 10, 2010. He received one unit of immunoglobulin on 5/8/10 and a 2nd unit on 5/9/10. Since that time, patient has had weekly platelets, which have gradually been going down. 5/17/10 - Patient was evaluated by a hematologist. His platelets remain very low.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, MMR
Symptoms: Lymphadenopathy, Rash, Rash macular, Skin exfoliation
Clinical narrative: Blotchy flat rash - pink rash on arm top layer began peeling - few days after onset 6/1/10 pinpoint rash on face, back and cheeks. Swollen pen size nodes in groin area. All symptoms started 7 days after vaccinated (5/27/10). Nodes down to normal within 4 days of onset. Overall rash improved 6/1/10. No treatment necessary.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Discomfort, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Within one hour of receiving HPV vaccine pt developed (L) hip cramping & stiffness that have continued since, thus far <24 hours. No injury, no new activity or exercise. Pt states discomfort due to vaccine.
Age: 3.0
Sex: M
Vaccine: PNC13, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received PCV 13 in (L) deltoid - some red tactile temp. Next day (L) arm red & swollen.
Age: 3.0
Sex: M
Vaccine: PNC13, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received PCV 13 in (L) deltoid - some red tactile temp. Next day (L) arm red & swollen.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Condition aggravated, Hypoaesthesia, Multiple sclerosis relapse, Nuclear magnetic resonance imaging brain abnormal, Pupils unequal
Clinical narrative: This case was reported by a physician and described the occurrence of multiple sclerosis relapse in a 38-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Previous vaccination included 1st and 2nd doses ENGERIX B; GlaxoSmithKline given on July 2009 and an unspecified date. On an unspecified date in January 2010 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route). On an unknown date, at an unspecified time after vaccination with ENGERIX B, the subject experienced multiple sclerosis relapse. The subject also experienced numbness in January 2010, blurred vision and anisocoria in April 2010, and mri brain abnormal in May 2010. This case was assessed as medically serious by GSK. At the time of reporting the events of numbness, blurred vision and anisocoria were resolved, abnormal was unresolved, and the outcome of the multiple sclerosis relapse was unspecified. The physician suspected multiple sclerosis relapse.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Vision blurred
Clinical narrative: This case was reported by a physician and described the occurrence of multiple sclerosis relapse in a 38-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Previous vaccination included 1st and 2nd doses ENGERIX B; GlaxoSmithKline given on July 2009 and an unspecified date. On an unspecified date in January 2010 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route). On an unknown date, at an unspecified time after vaccination with ENGERIX B, the subject experienced multiple sclerosis relapse. The subject also experienced numbness in January 2010, blurred vision and anisocoria in April 2010, and mri brain abnormal in May 2010. This case was assessed as medically serious by GSK. At the time of reporting the events of numbness, blurred vision and anisocoria were resolved, abnormal was unresolved, and the outcome of the multiple sclerosis relapse was unspecified. The physician suspected multiple sclerosis relapse.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis
Clinical narrative: This case was reported by a physician, via GSK representative, and described the occurrence of turned blue in a 7-month-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline), HIB and (non-gsk) PREVNAR. On 2 December 2009 the subject received unspecified dose of PEDIARIX (details unknown), unspecified dose of HIB (details unknown), unspecified dose of PREVNAR (details unknown). On 2 December 2009, during the night and less than one day after vaccination with HIB, PEDIARIX and PREVNAR, the subject experienced turned blue. It was reported that the subject turned blue during the night, but he was aroused and okay and did not appear to have any other effects. This case was assessed as medically serious by GSK. At the time of reporting the event was resolved. After the next vaccination with PEDIARIX the event did not recur.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Patient developed rash 5/25 around 1:30AM. Patient and cousin were given VARIVAX on 5/13/10 within approximately 1 hour of each other. Cousins are together all the time. Parent not aware of any exposure to chickenpox or shingles.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pruritus, Rash erythematous, Rash generalised
Clinical narrative: 5/13/10 Doctor gave VARIVAX, MMR #1, Hep A#1. Mother called 5/25/10 stating patient had a rash all over her body. Red raised spots. Experiencing itching with no other signs or symptoms. Patient's cousin has same shot, chickenpox on same day and had same rash that started 5/24/10.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: On 6/2/10 around 4PM, client noticed redness "blotchy" on (L) arm where received TDAP & VZV vaccines.  On 6/3/10 upon wakening at 9AM, client noticed hardness and swollen (L) deltoid area, continued redness, warm to touch.  Back of upper (L) arm (where VZV given) is redness and small knot under the skin.  Client placed cold rag on areas for 5 minutes 6/3/10 around 11AM.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Oedema peripheral
Clinical narrative: Right arm deltoid swollen down to pts elbow.
Age: 1.99
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site infection, Injection site pain
Clinical narrative: Injection site red, hard, tender 24 hours after injection.  Went to Emergency Room and was told site infected.  Given oral CEFUROXIME.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain, warm to touch, redness around injection site - treated with AUGMENTIN.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 5 cm area of redness/induration at injection site.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Condition aggravated, Fatigue, Impaired work ability, Multiple sclerosis relapse
Clinical narrative: Pt. has a history of MS.  Staff member of Hospital claiming that symptoms of MS were possibly exacerbated by getting the H1N1 shot. Approx 2mths. after getting shot pt. claims she started to become more and more fatigued, eventually leading into a full excerbation of MS symptoms, fatigue, weakness, pain etc., causing her to be out of work for several months begining in January of 2010. First day back was June 1, 2010. Pt. not sure if the H1N1 shot started this but has a strong feeling it was.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: Pt. has a history of MS.  Staff member of Hospital claiming that symptoms of MS were possibly exacerbated by getting the H1N1 shot. Approx 2mths. after getting shot pt. claims she started to become more and more fatigued, eventually leading into a full excerbation of MS symptoms, fatigue, weakness, pain etc., causing her to be out of work for several months begining in January of 2010. First day back was June 1, 2010. Pt. not sure if the H1N1 shot started this but has a strong feeling it was.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Asthenia, Heart rate increased, Paraesthesia oral
Clinical narrative: RAPID HEART BEAT, TINGLING TO MOUTH AND WEAKNESS.
Age: 39.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash on arm after vaccine administration.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient came to health office to show me site of varicella vaccine; she stated symptoms started in the afternoon of 6/2 with a red spot, soreness, itching, burning. The spot then grew larger. What I observed on the AM of today, 6/3/10 was a raised, red area, 7 cm X 7 cm, looking like hives, hot to the touch. No pustules, open area or drainage present. Client complains of burning soreness and slight itching.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Patient came to health office to show me site of varicella vaccine; she stated symptoms started in the afternoon of 6/2 with a red spot, soreness, itching, burning. The spot then grew larger. What I observed on the AM of today, 6/3/10 was a raised, red area, 7 cm X 7 cm, looking like hives, hot to the touch. No pustules, open area or drainage present. Client complains of burning soreness and slight itching.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Injection site discolouration, Injection site erythema, Injection site haematoma, Injection site rash, Vasculitic rash
Clinical narrative: The baby was noticed to have what the mother thought was bruising of the right thigh and lower leg the day after the immunizations were given. By the next day when she brought the baby for an office visit the rash had disappeared from the thigh and was fading on the lower leg. On examination the rash was erythematous with a lace-like appearance on the extensor surface of the right lower leg. There was also a 1 cm area of blue coloration on the lower leg. The rash had the appearance of a vasculitis. No treatment was given.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Apnoea, Asthenia, Dyspnoea, Impaired driving ability, Loss of consciousness
Clinical narrative: Gradual escalation high fever for over 7 hours 103.9-104.0 stepped back to 102.9 and down from there so far. With onset of high fever severe breathing difficulty like apnea, would pass out and wake up trying to catch my breath. Too weak from the fever to go to ER, tried and wasn't able to drive, figured fever would subside or rise by morning and waited. Seeing specialist today, did monitor temperature regularly.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Gradual escalation high fever for over 7 hours 103.9-104.0 stepped back to 102.9 and down from there so far. With onset of high fever severe breathing difficulty like apnea, would pass out and wake up trying to catch my breath. Too weak from the fever to go to ER, tried and wasn't able to drive, figured fever would subside or rise by morning and waited. Seeing specialist today, did monitor temperature regularly.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site rash, Pruritus, Rash, Rash maculo-papular
Clinical narrative: Came in complaining of rash on her arm. Macular-papular rash noted above left elbow and extending down left arm to wrist. Complained of slight itching. No other rash noted on body, no other symptoms.
Age: 1.69
Sex: F
Vaccine: DTAP, HIBV, PNC13, VARCEL
Symptoms: Injection site rash, Pyrexia, Rash pruritic
Clinical narrative: Rash developing 3 days post vaccination with report from parent of rash appearing to area of elbows and down the back of patient's arms and behind the knees with complaint of itching with rash per parent.  Fever of 100 degrees or less appearing 5/22 and lasting for 3 days. Parent reported rash 5/24/2010 with parent stating rash still present, but decreased in severity. Parent states use of OTC Benadryl for child's rash. Strongly encouraged parent to follow up with primary care physician of child to review/examine child and rash.  Parent verbalized understanding of need for follow-up for rash and for future vaccinations.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Significant redness, swelling, hardness surrounding injection site.
Age: 1.95
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling and redness around site of vaccine, left thigh measuring 2x2 area of induration.
Age: 0.21
Sex: M
Vaccine: DTPIPV, HIBV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Hypophagia, Pyrexia
Clinical narrative: Fever, not drinking, excessive diarrhea.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: Hard chills, temp of 104.8. Severe headache, body aches.
Age: 1.09
Sex: M
Vaccine: HEP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Heat rash, Pyrexia, Rash generalised
Clinical narrative: Low grade fever lasting until 6/3/2010, followed by a body rash similar to heat rash on 6/3/2010.
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness
Clinical narrative: Approximately at 3:40 pm, Pt returned with mom 20 min after hep A vaccine was administered, Dr. was alerted, as per parent once they reached the corner patient stated he felt like he was fainting but never really passed out she managed to bring him back walking to the clinic.  His vitals were at time of arrival BP: 74/48,  Bpm, 65, Blood sugar, 107mg/dl pt was alert x 3 and oriented x 3 .  Pt was discharged at 4:30.  At time of discharge vitals were stable, BP: 100/62, BPM:82  and was in no apparent distress. Pt was a discharged by Dr. No emergency room intervention needed.
Age: 21.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Dyspnoea, Pyrexia, Rash erythematous
Clinical narrative: Fever, large red rash on arm where vaccine was placed, difficulty breathing, light headiness/dizziness.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, YF, HEPA, YF
Symptoms: Arthralgia, Influenza like illness, Myalgia, Nausea, Pyrexia
Clinical narrative: Not clear if this was in fact due to vaccine, but patient developed increasing arthralgias, myalgias, nausea, vomiting with fever while camping, and presented to ED twice to receive fluids and antiemetic.  Onset of symptoms was fast, possibly following second dose of oral typhoid vaccine.  Patient presented to ID physicians office to discuss, and patient was instructed not to take remaining 2 doses in case it was an reaction to the medication.  Symptoms also similar to flu-like symptoms. Patient also received Yellow Fever vaccine at the same time as first dose of oral typhoid.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, YF, HEPA, YF
Symptoms: Vomiting
Clinical narrative: Not clear if this was in fact due to vaccine, but patient developed increasing arthralgias, myalgias, nausea, vomiting with fever while camping, and presented to ED twice to receive fluids and antiemetic.  Onset of symptoms was fast, possibly following second dose of oral typhoid vaccine.  Patient presented to ID physicians office to discuss, and patient was instructed not to take remaining 2 doses in case it was an reaction to the medication.  Symptoms also similar to flu-like symptoms. Patient also received Yellow Fever vaccine at the same time as first dose of oral typhoid.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, YF, HEPA, YF
Symptoms: Chills, Computerised tomogram normal, Full blood count normal, Headache, Hyperhidrosis
Clinical narrative: Not clear if this was in fact due to vaccine, but patient developed increasing arthralgias, myalgias, nausea, vomiting with fever while camping, and presented to ED twice to receive fluids and antiemetic.  Onset of symptoms was fast, possibly following second dose of oral typhoid vaccine.  Patient presented to ID physicians office to discuss, and patient was instructed not to take remaining 2 doses in case it was an reaction to the medication.  Symptoms also similar to flu-like symptoms. Patient also received Yellow Fever vaccine at the same time as first dose of oral typhoid.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, YF, HEPA, YF
Symptoms: Nausea, Vomiting
Clinical narrative: Not clear if this was in fact due to vaccine, but patient developed increasing arthralgias, myalgias, nausea, vomiting with fever while camping, and presented to ED twice to receive fluids and antiemetic.  Onset of symptoms was fast, possibly following second dose of oral typhoid vaccine.  Patient presented to ID physicians office to discuss, and patient was instructed not to take remaining 2 doses in case it was an reaction to the medication.  Symptoms also similar to flu-like symptoms. Patient also received Yellow Fever vaccine at the same time as first dose of oral typhoid.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: High level of pain in shoulder at sight of injection.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Back pain, Rash papular
Clinical narrative: Back ache, armpit ache, pimple looking bumps on arms chest and back.
Age: 50.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Body temperature increased, Gait disturbance, Hypokinesia
Clinical narrative: Pt. stated that she spiked a high temperature at night and was unable to lift (L) arm up. Pt. also was c/o difficulty walking. Pt. sent to the Emergency room on 5/26/10.
Age: 65.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Body temperature increased, Injection site pain, Injection site swelling
Clinical narrative: Pt. c/o pain and swelling on vaccine site. Also, she spiked a high temperature at night. Rx IBUPROFEN 600 mg QID PO.
Age: 3.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: (L) lateral leg redness and swelling; warm at site. 9 1/2 cm X 8 1/2 cm
Age: 1.96
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Pyrexia
Clinical narrative: Cough, fever.
Age: 58.0
Sex: M
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Chapped lips, Lip blister, Lip dry, Lip haemorrhage, Lip swelling
Clinical narrative: Lip swelling, blisters on inside of lips, and cracking at corners of his mouth.
Age: 58.0
Sex: M
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Pain
Clinical narrative: Lip swelling, blisters on inside of lips, and cracking at corners of his mouth.
Age: 58.0
Sex: M
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Chapped lips, Lip blister, Lip swelling
Clinical narrative: Lip swelling, blisters on inside of lips, and cracking at corners of his mouth.
Age: 1.11
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Febrile convulsion, Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of febrile seizure in a 1-month-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included ACTHIB ;Sanofi given on 22 January 2009; PREVNAR (non-GSK) ;Wyeth Labs given on 22 January 2009. On 22 January 2009 the subject received 3rd dose of PEDIARIX. On 22 January 2009, within 24 hours after vaccination with PEDIARIX, the subject experienced fever of 103 and febrile seizure. The subject was taken to the emergency room but was discharged. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with PEDIARIX. Follow-up information was received via the subject's physician on 03 June 2010. It was reported that the subject was 13 months old at the time of events. The fever and febrile seizure began one day following PEDIARIX vaccination, on 23 January 2009. The events resolved the same day and were considered possibly related to PEDIARIX. It was reported that the subject had another febrile seizure on 03 April 2009. This event was not considered to be related to vaccination. The subject had otitis media diagnosed on 31 March 2009. It was reported that the subject was hospitalized following the seizure on 03 April 2009. The subject reportedly left the practice following these events so no follow-up is available. No further vaccinations were received from this office.
Age: 1.11
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Febrile convulsion, Otitis media, Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of febrile seizure in a 1-month-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included ACTHIB ;Sanofi given on 22 January 2009; PREVNAR (non-GSK) ;Wyeth Labs given on 22 January 2009. On 22 January 2009 the subject received 3rd dose of PEDIARIX. On 22 January 2009, within 24 hours after vaccination with PEDIARIX, the subject experienced fever of 103 and febrile seizure. The subject was taken to the emergency room but was discharged. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with PEDIARIX. Follow-up information was received via the subject's physician on 03 June 2010. It was reported that the subject was 13 months old at the time of events. The fever and febrile seizure began one day following PEDIARIX vaccination, on 23 January 2009. The events resolved the same day and were considered possibly related to PEDIARIX. It was reported that the subject had another febrile seizure on 03 April 2009. This event was not considered to be related to vaccination. The subject had otitis media diagnosed on 31 March 2009. It was reported that the subject was hospitalized following the seizure on 03 April 2009. The subject reportedly left the practice following these events so no follow-up is available. No further vaccinations were received from this office.
Age: 36.0
Sex: F
Vaccine: HEP, VARCEL, HEP, VARCEL
Symptoms: Pruritus generalised, Rash
Clinical narrative: Pt. states has a "rash" - feels bumpy & itchy on arms, legs & abdomen.  Raised area on rt abdomen, about 10-15 on rt. leg. Began Tues NOC with itching.  "Bumps" began Wed.  Recommended Benadryl.
Age: 36.0
Sex: F
Vaccine: HEP, VARCEL, HEP, VARCEL
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Pt. states has a "rash" - feels bumpy & itchy on arms, legs & abdomen.  Raised area on rt abdomen, about 10-15 on rt. leg. Began Tues NOC with itching.  "Bumps" began Wed.  Recommended Benadryl.
Age: 49.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Dysphonia, Fatigue
Clinical narrative: Begin to feel very weak.  The next day I prepared to take my usual walk (2.5 miles), but could only walk about .25 before I returned home and surprisingly was so weak I had to go to sleep.  The next day I could not go out I canceled weekend plans and also felt very ill--was hoarse, weak, and I begin to feel warm and had difficulty sleeping at night, due to constant spitting up sputum. I was very weak through 6/3/2010.  All activity had to be closely monitored after June 1, 2010.  The adverse reaction was reported to the MD's office, but the MD stated that he could not confirm the problem.  I was not sick prior to the event.  This physician is not my usual MD, but had performed a basic medical screening the prior week, that cleared me as healthy enough to participate in a Health Care Nursing program.  He stated that he needed to do a further work up to decide what the problems were, and asked me what I wanted him to do.  I told him that I was following the instructions outlined on the CDC's "Tetanus, Diphtheria, Pertussis (Tdap) VACCINE WHAT YOU NEED TO KNOW" flyer that instructed me to contact a physician and instruct them to also report the incident.  I also told him that he should know what to do medical wise thereafter and that I would followup with another clinician who should know what to do.  I left the office and decided to make the report to make sure that it is filed.
Age: 49.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Dysphonia, Insomnia, Malaise, Skin warm
Clinical narrative: Begin to feel very weak.  The next day I prepared to take my usual walk (2.5 miles), but could only walk about .25 before I returned home and surprisingly was so weak I had to go to sleep.  The next day I could not go out I canceled weekend plans and also felt very ill--was hoarse, weak, and I begin to feel warm and had difficulty sleeping at night, due to constant spitting up sputum. I was very weak through 6/3/2010.  All activity had to be closely monitored after June 1, 2010.  The adverse reaction was reported to the MD's office, but the MD stated that he could not confirm the problem.  I was not sick prior to the event.  This physician is not my usual MD, but had performed a basic medical screening the prior week, that cleared me as healthy enough to participate in a Health Care Nursing program.  He stated that he needed to do a further work up to decide what the problems were, and asked me what I wanted him to do.  I told him that I was following the instructions outlined on the CDC's "Tetanus, Diphtheria, Pertussis (Tdap) VACCINE WHAT YOU NEED TO KNOW" flyer that instructed me to contact a physician and instruct them to also report the incident.  I also told him that he should know what to do medical wise thereafter and that I would followup with another clinician who should know what to do.  I left the office and decided to make the report to make sure that it is filed.
Age: 49.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Somnolence
Clinical narrative: Begin to feel very weak.  The next day I prepared to take my usual walk (2.5 miles), but could only walk about .25 before I returned home and surprisingly was so weak I had to go to sleep.  The next day I could not go out I canceled weekend plans and also felt very ill--was hoarse, weak, and I begin to feel warm and had difficulty sleeping at night, due to constant spitting up sputum. I was very weak through 6/3/2010.  All activity had to be closely monitored after June 1, 2010.  The adverse reaction was reported to the MD's office, but the MD stated that he could not confirm the problem.  I was not sick prior to the event.  This physician is not my usual MD, but had performed a basic medical screening the prior week, that cleared me as healthy enough to participate in a Health Care Nursing program.  He stated that he needed to do a further work up to decide what the problems were, and asked me what I wanted him to do.  I told him that I was following the instructions outlined on the CDC's "Tetanus, Diphtheria, Pertussis (Tdap) VACCINE WHAT YOU NEED TO KNOW" flyer that instructed me to contact a physician and instruct them to also report the incident.  I also told him that he should know what to do medical wise thereafter and that I would followup with another clinician who should know what to do.  I left the office and decided to make the report to make sure that it is filed.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Patient experienced a medium-size localized rash at the site of injection, for approximately 3-4  days. Patient did not complain of pain or itching.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site swelling
Clinical narrative: Left arm - swelling. Involving slightly more than 1/2 of the arm and extending to nearly 50% of the circumference.
Age: 45.0
Sex: M
Vaccine: TD
Symptoms: Back pain, Chills, Fatigue, Musculoskeletal discomfort
Clinical narrative: Chills, sore muscles, back pain and fatigue.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: Rash, generalized, welts.
Age: 1.13
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Chromosomal analysis, Convulsion, Full blood count, Irritability, Laboratory test
Clinical narrative: Patient received Hepatitis A, PCV-13, & VARIVAX immunization ~ 10 AM 5/18/10. He was fussy that evening & vomited part of a G-tube feeding that night. On 5/19/10 at 8:20 AM he had a focal seizure without fever no LOC, (+) post-ictal somnolence. He also had seizures on 5/20 & 5/21/10.
Age: 1.13
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Nuclear magnetic resonance imaging, Partial seizures, Somnolence, Vomiting
Clinical narrative: Patient received Hepatitis A, PCV-13, & VARIVAX immunization ~ 10 AM 5/18/10. He was fussy that evening & vomited part of a G-tube feeding that night. On 5/19/10 at 8:20 AM he had a focal seizure without fever no LOC, (+) post-ictal somnolence. He also had seizures on 5/20 & 5/21/10.
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pain, Unresponsive to stimuli, Vomiting
Clinical narrative: 10 episodes of vomiting with pain 1 hour after vaccines given. Non responsive 3 hours later, for about 30 minutes. Spontaneous recovery at ER.