chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Developed red, warm, swollen area around injection site evening following administration 10x4 inch area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Vaccinated 10/27/04 with DTaP and IPV in left upper arm.  On 10/28/04 in afternoon at 15:00 noted redness, swelling, increased warmth of the right deltoid area (not painful). Swelling extended to elbow but didn't increase after 22:00.  No fever, no decreased range of motion.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site warmth
Clinical narrative: Right leg swollen, elevated erythematous, warm.  7x6.5cm.
Age: 54.0
Sex: F
Vaccine: DT
Symptoms: Dermatitis bullous, Herpes zoster, Injection site oedema, Injection site pain
Clinical narrative: Received DT booster-general health update (10/15/04).  Informed health center of soreness left upper arm and armpit on 10/20 or 21st.  No swelling noted on 10/25.  Notified health center that she has developed pain, blisters left arm to fingers.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Injection site erythema, Injection site warmth, Pain
Clinical narrative: Approximately 24 hours after vaccine given, pt developed flu-like symptoms with fever, chills, headache, aches and rash. Rash was local at injection site about 6cm, red, hot welt and also hives on back, chest and arms. Seen 11/03 and treated with Zyrtec and Medrol dose pak.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Approximately 24 hours after vaccine given, pt developed flu-like symptoms with fever, chills, headache, aches and rash. Rash was local at injection site about 6cm, red, hot welt and also hives on back, chest and arms. Seen 11/03 and treated with Zyrtec and Medrol dose pak.
Age: 1.56
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Left thigh red and warm. Afebrile, was fine until this AM 10/28.  No pain, alert, active.  Dad outlined a 3x4cm, warm, nontender, not to indurated lesion. Local immunization reaction call 10/29.  Seems better, fainter in color.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Ecchymosis, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 11/03: Pt called, area red, swollen and painful at injection site.  11/04: Less swelling, yellow bruising down upper arm to elbow.
Age: 55.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site pain, Stomach discomfort, Vaccine positive rechallenge, Vertigo
Clinical narrative: Severe vertigo "room spinning", stomach upset (from dizziness), arm very sore for 2 days, no redness. Treatment prescribed: lorazepam 0.5mg 1/2 tab per mouth three times a day as needed.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Speech disorder
Clinical narrative: Pt's mother claims that he regressed in his speech and language development after MMR administration at 15mo. Prior to vaccine he said mama, dada, hi, all done, bye. Speech dev. regressed and he stopped saying above words. Currently in speech therapy
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pain, Rash vesicular
Clinical narrative: 10/12/04 In office for vesicular rash that started on 10/9/04. Located on left shoulder, down arm and wrist. Tylenol/Advil for pain DH 72hrs from onset.
Age: 0.8
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling of about 2x2 cm. with mild redness over the ant right thigh.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Skin burning sensation
Clinical narrative: Staff member made a scheduled visit to pt. Rt upper arm red and swollen, temp 99.7. Swelling and redness under arm pit radiating to left chest. Chest area was reported. Visited Dr and received Decadron, Dr told her to never take the pneumonia shot again.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Within 1 hr of vaccine intense itching at site mild itching over body, pain at site, swelling of left arm from elbow up to shoulder, cellulitis at site redness, heat, pain, itching, 2x2 patch at site s/s lasted 3 days, each day decreasing in intensity.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Pruritus, Rash
Clinical narrative: Within 1 hr of vaccine intense itching at site mild itching over body, pain at site, swelling of left arm from elbow up to shoulder, cellulitis at site redness, heat, pain, itching, 2x2 patch at site s/s lasted 3 days, each day decreasing in intensity.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Eye oedema, Feeling abnormal, Flushing, Pyrexia
Clinical narrative: Immediately following admin of flu vaccine pt c/o feeling strange. Face flushed with temperature. Eye began to swell shut. Adrenaline .3mg given IM in thigh muscle. Much improved within 10 min states s/s decreased. Has had flu vaccine in past. No allergy to eggs.
Age: 40.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Nasal congestion, Nausea
Clinical narrative: Dry cough, congestion, nausea.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Malaise, Nausea
Clinical narrative: Woke up 10/18/04 with swelling and pain on occipital area and a nodule on the back of the right ear lobe. Would get occasional sharp pain running through my head. Went to my primary care physician 10/19/04 with nausea and vomiting that night. Received antibiotic. Every day was the same symptoms until Thursday 10/21/04 which I had gotten worse, getting weaker and weaker, not able to eat due to nausea and vomiting and severe restlessness. The on call primary care physician was notified, he stated that it could possibly be the rubella vaccine or meningitis and that I should go to the ER. By then, my teeth were clinching, which made it hard to talk, mouth drooping, facial twitch and shortness of breath. I had also developed a large rash/hive on the area where the vaccination was given which was on 10/8/04. In the ER, they did a CT scan of the head, chemistries and CBC. Was admitted that night for observation. Neurology consult was done 10/22/04 and he stated that it possibly was from the rubella. Was discharged 10/22 from the hospital. Had reported all this to health service for travelers and spoke with ARNP. On 10/25 I woke up and my left eye was red (sclera), no pain, itching or drainage was noted. It finally cleared up 11/2/04.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Neck pain, Pyrexia, Vomiting
Clinical narrative: Woke up 10/18/04 with swelling and pain on occipital area and a nodule on the back of the right ear lobe. Would get occasional sharp pain running through my head. Went to my primary care physician 10/19/04 with nausea and vomiting that night. Received antibiotic. Every day was the same symptoms until Thursday 10/21/04 which I had gotten worse, getting weaker and weaker, not able to eat due to nausea and vomiting and severe restlessness. The on call primary care physician was notified, he stated that it could possibly be the rubella vaccine or meningitis and that I should go to the ER. By then, my teeth were clinching, which made it hard to talk, mouth drooping, facial twitch and shortness of breath. I had also developed a large rash/hive on the area where the vaccination was given which was on 10/8/04. In the ER, they did a CT scan of the head, chemistries and CBC. Was admitted that night for observation. Neurology consult was done 10/22/04 and he stated that it possibly was from the rubella. Was discharged 10/22 from the hospital. Had reported all this to health service for travelers and spoke with ARNP. On 10/25 I woke up and my left eye was red (sclera), no pain, itching or drainage was noted. It finally cleared up 11/2/04.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Asthenia, Dyspnoea, Headache, Injection site rash, Laboratory test abnormal
Clinical narrative: Woke up 10/18/04 with swelling and pain on occipital area and a nodule on the back of the right ear lobe. Would get occasional sharp pain running through my head. Went to my primary care physician 10/19/04 with nausea and vomiting that night. Received antibiotic. Every day was the same symptoms until Thursday 10/21/04 which I had gotten worse, getting weaker and weaker, not able to eat due to nausea and vomiting and severe restlessness. The on call primary care physician was notified, he stated that it could possibly be the rubella vaccine or meningitis and that I should go to the ER. By then, my teeth were clinching, which made it hard to talk, mouth drooping, facial twitch and shortness of breath. I had also developed a large rash/hive on the area where the vaccination was given which was on 10/8/04. In the ER, they did a CT scan of the head, chemistries and CBC. Was admitted that night for observation. Neurology consult was done 10/22/04 and he stated that it possibly was from the rubella. Was discharged 10/22 from the hospital. Had reported all this to health service for travelers and spoke with ARNP. On 10/25 I woke up and my left eye was red (sclera), no pain, itching or drainage was noted. It finally cleared up 11/2/04.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Meningitis, Muscle twitching, Nausea, Ocular hyperaemia, Oral intake reduced
Clinical narrative: Woke up 10/18/04 with swelling and pain on occipital area and a nodule on the back of the right ear lobe. Would get occasional sharp pain running through my head. Went to my primary care physician 10/19/04 with nausea and vomiting that night. Received antibiotic. Every day was the same symptoms until Thursday 10/21/04 which I had gotten worse, getting weaker and weaker, not able to eat due to nausea and vomiting and severe restlessness. The on call primary care physician was notified, he stated that it could possibly be the rubella vaccine or meningitis and that I should go to the ER. By then, my teeth were clinching, which made it hard to talk, mouth drooping, facial twitch and shortness of breath. I had also developed a large rash/hive on the area where the vaccination was given which was on 10/8/04. In the ER, they did a CT scan of the head, chemistries and CBC. Was admitted that night for observation. Neurology consult was done 10/22/04 and he stated that it possibly was from the rubella. Was discharged 10/22 from the hospital. Had reported all this to health service for travelers and spoke with ARNP. On 10/25 I woke up and my left eye was red (sclera), no pain, itching or drainage was noted. It finally cleared up 11/2/04.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Pain, Speech disorder, Swelling, Urticaria, Vomiting
Clinical narrative: Woke up 10/18/04 with swelling and pain on occipital area and a nodule on the back of the right ear lobe. Would get occasional sharp pain running through my head. Went to my primary care physician 10/19/04 with nausea and vomiting that night. Received antibiotic. Every day was the same symptoms until Thursday 10/21/04 which I had gotten worse, getting weaker and weaker, not able to eat due to nausea and vomiting and severe restlessness. The on call primary care physician was notified, he stated that it could possibly be the rubella vaccine or meningitis and that I should go to the ER. By then, my teeth were clinching, which made it hard to talk, mouth drooping, facial twitch and shortness of breath. I had also developed a large rash/hive on the area where the vaccination was given which was on 10/8/04. In the ER, they did a CT scan of the head, chemistries and CBC. Was admitted that night for observation. Neurology consult was done 10/22/04 and he stated that it possibly was from the rubella. Was discharged 10/22 from the hospital. Had reported all this to health service for travelers and spoke with ARNP. On 10/25 I woke up and my left eye was red (sclera), no pain, itching or drainage was noted. It finally cleared up 11/2/04.
Age: 70.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Left shoulder red, rash, tender at injection sites
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Report arm at injection site right after given.  Pain reported to be continuous, cannot lift arm or lift objects or throw with arm as usual - taking ibuprofen for pain. Slight swelling at site. No redness noted.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: approx. 20 hrs. after receiving IM injection in left deltoid, her arm was red, swelled, and painful from injection site to elbow.  24 hrs. later these symptoms increased with painful swelling and redness from injection site to hand.  Went to dr., received PCN IM and placed on Augmentin.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Rash
Clinical narrative: Patient received shots on 5/25/2004 (Pediarix and PCV7) abd the next day went to private MD because she awoke with a rash on face and all over her body.  No fever reported, normal appetite.  Doing well otherwise.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash maculo-papular, Skin ulcer
Clinical narrative: 10/06/2004: Child awoke this am with maculopapular rash on back.  Had varicella vaccine on 10/05/2004.  At 1pm was beginning to develop rash on abdomen and neck.  Total 30-40 lesions- some approx. pencil eraser size, others, smaller.  Itching, but afebrile.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion, Cough, Febrile convulsion, Hyperglycaemia, Laboratory test abnormal
Clinical narrative: 05/06/2003:  IPV, DTaP, and Hib given.  Mom states that within 2-3 hours after immunizations, child had fever, progressed to convulsions and LOC.  Hospitalized for 3 days, told "vaccine-related".  **Very late report due to resignation of nurse who administered.  Incomplete VAERS report found in desk of resigned employee. Medical Receords received on 1/25/2005 states febrile seizure was final diagnosis. Other symptoms were URI symptoms of runny nose and cough, transient elevation of glucose level to 158 (norm 70-109), and coagulase negative staph (small & large) on blood cultures.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Loss of consciousness, Pyrexia, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: 05/06/2003:  IPV, DTaP, and Hib given.  Mom states that within 2-3 hours after immunizations, child had fever, progressed to convulsions and LOC.  Hospitalized for 3 days, told "vaccine-related".  **Very late report due to resignation of nurse who administered.  Incomplete VAERS report found in desk of resigned employee. Medical Receords received on 1/25/2005 states febrile seizure was final diagnosis. Other symptoms were URI symptoms of runny nose and cough, transient elevation of glucose level to 158 (norm 70-109), and coagulase negative staph (small & large) on blood cultures.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Viral infection
Clinical narrative: Febrile seizure(3 minutes) one week after MMR.
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Joint range of motion decreased
Clinical narrative: Immediate swelling at injection site.  Down in 2 days.  Hard to raise arm.  One day after vaccination, inside front of arm, bicep area, started getting very red and hot to touch.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Positive for Varicella lesions 1 week after vaccine adminstration.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Bronchitis, Cyst, Disturbance in attention, Ear disorder
Clinical narrative: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints;  this continued through September;  by October, I began to get a series of infections (sinus infection, colds, bronchitis);  I began to experience visual difficulties like light sensitivity;  by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously;  I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read).  Multiple courses of antibiotics did nothing to help.  By December I was bedridden. By January, I had moved to my parents' home to receive care, and go to our family physician.  He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Fibromyalgia, Headache, Infection, Laboratory test abnormal
Clinical narrative: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints;  this continued through September;  by October, I began to get a series of infections (sinus infection, colds, bronchitis);  I began to experience visual difficulties like light sensitivity;  by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously;  I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read).  Multiple courses of antibiotics did nothing to help.  By December I was bedridden. By January, I had moved to my parents' home to receive care, and go to our family physician.  He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Memory impairment, Myalgia, Night sweats, Pharyngitis
Clinical narrative: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints;  this continued through September;  by October, I began to get a series of infections (sinus infection, colds, bronchitis);  I began to experience visual difficulties like light sensitivity;  by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously;  I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read).  Multiple courses of antibiotics did nothing to help.  By December I was bedridden. By January, I had moved to my parents' home to receive care, and go to our family physician.  He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Photophobia, Pyrexia, Rash, Rhinitis, Sinusitis
Clinical narrative: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints;  this continued through September;  by October, I began to get a series of infections (sinus infection, colds, bronchitis);  I began to experience visual difficulties like light sensitivity;  by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously;  I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read).  Multiple courses of antibiotics did nothing to help.  By December I was bedridden. By January, I had moved to my parents' home to receive care, and go to our family physician.  He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Skin ulcer, Visual disturbance
Clinical narrative: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints;  this continued through September;  by October, I began to get a series of infections (sinus infection, colds, bronchitis);  I began to experience visual difficulties like light sensitivity;  by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously;  I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read).  Multiple courses of antibiotics did nothing to help.  By December I was bedridden. By January, I had moved to my parents' home to receive care, and go to our family physician.  He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.
Age: 32.0
Sex: M
Vaccine: MMR
Symptoms: Lymphadenopathy
Clinical narrative: Swollen, tender posterior cervical nodes on right which was the same side as the vaccination.  This occured 9 days after the vaccination.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Nasal congestion, Sudden infant death syndrome
Clinical narrative: Found in crib unresponsive. Medical record received on 11/22/2004 states pt expereinced congestion. Autopsy Report received on 1/12/2005 states SIDS.
Age: 0.82
Sex: M
Vaccine: FLU3
Symptoms: Apnoea, Convulsion, Diarrhoea, Dwarfism, Dyspnoea
Clinical narrative: Patient had micro-cephalic osteodysplastic primoidal dwarfism type I, a lethal genetic disorder with DNR/DNI status. Per parent request, vaccine given 10/18. Fever developed 10/19 PM. Other symptoms began 10/22, including vomiting, diarrhea, rash and continued fever. Seizure one time in afternoon. Dyspnea developed about 12 AM. 10/23 Patient transported to hospital; patient died about 0830 on 10/23. Medical record received on 11/22/2004 states pt experienced gastroenteritis and respiratory failure. Death Summary & ER Record received on 12/01/2004 states pt experienced Beach Disease and respiratory failure. Death Certificate received on 12/02/2004 states pt experienced respiratory failure, Majewski's micro-Cephalic osteodysplastic Dwarfism Type 1.
Age: 0.82
Sex: M
Vaccine: FLU3
Symptoms: Gastroenteritis, Pyrexia, Rash, Vomiting
Clinical narrative: Patient had micro-cephalic osteodysplastic primoidal dwarfism type I, a lethal genetic disorder with DNR/DNI status. Per parent request, vaccine given 10/18. Fever developed 10/19 PM. Other symptoms began 10/22, including vomiting, diarrhea, rash and continued fever. Seizure one time in afternoon. Dyspnea developed about 12 AM. 10/23 Patient transported to hospital; patient died about 0830 on 10/23. Medical record received on 11/22/2004 states pt experienced gastroenteritis and respiratory failure. Death Summary & ER Record received on 12/01/2004 states pt experienced Beach Disease and respiratory failure. Death Certificate received on 12/02/2004 states pt experienced respiratory failure, Majewski's micro-Cephalic osteodysplastic Dwarfism Type 1.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Neurodevelopmental disorder, Visual acuity reduced
Clinical narrative: This case was reported by a consumer and describes the occurrence of visual impairment in a 4 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. The reporter is the mother of the patient. A physician or other health care professional has not verified this report. On 2/20/04, the patient received the first dose of Pediarix. On 4/20/04, the patient received the second dose of Pediarix. On 4/20/04, the patient also received and injection of haemophilus influenzae type B conjugate vaccine. At an unspecified time following the second dose of Pediarix, on an unspecified date in May 2004, the patient experienced visual impairment and a delay in global skills such as rolling over. The patient was seen by a neurologist and an ophthalmologist. On 7/17/04, the patient was hospitalized overnight for observation for seizures. The consumer reported that, It was thought that the patient was having seizures, but after various tests and observations, he was not given that diagnosis. On 7/20/04, the patient received the third dose of Pediarix. At the time of initial reporting, the visual impairment and delayed global skills were improved and the seizure-like symptoms were ongoing. Follow up - No additional information available to date.
Sex: F
Vaccine: MEN
Symptoms: Hypokinesia, Paralysis, Speech disorder
Clinical narrative: From initial information received on 10/29/04 from a physician regarding an adverse event occurring in the USA, it was reported that a female patient (age not provided) received MENOMUNE A/C/Y/W-135, lot number UB482AB, administered SC on 10/28/04. The same day, the patient complained of bilateral upper and lower extremity paralysis and was unable to speak. The patient recovered from these events. From additional information received on 11/01/04 from a telephone contact with the reporting physician, it was reported that the physician spoke with the patient on 10/29/04. After receiving the MENOMUNE A/C/Y/W-135, the patient went home and took a nap. As per the patient, when she awoke later that evening she was unable to speak and had difficulty moving. She went to the emergency room, but her symptoms resolved by the time she was seen by an emergency room physician. The patient did not receive any treatment. The reporter was unwilling to release any medical history, date of birth, or any additional information for the patient. (OMIC)  Follow up on 11/12/04 states: "From additional information received on 11/03/04 from a physician, the 18 year old pt was vaccinated with MENOMUNE A/C/Y/W-135 on 10/28/04 at 13:00. Approximately four hours later, at 17:00, the pt experienced transient paralysis of the limbs, eye lids and mouth. The pt was seen in the ER, observed and released. Reportedly, the pt recovered from these events."
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Haemorrhage urinary tract, Pneumonia, Sepsis, Urinary tract infection
Clinical narrative: From initial information received on 11/1/04 from the patient's spouse regarding an adverse event occurring, it was reported that a 78 year old male patient received a dose of FLUZONE, lot number U1512AA, administered IM in an unspecified site on 10/18/04. Two days later, the patient was hospitalized with sepsis, pneumonia, urinary tract infection and bleeding. Reportedly, the patient currently remains hospitalized. He is on a ventilator and is receiving blood transfusions and multiple antibiotics. At the time of vaccination, the patient also took Coumadin. Patient's pre-existing medical conditions include angina. His wife denied the patient having any illnesses at the time of vaccination. Reportedly, the patient received influenza vaccine annually with no reactions reported. He did not recover from these events.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Patient received Pneumovax right deltoid. Within 8 hours, developed chills, high fever, some right arm pain without swelling or erythema. Symptoms lasted 12 hours; right arm pain persists less than 24 hours.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Hepatitis C virus, Hepatomegaly, Pain
Clinical narrative: Got hepatitis B shots on 8/25/04 and 9/29/04. Every since he got the second shot, he gets swelling where his liver and pains where his liver is and on the other side too. His stomach hurts from time to time. Follow up 02/04/05: Recovery status is unknown, because he's been sick off and on since he got the first shot. He still has one more to get. We don't know if he should get the third shot or not.
Age: 13.0
Sex: M
Vaccine: HEP, TD
Symptoms: Optic neuritis, Visual disturbance
Clinical narrative: Optic neuritis - bilateral; onset 9/23.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Muscle twitching
Clinical narrative: 2.5 month old male noted by mother to have prolonged first time generalized seizure with left sided arm twitching. Noted also by paramedics. Taken to hospital, stabilized and transferred to another hospital. Kept until next day for tests. No medications or follow up appointments at discharge except primary care.
Age: 27.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Rash pustular
Clinical narrative: 27 y/o 2 min developed non virulent pustules 9 days after immunization with smallpox.
Age: 20.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Abscess, Pruritus, Rash pustular
Clinical narrative: Pt with submental abscess unknown at time of vaccination presented on 17th with Dx I and d and W Ancef started. 10mn after 2nd dose Ancef developed diffuse pustular rash, and itching, VSS, rash, resolving starting the 19th.
Age: 21.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Cow pox
Clinical narrative: Disseminated vaccinia Benadryl 25mg
Age: 20.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Erythema, Rash
Clinical narrative: Small red bumps noticed on upper chest when pt was showering. This occurred one week after receiving small pox vaccine treated with Benadryl 25mg 1 PO QID.
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Rash pustular
Clinical narrative: 22 y/o developed non virulent pustules 2 hrs to small pox vaccination rash developed around 9 days after inoculation
Age: 22.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Cow pox, Rash erythematous, Rash pustular
Clinical narrative: Generalized vaccinia, non virulent pustules (erythematous rash on chest, neck, face). Benadryl and Tylenol given.
Age: 20.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Cow pox, Dermatitis bullous, Rash erythematous
Clinical narrative: Erythematous rash/pox-like lesions on chest and back, generalized vaccinia. Pt given Benadryl and Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Tenderness
Clinical narrative: Swelling, redness, mild tenderness left upper arm 1 day after injection little itchy worse next day 2.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left thigh at site of influenza vaccine 4"x6" erythema and induration. Not painful. Afebrile.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchospasm, Dyspnoea, Respiratory distress, Urticaria
Clinical narrative: SOB, Bronchospasms, Respiratory distress, Hives, Seen at Emergency care ctr given: Vaponepaline 0.5cc, Prednisone 50mg PO, Caperidioxe x 5 days.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Arm red, swollen, hot, at site. Tx ice to area.
Age: 14.0
Sex: F
Vaccine: DTP, FLUX, HEPA
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Infection, Pneumonia
Clinical narrative: Child presented with stomach problems, dizzy, weak. Mom called doctor who recommended Robitussin and continue using inhalers. On Tuesday child was seen by Dr who mentioned right lung was infected. Diagnosed with pneumonia. Child started taking Prednisone, erythromycin and albuterol through inhaler machine. Today child was throwing up.
Age: 14.0
Sex: F
Vaccine: DTP, FLUX, HEPA
Symptoms: Vomiting
Clinical narrative: Child presented with stomach problems, dizzy, weak. Mom called doctor who recommended Robitussin and continue using inhalers. On Tuesday child was seen by Dr who mentioned right lung was infected. Diagnosed with pneumonia. Child started taking Prednisone, erythromycin and albuterol through inhaler machine. Today child was throwing up.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Wheezing
Clinical narrative: Some wheezing when exhaling, diarrhea, nauseous (w/o vomiting). No rx-all symptoms resolved in <24 hours.
Age: 1.5
Sex: M
Vaccine: DTAPH, FLU3, PNC
Symptoms: Injection site oedema
Clinical narrative: Swelling of thighs where vaccines administered
Age: 1.34
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Later in evening, patient developed rash on cheeks and then hives. Had  intermitant hives x 24-36.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site induration, Pyrexia
Clinical narrative: Pt. had a fever of 101.5F around 24 hours after vaccine around 48 hour vaccine, the arm left where he received the vaccine became hard and warm to the touch, it was hard from his armpit down to his elbow. It was red as well. It took around 48-72 to completely go away.
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Approximately 2 hours after receiving flu vaccine. Patient's lower torso and extremities were covered with whelps. No respiratory problems. Benadryl recommended.  Phone call to parent on 11/3/04. Whelps resolved.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Ecchymosis, Erythema, Feeling hot, Oedema, Swelling
Clinical narrative: Right upper arm swelling, ecchymosis, erythema commencing 24 hours after shot, by 48 hours, 3.5x3.5 inch area of erythema, slight edema, slight ecchymosis, warm to touch; by 72 hours erythema diminished.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10cm zone of induration and erythema around vaccination site.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Injection site induration, Pruritus
Clinical narrative: 7cm x 12 cm redness and induration at left deltoid. Patient complains of itching. Treatment: Augmentin ES 1 tsp bid x 10 days. Warm compress , antihistamine.
Age: 0.63
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Received Influenza vaccine at 6:55 pm. 10/26/04 and began vomiting again within 15 minutes of receiving vaccine while still at clinic. Seen and evaluated by doctor that evening 10/26.  Discharged home with parents. Continued to vomit x 2 on 10/27 and has vomited x 3 on 10/28/2004 at time of filing report. Still vomiting as of 10/28/2004.  Follow up on 11/12/04 states: "Note mother had egg allergy but child has never had eggs. Vomiting started in 15 minutes post vaccination and persisted 72 hours. Prescribed clear fluids, small amounts."
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Increased seizure activity. Mom states patient developed seizure approximately 1 hour after influenza vaccine injection was administered.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria, Wheezing
Clinical narrative: Vaccine given at 11:15 on 10/16/2004. At 14:35 patient presents to the nursing office with hives. Benadryl 50 mg was given and ineffective. Prednisone 60 mg was given at 15:20 with no effect. Referred to the ER had given Prednisone 20 mg qd x 4 days. Medical Records received on 12/07/2004 states wheezing.
Age: 1.38
Sex: M
Vaccine: DTAP, FLU3, PNC, VARCEL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Large cellulitis > 1 week at DTaP site. Probably not an allergic reaction.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Swelling
Clinical narrative: 3x3 red area on right thigh, slight swelling, heat
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Nasal congestion, Thermal burn
Clinical narrative: -Seen 10/22/2004. Visit for sinus congestion. From the flu vaccine. Right upper arm 3 mm eschar. Seen 10/28/04 visit for fever and sinus congestion. 3mm eschar right upper arm unchanged.
Age: 1.5
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme
Clinical narrative: Patient received influenza vaccine and started on Amoxicillin 10/24/04. 4 days later diagnosed with erythema multiforme-minor. No treatment needed.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Myalgia
Clinical narrative: "Flu shot reaction": sore muscles right side of back. Developed when exposed to cold. Was not feeling well a day or so after receiving the shot. Finally subsided on 10/23/04.
Age: 36.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Nasal congestion
Clinical narrative: Instructions for flumist doesn't state to push hard and quickly for mist to occur. I pushed syringe with normal force and immunization stayed in liquid form. Next day patient showed flu symptoms such as congestion and cough. Was not seen for having flu-like symptoms.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: Left arm swollen from shoulder to elbow.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Approximately 24 hours from vaccine administration I noticed that I was reacting adversely to the shot. I had swelling and redness and itching about a 4"x5" area on the back of my left arm. I went to the base clinic where the arm was outlined and instructed to call if worsened which happened at 4pm that night. I went to the ER and received a Benadryl shot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Cough, Sensory disturbance, Swelling face
Clinical narrative: 10 min after injection, mom brought child back complaining of coughing, lip swelling and altered sensorium . Pt received treatment for acute anaphylaxis with Epinephrine SC, Xopenex , O2, Decadron IM.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Lymphadenopathy, Lymphangitis
Clinical narrative: Lymphangitis and lymphadenopathy of RUE (near site of injection)
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Dermatitis bullous, Drug ineffective, Infection, Pyrexia
Clinical narrative: Lesions compatible with C-pox all over body, blisters open and scabs. Itching. Temp 99.6 Treatment Atarax
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Received Pneumovax vaccine 10/29/04.  Developed fever 102-103 degrees, chills, nausea, vomiting, 24 hours post vaccine. Supportive care-fluids, Tylenol/Motrin. Call if worsening.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 7 year old who received MMR and DTaP 2 days ago, now with very large red, hot, swollen, very tender area on left deltoid portion of upper arm. Area was getting much worse today (than yesterday). Diagnosis: Cellulitis + reaction.
Sex: F
Vaccine: PPV
Symptoms: Injection site inflammation, Skin burning sensation
Clinical narrative: 2 days after Pneumonia injection, inflammation noted, burning sensation 4 inches below site. No redness at injection site.
Age: 0.47
Sex: M
Vaccine: HEP, HIBV
Symptoms: Pyrexia, Rash
Clinical narrative: Mother states high temperature after receiving immunizations and now has rash to head, neck and trunk.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, IPV, VARCEL
Symptoms: Rash, Throat tightness
Clinical narrative: Went to school from office accompanied by mother. When got to school had rash all over. Stated when at school, throat started to close, 911 called, taken to ER by ambulance.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Rash
Clinical narrative: Red rash from elbow to shoulder.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 10/27/04: Pt given immunizations. 10/29/04, parent returned to clinic to have child's PPD reading at that time.  Mother of child showed this writer pt's left upper arm, redness, warmth and tenderness and edema present 4.5x1.5 inch. Notified PA, evaluation of child done. Diagnosis of cellulitis of left upper arm and treated with Cephalexin antibiotics. Therapy for 2 days. Pt to follow up in 2 weeks.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: Swelling of right arm.
Age: 67.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Medication error
Clinical narrative: Sore, red, warm arm. Received a dose too soon. Last dose 10/24/02.
Age: 1.28
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Rash
Clinical narrative: Rash, 5 days;
Age: 1.0
Sex: M
Vaccine: DTAPH, IPV, MMR
Symptoms: Drug ineffective, Laboratory test abnormal, Petechiae, Pyrexia, Rhinorrhoea
Clinical narrative: 10/18/04: Coryza, fever, progressed to full blown rubeola with petechiae and Koplik spots. Mother with coryza and conjunctivitis (status post MMRI).
Age: 1.0
Sex: M
Vaccine: DTAPH, IPV, MMR
Symptoms: Viral infection
Clinical narrative: 10/18/04: Coryza, fever, progressed to full blown rubeola with petechiae and Koplik spots. Mother with coryza and conjunctivitis (status post MMRI).
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Erythema on left thigh, 5x10cm. 6 days after vaccine. Prescribed Benadryl.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Skin hives. On exam, <1cm, discrete wheals. Lasted about 4-5 days. Benadryl was used.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Paraesthesia, Tremor
Clinical narrative: Upper left arm (shoulder to elbow) red, swollen and painful. Numbness on tips of fingers on both hands. Started about 5 hours after shot.  Shivering about 5 hours after shot. MD told her to take Advil.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abscess, Injection site erythema, Injection site induration
Clinical narrative: Localized redness and induration over site of Prevnar injection left thigh. No color, no temperature. Infant alert and comfortable. Diagnosis: sterile abscess (inflammatory reaction), no treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: 8 cm circle, irregular red border (target like). No redness or swelling, fever localized.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site oedema, Rash macular
Clinical narrative: Left upper arm with 3x4cm area of blotchy/red, erythema and minimal swelling around injection site. No warmth of fluctuonce or pain to area. Redness initially noted about 0900 on 11/03/04 and per parent had not progressed in redness, swelling from 0900 to 1645 (time of exam). I felt this was a local reaction.
Age: 3.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Bacterial infection, Dermatitis bullous, Drug ineffective
Clinical narrative: Several small vesicles mainly on trunk-few on extremities. Varicella.
Age: 15.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Nausea, Pain, Paraesthesia
Clinical narrative: Pt vaccinated at 13:30, appeared to be without problem. Immediately after upon leaving the building, he became weak and dizzy. Complained of pain in limbs and nausea. Having difficulty ambulating.  BP: 120/74, Pulse: 80; RR: 24, 911 called.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, warm and swollen thigh's greater on left side. Suggested Tylenol to be given as needed until swelling resolved or to call if worse.
Age: 1.39
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Local reaction to Prevnar on left thigh, swelling, redness, hot to touch. Treatment: warm compresses.
Age: 89.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Arm red/ swollen began at injection site then traveled down arm warm to touch. Hx: Surgery , no lymph nodes. T 98.2. No fever. Dx: Inflammation instructed to use anti-inflammatory BID x 3 days. Elevated arm to decrease edema and see MD again if worsens.
Age: 89.0
Sex: F
Vaccine: PPV
Symptoms: Oedema, Swelling
Clinical narrative: Arm red/ swollen began at injection site then traveled down arm warm to touch. Hx: Surgery , no lymph nodes. T 98.2. No fever. Dx: Inflammation instructed to use anti-inflammatory BID x 3 days. Elevated arm to decrease edema and see MD again if worsens.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: High temp 103 and seizure: 9/11/04: went to ER. Second seizure since without fever.
Age: 0.39
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Abscess
Clinical narrative: Abscess left thigh: drained on 11/1/04. Culture and MRSA. Bactroban/ hot socks. Follow up: 11/3/04 much improved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Sneezing, Urticaria
Clinical narrative: Approximately 2 minutes after giving vaccinations, pt started sneezing repeatedly. Doctor gave pt 5 ml of Zyrtec and we asked patient to stay to monitor. Approximately 5 minutes later, patient started itching on his feet and began to get hives on his torso , arms and legs. 40 mg Depo Medrol was given IM and patient who released approximately 15 minutes later.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Flushing, Pyrexia, Rash, Screaming, Swelling
Clinical narrative: Onset fever 2 hours post immunization , also emesis and rash on face and trunk. Acetaminophen given po, patient put to bed around 19:00; woke up 0100 11/04/04, cheeks flushed. Awoke again at 2:30. Screaming with facial swelling, vomiting: diphenhydramine given po and pt taken to ER.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: Onset fever 2 hours post immunization , also emesis and rash on face and trunk. Acetaminophen given po, patient put to bed around 19:00; woke up 0100 11/04/04, cheeks flushed. Awoke again at 2:30. Screaming with facial swelling, vomiting: diphenhydramine given po and pt taken to ER.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Agitation, Crying, Irritability, Pyrexia
Clinical narrative: Inconsolable crying, abnormal behavior, staring episodes, irritability, decreased smiling/ change in affect, fever last 3-4 days. Worse second day.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Staring
Clinical narrative: Inconsolable crying, abnormal behavior, staring episodes, irritability, decreased smiling/ change in affect, fever last 3-4 days. Worse second day.
Sex: M
Vaccine: DTAPH, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema
Clinical narrative: Large localized reaction right thigh at injection site, erythema, mild edema, inflammation. Warm compresses. Advil
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Movement disorder
Clinical narrative: Episodes of "head bobbing" (R/o seizures- r/o Infantile spasms) developing several hours after immunization.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Left upper arm swollen, red, hot , painful. Prednisone given.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Swollen, red, hot upper arm at site. Prednisone and Keflex.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, VARCEL
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Pallor
Clinical narrative: At approximately 5:42pm, the client stated he felt short of breath after last vaccine administered (hep A). The client stood up and took a few steps then stated that he felt dizzy and short of breath. Instructed  client to sit in the chair located in the hallway. The client then became diaphoretic and very pale. Instructed client to put his head between his knees. Blood pressure taken 100/50, pulse 50.  Benadryl 0.5cc IM to RA given at approximately 5:50pm. At a few minutes till 6:00pm, the client stated that he felt better. B/P re-taken 104/82, pulse 68. Client's normal facial color returned and he left the office at 6:00 pm according to his mother. At 7:00 pm, mother was called to follow up on son's condition. Mother stated that he had eaten supper and that he felt just fine. Mother stated that she would "keep an eye on him through the night and that she would let us (office staff / nurses) know if any other problems occurred.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Swelling
Clinical narrative: Patient came in 8/26/04 arm was warm and swollen.