chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Brain death, CSF culture positive, Electroencephalogram abnormal, Endotracheal intubation, Gram stain positive
Clinical narrative: Information has been received from a physician concerning a 13 month old previously healthy female with no reported past medical history (PMH: ex-full term infant; no history of splenic disorder, immune dysfunction, no history of daycare, and no past history of antibiotic therapy) who was vaccinated with MMR II (Lot # 657630/1483U) 0.5 ml SQ on a "Monday," 05-May-2008 during a well child visit. Concomitant therapy included PREVNAR, which was also given on 05-May-2008 during a well child visit. It was reported that on 10-May-2008, "Saturday evening" the patient developed a fever. On "Sunday," 11-May-2008, six days after receiving MMR II, the patient continued with fever and lethargy, and by that evening it was noted that she had a "collapse" episode. 911 was called and CPR was performed. The patient was admitted to the pediatric intensive care unit of a hospital with a diagnosis of pneumococcal meningitis. A CSF sample showed pneumococcus serotype 29 (a non-PREVNAR pneumococcal sero-type). The patient was stabilized and treatment was started. Hours later the patient was determined to be "brain dead." The patient died on 12-May-2008, the day after being admitted to the hospital. The cause of death was meningitis pneumococcal. No product quality complaint. The event was considered to be life-threatening and disabling. A lot check has been requested. Additional information has been requested.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Lethargy, Lumbar puncture abnormal, Meningitis, Pyrexia, Respiratory arrest
Clinical narrative: Information has been received from a physician concerning a 13 month old previously healthy female with no reported past medical history (PMH: ex-full term infant; no history of splenic disorder, immune dysfunction, no history of daycare, and no past history of antibiotic therapy) who was vaccinated with MMR II (Lot # 657630/1483U) 0.5 ml SQ on a "Monday," 05-May-2008 during a well child visit. Concomitant therapy included PREVNAR, which was also given on 05-May-2008 during a well child visit. It was reported that on 10-May-2008, "Saturday evening" the patient developed a fever. On "Sunday," 11-May-2008, six days after receiving MMR II, the patient continued with fever and lethargy, and by that evening it was noted that she had a "collapse" episode. 911 was called and CPR was performed. The patient was admitted to the pediatric intensive care unit of a hospital with a diagnosis of pneumococcal meningitis. A CSF sample showed pneumococcus serotype 29 (a non-PREVNAR pneumococcal sero-type). The patient was stabilized and treatment was started. Hours later the patient was determined to be "brain dead." The patient died on 12-May-2008, the day after being admitted to the hospital. The cause of death was meningitis pneumococcal. No product quality complaint. The event was considered to be life-threatening and disabling. A lot check has been requested. Additional information has been requested.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician concerning a 13 month old previously healthy female with no reported past medical history (PMH: ex-full term infant; no history of splenic disorder, immune dysfunction, no history of daycare, and no past history of antibiotic therapy) who was vaccinated with MMR II (Lot # 657630/1483U) 0.5 ml SQ on a "Monday," 05-May-2008 during a well child visit. Concomitant therapy included PREVNAR, which was also given on 05-May-2008 during a well child visit. It was reported that on 10-May-2008, "Saturday evening" the patient developed a fever. On "Sunday," 11-May-2008, six days after receiving MMR II, the patient continued with fever and lethargy, and by that evening it was noted that she had a "collapse" episode. 911 was called and CPR was performed. The patient was admitted to the pediatric intensive care unit of a hospital with a diagnosis of pneumococcal meningitis. A CSF sample showed pneumococcus serotype 29 (a non-PREVNAR pneumococcal sero-type). The patient was stabilized and treatment was started. Hours later the patient was determined to be "brain dead." The patient died on 12-May-2008, the day after being admitted to the hospital. The cause of death was meningitis pneumococcal. No product quality complaint. The event was considered to be life-threatening and disabling. A lot check has been requested. Additional information has been requested.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Brain death, CSF bacteria identified, Circulatory collapse, Death, Lethargy
Clinical narrative: Information has been received from a physician concerning a 13 month old previously healthy female with no reported past medical history (PMH: ex-full term infant; no history of splenic disorder, immune dysfunction, no history of daycare, and no past history of antibiotic therapy) who was vaccinated with MMR II (Lot # 657630/1483U) 0.5 ml SQ on a "Monday," 05-May-2008 during a well child visit. Concomitant therapy included PREVNAR, which was also given on 05-May-2008 during a well child visit. It was reported that on 10-May-2008, "Saturday evening" the patient developed a fever. On "Sunday," 11-May-2008, six days after receiving MMR II, the patient continued with fever and lethargy, and by that evening it was noted that she had a "collapse" episode. 911 was called and CPR was performed. The patient was admitted to the pediatric intensive care unit of a hospital with a diagnosis of pneumococcal meningitis. A CSF sample showed pneumococcus serotype 29 (a non-PREVNAR pneumococcal sero-type). The patient was stabilized and treatment was started. Hours later the patient was determined to be "brain dead." The patient died on 12-May-2008, the day after being admitted to the hospital. The cause of death was meningitis pneumococcal. No product quality complaint. The event was considered to be life-threatening and disabling. A lot check has been requested. Additional information has been requested.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Meningitis pneumococcal, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 13 month old previously healthy female with no reported past medical history (PMH: ex-full term infant; no history of splenic disorder, immune dysfunction, no history of daycare, and no past history of antibiotic therapy) who was vaccinated with MMR II (Lot # 657630/1483U) 0.5 ml SQ on a "Monday," 05-May-2008 during a well child visit. Concomitant therapy included PREVNAR, which was also given on 05-May-2008 during a well child visit. It was reported that on 10-May-2008, "Saturday evening" the patient developed a fever. On "Sunday," 11-May-2008, six days after receiving MMR II, the patient continued with fever and lethargy, and by that evening it was noted that she had a "collapse" episode. 911 was called and CPR was performed. The patient was admitted to the pediatric intensive care unit of a hospital with a diagnosis of pneumococcal meningitis. A CSF sample showed pneumococcus serotype 29 (a non-PREVNAR pneumococcal sero-type). The patient was stabilized and treatment was started. Hours later the patient was determined to be "brain dead." The patient died on 12-May-2008, the day after being admitted to the hospital. The cause of death was meningitis pneumococcal. No product quality complaint. The event was considered to be life-threatening and disabling. A lot check has been requested. Additional information has been requested.
Age: 70.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Cellulitis, Erythema, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: I received the vaccination on the 11th in the PM. By the evening my arm started to swell, get hot and painful. I could hardly move my arm by Saturday morning. It was sore into my shoulder and was 1 and 1/2 inches larger than my other one. I called insurance company and was instructed to put heat on it and take Ibuprofen. I was running a fever of 101 by Sat. eve. On Sunday, it moved down my arm to include 1/2 of my forearm. I saw my nurse practioner at my place of work today and she insisted I go see the Dr. which I did, paid my copay and he looked at it and said, yes, it is pretty red, but it would go away over time and to put cold on it. I have consulted with several people since and was reassured that moist heat was the best. At the moment, my arm is aching, still red and flabby from the cellulitis.I am still sore into my shoulder. Your comments are welcome.
Age: 70.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Skin warm
Clinical narrative: I received the vaccination on the 11th in the PM. By the evening my arm started to swell, get hot and painful. I could hardly move my arm by Saturday morning. It was sore into my shoulder and was 1 and 1/2 inches larger than my other one. I called insurance company and was instructed to put heat on it and take Ibuprofen. I was running a fever of 101 by Sat. eve. On Sunday, it moved down my arm to include 1/2 of my forearm. I saw my nurse practioner at my place of work today and she insisted I go see the Dr. which I did, paid my copay and he looked at it and said, yes, it is pretty red, but it would go away over time and to put cold on it. I have consulted with several people since and was reassured that moist heat was the best. At the moment, my arm is aching, still red and flabby from the cellulitis.I am still sore into my shoulder. Your comments are welcome.
Age: 1.04
Sex: F
Vaccine: HEPA, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Fever, rash, fever x 2 days then rash/hives. Please read included ER document. Pt is a 1-year-old female who had her MMR II and hepatitis A shot yesterday. Last night, she developed a hive-like rash over her back that progressively worsened over the course of today. The parents called the primary care physician who recommended p.o. BENADRYL. However, she has also developed a low grade fever, in addition to the rash today, so she came in to be evaluated. There has been no vomiting. There has been no coughing. There has been good p.o. intake and good urine output. There has been no lethargy or irritability.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a licensed practical nurse, for the Pregnancy Registry for GARDASIL concerning a 25 year old female with a history of dysplasia and loop electrosurgical excision procedure (LEEP performed in 2003) and no drug reactions and allergies who on 01-MAR-2007 was vaccinated with GARDASIL (lot number 656049/0187U) 0.5 ml IM.  Concomitant therapy included NUVARING and LEXAPRO.  The nurse reported that on 13-JUN-2007 the patient was vaccinated with another dose of GARDASIL (Lot number 657737/0522U) 0.5 mL IM.  Medical attention was sought.  On 13-JUN-2007 a beta-human chorionic gonadotropin test (unspecified) was performed and the results were positive for pregnancy.  No symptoms have been reported.  No further information is available.  The date of the last menstrual period is 17-MAY-2007.  The estimated date of delivery is 21-Feb-2008.  Follow-up information was received via telephone from a licensed practical nurse.  The patient had an early spontaneous miscarriage at 6+ weeks EGA.  Additionally it was reported that the patient had been using the NUVARING when the patient conceived.  Upon internal review spontaneous abortion was considered to be an other medical event.  Additional information is not expected.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Flank pain, Inappropriate schedule of drug administration, Rash
Clinical narrative: Information has been received from a physician concerning a 54 year old male with no relevant medical history or allergies who on 01-JUL-2008 was vaccinated with a dose of ZOSTAVAX (lot number, injection site and route not reported).  On 04-JUL-2008 the patient experienced flank pain and rash.  The patient called the physician's office and VALTREX was prescribed.  The next day the patient recovered from the events.  According to the physician, flank pain and rash were considered to be other important medical events.  Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Concussion, Head injury, Skull fracture, Syncope
Clinical narrative: Tdap vaccine given IM L deltoid without difficulty.  Approx. 5 minutes after vacc., pt. fainted while standing with mother at check-out desk.  Pt. struck her head on floor - resulting in skull fracture and concussion requiring hospitalization.  8/21/2008 MR received for DOS 6/17-20/2008 with D/C DX: Occipital Skull Fracture. Pt presented from outside facility after pt had ? vasovagal syncope event where pt fell and hit head on a hard surface.  Initially groggy with c/o H/A but became increasingly confused/incoherent. 1 episode of emesis. Pt had brief tonic-clonic activity after arriving in ER. Pt was intubated, loaded with phosphenytoin and transferred to current facility following CT confirmed basilar skull fx.  Pt sedated for PE (+) for bruising to posterior scalp. Extubated on arrival to PICU. Pt had some nausea and sleeping difficulty during stay, but able to d/c 6/20/08 Neurosurgery f/u 7/3/08 doing well, off seizure meds, no h/a, nausea or vomiting. Fx healing well.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Syncope, repeat episodes over an hour, observation o/n in hospital. 7/21/08-records received for DOS 7/8-7/9/08-DC DX-Syncope episode, status post Gardasil, resolved. After receipt of vaccine, presyncopal and then passed out time 3.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: (L) injection site with erythema, induration and increased warmth
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Blisters, redness, and swelling to (R) thigh. A black dot on (R) thigh.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash
Clinical narrative: Pts: mother called on 7-8-08 and reported that pt. has broken out in a rash on her head, face, and trunk. No other s/sx were mentioned. Vaccines were adm. on 7-7-08.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Nausea, muscle aches, headache onset at 2200 on 10-9-08. Emesis x 2 during the night. Mom using TYLENOL for comfort.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: VZV was given in left arm (SQ) on 7-7-08.  Pt. states he noticed the area turning red the evening of 7-8-08.  He now has a 2 1/2 in x 1in area of redness at site with slight warmness to touch.  Mother is giving MOTRIN tabs 2 q 4 hours.
Age: 90.0
Sex: M
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Insomnia, Malaise, Oral intake reduced
Clinical narrative: Fever & decreased appetite/intake, insomnia with fatigue & malaise x1 wk onset one day after vaccine.
Age: 90.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Fever & decreased appetite/intake, insomnia with fatigue & malaise x1 wk onset one day after vaccine.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site scab, Rash papular
Clinical narrative: Developed papular/vesicules directly distal to injection site - to middle of forearm - LD scabs by day #7.
Age: 16.0
Sex: M
Vaccine: DTAP, HEPA, MNQ, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: 7-9-08 DTaP given instead of Tdap.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Blood electrolytes normal, Full blood count normal, Loss of consciousness, Syncope
Clinical narrative: Weakness and syncope.  LOC x several minutes.  Symptoms resolved.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Cough, Dyspnoea, Eye swelling
Clinical narrative: Swelling in eyes, coughing, trouble breathing.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Neck pain
Clinical narrative: 2 days after injection pt. arm became red, swollen and warm to touch.  Developed wrist and neck pain.  Itching as swelling came down.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: 2 days after injection pt. arm became red, swollen and warm to touch.  Developed wrist and neck pain.  Itching as swelling came down.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Electrocardiogram, Feeling abnormal, Immediate post-injection reaction, Urticaria
Clinical narrative: Client complained of lightheadedness and feeling bad immediately after injection.  Whelps noted on chest and back.  BENADRYL 2 teaspoon by mouth and PRELONE 2 teaspoons by mouth.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Product given incorrectly.  ADACEL - Tdap was given to a 10 year old.
Age: 1.25
Sex: F
Vaccine: MMRV
Symptoms: Erythema, Rash papular, Rash pruritic, Scab, Skin lesion
Clinical narrative: Pruritic rash - red papulo/vesicular with some crusted lesions x2 days.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood pressure fluctuation, Dizziness, Loss of consciousness, Staring
Clinical narrative: A few minutes after the second vaccine was administered patient felt dizzy & blacked out.  I lowered her to the floor where she lay still with eyes staring blankly for a minute.  I called back a nurse (or two) who suggested getting her onto the bed & taking blood pressure.  BP went down, up then normalized over a period of 15-20 mins.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dizziness, Headache, Hypoaesthesia, Pain in extremity
Clinical narrative: Went to ER 7/9/08 with c/o numbness & pain to the R arm and dizziness & headache.  Seen in office 7/10/08 with same complaints.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Headache, Urticaria
Clinical narrative: Severe hives began 6/30/08.  Received Gardasil #2 6/9/08.  Hives several days = at office with hives, chills and headache 7/9/08 = 10 days.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Local reaction, Pruritus, Swelling, Tenderness
Clinical narrative: Local reaction, swelling, tenderness, itchy, redness.  BENADRYL.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Local reaction, Swelling, Tenderness
Clinical narrative: Local reaction, swelling, redness, tenderness 6 cm x 4 cm.  Hydrocortisone, Benadryl.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Fatigue
Clinical narrative: Pain right knee 1 week.  Takes Tylenol 325 mg 2 tablets twice a day.  Weakness and tiredness 1 week.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Bronchitis, Dyskinesia, Eye rolling, Fatigue, Loss of consciousness
Clinical narrative: 3 days after 2nd HPV (2/28/08), she had a syncopal episode.  She was also ill at time, seen in clinic and diagnosed with bronchitis.  3 days after 3rd HPV (7/1/08), she was sitting in a chair, said "I don't feel well", then mom saw her eyes roll back.  She had LOC.  Mom noted brief jerking of arms and legs.  Within 1 minute she was alert and coherent.  Felt tired rest of day.  No illness.  Felt was prior two days.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Syncope
Clinical narrative: 3 days after 2nd HPV (2/28/08), she had a syncopal episode.  She was also ill at time, seen in clinic and diagnosed with bronchitis.  3 days after 3rd HPV (7/1/08), she was sitting in a chair, said "I don't feel well", then mom saw her eyes roll back.  She had LOC.  Mom noted brief jerking of arms and legs.  Within 1 minute she was alert and coherent.  Felt tired rest of day.  No illness.  Felt was prior two days.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash noticed on arms, legs, and trunk beginning on 7/1.  Rash does not itch and is not painful but is getting larger.  Patient started CELEBREX at the same time.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Pain
Clinical narrative: 1 week after receiving shingles vaccine I came down with shingles and still have them after 3 weeks. (Right thigh area).
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Dizzy, light headed.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 9x12 cm area of erythema/increased warmth at injection site.  Ice packs applied.  Recommend BENADRYL/TYLENOL or ibuprofen.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives day after vaccines administered.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: On 6-27-08 AM had baseball sized hot red area painful to touch.  Went to Dr. on 6-30-08 "& had shot in hip to counteract".
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Areflexia, Dysstasia, Fall, Gait disturbance
Clinical narrative: Approximately one week after receiving the third dose of the HPV vaccine on April 11, 2008, patient developed cramping in both calves which became increasingly severe, resulting in difficulty walking, inability to stand on the balls of her feet, and loss of reflexes in both ankles and knees as determined by a physical therapist.  Patient was seen by a neurologist several days later who found no neurological abnormalities in his exam of her and diagnosed her with "muscle strain of the backs of her legs."  Patient is continuing to experience problems with her legs, some days being better than others.  Every morning she wakes up with cramping of the calves, and some days she is able to "walk it off," and other days her legs hurt all the time.  She is a musical theatre graduate and makes her living singing and dancing.  She has been unable to dance since her calves have been affected.  Approximately two weeks after the second dose of the HPB vaccine the end of December, 2007, patient experienced ankle weakness which resulted in falling frequently, and she was seen by an orthopaedic surgeon in April 2008 when her ankles did not improve.  The orthopaedic surgeon recommended physical therapy for "floppy ankles."  It was after the third dose of the vaccine as described in the paragraph above when she experienced problems with her calves, and which led her to see the physical therapist not only for the floppy ankles, but also for the painful calves.  Because patient is not recovering, she has an appointment to see an internist who is also board certified in rheumatology.  Now that we are aware of her complications following the HPV vaccine, we will, of course, report this to the internist. 8/6/08-office notes received-patient concerned that inadequate dose was administered. Second dose administered 4/11/08 followed by 3rd dose 4/29/08 lot#1967 12/15/08-records received-consultant visit 10/23/08-C/O muscle aches dating back to march 2008 after an ear infection and vaccine. Aching in claves occur after exercise and intermittant back pain. Weakness of iliososas muscles after repetitive squatting.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Muscle strain, Muscular weakness, Neurological examination normal
Clinical narrative: Approximately one week after receiving the third dose of the HPV vaccine on April 11, 2008, patient developed cramping in both calves which became increasingly severe, resulting in difficulty walking, inability to stand on the balls of her feet, and loss of reflexes in both ankles and knees as determined by a physical therapist.  Patient was seen by a neurologist several days later who found no neurological abnormalities in his exam of her and diagnosed her with "muscle strain of the backs of her legs."  Patient is continuing to experience problems with her legs, some days being better than others.  Every morning she wakes up with cramping of the calves, and some days she is able to "walk it off," and other days her legs hurt all the time.  She is a musical theatre graduate and makes her living singing and dancing.  She has been unable to dance since her calves have been affected.  Approximately two weeks after the second dose of the HPB vaccine the end of December, 2007, patient experienced ankle weakness which resulted in falling frequently, and she was seen by an orthopaedic surgeon in April 2008 when her ankles did not improve.  The orthopaedic surgeon recommended physical therapy for "floppy ankles."  It was after the third dose of the vaccine as described in the paragraph above when she experienced problems with her calves, and which led her to see the physical therapist not only for the floppy ankles, but also for the painful calves.  Because patient is not recovering, she has an appointment to see an internist who is also board certified in rheumatology.  Now that we are aware of her complications following the HPV vaccine, we will, of course, report this to the internist. 8/6/08-office notes received-patient concerned that inadequate dose was administered. Second dose administered 4/11/08 followed by 3rd dose 4/29/08 lot#1967 12/15/08-records received-consultant visit 10/23/08-C/O muscle aches dating back to march 2008 after an ear infection and vaccine. Aching in claves occur after exercise and intermittant back pain. Weakness of iliososas muscles after repetitive squatting.
Age: 12.0
Sex: U
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Pyrexia, Vomiting
Clinical narrative: Fever, 102 degrees, lightheaded, vomit.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Anular erythematous lesion at site of injection 4.5. cm x 5 cm induration
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Dizziness, Pallor, Tremor
Clinical narrative: After last immunization given (HPV), pt body shaking approx 5-10 seconds, skin pale, lightheaded, dizzy.
Age: 36.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Eye pain, Fatigue, Headache, Pharyngolaryngeal pain
Clinical narrative: 5/14/08 Given MMR/Varicella vaccines. 5/26/08 - Patient reports onset of HA, tired sore eyes, sore throat, dry cough, itching, of scalp, head, underarms. 5/28/08 - Patient called. Has eruption on right upper arm just above elbow (Non draining); 05/30/08 - No fever, eruption unchanged, No scalp itch, ST cleared. Returned to work, 6/2/08.
Age: 36.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: 5/14/08 Given MMR/Varicella vaccines. 5/26/08 - Patient reports onset of HA, tired sore eyes, sore throat, dry cough, itching, of scalp, head, underarms. 5/28/08 - Patient called. Has eruption on right upper arm just above elbow (Non draining); 05/30/08 - No fever, eruption unchanged, No scalp itch, ST cleared. Returned to work, 6/2/08.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Swelling, red area on left upper arm, hot to touch - No pain, No fever - Redness and swelling 11.5cm x 11.5cm
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local swelling, Pain
Clinical narrative: redness, swelling and pain to localized site.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 3x3 cm reaction-area of redness, induration, (L) upper arm
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Per parents got immunization 6/24/08 -> started rash 6/25/08/ No associated symptoms. (+) urticarial lesion face/trunk no mucosal involvement.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Pt stated she was on birth control to health care partner. Was vague on LMP. Pregnancy test done to restart B.C. (Depo) and report of test confirmed pt pregnant. After further investigation LMP ? April (1st trimester)
Age: 22.0
Sex: M
Vaccine: TTOX
Symptoms: Dizziness, Hyperhidrosis, Pallor, Vision blurred
Clinical narrative: Donor donated plasma 879 mL then given a tetanus shot. Donor then went pale, sweaty, blurred vision, dizziness, faint feeling, had donor lay down, monitored gave orange juice and water and monitored. Donor quickly recovered <15 min. went home on 7-3-08
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMRV
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Patient received the varicella vaccine on 10/31/06.  She was seen on 7/10/08 for chicken pox.
Age: 65.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site pain, Physical examination
Clinical narrative: Patient called office 7-9-08 complained of having severe pain left deltoid after injection at site 7-7-08 lump and redness. Took Tylenol. Pain less but has redness going into outer side of arm warm to touch. Seen in office today; Diagnosed allergic reaction to vaccine; Cellulitis
Age: 65.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Skin warm
Clinical narrative: Patient called office 7-9-08 complained of having severe pain left deltoid after injection at site 7-7-08 lump and redness. Took Tylenol. Pain less but has redness going into outer side of arm warm to touch. Seen in office today; Diagnosed allergic reaction to vaccine; Cellulitis
Age: 1.1
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Eating disorder, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: High fever starting 6 days after vaccine, lasted 4 days; lethargy, refusal to eat, extreme fussiness lasted 5 days; measles-like rash on face and trunk started 8 days after vaccine.
Age: 1.1
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: High fever starting 6 days after vaccine, lasted 4 days; lethargy, refusal to eat, extreme fussiness lasted 5 days; measles-like rash on face and trunk started 8 days after vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Local swelling, Skin warm
Clinical narrative: Localized swelling, reddened, warm, nontender.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Minimal redness, swelling. BENADRYL. Ice to area
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema
Clinical narrative: Right arm mild erythema reaction Hep A. Keflex 500 BID, warm soaks qid.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Cellulitis, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Injection done 7-1-08; Called 7-2-08 complained of left arm red from shoulder to elbow and painful; Seen in office; Nurse also noted swelling of upper arm 7 1/2"x5" 3 finger lower shoulder to elbow; Redness and swelling worse; Diagnosed with cellulitis; RX Levaquin 500mg
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: On June 18th at 7:15pm she had a febrile seizure along with a 103.4 fever.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pain, Swelling
Clinical narrative: Red, firm area at site of injection with erythema surrounding area (4" by 4").  Some pain, swelling.
Age: 83.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt presented to office 1 wk after immunization with large (6in x 4in approx) area redness, swelling and warmth (L) arm. Per pt is improving. Instructed to use cold packs to area and return to office if gets worse.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Full blood count normal
Clinical narrative: 7-3-08 Seen in ER with seizure activity noted at home.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 10cm x 11cm area of redness and induration on (L) ant. thigh with cellulitis.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Somnolence
Clinical narrative: Child had a seizure - no fever - several hours after vaccines - seizure lasted about 1 min.  Drowsy afterwards in PM.
Age: 20.0
Sex: M
Vaccine: HEPAB
Symptoms: Unevaluable event
Clinical narrative: See attached medical record.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Generalised oedema, Swelling face, Urticaria
Clinical narrative: Half hour after receiving 2 vaccines, pt developed urticaria, generalized swelling of face and body. No respiratory distress was noted. Treated with BENADRYL at ER.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site urticaria, Local reaction
Clinical narrative: 1 day after VARIVAX immunization had localized rxn around injection site about 2 cm wheal raised, eryth area.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Pain, Pyrexia
Clinical narrative: Both hands cramping, body ache, fever. Advised to take TYLENOL for fever.
Age: 1.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt presented in office with rash, began 7/10/08 with fever. Rash began on face and has spread to neck and trunk, arms. On exam rash consists of multiple red, raised bumps. No other symptoms.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and edema on arm where inj. was rec'd. 6"x3". Adverse reaction started immediately after injection.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema & edema on arm where inj. was rcv'd appx 4"x2".  Started almost immediately.  Given KEFLEX 500 QID x10 days.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On (L) arm - redness, swelling at injection site.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Breath holding, Crying, Loss of consciousness
Clinical narrative: Per nurse giving vaccine, patient cried, held breath, then lost consciousness for few seconds. On MD arrival, pt crying and alert, vitals stable
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: On 7/14/08 125 PM, pt came to office for evaluation of rash for 3-4d. Started on trunk and spread to face and neck. Very itchy per mom. Rash started 1-2 days after rec'd varicella vaccine on 7/9/08 at 2 P. Pt was given Orapred PO and 1 tsp Benadryl at 137 P 7/14/08. Rash: widespread, very small papules across chest, neck, face and back. Pt was given rx Orapred 1/2 tsp BID x 5d and Benadryl 1tsp 6 hrs PRN.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Lethargy, Pallor
Clinical narrative: Received Pediarix, Acthib, prevnar, rotateq on on 6/5/08 11:30 am. within 3 hours became excessively irritable.  6-8 hours post vaccination became pale, gray, and very lethargic. Irritability decreased and returned to normal state within 24 hours post immunization.  (Note: Older sib had irritability after each of his immunizations according to mom; he now has some developmental concerns that are not well defined)
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Muscular weakness, Stomach discomfort
Clinical narrative: Mom states" came into my room complaing that his stomach didn't feel right and his arms and legs felt weak." When mom questioned about symptoms states, " they started this morning."  Mom denies any fever, vomiting, diarrhea, swelling or redness at the site.  Client still able to ambulate despite arm and leg weakness. Mom encouraged to make appointment with pediatrician or if symptoms worsen proceed to nearest ER.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Crying, Diarrhoea, Hypersomnia, Injection site urticaria, Lethargy
Clinical narrative: High fever 103-104 with tylenol/ibprofen for 3 days. Large welt at injection site for 3 days, lump in leg going on 2 weeks. Vomitting, diahrea, refusal to eat for 3 days. Persistant choking cough. Rash on face, back of neck, and lower back. Periods of lethargy where she would stare for long periods of time, other periods where she would not cease to cry and could not be comforted. After the first 2 days of high fever she would sleep for abnormal amounts of time, going to sleep several times during the day.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Mass, Pyrexia, Staring, Vomiting
Clinical narrative: High fever 103-104 with tylenol/ibprofen for 3 days. Large welt at injection site for 3 days, lump in leg going on 2 weeks. Vomitting, diahrea, refusal to eat for 3 days. Persistant choking cough. Rash on face, back of neck, and lower back. Periods of lethargy where she would stare for long periods of time, other periods where she would not cease to cry and could not be comforted. After the first 2 days of high fever she would sleep for abnormal amounts of time, going to sleep several times during the day.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt. was given Menactra on 7/14. After administration, discovered that he was given a meningitis vaccine on 7/11/08
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash pustular
Clinical narrative: Pt has a light rash of 12 (bumps) Some have formed pustuals this started 7/14/2008 Pt has not had any fever or no itching noted. The rash is only on back of torso and some on the side of the body.  These are the only s/s.  The VZV was administerd 7/7/08 subcue. this is the 2nd VZV the child has recieved the first dose was given 3/16/2001.
Age: 20.0
Sex: M
Vaccine: ANTH, FLU3, HEP, SMALL, TYP
Symptoms: Alopecia, Headache, Rectal haemorrhage
Clinical narrative: Extreme headaches every other day for approx. 1 minute then goes away since late 2003. Loss of hair (began losing hair approx. 3 months after receiving those vaccines). Evacuate blood from time to time. I currently have Anthrax 1, 2 and 3 not because I wanted but because was "a must" to have them.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Pt. reports approx. 10 min after receiving MMR noted slight shortness of breath/throat tightness. Took 50mg Bendadryl with relief of symptoms within 20 minutes of medication.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt had redness, swelling (approximately 25mm) and warmth to left thigh
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: On day 2 after vaccine she developed a fever of 103 degrees & this lasted 3 days.  On day 3 after vaccine she was seen at PMD by FNP.  Treated with antibiotics for a sore throat.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MNQ, TDAP
Symptoms: Loss of consciousness, Paraesthesia, Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: PT FAINTED AFTER RECEIVING 5 VACCINES: (HPV#1; HAV#2 - RT DELTOID) AND (IPV, MENACTRA, AND TDAP - LT DELTOID).  PT SAID RT ARM WAS TINGLING PRIOR TO HER PASSING OUT.  PT WAS UNRESPONSIVE FOR APPROX. ONE MINUTE AND ONE EPISODE OF VOMITING AFTER REGAINING CONSCIOUSNESS.
Age: 0.5
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Wrong drug administered
Clinical narrative: Pediatric dose of Hepatitis A was given in place of Pediarix.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: pt was given repeat of DTaP,MMR, IPV, was given last year 8/15/2007 - filing misadministration - pt without adverse events thus far
Age: 23.0
Sex: F
Vaccine: DTP, HEP, MMR
Symptoms: Skin laceration, Syncope
Clinical narrative: Fainting then with laceration to forehead.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient experienced low grade temp, redness, swelling and itching at injection site
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm
Clinical narrative: Erythema, heat to left thigh
Age: 1.25
Sex: M
Vaccine: DTAP, PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: given an extra pcv7 unknown symptoms
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Irritability, Rash
Clinical narrative: Patient devolped a rash from top of head down to shoulders with in 24 hours. Nothing else besides vaccines was different. Mom states pt also was very very fussy and cried for a long time when recieved her 2 month vaccines. We advised mom to apply cool compresses and keep patient cool and to let us know if condition worsens. Dr. states we will not give Prevnar to patient again but will continue rest of vaccines.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Anorexia, Dizziness, Nausea, Vaginal discharge
Clinical narrative: 6/23/08 Received 1st HPV. Starting 6/24/08 client experienced dizziness, nausea after eating, loss of appetite. Pt was menstruating (1st day) when she received vaccination. At the end of cycle client experienced watery blood, and now water, yellow drainage. Referred to private medical care.
Age: 61.0
Sex: F
Vaccine: RAB
Symptoms: Confusional state, Cough, Disorientation, Feeling abnormal, Feeling cold
Clinical narrative: At 3am on June 26, 2008 my parents were awoken to a bat flying around their bedroom. They went to their local Emergency Room on June 27, 2008 to begin rabies prophylaxis. DAY 1: At 3pm my mother received her 5 shots (4 immunoglobins and 1 rabies vaccine). At 3:05pm she developed a continual cough which lasted for 30 minutes. At 3:10pm she began experiencing muscle shaking throughout her body, excluding her head and neck. She reports that you could not see her body shaking, but that she had the sensation. She also reports that her body was extremely cold and she could not get herself warm.  The shaking and coldness lasted for about 3 hours at which point her toes and knees were no longer having the shaking sensation but the rest of her body did. About 30 minutes after her injections, she experienced severe headaches, nausea, extreme confusion/disorientation and malaise. She continued to experience coughing intervals for about 24 hours post-injection. She reported to me that she felt like she was "going to die." DAY 2: She continued to experience headache nausea, fatigue, malaise, confusion/disorientation throughout the morning. Around 1pm she felt improved malaise, nausea, fatigue. Around 6pm the above symptoms returned and she again developed a cough and experienced the sensation of tremoring in her fingers and toes. The symptoms subsided somewhat overnight. DAY 3: At 5am she was awoken by an extreme headache and nausea. The whole day she experienced waxing and waning of headache, nausea, fatigue, malaise, confusion/disorientation symptoms. DAY 4: She experienced severe headaches followed by nausea approximately every 2 hours and the confusion/disorientation was intermitent. She called the ER and left a message for MD with his nurse, but her call was never returned. For the next 4 days, the headache, nausea, confusion/disoriention symptoms continued intermitently. She did not feel "normal" until July 5, 2008. As a side note: My father talked to the nurse and asked for the information sheet that should have come with the rabies vaccine, so he had the manufacturer information. However, the nurse reported that the pharmacy could not locate it. Thus, I cannot report that information in this form. My mother did not proceed with any additional rabies vaccines.
Age: 61.0
Sex: F
Vaccine: RAB
Symptoms: Malaise, Muscle spasms, Nervousness
Clinical narrative: At 3am on June 26, 2008 my parents were awoken to a bat flying around their bedroom. They went to their local Emergency Room on June 27, 2008 to begin rabies prophylaxis. DAY 1: At 3pm my mother received her 5 shots (4 immunoglobins and 1 rabies vaccine). At 3:05pm she developed a continual cough which lasted for 30 minutes. At 3:10pm she began experiencing muscle shaking throughout her body, excluding her head and neck. She reports that you could not see her body shaking, but that she had the sensation. She also reports that her body was extremely cold and she could not get herself warm.  The shaking and coldness lasted for about 3 hours at which point her toes and knees were no longer having the shaking sensation but the rest of her body did. About 30 minutes after her injections, she experienced severe headaches, nausea, extreme confusion/disorientation and malaise. She continued to experience coughing intervals for about 24 hours post-injection. She reported to me that she felt like she was "going to die." DAY 2: She continued to experience headache nausea, fatigue, malaise, confusion/disorientation throughout the morning. Around 1pm she felt improved malaise, nausea, fatigue. Around 6pm the above symptoms returned and she again developed a cough and experienced the sensation of tremoring in her fingers and toes. The symptoms subsided somewhat overnight. DAY 3: At 5am she was awoken by an extreme headache and nausea. The whole day she experienced waxing and waning of headache, nausea, fatigue, malaise, confusion/disorientation symptoms. DAY 4: She experienced severe headaches followed by nausea approximately every 2 hours and the confusion/disorientation was intermitent. She called the ER and left a message for MD with his nurse, but her call was never returned. For the next 4 days, the headache, nausea, confusion/disoriention symptoms continued intermitently. She did not feel "normal" until July 5, 2008. As a side note: My father talked to the nurse and asked for the information sheet that should have come with the rabies vaccine, so he had the manufacturer information. However, the nurse reported that the pharmacy could not locate it. Thus, I cannot report that information in this form. My mother did not proceed with any additional rabies vaccines.
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Breech presentation, Drug exposure during pregnancy, Genital haemorrhage, Live birth, Pregnancy test positive
Clinical narrative: Pt received anthrax, typhoid, and SPV vaccinations on 2/20/08.  On 2/24/08 pt took 5 home pregnancy tests which were positive.  LMP (normal) on 18Jan08.  Pt had spotting on 16 Feb08.  Pt had unprotected sexual activity on Feb 2-3, 2008.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local reaction, Pruritus, Skin warm, Urticaria
Clinical narrative: Severe local reaction including redness, warmth, severe itching, hives (localized).  Continued through 7/2/08.  Treated with Keflex, Prednisone and local treatment.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea x 4 days.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Feeling hot, Heart rate normal, Nausea
Clinical narrative: After immunization and PPD, patient complained of nausea, felt warm.  BP 106/78, and dizziness, pulse 84, drank a lot of water - no nausea, no erythema.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Erythema, Nausea, Syncope, Syncope vasovagal
Clinical narrative: Vasovagal syncopal episode-meningitis vaccine given (R) Delt after injection pt. turned red and was unresponsive for Approx 10 seconds with fists clenched. Vitals at recheck 100/60 P.68 R 20. Pt reported feeling dizzy, lightheaded and nauseated after vaccine. MENACTRA-lot # U2573AA exp 5/09
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Vasovagal syncopal episode-meningitis vaccine given (R) Delt after injection pt. turned red and was unresponsive for Approx 10 seconds with fists clenched. Vitals at recheck 100/60 P.68 R 20. Pt reported feeling dizzy, lightheaded and nauseated after vaccine. MENACTRA-lot # U2573AA exp 5/09
Age: 27.0
Sex: M
Vaccine: HEP, SMALL
Symptoms: Hypersensitivity
Clinical narrative: An allergic reaction.  Plan: MEDROL dose pack, BENADRYL 25 mg PO QHS.  ZANTAC 150 mg PO BID for 5 days.  Hep B titres.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injury, Laceration, Syncope
Clinical narrative: Syncopal episode, patient hit lip on desk, splitting it open.  Did arouse after about 10 seconds.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness
Clinical narrative: Dizziness (intermittent) for 4 days.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature, Injection site erythema
Clinical narrative: Pt developed large area of redness L proximal deltoid area at site of injection (7x10 cm).  Temp 99.5.  Treated with cephalexin 500mg TID x7 d.