chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Hypoaesthesia, Paraesthesia
Clinical narrative: A male pt (date of birth not reported) had received a left deltoid dose of Menactra, lot number Y204578A (this is not a valid lot number), on 8/8/06. The trade name and route of administration were not reported. The expiration date of the Menactra used was 10/13/2007. Six hours post immunization, the pt developed numbness, and tingling in his legs lasting two weeks. The numbness and tingling had started on the right leg and then went to the left leg and groin area. The pt was subsequently evaluated by a physician. The neurologic examination revealed paresthesia, numbness and slight weakness of the lower extremities. No diagnostic tests lab date were performed. The physician reported that the symptoms were related to the Menactra vaccination received on 8/8/06. Reportedly, the pt fully recovered two weeks after onset of symptoms. A new version was created for the sole purpose of correction the pts initials. No new medical information was received.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Asthenia, Dizziness, Flushing, Injection site pain, Meningitis
Clinical narrative: A 17 year old male pt who had no current illness and who has a past medical history of possible meningitis in March 2006 (no lumbar puncture was performed) had received a first IM dose of Menactra, lot number U2135AA, in the left deltoid, and a second IM dose of Havrix lot number AHAVA035, in the right deltoid on 8/21/06. At an unspecified amount of time later, the pt experienced generalized aches, restless legs, dizziness, weakness, flushed skin, pain with the injection site (site not reported), and a temperature of 101 degrees Fahrenhait. A few hours later, around 17:00 pm the symptoms were resolved. The patient required medical evaluation but no treatment was provided. No diagnostic test lab data were performed. The recovery status of the pt was reported as recovered. Menigitis titer A and C. MD speculates that in March of this year he was ill required ED visit with clinical DX of possible menigitis without LP performed. Follow-up information received on 07/OCT/2006 from the patient's parent, who is a registered nurse. It was reported that MENACTRA and HAVRIX were administered at 8:00 am on 12/Aug/2006. At approximately 11:00 am on 12/Aug/2006, 16 hours post-immunization the patient experimented headaches, fever, generalized achiness, extreme weakness, dizziness, restless legs, erythema, a temperature of 101 degress Fahrenheit and extreme pain at the injection site. On 22/Aug/2006 at approximetly 1:00 pm, most of the symptoms had allevaited, but the patient continued with slight generalized weakness and pain at the site of MENACTRA injection. The erythema subsided by 23/Aug/2006. The patient's left deltoid remained very sore for two weeks. On 22/Sep/2006 labs were drawn for anti-meningococcal antibody to serotype A and C. As of 25/Sep/2006, the patient results were not available. As per the patient's parent, the patient had not require an emergency room at doctors visit for his symptoms, but the physician was notified an there were several telephone follow-ups. The final diagnosis was referrerd as "adverse reactions to MENACTRA".
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pain, Pyrexia, Restless legs syndrome
Clinical narrative: A 17 year old male pt who had no current illness and who has a past medical history of possible meningitis in March 2006 (no lumbar puncture was performed) had received a first IM dose of Menactra, lot number U2135AA, in the left deltoid, and a second IM dose of Havrix lot number AHAVA035, in the right deltoid on 8/21/06. At an unspecified amount of time later, the pt experienced generalized aches, restless legs, dizziness, weakness, flushed skin, pain with the injection site (site not reported), and a temperature of 101 degrees Fahrenhait. A few hours later, around 17:00 pm the symptoms were resolved. The patient required medical evaluation but no treatment was provided. No diagnostic test lab data were performed. The recovery status of the pt was reported as recovered. Menigitis titer A and C. MD speculates that in March of this year he was ill required ED visit with clinical DX of possible menigitis without LP performed. Follow-up information received on 07/OCT/2006 from the patient's parent, who is a registered nurse. It was reported that MENACTRA and HAVRIX were administered at 8:00 am on 12/Aug/2006. At approximately 11:00 am on 12/Aug/2006, 16 hours post-immunization the patient experimented headaches, fever, generalized achiness, extreme weakness, dizziness, restless legs, erythema, a temperature of 101 degress Fahrenheit and extreme pain at the injection site. On 22/Aug/2006 at approximetly 1:00 pm, most of the symptoms had allevaited, but the patient continued with slight generalized weakness and pain at the site of MENACTRA injection. The erythema subsided by 23/Aug/2006. The patient's left deltoid remained very sore for two weeks. On 22/Sep/2006 labs were drawn for anti-meningococcal antibody to serotype A and C. As of 25/Sep/2006, the patient results were not available. As per the patient's parent, the patient had not require an emergency room at doctors visit for his symptoms, but the physician was notified an there were several telephone follow-ups. The final diagnosis was referrerd as "adverse reactions to MENACTRA".
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site induration, Swelling
Clinical narrative: 2 cm swelling induration.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Rash developed at injection site 9-1-06.  Patient developed Varicella on 9-12-06 received injection 8/25/2006. Patient had the varicella vaccine administered at a different fascility.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Client noticed some redness, tenderness and swelling on upper left arm 9/25/06- 5 days after TD was received saw doctor 9-26-06 and he told her to take BENADRYL by mouth.  Doctor didn't not think redness and swelling was from Td vaccination.  Reaction resolved by 9-28-06.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site warmth, Pruritus, Swelling
Clinical narrative: Child complain of itching at the site. Mom reported left arm reddened, swollen, hard and hot to touch where shot was given-called pediatrician and medical doctor said normal- no treatment necessary.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site warmth, Myalgia, Swelling
Clinical narrative: Telephone call from client Thursday 9-14 reporting on Tuesday 9-12 pm right arm "red and sore".  Wednesday 9-13 "warm to touch".  Thursday 9-14 "redness spread".  Saw private medical doctor Thursday 9-14 confirmed it was a reaction to Td.  Suggested she use BENADRYL.  On Friday 9-15 3:20 pm I observed injection site to be slightly red in color with swelling size of silver dollar.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Irritability, Pyrexia
Clinical narrative: On 10/02/2006-mother stated at 4 month immunization child was fussy, fever and would not eat after shots.
Age: 39.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Dyspnoea, Swelling face, Tachycardia
Clinical narrative: Received hepatitis A and B vaccines and TB testing at 12:15, at 1:30 felt hot and felt heart racing.  Was short of breath and face was swollen.  Resolved on it's own.  At 10 pm felt heart racing-resolved on it's own.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Dehydration, Lethargy, Vomiting
Clinical narrative: Refusal to walk, lethargy, fever over 102, vomiting, mild dehydration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Pruritus
Clinical narrative: Systemic generalized erythema with itchy hands or feet.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Malaise, Myalgia, Pain, Pyrexia
Clinical narrative: Very ill 12 hours after receiving both the flu and pneumococcal vaccine in same arm.  Sore arm, extreme chills, fever, body aches, no appetite, very thirsty.  Can't imagine how flu could have been any worse.  This is 2 days later and am still extremely tired.  Arm still quite sore and cannot lay on that side not yet.  Husband wanted me to go to hospital 1st night it was so bad.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Rash, Skin nodule
Clinical narrative: Right deltoid hump, skin rash, abdomen rash, back 10/5/06-slight dizziness, slight dumpiness of tip of tongue.
Age: 0.45
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Rash
Clinical narrative: Mom presented to clinic state child has a rash.  Red rash noted on child back and stomach.  I instructed mom to take child to pediatric clinic or emergency room for evaluation.
Age: 1.27
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Arthralgia, Gait disturbance, Viral infection
Clinical narrative: Patient received vaccines on 09/08/06.  Mom noted on 09/17/06 that child was stumbling and unsteady on her right leg.  Mom said child was keeping her leg stiff "like a peg leg".  Mother took child to Dr.  Dr. drew bloodwork on 09/19/06 and told Mom that the bloodwork indicated a "viral response".  Spoke with nurse on 09/20/06.  Dr. thought that she had joint pain in her right hip and right knee and was therefore keeping her right leg stiff.  He attributed her pain to the MMR vaccine.
Age: 48.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Hypoaesthesia, Hypokinesia, Pain
Clinical narrative: States he went home after his injection and took a nap and when he woke up he was already having some symptoms of pain and limited mobility.Noted day after vaccine administered that he was unable to lift his arm for 2 days. After that it was still impaired to the effect that he could not turn his palm outward and he cannot lift his arm over his head without severe pain. He has been taking ibuprofen 400-600 but only once per day for the past 2 days. Has some numbness in his arm when he wakes up and he is having trouble sleeping due to pain waking him up.Denies any redness, warmth or swelling at the site of the injection. Is fairly certain that it has been at least 10 years since his last Td.
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Face oedema, Lacrimation increased, Pyrexia, Urticaria
Clinical narrative: Temperature elevated- 4:30 Watering of eyes- 4:45 Shortness of breath-5:00 Hives- everywhere- 5:15 Swelling around face and neck- 5:30 (times are approximated)
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: Expired Engerix-B (Dec. 04,2004) was administered to a newborn and he did not suffer any adverse effects.  Baby was revaccinated the next day per the manufacturer and CDC guidelines. Baby was revaccinated with Engerix-B with expiration date of November 02, 2007.  Parents were notified of the incident.  Mother of baby did sign consent for vaccination and revaccination. Certain measures were implemented in the facility to prevent such an error in the future. Baby was discharged with no adverse effects or events.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Crying, Gait disturbance, Hypokinesia, Pain
Clinical narrative: Cried uncontrollably for three hours. Could not move leg four hours after the shot, extreme pain, limped the next day.
Age: 37.0
Sex: F
Vaccine: HEP, TD
Symptoms: Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Nausea, malaise, headache, fever since 10/05/06. Patient took Tylenol. Physician perscribed NSAIDS, warm compresses.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Blood pressure decreased, Flushing, Hyperhidrosis, Paraesthesia
Clinical narrative: Pt had slight tingling of left pinkie finger after receiving vaccine.She felt flushed and felt slightly sweating. Pt was anxious and felt she had heightened sense of awareness. Called paramedics. Pt had a BP of 107/60 and a HR of 70. Pt states her BP is usually low and 107/60 was normal for her. Patient states she feels tingling over entire body. Gave pt 50 mg of Benadryl IM. Released patient to EMT. After examining patient, EMT released pt and asked her to buy some oral benadryl. Warned patient about possible drowsiness with Benadryl injection.  Followed up with patient on 10/06/06. Pt states she is fine and has had no further problems.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Sensory disturbance
Clinical narrative: Pt had slight tingling of left pinkie finger after receiving vaccine.She felt flushed and felt slightly sweating. Pt was anxious and felt she had heightened sense of awareness. Called paramedics. Pt had a BP of 107/60 and a HR of 70. Pt states her BP is usually low and 107/60 was normal for her. Patient states she feels tingling over entire body. Gave pt 50 mg of Benadryl IM. Released patient to EMT. After examining patient, EMT released pt and asked her to buy some oral benadryl. Warned patient about possible drowsiness with Benadryl injection.  Followed up with patient on 10/06/06. Pt states she is fine and has had no further problems.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Agitation, Anorexia, Pyrexia, Screaming, Upper respiratory tract infection
Clinical narrative: THE DAY FOLLOWING VACCINATION, THE CHILD SCREAMED ALMOST INCONSOLABLY FOR NEARLY 14 HOURS.  11/7/06 Received medical records from PCP which included records from the hospital. PCP records reveal patient seen 9/26 for complaints of fussy since vax & not taking bottles.  Next visit is of 9/29 when patient had returned to normal.  Only finding on exam at that time was nasal congestion & runny nose. Hospital records reveal patient admitted to hospital overnight from 9/26-9/27/06.  Remained afebrile & improved.   D/C Dx: Fever, resolved; inconsolability, resolved; and URI./ss
Age: 63.0
Sex: F
Vaccine: IPV, TYP
Symptoms: Confusional state, Headache
Clinical narrative: Pt developed severe, stabbling HA, slight mental confusion after taking first dose of oral typhoid.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Chills, Erythema, Pain, Swelling
Clinical narrative: Pt. states she woke up on 10/5/05 at 3:00 am with chills.  Left arm began to get very sore and erythmatous along with swelling.  Saw a physician on 10/6/06 at 11:00 am who diagnosed cellulitis and was put on Z-pak and ice packs, and was instructed to go to the ER if the site worsens.  There was some discrepancy on the site of each vaccine; pt. states she thought the influenza vaccine was given first in the right arm; and the pneumovax vaccine was given second in the left arm.  Also, pt. does not remember feeling the left arm being wiped with alcohol swab.
Age: 2.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Erythema, Injection site reaction, Injection site warmth, Oedema
Clinical narrative: APPROX 4X4IN AREA OF EDEMA ERYTHEMA AND WARMTH TO LEFT UPPER OUTER THIGH NOTICED TODAY BY MOM AND PRESENTED TO OFFICE.  DX WITH MILD CELLULITIS AND TREATED WITH CLINDAMYCIN 30MG/KG TID.
Age: 48.0
Sex: F
Vaccine: FLU3, HEPAB
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 8cm diameter area of erythema, increased warmth, and tenderness at site of injection.
Age: 5.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Face oedema, Periorbital oedema, Urticaria
Clinical narrative: PATIENT DEVELOPED LIP SWELLING, PERIORBITAL SWELLING, AND HIVES  AFTER ARRIVING AT HOME FROM THE DOCTORS OFFICE.  WAS TAKEN TO THE EMERGENCY ROOM WHERE EPINEPHRINE, ZANTAC, BENADRYL AND PREDNISONE WERE GIVEN.  PATIENT RECOVERED QUICKLY.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cough, Erythema, Urticaria
Clinical narrative: Patient presented with redness, hives, and coughing 30 minutes after receiving DTAP, IPU, and MMR.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Medication error
Clinical narrative: Patient received DTAP injection 8 days early.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Anaphylactic reaction, Bacterial infection, Face oedema, Respiratory distress
Clinical narrative: Respiratory distress and facial swelling.  Treated with epinephrine and albuterol in office.  Admitted to hospital for observation due to unstable living situation. DC DX: Anaphyllaxis. Admitted for respiratory distress. History of asthma. Experienced wheezing, puffiness around eye area and difficulty breathing withing 10 minutes after vaccination.
Age: 0.37
Sex: M
Vaccine: DTAP, PNC
Symptoms: Irritability
Clinical narrative: PER FAMILY, PATIENT HAD EXCESSIVE IRRATABILITY FOR 1-2 WEEKS AFTER VACCINATION.  TREATMENT W OTC MEDS.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Dysphonia, Dyspnoea, Injection site erythema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Burning sensation about an hour after shot.  Redness past the shot area about 3 inches in diameter.  Continued burning for one day.  Hoarse throat, and difficulty breathing.  Low grade fever, thought maybe I just had a cold, but art is very sore and very red 30 hours later.  Throat not as sore, have taken allergy pills and advil.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Thermal burn
Clinical narrative: Burning sensation about an hour after shot.  Redness past the shot area about 3 inches in diameter.  Continued burning for one day.  Hoarse throat, and difficulty breathing.  Low grade fever, thought maybe I just had a cold, but art is very sore and very red 30 hours later.  Throat not as sore, have taken allergy pills and advil.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Patient was administered expired flu vaccine consulted with district, state, authority, and manufacturer-revaccinated 10/05/06 no problem from expired flu vaccine.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Patient administered expired flu vaccine consulted with district, state, agency and manufacturer-revaccinated on 10/5/06 no problem with expired flu vaccine.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt administered expired flu vaccine consulted with district, state, CDC and manufacturer. Revaccinated on 10/05/2006 no problems from expired vaccine.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: PT administered expired flu vaccine notified district, State and manufacturer, revaccinated 10/05/06 no problems from expired vaccine.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt was administered expired flu vaccine consulted with district, state, and manufacturer, revaccinated 10/05/06 no problems from expired vaccine.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt was administered expired flu vaccine consulted with district, state, CDC and manufacturer, revaccinated 10/05/06 no problems from expired vaccine.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt was administered expired flu vaccine consulted with district, state, and manufacturer, revaccinated 10/05/06 no problems from expired vaccine.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt received expired flu vaccine consulted with district, state, CDC and manufacturer, revaccinated 10/05/06 no problems from expired vaccination.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt came walking in our office 10/06/06 with reaction on right arm, red, hot to the touch, big bumped, at the injection site and refused treatment/ Pt decided to go to ER. Because did not want to pay copay at our office. And walked out of office. Induration right deltoid 6in by 3in firm, hot, red.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal pain, Anorexia, Decreased appetite, Flatulence, Irritability
Clinical narrative: Sleepiness after immunization, decreased appetite, started two days after immunization. Very irritable, gassy, appears to have abdominal pain, refusing to eat or decreased amount per feeding.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Somnolence
Clinical narrative: Sleepiness after immunization, decreased appetite, started two days after immunization. Very irritable, gassy, appears to have abdominal pain, refusing to eat or decreased amount per feeding.
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Chest discomfort, Heart rate irregular, Musculoskeletal stiffness, Myalgia
Clinical narrative: Pt given 4 injectable vaccines and oral typhoid capsules on 9/18/06. He took first oral typhoid capsule on 10/2, second capsule on 10/4 and called office on 10/5/06 with complaint of irregular heart rhythm, pressure in chest, stiff neck, muscle aches. He went to local hospital ER for evaluation. States he was told by ER physician he had no cardiac problems and that could be reaction to oral thyroid vaccine.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMRV
Symptoms: Injection site oedema, Injection site pain, Pruritus, Pyrexia
Clinical narrative: Child received immunization on 10/04/2006 in am. During early morning day of 10/05/06. child awakened c/o soreness of arm and mom noticed had fever also. She administered Tylenol. At 8am mom notes swelling of right deltoid and child c/o itchiness. No fever noted at that time. No Tylenol given. Today continues to be swollen, but child acting normal with no complaints.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Erythema, Pruritus, Rash erythematous
Clinical narrative: Child received FluMist per protocol and after review of signed consent form on 9/26/06 an AM at school clinic conducted by health dept. Mom reported child played football that evening. After school on 9/27/06 mom noticed redness around nose, inside of nose and under eyes. On 9/28/06 child went to school with same amount of redness on his face. On 9/28/06 at 10:00am, the school called the parent due to an increase in the redness. Mom took the child to Dr who evaluated the rash. Mom was asked if it was poison ivy. Mom stated no that she thought it was a reaction to receiving the FluMist vaccination two days earlier. Dr gave child oral Benadryl and cortisone cream with instructions to return if condition worsened. Mom gave the child cortisone cream but there was no positive effect. Child was a little itchy but Benadryl controlled the itch. Mom returned to Dr on 9/29/06 because reddened area had spread to trunk and extremities. Area around face (nose, nostrils, and under eyes) was slightly raised and contiguous (as reported by mom). Area on body (trunk and all extremities front and back) was speckled (as reported by mom). Mom reported that reddened areas became slightly raised but did not weep. Dr gave child Oraped and Benadryl orally Q 6 hours PRN. Mom took pictures of child on 9/29/06 to document affected areas. Mom said that she would send copies of the photos for reference. On 10/2/06 in the afternoon, nurse manager notified director of nursing of childs reaction and clinic management of the condition. Director of Nursing was able to contact mom the morning of 10/3/06 to discuss events and gather information for VAERS. They informed mom that they were submitting VAERS and reporting the incident to the vaccine manufacturer. In addition they recommended that mom talk with their pediatrician before receiving another influenza vaccination. Mom reported that child was recovering fine but still has some redness.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Pruritus, Rash
Clinical narrative: Wake up with rash on abdomen under breast and on neck with itching.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Rash
Clinical narrative: Wake up with rash on abdomen under breast and on neck with itching.
Age: 27.0
Sex: U
Vaccine: VARCEL
Symptoms: Dizziness, Dyspnoea, Headache, Nausea
Clinical narrative: Pt c/o nausea, Headache, dizziness, dyspnea 2 hours after vaccine administration, given PO Prednisone 60mg. Pepcid 20mg Benadryl 50 mg PO.
Age: 18.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Contusion, Injection site induration, Injection site oedema, Injection site pain, Myalgia
Clinical narrative: 10/06/06 pt came in after receiving PCV and Hep B on 10/04/06. Pt reported pain and swelling of right deltoid. On exam pt had swelling, bruising and some red 1.5cm induration, bumps, pt notes diffuse myalgia.
Age: 18.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Rash
Clinical narrative: 10/06/06 pt came in after receiving PCV and Hep B on 10/04/06. Pt reported pain and swelling of right deltoid. On exam pt had swelling, bruising and some red 1.5cm induration, bumps, pt notes diffuse myalgia.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Redness, inflammation and warmth at site of left upper arm since 10/03/06. Treated with Benadryl Tylenol and cool compresses to arm.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 7PM localized pain at injection site right deltoid 10/04/06 am redness right deltoid to just elbow (anterior asp) warm to touch, slight swelling.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Hives, swollen eyelid, administered Epi pen x 1 Benadryl 1 1/2 tsp PO.
Age: 0.22
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Haematochezia
Clinical narrative: Baby has blood in stool after 7 days of administration of Rotavirus vaccine.
Age: 1.77
Sex: F
Vaccine: MMR
Symptoms: Neck pain, Vomiting
Clinical narrative: MMR vaccine was given on 9/28/06. On 10/3/06 child vomits before bedtime. On 10/6/2006 child vomits again. From 10/4 to 10/6 child complains of pain around her neck before bedtime, grabs the area around her neck - reaction to the mumps portion? Mother had mumps at 6 years old. Mother also had rubella and measels as a child/teenager.
Age: 55.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: Received Pneumonia and Flu shots at 11:00am on 10-06-06: one in each deltoid. Appx. 2 hours later severe pain, muscle aches, stiffness, and tenderness developed in the left arm where Pneumonia shot was administered. Condition worsened all day and spread to top of shoulder, arm-pit, and neck area. The pain became so intense that the left arm could not be moved or touched. Took a Tylenol before bedtime, which did relieve the pain some. Spent most of the night without sleep. Could not lay on or move left arm. The next morning same symptons but somewhat less severe. Can't raise arm outward (away from body) or overhead. Now 10:00am and pain still intense!
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Ran fever of 102.3 degrees.  Took Tylenol.
Age: 53.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Very red, sore, hot reaction over four inches from left arm site of injection. Trouble breathing. Dr said possible infection but three friends had same exact reaction after taking vac from same location.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Urticaria
Clinical narrative: I got the hives and my husband got Hoarseness
Age: 0.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Unevaluable event
Clinical narrative: Experienced heart failure, seizures, neurological problems such as severe anxiety and depression. Numbness,joint pain and severe vision problems (prism vision. Because his prognosis was so poor,  committed suicide. He never experienced health problems of any type prior to the vaccinations.
Age: 0.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Anxiety, Arthralgia, Cardiac failure, Completed suicide, Convulsion
Clinical narrative: Experienced heart failure, seizures, neurological problems such as severe anxiety and depression. Numbness,joint pain and severe vision problems (prism vision. Because his prognosis was so poor,  committed suicide. He never experienced health problems of any type prior to the vaccinations.
Age: 0.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Depression, Hypoaesthesia, Neurological symptom, Tunnel vision, Visual disturbance
Clinical narrative: Experienced heart failure, seizures, neurological problems such as severe anxiety and depression. Numbness,joint pain and severe vision problems (prism vision. Because his prognosis was so poor,  committed suicide. He never experienced health problems of any type prior to the vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain in arms/legs. Redness over left thigh.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Myelitis transverse, Paraplegia
Clinical narrative: An 11 year old female pt, with a history of allergic rhinitis, had received an IM injection of Adacel, lot number C2491AA, on 7/6/06. Thirty days post vaccination, the pt developed transverse myelitis that required hospitalization. Per the reporter, the pt is now a T10, T11 paraplegic, and the event resulted in a questionable permanent disability. There was no illness at the time of vaccination. Additional medically relevant information was not provided. At the time of this report, the pt had not recovered.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Asthma, Cellulitis, Gait disturbance, Hypokinesia, Hypotonia
Clinical narrative: Pt developed immediate rash and pruritis after vaccine. Treated with ice pack in clinic. Limping with leg pain next morning 5/4/06. Developed fever T 102F pm of 5/4/06. Admitted 5/5/06 15:15 pm for increased swelling and pain for cellulitis vs 2" rxn to vaccine. Treated with Clindamycin - discharged 5/8/06. 10/12/06 Received medical records from hospital which reveal patient admitted to hospital 5/5/06-5/8/06 s/D/C dx: RLE cellulitis, sinusitis & history of hypogammaglobulinemia, asthma & chronic URI, bronchitis/pneumonia & sinus infections.  Presented with being unable to walk on right leg secondary to symptoms.  S/S slowly resolved with IV antibiotics.  D/C to home on oral antibiotics for another 2 weeks/ss
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Infection, Injection site oedema, Injection site pain, Pain, Pruritus
Clinical narrative: Pt developed immediate rash and pruritis after vaccine. Treated with ice pack in clinic. Limping with leg pain next morning 5/4/06. Developed fever T 102F pm of 5/4/06. Admitted 5/5/06 15:15 pm for increased swelling and pain for cellulitis vs 2" rxn to vaccine. Treated with Clindamycin - discharged 5/8/06. 10/12/06 Received medical records from hospital which reveal patient admitted to hospital 5/5/06-5/8/06 s/D/C dx: RLE cellulitis, sinusitis & history of hypogammaglobulinemia, asthma & chronic URI, bronchitis/pneumonia & sinus infections.  Presented with being unable to walk on right leg secondary to symptoms.  S/S slowly resolved with IV antibiotics.  D/C to home on oral antibiotics for another 2 weeks/ss
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Rash pruritic, Sinusitis
Clinical narrative: Pt developed immediate rash and pruritis after vaccine. Treated with ice pack in clinic. Limping with leg pain next morning 5/4/06. Developed fever T 102F pm of 5/4/06. Admitted 5/5/06 15:15 pm for increased swelling and pain for cellulitis vs 2" rxn to vaccine. Treated with Clindamycin - discharged 5/8/06. 10/12/06 Received medical records from hospital which reveal patient admitted to hospital 5/5/06-5/8/06 s/D/C dx: RLE cellulitis, sinusitis & history of hypogammaglobulinemia, asthma & chronic URI, bronchitis/pneumonia & sinus infections.  Presented with being unable to walk on right leg secondary to symptoms.  S/S slowly resolved with IV antibiotics.  D/C to home on oral antibiotics for another 2 weeks/ss
Age: 0.43
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Irritability, Oedema, Pyrexia, Rash
Clinical narrative: The day of the shots very fussy and fever, at night broke out with rash, red and blotchy, all over body and legs were swollen. Lasted about 2 days. child ok now, no treatment.
Age: 0.43
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash macular
Clinical narrative: The day of the shots very fussy and fever, at night broke out with rash, red and blotchy, all over body and legs were swollen. Lasted about 2 days. child ok now, no treatment.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Viral infection
Clinical narrative: Pt has chicken pox disease
Age: 1.01
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Pt. has chicken pox disease.
Age: 0.42
Sex: M
Vaccine: UNK
Symptoms: Viral infection
Clinical narrative: Pt has chicken pox disease, has not had vaccine due to age. Follow up: This child was not old enough to receive the vaccine. He did have the chickenpox disease. I spoke with reporter on this matter. Patient was almost 6 monts old when he got he chickenpox. Therefore no vaccine info or NFR Info is available.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Medication error
Clinical narrative: Hep A 1440 given instead of 720. No reaction as of contact with mother 10/09/06.
Age: 43.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: 3 days after MMR right upper quadrant pain, no other symptoms, Pt convinced related to vaccine resolved.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Abdominal pain, Asthenia, Dizziness, Dyspnoea, Headache
Clinical narrative: Dizziness, weakness, right-sided temple headache, episodic left abdominal pain, occasional feeling of shortness of breath.  All ongoing, no recovery yet.  No change with Antivert or Amoxil.  Now on Nasonex daily.
Age: 63.0
Sex: F
Vaccine: TYP
Symptoms: Discomfort, Headache, Hot flush, Pruritus, Rash
Clinical narrative: Rash. Looked more like chicken pox or bites.  Most on torso but significant number on legs and few on arms. Mild discomfort and itching.  Ones on legs quite raised with blister on top.  Developed following the third dose. Had been experiencing some headaches and hot flashes but no significant fever. Called health department who advised not taking final capsule.  Called doctor who failed to respond so went to see nurse practitioner who said the spots did not look like regular hives, had no idea what they were or how to treat so sent me home. I was exhibiting about 85 to 100 welts of varying sizes from pin prick to large mosquito bite.  Took Benedryl, cortizone cream and rested.   Once week later,spots have reduced and only a few are still raised.  I am interested in taking Zostavax for Shingles preventions.  Are there any common ingredients in these two live vaccines that I may react to as my spots bear some similarity to chicken pox or shingles except for the lack of itching or pain?
Age: 63.0
Sex: F
Vaccine: TYP
Symptoms: Urticaria
Clinical narrative: Rash. Looked more like chicken pox or bites.  Most on torso but significant number on legs and few on arms. Mild discomfort and itching.  Ones on legs quite raised with blister on top.  Developed following the third dose. Had been experiencing some headaches and hot flashes but no significant fever. Called health department who advised not taking final capsule.  Called doctor who failed to respond so went to see nurse practitioner who said the spots did not look like regular hives, had no idea what they were or how to treat so sent me home. I was exhibiting about 85 to 100 welts of varying sizes from pin prick to large mosquito bite.  Took Benedryl, cortizone cream and rested.   Once week later,spots have reduced and only a few are still raised.  I am interested in taking Zostavax for Shingles preventions.  Are there any common ingredients in these two live vaccines that I may react to as my spots bear some similarity to chicken pox or shingles except for the lack of itching or pain?
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Hypoaesthesia, Injection site pain, Laboratory test abnormal
Clinical narrative: Patient received MMR vaccine on 10/2/06 - the next day she had pain and numbness at the injection site to fingertips. Later in week, developed a rash and sore throat and on 10/8/06 she had swelling to feet, face, neck with shortness of breath.  Was hospitalized 10/08/06. DC DX: severe anaphylactic allergic reaction to MMR vaccine which was given at Scotland Hospital System. Continuing allergic reaction to MMR vaccine which required a five day hospitalization secondary to swelling, edema and pruritis. Compartment syndrome ruled out. HPI: swelling right arm and hand, numbness and tingling. Initially resolved and then recurred, began to have swelling of arms, hands, feet and throat. Initially RX with epinephrine and Dex pack. Second reaction she became short of breath and admitted through ED. RX with IV Solu-Medrol and Benadryl. Reaction continued for approximately five to six additional hospital days.  11/3/06-received call from reporter with additional information, patient prescription record documented use of Penicillin VK 500 use 6 days prior to vaccine. Patient had denied allergy to Penicillin.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Oedema peripheral, Pharyngolaryngeal pain, Rash
Clinical narrative: Patient received MMR vaccine on 10/2/06 - the next day she had pain and numbness at the injection site to fingertips. Later in week, developed a rash and sore throat and on 10/8/06 she had swelling to feet, face, neck with shortness of breath.  Was hospitalized 10/08/06. DC DX: severe anaphylactic allergic reaction to MMR vaccine which was given at Scotland Hospital System. Continuing allergic reaction to MMR vaccine which required a five day hospitalization secondary to swelling, edema and pruritis. Compartment syndrome ruled out. HPI: swelling right arm and hand, numbness and tingling. Initially resolved and then recurred, began to have swelling of arms, hands, feet and throat. Initially RX with epinephrine and Dex pack. Second reaction she became short of breath and admitted through ED. RX with IV Solu-Medrol and Benadryl. Reaction continued for approximately five to six additional hospital days.  11/3/06-received call from reporter with additional information, patient prescription record documented use of Penicillin VK 500 use 6 days prior to vaccine. Patient had denied allergy to Penicillin.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Guillain-Barre syndrome, Hyporeflexia, Muscular weakness, Protein bound iodine increased
Clinical narrative: On 9/28/06, pt presented to pediatric clinic with 4 day history of ascending weakness in bilateral lower limbs.  She was hospitalized on this day.  She also had associated pain to ankle, knee, and shoulder joints.  Deep tendon reflexes in lower extremities were absent at this time. DC DX: Guillain-Barre Syndrome. Presented with a 4 day history of ascending weakness in bilateral lower limbs. introductory symptoms began with weakness and tingling in the toes progressed to feet and legs. Associated pain in ankle , knee and shoulder joints reported as 7 out of 10 on pain scale with movement.  Neurologoic: 3/5 strength in both lower extremities, DTR absent in lower extremities. Tenderness to palpation of muscles medial to shoulders over scapulae and midline of lower back. 5/5 upper extremity strength bilaterally and downgoing plantars bilaterally. Intact light touch. On admission patient had increased protein (65)in CSF without elevated WBC. Neurology gave a diagnosis of distal ascending symmetric peripheral polyneuropathy, likely acute inflammatory demyelinating polyneuropathy (AIDP/GBS). Treated with IVIG for 5 days. Began to gain strength in both lower extremities and DTR.  DC home. In the hospital, she had a lumbar puncture and she received IVIG 0.4 mg/kg/day for 5 days.  She began to gain some strength back in lower extremities and deep tendon reflexes.  Discharged home in stable condition on 10/03/06, however, still c/o weakness and unable to stand for prolonged periods of time.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Shoulder pain, Viral infection
Clinical narrative: On 9/28/06, pt presented to pediatric clinic with 4 day history of ascending weakness in bilateral lower limbs.  She was hospitalized on this day.  She also had associated pain to ankle, knee, and shoulder joints.  Deep tendon reflexes in lower extremities were absent at this time. DC DX: Guillain-Barre Syndrome. Presented with a 4 day history of ascending weakness in bilateral lower limbs. introductory symptoms began with weakness and tingling in the toes progressed to feet and legs. Associated pain in ankle , knee and shoulder joints reported as 7 out of 10 on pain scale with movement.  Neurologoic: 3/5 strength in both lower extremities, DTR absent in lower extremities. Tenderness to palpation of muscles medial to shoulders over scapulae and midline of lower back. 5/5 upper extremity strength bilaterally and downgoing plantars bilaterally. Intact light touch. On admission patient had increased protein (65)in CSF without elevated WBC. Neurology gave a diagnosis of distal ascending symmetric peripheral polyneuropathy, likely acute inflammatory demyelinating polyneuropathy (AIDP/GBS). Treated with IVIG for 5 days. Began to gain strength in both lower extremities and DTR.  DC home. In the hospital, she had a lumbar puncture and she received IVIG 0.4 mg/kg/day for 5 days.  She began to gain some strength back in lower extremities and deep tendon reflexes.  Discharged home in stable condition on 10/03/06, however, still c/o weakness and unable to stand for prolonged periods of time.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 10:25 AM Hep B Vaccine administered R deltoid 10:45 AM Reported red rash upper chest, right arm 11:03 AM Reported generalized itching- Medical Staff contacted for evaluation  Transported to First Aid Station 11:30 AM Benadryl 50 mg IM- then 25mg by mouth @ 5:30 PM and 11 PM today 11:55 AM Claritin 10 mg by mouth then QD x6 more days
Age: 0.37
Sex: M
Vaccine: DT, HBHEPB, IPV, PNC, RV5
Symptoms: Rash
Clinical narrative: Rash on stomach and neck.
Age: 0.51
Sex: M
Vaccine: DT, IPV, PNC, RV
Symptoms: Rash
Clinical narrative: Rash on stomach and neck - same reaction after their 4 month doses.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site rash, Injection site reaction
Clinical narrative: Complained of extreme soreness, redness/rash and warmth at site of injection.   She went to the doctor, was diagnosed with cellulitis and was prescribed cephalexin 500mg QID as treatment.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: Complained of extreme soreness, redness/rash and warmth at site of injection.   She went to the doctor, was diagnosed with cellulitis and was prescribed cephalexin 500mg QID as treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Injection site cellulitis, Injection site swelling, Lymphocyte percentage decreased
Clinical narrative: Patient received 4 year old immunizations including DTap at right deltoid on 10/6/06.  Approximately 4 hours patient complained of right upper extremity swelling.  Patient treated for cellulitis right upper extremity with ZITHROMAX 10/7.  Patient returned to emergency department 10/8 with continued right upper extremity swelling, admitted for cellulitis versus adverse reactions to vaccine.  Patient admitted to hospital treatment with CLINDAMYCIN, BENADRYL, hot/cold compresses. DOS 10/7/06 DC DX: ER report: cellulitis at site of injections. DC with Zithromax. DC DX: DOS 10/8-10/9/06: vaccine site injection reaction. Right arm erythema and swelling. Temp 100.9 PMH: multiple admission for cellulitis as an infant. Pneumonia. Reactive airway disease at 1 1/2 years of age. infectious mononucleosis 3/03. Croup 10/05. Allergies Ceftriaxone and Unasyn. RX with Clinidamycin and warm soaks.   10/6/06 Vaccine (DTaP) administered - 10/7/06 reported to ED c/o swollen, painful Rt arm, red @ injection site. Pt also had fever (100.2) in ED 2 2107. (RX Zithromax PO) 10/8/07 Returned to ED worse - additionally now generalized malaise. Admitted to hospital @ 1610. Rxint - Clindamycin IV
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Malaise, Neutrophil count increased, Neutrophil percentage, White blood cell count increased
Clinical narrative: Patient received 4 year old immunizations including DTap at right deltoid on 10/6/06.  Approximately 4 hours patient complained of right upper extremity swelling.  Patient treated for cellulitis right upper extremity with ZITHROMAX 10/7.  Patient returned to emergency department 10/8 with continued right upper extremity swelling, admitted for cellulitis versus adverse reactions to vaccine.  Patient admitted to hospital treatment with CLINDAMYCIN, BENADRYL, hot/cold compresses. DOS 10/7/06 DC DX: ER report: cellulitis at site of injections. DC with Zithromax. DC DX: DOS 10/8-10/9/06: vaccine site injection reaction. Right arm erythema and swelling. Temp 100.9 PMH: multiple admission for cellulitis as an infant. Pneumonia. Reactive airway disease at 1 1/2 years of age. infectious mononucleosis 3/03. Croup 10/05. Allergies Ceftriaxone and Unasyn. RX with Clinidamycin and warm soaks.   10/6/06 Vaccine (DTaP) administered - 10/7/06 reported to ED c/o swollen, painful Rt arm, red @ injection site. Pt also had fever (100.2) in ED 2 2107. (RX Zithromax PO) 10/8/07 Returned to ED worse - additionally now generalized malaise. Admitted to hospital @ 1610. Rxint - Clindamycin IV
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Laboratory test abnormal, Malaise
Clinical narrative: Patient received 4 year old immunizations including DTap at right deltoid on 10/6/06.  Approximately 4 hours patient complained of right upper extremity swelling.  Patient treated for cellulitis right upper extremity with ZITHROMAX 10/7.  Patient returned to emergency department 10/8 with continued right upper extremity swelling, admitted for cellulitis versus adverse reactions to vaccine.  Patient admitted to hospital treatment with CLINDAMYCIN, BENADRYL, hot/cold compresses. DOS 10/7/06 DC DX: ER report: cellulitis at site of injections. DC with Zithromax. DC DX: DOS 10/8-10/9/06: vaccine site injection reaction. Right arm erythema and swelling. Temp 100.9 PMH: multiple admission for cellulitis as an infant. Pneumonia. Reactive airway disease at 1 1/2 years of age. infectious mononucleosis 3/03. Croup 10/05. Allergies Ceftriaxone and Unasyn. RX with Clinidamycin and warm soaks.   10/6/06 Vaccine (DTaP) administered - 10/7/06 reported to ED c/o swollen, painful Rt arm, red @ injection site. Pt also had fever (100.2) in ED 2 2107. (RX Zithromax PO) 10/8/07 Returned to ED worse - additionally now generalized malaise. Admitted to hospital @ 1610. Rxint - Clindamycin IV
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient received 4 year old immunizations including DTap at right deltoid on 10/6/06.  Approximately 4 hours patient complained of right upper extremity swelling.  Patient treated for cellulitis right upper extremity with ZITHROMAX 10/7.  Patient returned to emergency department 10/8 with continued right upper extremity swelling, admitted for cellulitis versus adverse reactions to vaccine.  Patient admitted to hospital treatment with CLINDAMYCIN, BENADRYL, hot/cold compresses. DOS 10/7/06 DC DX: ER report: cellulitis at site of injections. DC with Zithromax. DC DX: DOS 10/8-10/9/06: vaccine site injection reaction. Right arm erythema and swelling. Temp 100.9 PMH: multiple admission for cellulitis as an infant. Pneumonia. Reactive airway disease at 1 1/2 years of age. infectious mononucleosis 3/03. Croup 10/05. Allergies Ceftriaxone and Unasyn. RX with Clinidamycin and warm soaks.   10/6/06 Vaccine (DTaP) administered - 10/7/06 reported to ED c/o swollen, painful Rt arm, red @ injection site. Pt also had fever (100.2) in ED 2 2107. (RX Zithromax PO) 10/8/07 Returned to ED worse - additionally now generalized malaise. Admitted to hospital @ 1610. Rxint - Clindamycin IV
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria (hives) developed 4 days after vaccines were given covered torso and extremities, extremely itchy. Pt was given Benadryl Zyrtec, Prednisone orally and took a bath with baking soda.