chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: U
Vaccine: RV5
Symptoms: Dehydration, Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning a 15 month old patient who was vaccinated with a dose of ROTATEQ (lot number and route not reported) at 4 months of age and another dose at 6 months of age. Subsequently the patient experienced dehydration and tested positive for rotavirus and was hospitalized. At the time of the report, the patient's status was unknown. Dehydration and positive for rotavirus were considered to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Age: 1.3
Sex: U
Vaccine: RV5
Symptoms: Dehydration, Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning a 15 month old patient who on unspecified dates was vaccinated with all three doses of ROTATEQ (lot number and route not reported). Subsequently the patient experienced dehydration and tested positive for rotavirus and was hospitalized. At the time of the report, the patient's status was unknown. Dehydration and positive for rotavirus were considered to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Age: 54.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Injection site pain
Clinical narrative: 5/5/09 At time of injections noted client flinched mildly. 5/6/09 Contacted client after receiving a phone call from his employer of an adverse reaction.  Client reported pain at time of injections in his right shoulder.  The pain increased during the day until he was experiencing severe pain and unable to move his right arm without pain.  He went to the Er at approximately 20:00-20:30 and received Benedryl and Prednisone along with a Rx for. He described the pain as almost gone and able to use right arm.  Client advised to contact Public Health if the pain did not go away.  No contact from client.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HBPV, PNC, RV5
Symptoms: Blood culture negative, Culture urine negative, Febrile convulsion, Full blood count, Pyrexia
Clinical narrative: 6 month old received immunizations of DTap, hepatitis B, rotavirus, HIB, PCV, and IPV on 5/04/2009.  Had 5 minute generalized seizure and when presented to Pediatric ER noted to have fever to 101.3 degrees.  Patient fully recovered back to baseline while in emergency department.  Discharge diagnosis was febrile seizure.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HBPV, PNC, RV5
Symptoms: White blood cell count normal
Clinical narrative: 6 month old received immunizations of DTap, hepatitis B, rotavirus, HIB, PCV, and IPV on 5/04/2009.  Had 5 minute generalized seizure and when presented to Pediatric ER noted to have fever to 101.3 degrees.  Patient fully recovered back to baseline while in emergency department.  Discharge diagnosis was febrile seizure.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash generalised
Clinical narrative: Patient and patient's father returned to clinic approximately three hours after Varicella vaccine administrered (administered 05/05/09). Patient had developed mild, full body rash after receiving Varicella shot (second varicella vaccine-no reaction reported to first vaccine). Patient  appeared well with the exception of the rash (patient complained of mild pruritis but otherwise no other complaints reported). Patient's father denied any previous allergic reaction to medication, vaccinations or food. Telephone call made by this nurse to Dr.; verbal order given for liquid Benadryl based on body weight. Patient's father instructed to follow dosing instructions on Benadryl label based upon pt's body weight of 60 lbs. Patient's father left clinic and then returned the next day reporting that he was concerned and had taken the patient to the emergency room last night and was told that the patient was "fine." Made telephone call to patient's father on 05/11/09 and informed by patient's father that the rash "went away" and patient is well.
Age: 1.5
Sex: F
Vaccine: MMR, PNC
Symptoms: Rash generalised
Clinical narrative: RASH STARTED ON 5/10/2009 FROM FACE COVERED ALL LIMBS BY 5/11/2009
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Crying, Irritability, Tremor, Vomiting
Clinical narrative: Evening of injections got fussy, then had generalized fine shaking. Prior to shaking had episode where she straightened out. Spell lasted less than 2 minutes, no color change. Vomited x 3 on way to hospital. Crying after episode. Temp 102.6F in ER.
Age: 50.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: Developed fevers, malaise and headache within 24 of administration of Menactra.  Now feeling somewhat better 4 days after administration.  Previously received a dose of Menomume in 2002, without side effects.  Patient works in a clinical microbiology laboratory and handles cultures of Neisseria meningitidis.
Age: 32.0
Sex: F
Vaccine: HEP, MEA
Symptoms: Anxiety, Pruritus, Rash, Swelling, Urticaria
Clinical narrative: Skin Rash and/or Hives, swollen feet, hands, face and entire body. Extremely itchy. went to the Emergency room on 4/20/09 and was kept overnight for observation, I was released but the systoms were getting worst, and I returned to the ER on 4/23/09 my whole body was swollen and with an axiety attack and was admitted to the hospital and released on 4/25/09. I can't remember the name of the medicine given but I believe it was Predisone, Benadryl.  5/26/09 Hospital records received DOS 4/23/09 to 4/25/09. FINAL DIAGNOSIS: Allergic reaction, erythema multiforme, anxiety. Post vaccination erythema multiforme, rash and hives, shortness of breath, feels like throat is closing, biliary colic, anxious and jittery. ICD-9 Codes: 7080 allergic urticaria, 7821 rash / nonspecific skin eruption, 78605 shortness of breath, 27800 obesity unspecified, 5718 other chronic nonalcoholic liver diseas, 57420 calcu gallbladder w/o mention of cholecyst/obst, 69510 erythema multiforme unsepcified, 30000 anxiety state unspecified, 28860 leukocytosis unspecified, V5865 long-term use of steroids.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Burning sensation, Drug hypersensitivity, Gait disturbance, Injection site pain
Clinical narrative: On Day 2 after the injection (5/2), developed injection site pain and swelling, shoulder pain. On 5/7 developed rash on upper back and increase in pain. Seen at Clinic 5/8. Rash was more widespread over Lt scapula, arm hurt and felt burning. On 5/9 Pt reported pain seemed to be going down Lt side body in hip and it was hard to walk very much. She was treated wiht Valtrex 1 Gram tid for 7 days and Lidoderm patches to the area.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Musculoskeletal pain, Rash
Clinical narrative: On Day 2 after the injection (5/2), developed injection site pain and swelling, shoulder pain. On 5/7 developed rash on upper back and increase in pain. Seen at Clinic 5/8. Rash was more widespread over Lt scapula, arm hurt and felt burning. On 5/9 Pt reported pain seemed to be going down Lt side body in hip and it was hard to walk very much. She was treated wiht Valtrex 1 Gram tid for 7 days and Lidoderm patches to the area.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain upper, Fatigue, Headache, Herpes zoster, Hyperhidrosis
Clinical narrative: On Day 2 after the injection (5/2), developed injection site pain and swelling, shoulder pain. On 5/7 developed rash on upper back and increase in pain. Seen at Clinic 5/8. Rash was more widespread over Lt scapula, arm hurt and felt burning. On 5/9 Pt reported pain seemed to be going down Lt side body in hip and it was hard to walk very much. She was treated wiht Valtrex 1 Gram tid for 7 days and Lidoderm patches to the area.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypoaesthesia, Injection site inflammation, Laboratory test, Muscular weakness, Rash
Clinical narrative: On Day 2 after the injection (5/2), developed injection site pain and swelling, shoulder pain. On 5/7 developed rash on upper back and increase in pain. Seen at Clinic 5/8. Rash was more widespread over Lt scapula, arm hurt and felt burning. On 5/9 Pt reported pain seemed to be going down Lt side body in hip and it was hard to walk very much. She was treated wiht Valtrex 1 Gram tid for 7 days and Lidoderm patches to the area.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: On Day 2 after the injection (5/2), developed injection site pain and swelling, shoulder pain. On 5/7 developed rash on upper back and increase in pain. Seen at Clinic 5/8. Rash was more widespread over Lt scapula, arm hurt and felt burning. On 5/9 Pt reported pain seemed to be going down Lt side body in hip and it was hard to walk very much. She was treated wiht Valtrex 1 Gram tid for 7 days and Lidoderm patches to the area.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: 1/2 DOLLAR bill  redness c some swelling and itching on Left Upper Arm subcutaneous
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Local reaction, Rash macular
Clinical narrative: LOCAL RXN R>L THIGH W/IN MINUTES - BLOTHCY ERYTH.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Tdap was administered in school setting on 4/30/09.  Mother reports that arm appeared ok that night and next am.  Child began complaining of arm hurting on 5/1/09 midmorning.  By that afternoon arm was swollen and red.  Mom contacted MD who recommended Benadryl, Advil and, if no better next am, to come into office on 5/2.  No better on 5/2.  Mom contacted MD who saw child in office.  MD ordered amoxicillin twice daily for 10 days.  Area slowly improving per Mom.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Local reaction, Rash macular
Clinical narrative: LOCAL RXN R THIGH W/IN MINUTES WITH BLOTCHY ERYTH.
Age: 22.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Abdominal pain, Body temperature increased, Nausea, Vertigo, Vomiting
Clinical narrative: Approx. 20 hours after receiving vaccine, patient developed nausea, vomiting, vertigo, abdominal cramps, and temp. of 102.5. Symptoms lasted approx. 36 hours.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site streaking, Injection site swelling, Laboratory test
Clinical narrative: Parent states that patient had on left arm- swelling, red streaks, knot, fever up to 101 degree after varicella injection in left arm. Went to Dr. and was treated for reaction to varicella- titer drawn.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Pyrexia
Clinical narrative: Parent states that patient had on left arm- swelling, red streaks, knot, fever up to 101 degree after varicella injection in left arm. Went to Dr. and was treated for reaction to varicella- titer drawn.
Age: 5.0
Sex: F
Vaccine: DTPIHI, HEPA, MMR, VARCEL
Symptoms: Erythema, Headache, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Noted slight swelling of the left deltoid muscle with redness, itching and skin warm to touch. Mother verbalized that patient had severe headache hours post vaccination. Mother also states that patient is a borderline diabetic.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, DTAP
Symptoms: C-reactive protein, Haematology test, Red blood cell sedimentation rate, Synovitis, Ultrasound scan
Clinical narrative: Toxic synovitis (L) hip. 6/24/09 Hospital records received DOS 5/2/09 to 5/3/09. Assessment: Toxic (Transient) synovitis of hip. Patient presents with pain in left groin, crying, unable to move leg. Unable to bear weight or ambulate. ICD-9 Codes: 719.45, 727.09
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, DTAP
Symptoms: X-ray
Clinical narrative: Toxic synovitis (L) hip. 6/24/09 Hospital records received DOS 5/2/09 to 5/3/09. Assessment: Toxic (Transient) synovitis of hip. Patient presents with pain in left groin, crying, unable to move leg. Unable to bear weight or ambulate. ICD-9 Codes: 719.45, 727.09
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Nausea, Pyrexia, Syncope
Clinical narrative: Received second dose of GARDASIL. Approximately 16 hours later developed dizziness and fooling fainted and nausea. Fever weakness continued for several hours, controlled with TYLENOL.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 87.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Asthenia, Nausea, Paraesthesia, Rash
Clinical narrative: Tingly pains in left hip with weakness and nausea - developed rash on left side of back that radiates to hip. Received ZOSTAVAX on Tues - 5/5/09. Sx started on 5/7/09.
Age: 87.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Tingly pains in left hip with weakness and nausea - developed rash on left side of back that radiates to hip. Received ZOSTAVAX on Tues - 5/5/09. Sx started on 5/7/09.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Tremor
Clinical narrative: Pt Developed a right upper extremity tremor sites after administration of vaccines persists at 48 hrs. No other neurological findings.  5/14/09 Received vaccine & PCP medical records of 5/8/09. FINAL DX: none provided Records reveal patient experienced shaking of RUE since vaccination.  Neuro exam WNL although tremor persisted throughout exam.  ID & Neuro phone consults done.  Continued observation, no tx or labs.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain
Clinical narrative: Patient reported C/o redness and soreness at injection site. Observed slight bruising / redness at injection site area on 4-30-09.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal discomfort, Cow's milk intolerance, Dizziness, Headache, Infection susceptibility increased
Clinical narrative: 3-4 Months after 3rd dose of GARDASIL, Pt developed, headaches, dizziness, abdominal discomfort, various aches / pain, dairy sensitivity, elevated discomfort with menstruation, elevated susceptibility to infections, headaches are daily + progressively worse.  5/20/09 medical records (consultation) received DOS 9/9/08 FINAL DIAGNOSIS: gastritis and irritable bowel. Presents with abdominal pain and back pain. Nausea, sore throat and cough.   5/21/09 medical records received DOS 8/6/08. FINAL DIAGNOSIS: Cephalgia etiology unknown, neck pain musculoskeletal. Presents with abdominal, flank, and back pain. Diarrhea. Sinusitis with headache. Fuzzy vision, difficulty focusing. Generalized joint pain.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Laboratory test normal, Menstrual discomfort, Nuclear magnetic resonance imaging normal, Pain
Clinical narrative: 3-4 Months after 3rd dose of GARDASIL, Pt developed, headaches, dizziness, abdominal discomfort, various aches / pain, dairy sensitivity, elevated discomfort with menstruation, elevated susceptibility to infections, headaches are daily + progressively worse.  5/20/09 medical records (consultation) received DOS 9/9/08 FINAL DIAGNOSIS: gastritis and irritable bowel. Presents with abdominal pain and back pain. Nausea, sore throat and cough.   5/21/09 medical records received DOS 8/6/08. FINAL DIAGNOSIS: Cephalgia etiology unknown, neck pain musculoskeletal. Presents with abdominal, flank, and back pain. Diarrhea. Sinusitis with headache. Fuzzy vision, difficulty focusing. Generalized joint pain.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling, redness, pain.  Entire deltoid area was swollen + red warm compress, Benadryl and Ibuprofen given w/ good response decrease swelling.
Age: 2.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Vaccine given instead of VARIVAX (ZOSTAVAX)
Age: 2.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Vaccine given instead of VARIVAX (ZOSTAVAX)
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Hives - began around 6pm on 4/28/09 started on her face, 4-29-09 in morning woke up with all over still with hives today 4-30-09 has had 5 doses of benadryl eyrtec recommended at office.
Age: 57.0
Sex: F
Vaccine: PPV
Clinical narrative: May 7 after shot arm sore and some swelling.  May 7 arm swollen and Erythema 4 inchs aprox.  May 8 arm swollen and " 4 inches aprox.  May 11 arm swollen from shoulder to elbow.  Pt took one day of steroids 50mg told to hold steroids and started on KEFLEX 500mg trd for ten days.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood pressure increased, Erythema, Fatigue, Oedema peripheral, Rash
Clinical narrative: Loss of sensation in right arm; arm is hot, red, swollen;  Pt has "extreme fatigue" Blood pressure has been elevated about 1S points has a rash on right arm.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Sensory loss, Skin warm
Clinical narrative: Loss of sensation in right arm; arm is hot, red, swollen;  Pt has "extreme fatigue" Blood pressure has been elevated about 1S points has a rash on right arm.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Electrocardiogram normal, Electroencephalogram normal, Nuclear magnetic resonance imaging normal
Clinical narrative: 02/24/2009 Severe Seizures < 3 days Transported by ambulance to renown medical center.  Ongoing seizures until under control with phenoborbitol BID, last seizure 6 months ago, care managed by pediatric neurologist.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Local reaction, Pallor
Clinical narrative: Local reaction, quarter sized erythema to arm.  Blanches, non tender, not raised.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Redness Swelling itching warm to touch > Onset later that right mom gave BENADRYL & ice over the weekend
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Biopsy skin abnormal, Dermatitis contact, Hypersensitivity, Rash papular, Rash pruritic
Clinical narrative: Developed tender mildly pruritic erythematous papules over bilateral hands, dorsal > palmar surfaces, onset approximately 18 days following receipt of SPV administered left deltoid on 4/3/2009; no mucosal surfaces involved; no systemic symptoms; seen first in ED w/diagnosis contact dermatitis; started on steroid burst by PCM 2 days later for dx possible HS reaction to SPV; skin biopsy taken (results pending); all symptoms resolved within 4 days (by 4/27/2009).  + hx sick contact exposure prior to vaccination, but he was well prior & day of vaccination; + hx orolabial HSV several mos ago (2008), fungal derm during teen years, &  childhood VARICELLA.  No new drug exposures except receipt of AVA #1, TYPHOID vaccine 3/23/2009; started MVI 2 mos prior; no prior vaccine, drug, latex, insect, or food allergies.  Received AVA #2 4/29/2009.  Symptoms: Lesions, papule, Pruritus, Tenderness.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: Developed tender mildly pruritic erythematous papules over bilateral hands, dorsal > palmar surfaces, onset approximately 18 days following receipt of SPV administered left deltoid on 4/3/2009; no mucosal surfaces involved; no systemic symptoms; seen first in ED w/diagnosis contact dermatitis; started on steroid burst by PCM 2 days later for dx possible HS reaction to SPV; skin biopsy taken (results pending); all symptoms resolved within 4 days (by 4/27/2009).  + hx sick contact exposure prior to vaccination, but he was well prior & day of vaccination; + hx orolabial HSV several mos ago (2008), fungal derm during teen years, &  childhood VARICELLA.  No new drug exposures except receipt of AVA #1, TYPHOID vaccine 3/23/2009; started MVI 2 mos prior; no prior vaccine, drug, latex, insect, or food allergies.  Received AVA #2 4/29/2009.  Symptoms: Lesions, papule, Pruritus, Tenderness.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Within 24 hrs following vaccinations c/o swelling, pain + warmth @ injection site Rt deltoid (MENACTRA).
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Oxygen supplementation, Syncope
Clinical narrative: Pt fainted, gave oxygen and checked vitals.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: Diffuse papular/macular erythematous rash and fever X 2days.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Body temperature increased, Erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Minor swelling + tenderness at injection site. 4 days after Typhim developed soreness in arm, tenderness (no swelling) in axilla, Tingling in L fingers began 6 days after injection temp 99.8 highest red blotches on L arm.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Rash macular
Clinical narrative: Minor swelling + tenderness at injection site. 4 days after Typhim developed soreness in arm, tenderness (no swelling) in axilla, Tingling in L fingers began 6 days after injection temp 99.8 highest red blotches on L arm.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Discomfort, Hyperhidrosis, Injection site rash, Injection site swelling, Musculoskeletal pain
Clinical narrative: Minor swelling + tenderness at injection site. 4 days after Typhim developed soreness in arm, tenderness (no swelling) in axilla, Tingling in L fingers began 6 days after injection temp 99.8 highest red blotches on L arm.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Nodule, Pain in extremity, Paraesthesia, Rash macular, Tenderness
Clinical narrative: Minor swelling + tenderness at injection site. 4 days after Typhim developed soreness in arm, tenderness (no swelling) in axilla, Tingling in L fingers began 6 days after injection temp 99.8 highest red blotches on L arm.
Age: 1.28
Sex: U
Vaccine: DTAP, MMR, VARCEL
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Diffuse macular erythematous rash
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site warmth
Clinical narrative: Rec'd vacc 4:30 p 4/27. Pt went to school 4/28 - was fine then. 4/28 night developed red area, hot to touch, 9x9 cm approx at vacc site. Talked to on call Dr - advised watching, TYLENOL, check temp. 4/29 had temp (unknown how high) so went to ER @ 8 AM. Antibx given. 4/30/09 Temp 101 degrees, 5/1/09 T-101.8, redness improved, (7cm diameter).
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Blood test normal, Chills, Feeling hot, Headache
Clinical narrative: About 5 hours after shot developed generalized arthralgias, headache, hot touch but no fever, chills. Severe leg and arm pain. Seen in ED @ hospital. Blood work (-). Thought viral.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity
Clinical narrative: About 5 hours after shot developed generalized arthralgias, headache, hot touch but no fever, chills. Severe leg and arm pain. Seen in ED @ hospital. Blood work (-). Thought viral.
Age: 40.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Arthralgia, Erythema, Myalgia, Palpitations, Pyrexia
Clinical narrative: Erythema local. Myalgias. Arthralgias. Fever > 102. Palpitation. Onset hours > vaccine. Pt seen 2 d > vaccine rx. NSAIDS / TYLENOL.
Age: 30.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye pain, Headache, Varicella
Clinical narrative: Pt rec VARICELLA vaccine on 4/20/09 - On 5/9/09 developed some itchy spots on truck with eye pain and frontal headache - On 5/11/09 Dx'd with chicken pox
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Paraesthesia
Clinical narrative: 4-17-09 9:10 AM Pt. c/o ears tingling, L side of shoulder, face (L side) feeling slightly numb - No c/o difficulty in breathing, No c/o throat tingling, No c/o injection site re: pain or tenderness, BP 130/72 Temp. 97, Pulse 96, Resp. 18, FNP assessed pt. and ordered 50mg p.o. BENADRYL. Pt. given meds @ 0915. At 0930 pt. stated "I feel as if I had novocaine to the L side of my face. BP 126/80 Pulse 68 Resp. 18 Pt. alert, No slurring of speech. 0950 Pt. stated numbness sensation to face is going away. No c/o itchiness, no noted erythema, has been encouraged to hydrate with water. 1015 BP 118/80 P 60 Resp. 18. Very little numbness noted. FNP assessed pt. 1050 Pt. left clinic without complaints, BP 118/78 - P-60- Resp 18.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Syncope
Clinical narrative: Syncopal episode - hit head.
Age: 14.0
Sex: F
Vaccine: HPV4, IPV, MNQ
Symptoms: Oedema peripheral, Pruritus, Swelling face
Clinical narrative: Patient received shots on 4-14-09.  Returned to clinic on 4-17-09 with report of swelling in right arm and face and itching starting on Tuesday night.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Abdominal pain upper, Feeling hot, Head banging, Headache, Screaming
Clinical narrative: Mother PHONED 5/5 @ 1 pm.  Reports that at 3am.  Child awakened screaming & banging head.  Head hot, no fever & remainder of body not warm.  Gave TYLENOL.  @ 7:15am, head still hurts.  @ 12 noon complained of head & "tummy" hurting.  Pt to mother 5/6 states by 5pm yesterday child had no further symptoms.  10 day playing without problems.
Age: 0.2
Sex: M
Vaccine: RV1
Symptoms: Diarrhoea
Clinical narrative: This case was reported by a healthcare professional via a GSK representative and described the occurrence of diarrhea in a 2-month-old male subject who was vaccinated with (ROATRIX, GlaxoSmithKline). The subject received unknown concomitant vaccinations. On an unspecified date the subject received unspecified dose of ROTARIX (1 ml, oral). On 16 April 2009, at an unspecified time after vaccination with ROTARIX, the subject experienced diarrhea. At the time of reporting the outcome of the event was unspecified
Age: 47.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Asthenia, Nausea, Paraesthesia, Rash
Clinical narrative: Patient diagnosed with shingles by PA after complaining of symptoms, given appropriate medication.
Age: 47.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient diagnosed with shingles by PA after complaining of symptoms, given appropriate medication.
Sex: U
Vaccine: MMR
Symptoms: Death
Clinical narrative: Information has been received from a consumer who stated that he or she knew someone that died soon after receiving the MMR II. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.
Age: 54.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Initial report received on 04 May 2009 from a health care professional. This patient, who is a 54-year-old male is one of a cluster of five patients who developed cellulitis after administration of DTAP and/or PNEUMOVAX on unspecified dates. The reference case for the cluster of five patient is reported in case 2009-02035. This case refers to the 54-year-old male patient, who developed fever and chills one day after receiving an injection of DTAP (trade name, manufacturer name, lot number, route and site of administration not reported) on 13 August 2008. His one arm was red and swollen from the injection site to the elbow. It was indicated that the patient developed cellulitis. No additional information was provided. The reporter for this case is the same as for case 2008-03081 and 2009-0235 (cluster reference case). Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Encephalitis, Headache, Lethargy, Lumbar puncture, Pyrexia
Clinical narrative: Imm - ADACEL, MENACTRA, varicella 3/11/09. Onset 3/20/09 - fever, headache, lethargy; evaluation at hospital: MRI, LP. Dx cerebritis.  5/12/09 VAERS report with hospital discharge summary received DOS 3/23/09-4/4/09.   FINAL DIAGNOSIS: Cerebritis Presented with headache, fever, neck stiffness, photophobia, decreased mental status. Rapid decline to unresponsiveness. Bilateral papilledema, normal retinas. Antibiotics. TPN.  Rapid improvement with high dose steroids. Slow high-pitched speech. Mild general weakness.   Follow-up by PCP, neurology, ophthalmology, PT, OT and speech therapy.  6/4/09 Hospital records received DOS 3/23/09 to 4/6/09. FINAL DIAGNOSIS: Encephalopathy. Post vaccination presented with persistant headache, mostly slept for 2 days, fever, photophobia, neck pain, emesis, arm and leg pain. Fevers and sweats, fatigued, malaise. Episode of dyspnea. Neurology consult: Guarding when neck flexed. Later uncooperative, moaning, did not speak. Meningeal sign with stiff neck. Ophthalmology consult: Fever 102F, nonresponsive. Bilateral papilledema.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her three friends' children, who were vaccinated with MMR II and became autistic. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Staring
Clinical narrative: Information has been received from a consumer concerning her currently 14 year old niece who as a toddler was vaccinated with a dose of MMRII. Consumer reported that she became a "different child" one month after her vaccination when she was a toddler. She became a "space child", stared into space and has been diagnosed with mild autism. Upon internal review autism was determined to be an other important medical event. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Conjunctivitis infective, Convulsion, Presyncope, Sinusitis, Tongue biting
Clinical narrative: Information has been received from a 21 year old female concerning herself with no medical history or drug allergy who experienced seizures the next day after receiving the second dose of GARDASIL. There was no concomitant therapy. Patient mentioned that she had seizures attacks for 4 consecutive days and then after that she was hospitalized for 5 days. Patient added that her physician told her that she had sinus infection and she was also prescribed KEPPRA for the seizures and she had been taking KEPPRA now for 20 months. The patient described her seizures, she reported that she would have seizures during her sleep because when she woke up, she would see bite marks on her tongue and her mouth. Patient noted that since she took KEPPRA, she would have occasional pre seizures symptoms but it didn't result to seizures attacks. At the time of the report the patient was not recovered. She added that her twin sister received the complete GARDASIL series and she did not have the AE. Follow-up information has been received from a registered nurse concerning the patient. The first GARDASIL dose was given in their office on 08-JAN-2008 (lot #659653/1448U). The second dose was given in their office on 29-MAY-2008 (lot #660389/1968U); no other vaccines were given at the same time as the GARDASIL doses. Concomitant medications included YASMIN for birth control and PYRIDIUM for a UTI. Patient had no medical history or drug allergies. Their records showed that the patient was admitted to the hospital on 09-JUN-2008 and was discharged on 13-JUN-2008. The patient was last seen in their office on 02-JAN-2009 for pink eye. The nurse did not know the name of the physician who was following the patient for her seizures, did not know what diagnostic tests were performed. Additional information has been requested.  6/10/09 Received hospital medical records for 6/7-6/13/2008. FINAL DX: seizure disorder w/possible encephalitis possibly due to HSV or related to HPV vaccine; s/p lumbar puncture headache, resolved w/blood patch. Records reveal patient experienced oral lesions (unclear if HSV) approx 15 days prior to admit.  Tx w/antivirals & resolved.  Developed seizure w/left arm shaking, diaphoreses, severe HA, vomiting, passed out x 2, staring, garbled speech.  Tx w/antiseizure meds after witnessed seizure in hospital.   PICC line placed for IV antivral meds 7/7/09-ICD9 Codes received 780.39 other convulsions. 323.9 encephalitis/myelitis. 054.9 herpes simplex.   5/15/09 Medical records received DOS 1/2/09 FINAL DIAGOSIS: Acute conjuctivitis, unspecified 'Cobblestoned' right palpebral conjunctiva, prurulent right eye drainage, hyperemic right conjuctiva. Rhinorrhea. Cerumen impaction. ICD-9 Code: 372.00 Acute conjuctivitis, unspecified
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Abnormal behaviour, Aggression, Autism spectrum disorder, Childhood disintegrative disorder, Cognitive disorder
Clinical narrative: Mild fever within 1 week change in cognitive abilities & behavior. Within 1st 24-48 hours rash over upper forequarter resolved within 2 more days (No rash prior 3 DTP) 1-2 weeks x continued with self destructive behavior temper tantrum, autism spectrum disorder, hyperactivity post encephalitis, altered cognitive abilities, no longer counts (did count 1-15).  6/9/09 Medical records DOS 7/10/06 to 3/10/09. Post vaccination: cognitive ability decreased, temper tantrums, head banging. Behavioral evaluation: Significant developmental delay, restlesness, avoids eye contact, hurts himself on purpose. Difficulty with compliance.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Encephalitis, Psychomotor hyperactivity, Pyrexia, Rash
Clinical narrative: Mild fever within 1 week change in cognitive abilities & behavior. Within 1st 24-48 hours rash over upper forequarter resolved within 2 more days (No rash prior 3 DTP) 1-2 weeks x continued with self destructive behavior temper tantrum, autism spectrum disorder, hyperactivity post encephalitis, altered cognitive abilities, no longer counts (did count 1-15).  6/9/09 Medical records DOS 7/10/06 to 3/10/09. Post vaccination: cognitive ability decreased, temper tantrums, head banging. Behavioral evaluation: Significant developmental delay, restlesness, avoids eye contact, hurts himself on purpose. Difficulty with compliance.
Age: 0.43
Sex: M
Vaccine: RV5
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 week male who on 31-JAN-2007 was vaccinated with a first dose of ROTATEQ (lot # 654664/0726F) via oral administration and on 23-APR-2007 and 21-MAY-2007 was respectively vaccinated with a second and third dose of ROTATEQ (lot #s were both 656191/1365F). Concomitant therapy included DTAP (unspecified), PREVNAR, HIB (unspecified carrier) and IPOL. On 21-APR-2009, the patient experienced intussusceptions and was hospitalized for four days. On 25-APR-2009, the patient recovered from intussusceptions. Additional information has been requested.  7/13/09 Hospital records received DOS 4/20/09 to 4/23/09. Assessment: Intussusception of Intestine. Patient presents with intermittent abdominal pain, periumbilical and associated with paleness. Intermittent crying. One BM w/o blood. Has eaten only a few 'goldfish' and 2 ozs pedialyte. Abdominal guarding. Enema administration.  7/10/09 Received ICD9 codes: 560.0 intussusception.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Culture, Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Cellulitis at injection site of varicella. ER vs 3x Fri-Sun. Adm hosp Sun 5-1-09 pm through ER. Culture done at injection site = staph. IV antibiotics while hospitalized - discharged home on oral antibiotics 5/6/09 at 1PM per report from mother. Returned to clinic 5-1-09. Approx 3"x5" warm to touch area on arm, circled. Advised cool compresses & monitor redness going out of circled area. Advised to stop by grandpa's office (a physician) to decide if further treatment needed.  5/13/09 hospital records received DOS 5/2/09 to 5/6/09. FINAL DIAGNOSIS: Right upper arm abcess and cellulitis Post vaccination patient developed redness, pain, and swelling of right upper arm later extending from shoulder to elbow. Non-pitting edema right upper arm.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Abdominal pain upper, Body temperature increased, Gait disturbance, Pain, Retching
Clinical narrative: Mom called 5/1/09, c/o pain. "limping".  Temp 103 degrees during the night, shaking, Temp 102 degrees am of 5/1/09 c/o tummy ache, gagging, 0 vomiting temp decreased with TYLENOL.  Ok over the weekend fine today 5/4/09.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Tremor
Clinical narrative: Mom called 5/1/09, c/o pain. "limping".  Temp 103 degrees during the night, shaking, Temp 102 degrees am of 5/1/09 c/o tummy ache, gagging, 0 vomiting temp decreased with TYLENOL.  Ok over the weekend fine today 5/4/09.
Age: 20.0
Sex: F
Vaccine: HEPAB
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Induration, Influenza serology negative, Myalgia, Pyrexia
Clinical narrative: Localized induration, fever, chills, myalgia, BP stable, No anaphylaxis.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Pain in extremity
Clinical narrative: L arm pain initially & then recurred with deep muscle pain
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash
Clinical narrative: "Breaking out in bumps all over his body, is in the nurses office @ school.  Some are fluid filled.  does not have PCP.  Instructed to go to PCP.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Pruritus, Rash papular
Clinical narrative: Popular rash on R deltoid began 5/4/09 and today 5/6/09 erythema and in eye itchy spread to both forearms in addition 3-5m papule have appeared in multiple areas on all limbs + groin area.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Headache, Pyrexia, Tenderness
Clinical narrative: Arm soreness, fever, joint pains, headache w/in 24 hours of vaccine.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Local reaction, Tenderness
Clinical narrative: 5/5/09 Administration of L arm erythema & firmness 2-3 cm, Local reaction. Noted 5/7/09.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Headache, Injection site pain, Muscular weakness, Pyrexia
Clinical narrative: Less than 24 hrs after injection site where administered extremely tender, unable to lift arm. 24 hrs after fever began at 99 degrees, extreme fatigue, muscle weakness, headache, some joint ache. 48 hrs after temp of 101 degrees, 76 hrs after temp of 100 degrees. Low grade temp continued for several days. Saw doc on 3rd day. Instructed to take BENADRYL.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 11 y/o female was administered VARIVAX on 5/4/09 at Health Unit .  On 5/6/09 mother presented to health unit with child to report vaccine reaction.  Noted on left arm where VARIVAX was given was tender, reddened warm area approx. 6-7 cm in diameter.  Discussed comfort measures & recommended MD follow up if worsens
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Erythema multiforme, Rash
Clinical narrative: Rash appeared 3 days after vaccine, with no associated signs or symptoms.  Rash consistent with erythema multiforme.  Coincided with day 7 of AMOXICILLIN for otitis media
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Began 12 hours post vaccination:  Fever/chills X 3 days; redness/swelling in large area over injection site, generalized arthrolgias; started to resolve after 3 days; only nsaids for symptoms
Age: 39.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Injection site swelling, Pain
Clinical narrative: Red, fever, painful. 3rd day reaction.  Swelling at site of injection.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Electrocardiogram, Musculoskeletal stiffness, Oxygen saturation decreased, Pharyngeal oedema
Clinical narrative: (1) Hives, (2) SOB, (3) Throat swelling, (4) Stiffness of upper & lower extremities. Oxygen SAT decreased 94% on RA. Rx: 6 lit oxygen, EKG, SOLUMEDROL 125 mg I/M BENADRYL 50g I/M
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: (1) Hives, (2) SOB, (3) Throat swelling, (4) Stiffness of upper & lower extremities. Oxygen SAT decreased 94% on RA. Rx: 6 lit oxygen, EKG, SOLUMEDROL 125 mg I/M BENADRYL 50g I/M
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration, Muscle tightness, Pain, Skin warm
Clinical narrative: Redness, warmth, induration - diffuse tightening + pain with touch. Treated with augmentin and will follow up tomorrow 05/08/09.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Blood test normal, Computerised tomogram, Convulsion, Electroencephalogram, Lumbar puncture
Clinical narrative: Vaccine given 4/23/09 - Pt began having myoclonic jerk seizures about 5 hours later. Pt told to go to ER ASAP. LP, EEG, MRI, CT had all WNL. Currently seeing Peds neurologist. Will hold off in DTAP until fully stable.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Myoclonus, Nuclear magnetic resonance imaging
Clinical narrative: Vaccine given 4/23/09 - Pt began having myoclonic jerk seizures about 5 hours later. Pt told to go to ER ASAP. LP, EEG, MRI, CT had all WNL. Currently seeing Peds neurologist. Will hold off in DTAP until fully stable.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 12 cm diameter redness, warmth, swelling, with superficial oozing of serum.
Age: 5.0
Sex: F
Vaccine: DT
Symptoms: Wrong drug administered
Clinical narrative: None (received Td. - Should have received dTap)
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Culture stool positive, Haematochezia, Occult blood positive, Rotavirus test positive
Clinical narrative: Blood in stool noted 4-29-09 5 days after vaccine given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthenia, Balance disorder, Blood pressure decreased, Eye rolling, Heart rate decreased
Clinical narrative: Patient felt weak, lost balance, became pale, eyes rolled around, pulse and blood pressure went decreased. With rest, a drink, and a snack patient started felling much better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pallor
Clinical narrative: Patient felt weak, lost balance, became pale, eyes rolled around, pulse and blood pressure went decreased. With rest, a drink, and a snack patient started felling much better.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Lymphadenopathy, Oedema peripheral, Pain, Skin warm
Clinical narrative: Right deltoid swelling, heat, pain.  Large palpable nodule in right axilla.  Rx:  Augmentin E S 600mg 1 1/2 tsp po BID x 10d.   Warm compresses to affected area.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Electroencephalogram normal, Loss of consciousness, Nuclear magnetic resonance imaging normal
Clinical narrative: Possible seizure activity, brief alteration of consciousness.
Age: 1.34
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: High fever followed by seizure 24 after vaccine
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient's arm red, swollen and fevered. Mother stated used ice packs, ibuprofen and BENADRYL with no improvement. Advised to go to ER or child doctor to have evaluated.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site irritation, Rash
Clinical narrative: (Vac. 4-30-09) - site irritation only through Sunday 5-03-09 - Rash began Monday AM. Covering - Neck to back of thighs. Covering torso.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Fatigue, Influenza serology, Myalgia
Clinical narrative: Temp 101.7 Po since evening after TDAP given until seen in office on day 2. Fatigue + Myalgia X 2 days.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, swelling and pain at the site of injection.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, swelling & pain at the site of injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 48 hrs post administration child had redness up & down 22 mm left & right 20 mm right thigh upper & slightly warm.  Mom advised to watch & use warm compresses.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash & fever 11 days post vaccine
Age: 21.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TD
Symptoms: Nausea, Oedema peripheral, Pyrexia
Clinical narrative: Approx. 30 min after receiving 4 vaccines Pt became nauseous, felt feverish, arms felt like they were swelling.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: Rash 1st noticed behind ears, now on stomach, arms fine red rash behind ear papular rash scattered on thorax + extremities - 2 hours vaccine on 4/29/09.  1) keep skin clean + dry 2) BENADRYL go for pruritis, ok for hydrocortisone behind ear only.
Age: 20.0
Sex: M
Vaccine: FLU3, HEP, HEPA, PPV, TDAP
Symptoms: Body temperature increased, Dysphagia, Musculoskeletal stiffness, Oral herpes, Oropharyngeal pain
Clinical narrative: C/O sore throat, difficulty swallowing, stiff neck am of 4/25; and R arm pain Sun am 4/26. Fever blister lip. Evaluated by Dr and started on NAPROSYN. T 99 5" x 4" red, raised, warm area, bell shaped on 4/28/09 @ 1400.
Age: 20.0
Sex: M
Vaccine: FLU3, HEP, HEPA, PPV, TDAP
Symptoms: Pain in extremity, Rash erythematous, Skin warm
Clinical narrative: C/O sore throat, difficulty swallowing, stiff neck am of 4/25; and R arm pain Sun am 4/26. Fever blister lip. Evaluated by Dr and started on NAPROSYN. T 99 5" x 4" red, raised, warm area, bell shaped on 4/28/09 @ 1400.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: 5/1/09 Patient received immunization at 11:00 and then developed hives that afternoon, no respiratory distress, gave patient Benadryl. Claritin, and Orapred, doing well currently.
Age: 5.0
Sex: U
Vaccine: UNK
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Swollen, red  & hot to the touch.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 4 DAYS AFTER RECIEVING ANTHRAX VACCINE MEMBER HAD A RING OF RAISED BUMPS AROUND INJECTION SITE THAT ITCHED. MEMBER STATES THAT BUMPS SUBSIDED AFTER APROXIMATELY 5 DAYS. NO REDNESS, A SMALL AMOUNT OF SWELLING. BENADRYL WAS TAKEN AND HELPED THE SYMPTOMS.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal discomfort, Injection site pain, Pyrexia
Clinical narrative: Experienced fever (102.0 degrees F) and  soreness at injection site (left deltoid region) 24 hours after receiving injection.  Had stomach discomfort 2 days after receiving injection.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Faeces discoloured, Irritability
Clinical narrative: Foster parent says that patient only slept about an hour and a half last night after his immunizations.  Says that he cried nonstop for 3 1/2 hours uncontrollably. Says that she tried cold compresses on his legs, bath, and tylenol every 4 hours and mylecon drops.  Says nothing seemed to help.  Still very fussy this morning.  Also reports green runny stools.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Parents noticed rash on upper arm and redness size of 50 cent piece.  Parents gave Benadryl 1 dose.
Age: 14.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Arm was sore, low grade fever, felt tired.  Parent unsure which arm was sore.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, low grade fever, fatigue  (parent not sure which arm was sore)