chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Neutrophil percentage increased, Pain in extremity, Protein total decreased, Protein urine present, Prothrombin time prolonged
Clinical narrative: Information has been received from a registered nurse concerning a 79 year old white female allergic to VICODIN which caused stomach upset, asthma, dyslipidaemia and hyperthyroidism, chronic atrial fibrillation and a history of heart problems who on 05-JUN-2008 was vaccinated intramuscularly with a 0.65 ml dose of ZOSTAVAX (LOT# 659407/0295X). Concomitant therapy included NORVASC, albuterol, FLOVENT, LIPITOR, methimazole, AVAPRO, estrogens, PREMARIN, COUMADIN. On 05-JUN-2008 the patient felt well when she had the injection. In the afternoon, the patient started to become weak and tired without fever. On 07-JUN-2008, the patient's legs ached. In the morning on 09-Jun-2008 the patient continued to feel bad and was not very interested in eating. The patient went to the physician's office and a series of laboratory tests were done. The registered nurse found that the patient's blood pressure was 54/32. The patient felt tired and was more short of breath than usual. The patient's legs did not ache this morning. On 10-JUN-2008, the patient came back for a recheck of her hypotension noted on 09-JUN-2008. Her blood pressure was 100/60. The physician felt that her breathing was fine. She didn't feel short of breath. After a review of the laboratory results and examinations, acute renal dysfunction, urinary tract infection, anemia and hyponatremia were diagnosed. Methimazole and NORVASC were stopped. The total daily dose of propylthiouracil was decreased to 50mg twice a day. Clindamycin 150mg three times a day was prescribed for 10 days. Furosomide 40 mg was increased to 1.5 tablets every morning for 3 days. Potassium chloride was taken 2 doses in the morning and 1 dose in the afternoon for 3 days. The patient was encouraged to increase fluids by drinking two 8oz glasses of V8 or tomato juice and 6 - 8oz glasses of water daily. On 13-JUN-2008, the patient came in for a recheck. The patient's hyponatremia and acute renal dysfunction were improved. Her anemia was stable. She recovered from fatigue and decreased appetite. AVAPRO was decreased to 150mg daily. The physician considered the patient's events to be other important medical events. Additional information has been requested.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Red blood cells urine positive, Red cell distribution width increased, Renal failure acute, Urinary tract infection, Urine ketone body present
Clinical narrative: Information has been received from a registered nurse concerning a 79 year old white female allergic to VICODIN which caused stomach upset, asthma, dyslipidaemia and hyperthyroidism, chronic atrial fibrillation and a history of heart problems who on 05-JUN-2008 was vaccinated intramuscularly with a 0.65 ml dose of ZOSTAVAX (LOT# 659407/0295X). Concomitant therapy included NORVASC, albuterol, FLOVENT, LIPITOR, methimazole, AVAPRO, estrogens, PREMARIN, COUMADIN. On 05-JUN-2008 the patient felt well when she had the injection. In the afternoon, the patient started to become weak and tired without fever. On 07-JUN-2008, the patient's legs ached. In the morning on 09-Jun-2008 the patient continued to feel bad and was not very interested in eating. The patient went to the physician's office and a series of laboratory tests were done. The registered nurse found that the patient's blood pressure was 54/32. The patient felt tired and was more short of breath than usual. The patient's legs did not ache this morning. On 10-JUN-2008, the patient came back for a recheck of her hypotension noted on 09-JUN-2008. Her blood pressure was 100/60. The physician felt that her breathing was fine. She didn't feel short of breath. After a review of the laboratory results and examinations, acute renal dysfunction, urinary tract infection, anemia and hyponatremia were diagnosed. Methimazole and NORVASC were stopped. The total daily dose of propylthiouracil was decreased to 50mg twice a day. Clindamycin 150mg three times a day was prescribed for 10 days. Furosomide 40 mg was increased to 1.5 tablets every morning for 3 days. Potassium chloride was taken 2 doses in the morning and 1 dose in the afternoon for 3 days. The patient was encouraged to increase fluids by drinking two 8oz glasses of V8 or tomato juice and 6 - 8oz glasses of water daily. On 13-JUN-2008, the patient came in for a recheck. The patient's hyponatremia and acute renal dysfunction were improved. Her anemia was stable. She recovered from fatigue and decreased appetite. AVAPRO was decreased to 150mg daily. The physician considered the patient's events to be other important medical events. Additional information has been requested.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: White blood cells urine negative
Clinical narrative: Information has been received from a registered nurse concerning a 79 year old white female allergic to VICODIN which caused stomach upset, asthma, dyslipidaemia and hyperthyroidism, chronic atrial fibrillation and a history of heart problems who on 05-JUN-2008 was vaccinated intramuscularly with a 0.65 ml dose of ZOSTAVAX (LOT# 659407/0295X). Concomitant therapy included NORVASC, albuterol, FLOVENT, LIPITOR, methimazole, AVAPRO, estrogens, PREMARIN, COUMADIN. On 05-JUN-2008 the patient felt well when she had the injection. In the afternoon, the patient started to become weak and tired without fever. On 07-JUN-2008, the patient's legs ached. In the morning on 09-Jun-2008 the patient continued to feel bad and was not very interested in eating. The patient went to the physician's office and a series of laboratory tests were done. The registered nurse found that the patient's blood pressure was 54/32. The patient felt tired and was more short of breath than usual. The patient's legs did not ache this morning. On 10-JUN-2008, the patient came back for a recheck of her hypotension noted on 09-JUN-2008. Her blood pressure was 100/60. The physician felt that her breathing was fine. She didn't feel short of breath. After a review of the laboratory results and examinations, acute renal dysfunction, urinary tract infection, anemia and hyponatremia were diagnosed. Methimazole and NORVASC were stopped. The total daily dose of propylthiouracil was decreased to 50mg twice a day. Clindamycin 150mg three times a day was prescribed for 10 days. Furosomide 40 mg was increased to 1.5 tablets every morning for 3 days. Potassium chloride was taken 2 doses in the morning and 1 dose in the afternoon for 3 days. The patient was encouraged to increase fluids by drinking two 8oz glasses of V8 or tomato juice and 6 - 8oz glasses of water daily. On 13-JUN-2008, the patient came in for a recheck. The patient's hyponatremia and acute renal dysfunction were improved. Her anemia was stable. She recovered from fatigue and decreased appetite. AVAPRO was decreased to 150mg daily. The physician considered the patient's events to be other important medical events. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Biopsy intestine abnormal, Cytomegalovirus infection, Cytomegalovirus test positive, Dehydration, Diarrhoea
Clinical narrative: Information has been received from a physician concerning a 6 month old female patient with no drug reaction/allergies and with no medical history, who in approximately February 2007 (at 2 months of age) and in approximately April 2007 (at 4 months of age) was vaccinated with the first and second doses of ROTATEQ respectively (dose and lot # not provided). Concomitant therapy included ganciclovir for the treatment of CMV in the GI tract, and steroids (unspecified). In approximately June 2008, (at 6 months of age), the patient experienced chronic diarrhea 1 to 1 1/2 months since the first dose. The patient was thought to be well prior to the first vaccination. The patient's stool sample came back positive for rotavirus. A duodenal biopsy was positive for cytomegalovirus (CMV). The patient has been hospitalized two other times and was currently in the intensive care unit due to dehydration. The child has marked failure to thrive. She went back down in weight from 13 lbs to 5 lbs and is being treated with ganciclovir, unspecified steroid, IV fluids, and IV nutrients. The patient was losing proteins from the diarrhea. The patient had not recovered at the time of reporting. The reporter felt that weight loss, gastroenteritis rotavirus, duodenal biopsy positive for CMV, failure to thrive and dehydration were considered to be disabling, life threatening and were other important medical events. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Failure to thrive, Rotavirus test positive, Weight decreased
Clinical narrative: Information has been received from a physician concerning a 6 month old female patient with no drug reaction/allergies and with no medical history, who in approximately February 2007 (at 2 months of age) and in approximately April 2007 (at 4 months of age) was vaccinated with the first and second doses of ROTATEQ respectively (dose and lot # not provided). Concomitant therapy included ganciclovir for the treatment of CMV in the GI tract, and steroids (unspecified). In approximately June 2008, (at 6 months of age), the patient experienced chronic diarrhea 1 to 1 1/2 months since the first dose. The patient was thought to be well prior to the first vaccination. The patient's stool sample came back positive for rotavirus. A duodenal biopsy was positive for cytomegalovirus (CMV). The patient has been hospitalized two other times and was currently in the intensive care unit due to dehydration. The child has marked failure to thrive. She went back down in weight from 13 lbs to 5 lbs and is being treated with ganciclovir, unspecified steroid, IV fluids, and IV nutrients. The patient was losing proteins from the diarrhea. The patient had not recovered at the time of reporting. The reporter felt that weight loss, gastroenteritis rotavirus, duodenal biopsy positive for CMV, failure to thrive and dehydration were considered to be disabling, life threatening and were other important medical events. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy cervix abnormal, Cervical dysplasia, Cervix carcinoma, Loop electrosurgical excision procedure
Clinical narrative: I was diagnosis with Cervical Cancer in April 2008. I have gotten a routine thin pap test each year for the last 8 years. February 2008 was my first abnormal pap smear in my lifetime. I received the GARDASIL shot in June of 2006 after hearing and reading about its approval by the FDA. I was the first patient my doctor ever gave the HPV vaccination to. I received all three of the shots and completed the HPV vaccination in November of 2006; each given by my doctor. I had my annual pap smear in February of 2007, and like each pap smear before, it came back negative. When my February 2008 pap smear cam back positive my doctor then did a biopsy which came back with high-grade cells and warranted a Leep procedure. The Leep was performed at a local hospital on March 14, 2008. The pathology results from the Leep came back and showed that within a year of my last normal pap smear and 15 months from the completion of the GARDASIL HPV vaccination, I had full blown cervical cancer. On May 6th of 2008 I had my second surgery, a Cone Biopsy of my cervix by Dr., an oncologist at Cancer Center. My second surgery was performed at another hospital. I will now have to see my Oncologist every three months and wait to see, not 'if', but 'when', my cervical cancer returns. My oncologist would like to do a hysterectomy at this time, but as a 26-year-old who has always wanted children, I have chosen to wait as long as possible before removing my reproductive organs. As a very health conscious and responsible person, I have always researched health care issues and been good to my body. Thinking it was in my best interest of my health and well being, I received the GARDASIL shot in June 2006. It was discovered in March of 2008, followed by my first abnormal pap smear, that I have two of the four HPV strains, 16 and 18, that the shot is suppose to prevent, as well as prevent the onset of HPV symptoms. I now have cervical cancer and I am left wondering what role the GARDASIL HPV vaccination played in the hasty onset of my onset. I wish I had not so blindly rushed to get his vaccine solely based on its FDA approval, now that I believe there is a chance of this vaccine triggering these dangerous, dormant strains into active viruses that my immume system is now unable to keep at bay. Why is there no research for doctors to quote their patients on conclusive evidence of what GARDASIL can do to women who already carry these viruses? I would be happy to provide copies of my medical file and all medical information to ensure the link between the GARDASIL HPV shot and the hastened onset of cervical cancer is thoroughly looked into. I do not want what has happened to me to happen to others. I can be contacted by e-mail. 7/28/08-records received  3/24/08-PE with oncologist, stage 1 squamous carcinoma of cervix. . Recommends simple hysterectomy, patient declines. 1/26/2010 Follow-up: Cervical cancer.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Ear, nose and throat examination normal, Failure to thrive, Fontanelle depressed, Gastrointestinal disorder, Ophthalmological examination normal
Clinical narrative: Fever one day after vaccinations. Vomiting and weight loss beginning one week after ROTATEQ administered on 9/13/07. Continued chronic GI problems. Failure to thrive continuing. 7/28/08-records received for DOS 12/4/07-10 day history of diarrhea, watery stools, spitting up, fever up to 104, rash on legs, URI for past 1 1/2 weeks. 1/2/08-consultant-FMH: immune deficiency. Onset of diarrhea coincided with starting day care and has been continuously ill with upper respiratory infection. Fallen off the growth curve due to weight loss consistent with malnutrition. 2/4/08-seen for eye drainage, no gastrointestinal symptoms.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Physical examination normal, Pyrexia, Respiratory rate, Vomiting, Weight decreased
Clinical narrative: Fever one day after vaccinations. Vomiting and weight loss beginning one week after ROTATEQ administered on 9/13/07. Continued chronic GI problems. Failure to thrive continuing. 7/28/08-records received for DOS 12/4/07-10 day history of diarrhea, watery stools, spitting up, fever up to 104, rash on legs, URI for past 1 1/2 weeks. 1/2/08-consultant-FMH: immune deficiency. Onset of diarrhea coincided with starting day care and has been continuously ill with upper respiratory infection. Fallen off the growth curve due to weight loss consistent with malnutrition. 2/4/08-seen for eye drainage, no gastrointestinal symptoms.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Crying
Clinical narrative: 11 y.o. female client post vaccination found on floor crying, conscious at 20 min. post vaccination.  Rescue was called, vital signs were taken.  Ct kept immobile until paramedics arrived.  BP 100/60, Pulse 72, Resp. 22, PERLA, MAE.  Paramedics left clinic at 3:15 pm. with client. 7/23/08-records received for DOS 7/15/08-Impression: convulsive syncope. Episode of syncope versus seizure with documented loss of consciousness followed by convulsive activity noted shortly after receiving vaccination. Collapsed and had generalized shaking with some mental status changes.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: Vomited, lightheaded, fainted - also had MENACTRA & tetanus vaccine along with HPV vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Biopsy, Human papilloma virus test positive, Papilloma viral infection, Skin papilloma
Clinical narrative: 1-8-08 had wart removed from (R) buttock. MD had tested, biopsy result HPV. Does not know what strand. 7-08 had to have 2nd wart removed. Client and mother concerned the HPV may have been caused by immunization.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Eyelid oedema, Lacrimation increased, Nasal congestion
Clinical narrative: Swelling eyelids, increasing tearing and nasal congestion - injection conjunctiva - 1/2 in after injection.  Pulse ox 95 - 97.  Benadryl 25mg given IM - felt better, tearing and nasaling ceases.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Palpitations
Clinical narrative: Pounding heart beat 8 hr after GARDASIL felt like heart "jumping" in throat. Dx PVC's no treatment, decreased caffeine
Age: 0.4
Sex: F
Vaccine: HIBV, PNC, RV5, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was inadvertently given BOOSTRIX Tdap, instead of PEDIARIX.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: 2-3 hours after 1st vaccine Gardasil, started feeling hot, dizzy, light headed, pre-syncope.  No LOC.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Warmth, erythema, pain & edema left upper arm.
Age: 0.34
Sex: M
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Intussusception, Laparoscopy
Clinical narrative: Patient had intussusception on or before 5/24/08.  Over a month after his second dose of rotavirus vaccine, he had failed reduction in a local facility, hence sent to hospital for laparoscopic reduction.  07/28/2008 MR received for DOS 5/23-24/2008 with D/C DX:  Intussusception. Infant presented following transfer from another hospital with diarrhea, vomiting blood, blood in stool and decreased activity. PE (+) for a mass in the abdomen and rash. Contrast enema x 2 unable to fully reduce IS and pt taken to OR for Laparoscopic reduction of IS with appendectomy.  F/U visit 6/9/08-doing well post-op.    Labs and Diagnostics: CT scan (+) for IS. Contrast enema (+) for IS. Abd X-ray suspicious for IS.  CBC and Chem unremarkable. 07/28/2008 MR received for DOS 5/23-24/2008 with D/C DX:  Intussusception. Infant presented following transfer from another hospital with diarrhea, vomiting blood, blood in stool and decreased activity. PE (+) for a mass in the abdomen and rash. Contrast enema x 2 unable to fully reduce IS and pt taken to OR for Laparoscopic reduction of IS with appendectomy.  F/U visit 6/9/08-doing well post-op.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: About 4-5 minutes after GARDASIL vaccine the pt. fainted in the office.  It lasted only for few seconds.  She was fine in a minute or so & went home after 15 to 20 minutes.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Feeling of body temperature change, Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: C/O lightheadedness, hot/cold feeling, nasal congestion, sore throat. Temp 98.2 F. Pt stated may be coming down with a cold virus. Water offered, approx 8 oz taken. Left center to go home, still c/o sore throat and nasal congestion.
Age: 1.4
Sex: F
Vaccine: DTAP, IPV
Symptoms: Blister, Gaze palsy, Hypotonia, Pallor, Pharyngeal erythema
Clinical narrative: Temp to 104.9 about 72 hrs after vaccine with fever. Pat became pale, limp, unresponsive with eyes rolling back. Lasted only few seconds. After limpness, woke up, said mama and fell asleep. No ER visit. Followed up with me day after the event 7/17.
Age: 1.4
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Unresponsive to stimuli
Clinical narrative: Temp to 104.9 about 72 hrs after vaccine with fever. Pat became pale, limp, unresponsive with eyes rolling back. Lasted only few seconds. After limpness, woke up, said mama and fell asleep. No ER visit. Followed up with me day after the event 7/17.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Large (approx 2 1/2 inches in diameter) red spot on the anterolateral left thigh area, not itching.  Rest of skin clear.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Tenderness, Wound drainage
Clinical narrative: 5x6 cm induration/redness post left arm, tender to palpation, some drainage.  Given cephalexin 500, MEDROL dose pack.
Age: 14.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Concussion, Head injury, Loss of consciousness, Scan brain
Clinical narrative: Pt passed out and sustained mild concussion after hitting head.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: Pt came into office with swollen lymph nodes & injection site.
Age: 0.2
Sex: U
Vaccine: HEPA
Symptoms: Erythema, Inappropriate schedule of drug administration
Clinical narrative: Reaction or redness of lower extremities about one hr after shot. (1st series of vacc. PEDIARIX/HIB and ROTATEQ).
Age: 0.8
Sex: F
Vaccine: HEPA, IPV
Symptoms: Wrong drug administered
Clinical narrative: Patient given wrong vaccine- Hepatitis A given instead of Hepatitis B
Age: 14.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: This age pt. was given DTaP instead of Tdap. He did not get sick or had any complications.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blister
Clinical narrative: 2 1/2 hrs after vaccine given in (L) deltoid pt noted 2 raised "blister-like" bumps on (L) upper arm about 4 inches away from injection site. Pt given Benadryl po and ice pack.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Laboratory test, Vaccination failure, Varicella
Clinical narrative: In office with varicella 9 days s/p vaccine. No known exposure previously. Acyclovir.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Menactra given 9-11-07, repeat dose given in error on 4-10-08.  No adverse reaction noted.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: (L) lateral thigh swelling erythema
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered ZOSTAVAX. Client 58 yrs old.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Chills, Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: ADACEL vaccine administered when presented with knife laceration to palm of hand requiring 2 stitches.  36 hrs after vaccine arm was swelling, red, & very warm.  C/o generalized achiness, chills & low grade fever.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Skin laceration, Skin warm
Clinical narrative: ADACEL vaccine administered when presented with knife laceration to palm of hand requiring 2 stitches.  36 hrs after vaccine arm was swelling, red, & very warm.  C/o generalized achiness, chills & low grade fever.
Age: 8.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain upper, Pyrexia, Rash papular
Clinical narrative: Multiple papules on abdomen, back, neck and upper and lower extremities.  Some are crusted.  Symptoms for 2 days.  Low grade fever for 1 day prior to rash with stomach ache.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left leg red, swollen, warm to touch, applied ice.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Abdominal pain upper, Pruritus, Pyrexia, Rash papular, Skin lesion
Clinical narrative: Rash started 4 days ago - papules on abd & spread to extremities.  Itchy lesions.  Prior to rash had low grade fever & stomach ache.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Nausea, Oedema peripheral, Skin nodule
Clinical narrative: Onset of symptoms 7/15/08 of severe intense headache, N/V, fatigue, lump in Lt axilla-tender to touch and swollen afebrile. Treated with IBUPROFEN and ice pack to site.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: Onset of symptoms 7/15/08 of severe intense headache, N/V, fatigue, lump in Lt axilla-tender to touch and swollen afebrile. Treated with IBUPROFEN and ice pack to site.
Age: 53.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Erythema, Musculoskeletal pain
Clinical narrative: Patient noticed localized erythema to left upper arm on 7-14-08 in PM.  Reports shoulder a little sore.  Has taken no medications, no interventions, or visits to PCP.  Denies SOB.  No reaction notified prior to 7-14-08.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abdominal distension, Blood test, Dyspnoea, Irritability, Pain
Clinical narrative: abd distension, pain, irritability, difficulty breathing, vomiting within 24 hr
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting, X-ray
Clinical narrative: abd distension, pain, irritability, difficulty breathing, vomiting within 24 hr
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever, chills, severe injection site pain, dizziness, tenderness & swelling at site.
Age: 20.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Arthralgia, Erythema, Lymphadenopathy, Oedema peripheral, Pain in extremity
Clinical narrative: Received Tdap, Hep A, IPV, Typhoid 6/11/08.  LA became very red & swollen & painful 6/12/08.  C/o achy joints, swollen glands; face rash 2 wks after vaccination.  Sxs somewhat relieved with MOTRIN.  Visited PCP.
Age: 20.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Rash
Clinical narrative: Received Tdap, Hep A, IPV, Typhoid 6/11/08.  LA became very red & swollen & painful 6/12/08.  C/o achy joints, swollen glands; face rash 2 wks after vaccination.  Sxs somewhat relieved with MOTRIN.  Visited PCP.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site warmth, Pyrexia, Respiratory rate increased
Clinical narrative: Fever started on 7/14/08-102 deg (+) large, red warm bump on (R) upper thigh at injection site. increased resp. rate (90/min)
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Varicella.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Dysphemia, Loss of consciousness, Myalgia, Staring
Clinical narrative: Generalized myalgias, stuttering, staring episodes, loss of awareness.  8/25/2008 Hospital D/C Summary received from PCP for DOS 7/11-15/2008 with D/C DX: Nonepileptic form seizures. Muscle spasms. S/P Guillain-Barre Syndrome.  Tobacco abuse.  Pt presented with staring and shaking spells x 4 days.  Pt initially unaware of spells noticed by co-worker. Pt unaware during spells. No post-ictal state. Started on Dilantin.  Pt reported increased head pressure during admission, but no further spells. Pt troubled by muscle spasms, paresthesias and shooting pains which began after Td vax, helped somewhat by Flexeril and Vicodin.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood glucose decreased, Blood pressure, Eye rolling, Heart rate decreased, Pallor
Clinical narrative: Pt. received PPD implant at 4:28p.  Then at 4:30 received varicella vaccine.  Within 30 sec. pt. eyes rolled back and pt. became very pale & unresponsive.  BP 70/50 HR 40's.  Ammonia inhalant used & pt. awakened.  Juice & cookies given.  Episode lasted on & off x15 min.  No CPR needed.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt. received PPD implant at 4:28p.  Then at 4:30 received varicella vaccine.  Within 30 sec. pt. eyes rolled back and pt. became very pale & unresponsive.  BP 70/50 HR 40's.  Ammonia inhalant used & pt. awakened.  Juice & cookies given.  Episode lasted on & off x15 min.  No CPR needed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Large red raise hot area, mom applied cool compresses has had x1 day at present.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Ultrasound scan abnormal
Clinical narrative: Received vaccine at 14 weeks 3 days estimated gestational age. No heart tones heard at routine prenatal visit on 7/17/08, fetal death noted on ultrasound. Based on the ultrasound estimated fetal age at death 15 weeks, 3 days.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Blood test, Convulsion, Dehydration, Pyrexia, Tremor
Clinical narrative: Child was given Motrin before shots had fever after shots and was given motrin 8 hrs later. Pick child up from daycare at 4:45. He had fever and he was shaking real bad. At 8:30 to child to er his temp was 104.2. The er took blood and a urine sample found that child was deyhrated and need iv fluids. Blood work came back fine. Gave him tynonal and mortin at the same time. Left er at 12:30 and his fever was at 100. The next day his fever was 102.0 when we got the after hours clinc. They told me he had colvusions with high fever due to DTAP shot.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Urine analysis
Clinical narrative: Child was given Motrin before shots had fever after shots and was given motrin 8 hrs later. Pick child up from daycare at 4:45. He had fever and he was shaking real bad. At 8:30 to child to er his temp was 104.2. The er took blood and a urine sample found that child was deyhrated and need iv fluids. Blood work came back fine. Gave him tynonal and mortin at the same time. Left er at 12:30 and his fever was at 100. The next day his fever was 102.0 when we got the after hours clinc. They told me he had colvusions with high fever due to DTAP shot.
Age: 30.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Dizziness, Headache, Hypoaesthesia, Nausea, Pyrexia
Clinical narrative: Rash, intense swelling, numbness of the hand, headches, fever, nausea, and dizziness
Age: 30.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash, Swelling
Clinical narrative: Rash, intense swelling, numbness of the hand, headches, fever, nausea, and dizziness
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 7/18/08 injection site became red, swollen and began to hurt.  7/19/08 Pt returned. started on Motrin childrens tablets 100mg Q6hPRN x 10 days for pain.  Cool compresses to site.  no fever, no rash, no hives, no SOB and no itching.
Age: 30.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Breast tenderness, Injection site erythema, Injection site rash, Injection site warmth, Pyrexia
Clinical narrative: 3MM diameter hot red macule at L arm site of meningialcocal vaccine.  Also  L breast and L neck tenderness and fever of 102.
Age: 30.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Tenderness
Clinical narrative: 3MM diameter hot red macule at L arm site of meningialcocal vaccine.  Also  L breast and L neck tenderness and fever of 102.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: 102.7 degree temperature on 7/20 he rec'd MMR and Chicken Pox Vaccines on 7/16
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Pt. called and said she received her 2nd HPV here on 7/11/08 the next morning she began having numbness in her hands and face-lasting from 5-20 minutes, occurs almost daily, denies other symptoms.
Age: 18.0
Sex: F
Vaccine: MNQ, UNK
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Pt was given meningococal vaccine subcutaneous and as a result she had a local reaction. The site was red and swollen but no other reaction was noted.
Age: 68.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site urticaria, Pruritus
Clinical narrative: Pt. called on 7/08/08. States had small reddened welt at Zostavax inj. site beginning 7/7/08, that doubled has doubled in size, with 2 small red "pimple size spots" on chest. Denies fever, malaise, axillary swelling. Advised Benadryl, cold compress, limit exposure to infants or someone without hx of chicken pox, and call if symptoms worsen. 7/10/2008 Seen by Dr. Has  several scattered  pruritic papules on chest, and numerous extremely pruritic papules on the palms of both hands. Has 2X4" reddened and bruised, slightly raised area on left arm, around Zostavax injection site. No fever, no axillary lymph node enlargement, no malaise, major complaint is extreme itching of hands. Dr. gave pt. Medrol pack. Dr. called pt. on 7/14/2008. Symptoms improving, much less itching, and papular rash on palms and chest lessened, and smaller reddened area at injection site per pt.
Age: 68.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Rash, Rash papular, Rash pruritic, Vaccination failure
Clinical narrative: Pt. called on 7/08/08. States had small reddened welt at Zostavax inj. site beginning 7/7/08, that doubled has doubled in size, with 2 small red "pimple size spots" on chest. Denies fever, malaise, axillary swelling. Advised Benadryl, cold compress, limit exposure to infants or someone without hx of chicken pox, and call if symptoms worsen. 7/10/2008 Seen by Dr. Has  several scattered  pruritic papules on chest, and numerous extremely pruritic papules on the palms of both hands. Has 2X4" reddened and bruised, slightly raised area on left arm, around Zostavax injection site. No fever, no axillary lymph node enlargement, no malaise, major complaint is extreme itching of hands. Dr. gave pt. Medrol pack. Dr. called pt. on 7/14/2008. Symptoms improving, much less itching, and papular rash on palms and chest lessened, and smaller reddened area at injection site per pt.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Back pain, Chills, Dizziness, Ear discomfort
Clinical narrative: Developed severe headache above eyes and ear stuffiness on 7/12/08.  Headache eased on 7/16.  On 7/14/08, in the evening, developed chills, shaking, and fever.  Fevers >102 degrees Farenheit continued on and off from Monday 7/14/2008 through 7/17/2008, evening.  On 7/14/2008 during the evening, developed body aches, dizziness, weakness and increased tiredness.  Visited Primary Physician on 7/15/08, who could not identify any bacterial or viral cause.  He had suggested this could be related to adacel administration.  On 7/17/08, fever seemed less in the evening, but developed another headache with frequent jolts of pain shooting down my Left Temple area.  Body aches continued especially in lower back, and have began feeling hypersensitive on the skin on my scalp, axilla, back, abdomen, groin, and thighs.  Dizziness continued, lethargic and sleeping frequently. Currently, 7/21/08, the headaches have diminished, no noted fever, but still having skin hypersensitivity, dizziness when moving eyes and milder body aches.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Headache, Hyperaesthesia, Hypersomnia, Lethargy
Clinical narrative: Developed severe headache above eyes and ear stuffiness on 7/12/08.  Headache eased on 7/16.  On 7/14/08, in the evening, developed chills, shaking, and fever.  Fevers >102 degrees Farenheit continued on and off from Monday 7/14/2008 through 7/17/2008, evening.  On 7/14/2008 during the evening, developed body aches, dizziness, weakness and increased tiredness.  Visited Primary Physician on 7/15/08, who could not identify any bacterial or viral cause.  He had suggested this could be related to adacel administration.  On 7/17/08, fever seemed less in the evening, but developed another headache with frequent jolts of pain shooting down my Left Temple area.  Body aches continued especially in lower back, and have began feeling hypersensitive on the skin on my scalp, axilla, back, abdomen, groin, and thighs.  Dizziness continued, lethargic and sleeping frequently. Currently, 7/21/08, the headaches have diminished, no noted fever, but still having skin hypersensitivity, dizziness when moving eyes and milder body aches.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Somnolence, Tremor
Clinical narrative: Developed severe headache above eyes and ear stuffiness on 7/12/08.  Headache eased on 7/16.  On 7/14/08, in the evening, developed chills, shaking, and fever.  Fevers >102 degrees Farenheit continued on and off from Monday 7/14/2008 through 7/17/2008, evening.  On 7/14/2008 during the evening, developed body aches, dizziness, weakness and increased tiredness.  Visited Primary Physician on 7/15/08, who could not identify any bacterial or viral cause.  He had suggested this could be related to adacel administration.  On 7/17/08, fever seemed less in the evening, but developed another headache with frequent jolts of pain shooting down my Left Temple area.  Body aches continued especially in lower back, and have began feeling hypersensitive on the skin on my scalp, axilla, back, abdomen, groin, and thighs.  Dizziness continued, lethargic and sleeping frequently. Currently, 7/21/08, the headaches have diminished, no noted fever, but still having skin hypersensitivity, dizziness when moving eyes and milder body aches.
Age: 11.0
Sex: F
Vaccine: TDAP, UNK
Symptoms: Body temperature, Erythema, Induration, Skin warm
Clinical narrative: Patient started to have some reddness the same evening that the Tdap was given, 18 July.  On 21 July, the upper arm is reddened, warm and indurated 4 inX2 1/2 in.  Tympanic temp is 98.7 on 21 July.  Advised Motrin as anti-inflammatory and return in the next day or two if arm is no better or worse.  Had also received a PPD the same day in left forearm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Left upper arm is slightly swollen and red around injection site. Denies fever or pain. Child moving arm well.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Henoch-Schonlein purpura, Joint swelling, Rash
Clinical narrative: Diagnosed at Hospital with Henoch-Schnlein purpura on 7/13/2008.  This is 3 days after vaccines were administered and also the day the patient became symptomatic. Patient awoke with a rash that her father thought was a heat rash.  When mother saw  the child it was "clearly not a heat rash" and swelling of the ankles had developed.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Convulsion
Clinical narrative: Seizure 8 days after vaccine. Three seizures. Hopefully no more. Too many vaccines required for children - chicken pox not deadly, HGP primarily 20 something males.  Need to split MMR. Pediatricians and drug companies were concerned about huge revenues than balance. Some vaccines good, but not so many.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, PPV
Symptoms: Injection site cellulitis, Injection site pain
Clinical narrative: PT DEVELOPED ACUTE PAIN AT SITE DAY OF INJECTION.  CELLULITIS DIAGNOSED 48 HOURS AFTER VACCINATION. ADMITTED FOR IV ABX DUE TO SLOW RESPONSE TO ANTIBIOTICS 8/1/08-records received for DOS 07/04-07/08/2008-DC DX: Right arm cellulitis s/p vaccination. Developed fever, chills, body aches, nausea and pain at injection site with 24 hours of vaccination. Pain over entire right arm.  Pain at injection site with erythema, induration and fever secondary to immunization reaction. Immunology outpatient appointment.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, Body temperature increased, Chest pain, Echocardiogram, Electrocardiogram ST segment elevation
Clinical narrative: Patient presented on 19JUL08 (day 11 post vaccination) with chest pain worse with supination and improved with leaning forward.  T 101 and other VS wnl. WBC elevated at 13. EKG with ST depression in lead III. Cardiac enzymes negative.  Patient was given motrin and SIQ for trt of presumed pericarditis. Pain improved over following 36hrs. The following night, 20JUL08 at 2330, patient presented with unrelenting retrosternal chest pain and SOB. T 99.2, BP 108/62, HR 67. EKG with ST elevation in leads I and aVL and ST depression in leads III and aVF. Cardiac enzymes (trop, myo, CK-MB) positive. Patient was given 325mg ASA chewed and O2 NC at 3L. (2)lg bore IVs with LR at 60ml/hr in each. Patient was medevac-ed via helo to Hospital where he was admitted to ICU. ECHO on admission showed nl EF.  Patient remains in ICU, is stable, but is pending a cardiac catheterization procedure.  Will likely be transferred to outside facility for cath. 9/3/08-records received for DOS 7/21/08 and 8/7/08-DX: Acute pericarditis. Adverse drug effect of vaccines smallpox. Began to have diaphoresis and headache on 7/16/08 and substernal chest pain worse in supine position on 7/17/08. Could feel heart pounding. Shortness of breath while lying down with chest pressure. On 7/19/08 temperature 100.5.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Electrocardiogram abnormal, Heart rate normal, Myoglobin blood increased, Troponin increased, White blood cell count increased
Clinical narrative: Patient presented on 19JUL08 (day 11 post vaccination) with chest pain worse with supination and improved with leaning forward.  T 101 and other VS wnl. WBC elevated at 13. EKG with ST depression in lead III. Cardiac enzymes negative.  Patient was given motrin and SIQ for trt of presumed pericarditis. Pain improved over following 36hrs. The following night, 20JUL08 at 2330, patient presented with unrelenting retrosternal chest pain and SOB. T 99.2, BP 108/62, HR 67. EKG with ST elevation in leads I and aVL and ST depression in leads III and aVF. Cardiac enzymes (trop, myo, CK-MB) positive. Patient was given 325mg ASA chewed and O2 NC at 3L. (2)lg bore IVs with LR at 60ml/hr in each. Patient was medevac-ed via helo to Hospital where he was admitted to ICU. ECHO on admission showed nl EF.  Patient remains in ICU, is stable, but is pending a cardiac catheterization procedure.  Will likely be transferred to outside facility for cath. 9/3/08-records received for DOS 7/21/08 and 8/7/08-DX: Acute pericarditis. Adverse drug effect of vaccines smallpox. Began to have diaphoresis and headache on 7/16/08 and substernal chest pain worse in supine position on 7/17/08. Could feel heart pounding. Shortness of breath while lying down with chest pressure. On 7/19/08 temperature 100.5.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pericarditis
Clinical narrative: Patient presented on 19JUL08 (day 11 post vaccination) with chest pain worse with supination and improved with leaning forward.  T 101 and other VS wnl. WBC elevated at 13. EKG with ST depression in lead III. Cardiac enzymes negative.  Patient was given motrin and SIQ for trt of presumed pericarditis. Pain improved over following 36hrs. The following night, 20JUL08 at 2330, patient presented with unrelenting retrosternal chest pain and SOB. T 99.2, BP 108/62, HR 67. EKG with ST elevation in leads I and aVL and ST depression in leads III and aVF. Cardiac enzymes (trop, myo, CK-MB) positive. Patient was given 325mg ASA chewed and O2 NC at 3L. (2)lg bore IVs with LR at 60ml/hr in each. Patient was medevac-ed via helo to Hospital where he was admitted to ICU. ECHO on admission showed nl EF.  Patient remains in ICU, is stable, but is pending a cardiac catheterization procedure.  Will likely be transferred to outside facility for cath. 9/3/08-records received for DOS 7/21/08 and 8/7/08-DX: Acute pericarditis. Adverse drug effect of vaccines smallpox. Began to have diaphoresis and headache on 7/16/08 and substernal chest pain worse in supine position on 7/17/08. Could feel heart pounding. Shortness of breath while lying down with chest pressure. On 7/19/08 temperature 100.5.
Age: 0.33
Sex: M
Vaccine: HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: PER MOTHER PATIENT HAD SUDDEN ONSET OF VOMITING WITHOUT FEVER OR DIARRHEA ON 6/20/08, WHICH LASTED THROUGH 6/24/08, AT WHICH TIME SHE BROUGHT HIM TO OUR OFFICE TO BE EVALUATED.  COINCIDENTALLY, MOM ALSO HAD A FEBRILE ILLNESS THAT BEGAN ON THE SAME DATE.  SHE IS PRIMARILY NURSING.  SIBLING BECAME ILL WITHIN THE NEXT 24 HOURS WITH DIARRHEA ONLY. ALL FAMILY MEMBERS RECOVERED WITHOUT FURTHER SEQUELAE.  OF NOTE:  MOTHER HAS HISTORY OF REFUSING PEDIARIX, DTAP, HEP B, IPV VACCINES UNTIL AN ALUMINUM-FREE OR LOW ALUMINUM DTAP VACCINE CAN BE GIVEN TO PATIENT.
Age: 1.06
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: red area about 1 cm,raised about .5cm at or near the  varicella injection site. shot was given on 7/8 and the spot did not appear until 7/14. we saw the patient on7/18. mom states the lesion or spot was the same on 7/14 as 7/18. denies the child having a fever during that time. looked kind of like a mosquito bite.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Rash
Clinical narrative: LARGE AMOUNT OF SMALL RED BUMPS.  SYMPTOMS STARTED ON FRIDAY JUL, 18 2008
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Lymphadenopathy
Clinical narrative: One week following administration of meningococcal vaccine patient developed an enlarged lymph node in her neck, same side (L) as vaccine was given. Pt was taken to a NP to be evaluated for any other infections etc that would cause an enlarged lymph node. Nothing found. Lymph node is fine now.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pyrexia
Clinical narrative: extreme fatigue, fever of 99.7 to 101.9l lasted asting three and a half days. took 1000 mg. of acetamenaphen every 6-8 hrs.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: Patient received Zostavax vaccine at approximately 10:30 am on 7/18/08. Administered in L upper arm. That evening at 7pm began to have Right back patient. By next morning pain increase and later in day developed rash beneath Right breast. Following day this rash spread toward back. On 7/21/08 patient diagnosed with Herpes Zoster of right T 8-9 dermatome.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister, Blood culture negative, Full blood count, Joint swelling, Neutrophil percentage increased
Clinical narrative: Localized swelling on right side of shoulder, which the following day, spread to involve entire upper arm with mild pain and tenderness.  Subseqently developed blistering over the upper 1/3 of her arm.  However, had no fever, nausea or other symptoms. 9/23/08-records received for DOS 5/22-5/24/08- DC DX: Cellulitis versus immunization reaction. Presented with C/O swelling of right arm for past two days. Localized reaction with redness and swelling on right side of shoulder day prior to admission, which spread to involve whole upper arm with mild pain and tenderness. Blistering.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Oedema peripheral, Pain in extremity, Tenderness, White blood cell count increased
Clinical narrative: Localized swelling on right side of shoulder, which the following day, spread to involve entire upper arm with mild pain and tenderness.  Subseqently developed blistering over the upper 1/3 of her arm.  However, had no fever, nausea or other symptoms. 9/23/08-records received for DOS 5/22-5/24/08- DC DX: Cellulitis versus immunization reaction. Presented with C/O swelling of right arm for past two days. Localized reaction with redness and swelling on right side of shoulder day prior to admission, which spread to involve whole upper arm with mild pain and tenderness. Blistering.
Age: 1.9
Sex: M
Vaccine: VARCEL
Symptoms: Myelitis
Clinical narrative: Patient received Varicella booster at clinic.  He has subsequently been diagnosed with post infections myelitis. 10/15/08-records received-DOS 6/25-6/28/08 DC DX: Neurologic changes consistent with post-viral myelitis. Symptoms began after varicella booster. Vaccination records do not include booster information. Admitted with altered mental status and headache. C/O headache and fatigue for 1 month and difficulty walking for past 2 days. Low grade fevers. Bright lights hurt eyes. Back and neck pain. Gait abnormal.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash, Viral skin infection
Clinical narrative: Fever, rash
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Vaccine-GARDASIL - admin. - 6/9/08 - pt called on 7/7/08 - stating L arm where shot given wnt. to hurt.  Advised to take ibuprofen 600 mg TID- heat like compress & recheck if not better.  Pt called 7/14/08 cont pain.  Appt 7/18/08 pain resolved.  Exam neg.