chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Petechiae, Platelet count decreased
Clinical narrative: Initial report received on 8/22/06 from another manufacturer, report number WAES0608USA01963. A three month old female pt, with no pre existing medical conditions, had received a right thigh, first dose injection of Daptacel, lot number C2407AA, a left thigh first dose injection of IPOL, lot number Y1068, a right thigh, first dose of injection of Comvax, lot number 653539/1193R, a first dose, oral administration of Rotateq, lot number 653915/0389F, and a left thigh, first dose injection of Prevnar, lot number B08651E, on 7/14/06. There were no other concomitant therapies and no illness at the time of vaccination. Fifteen days post vaccination, on 7/29/06, the pt was examined by a physician, and her platelet count was 7,000. The pt also had small petechial lesions spread all over her body. She was subsequently hospitalized and treated with IVIG 5 grams. Platelet count on 8/1/06 was 76,000 and on 8/8/06 was 693,000. At the time of this report, the pt had recovered.
Age: 0.24
Sex: F
Vaccine: RV5, RV5, DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Intestinal obstruction, Intussusception
Clinical narrative: A 13 week old female infant, who had no significant medical history, was vaccinated on 7/19/06 with initial doses of the following vaccines, ActHib lot number UE870AA (manufacturer lot number Z0374-2), administered IM in the right leg, Pediarix lot number AC21B064AA, administered IM in the left leg, and Prevnar lot number B2293PC, administered IM in the left leg. The pt subsequently received an initial dose of Rotateq lot number 653754/0139F, administered per OS on 8/1/06. On the evening of 8/7/06, 219 days after receiving the ActHib, Pediarix and Prevnar, and six days after receiving the Rotateq, the pt developed intermittent severe crying and failure to pass stool for one day. Unspecified medical attention was sought. A barium enema was suggestive of intussusception and a KUB X ray showed the presence of intussusception in the proximal descending colon. Reduction of the pts intussusception was mad by barium enema hydrostatic pressure. In August 2006, the pts symptoms resolved. The physician considered intussusception to be immediately life threatening and disabling. The other manufacturer reported that the records of testing prior to release of the lot in question (Rotateq) have been rechecked and found to be satisfactory. The lot met requirements and was released by the agency. Additional information has been requested.
Age: 0.24
Sex: F
Vaccine: RV5, RV5, DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Constipation, Crying, Intussusception
Clinical narrative: A 13 week old female infant, who had no significant medical history, was vaccinated on 7/19/06 with initial doses of the following vaccines, ActHib lot number UE870AA (manufacturer lot number Z0374-2), administered IM in the right leg, Pediarix lot number AC21B064AA, administered IM in the left leg, and Prevnar lot number B2293PC, administered IM in the left leg. The pt subsequently received an initial dose of Rotateq lot number 653754/0139F, administered per OS on 8/1/06. On the evening of 8/7/06, 219 days after receiving the ActHib, Pediarix and Prevnar, and six days after receiving the Rotateq, the pt developed intermittent severe crying and failure to pass stool for one day. Unspecified medical attention was sought. A barium enema was suggestive of intussusception and a KUB X ray showed the presence of intussusception in the proximal descending colon. Reduction of the pts intussusception was mad by barium enema hydrostatic pressure. In August 2006, the pts symptoms resolved. The physician considered intussusception to be immediately life threatening and disabling. The other manufacturer reported that the records of testing prior to release of the lot in question (Rotateq) have been rechecked and found to be satisfactory. The lot met requirements and was released by the agency. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, pain, fever, sweats, chills, body aches. Starting later in the day 8/14/06.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pyrexia
Clinical narrative: Erythema, swelling, pain, fever, sweats, chills, body aches. Starting later in the day 8/14/06.
Age: 0.18
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Mother mentions that the baby girl started to have seizures on 7/21/06. Had seizures during the weekend then was taken to the doctor and was referred to the emergency room of the local hospital. In the ER, she did not have seizure nor in the doctor's office.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: 2" circular red area-warm to touch
Age: 21.0
Sex: M
Vaccine: JEV, RAB, YF
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 5cm x 4.5cm circular reddened area on left posterior upper arm. Area warm to the touch and slightly raised. Service member c/o mild tenderness at site, denied fever or drainage.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Paraesthesia, Speech disorder, Tongue disorder
Clinical narrative: Initial information received on 8/25/06 from a health care professional. A 43 year old female pt received a dose of Adacel, lot number C2492BA, administered in the left deltoid on 7/10/06 following an unspecified injury/trauma to her elbow. The route of administration was not reported. 12 days later, on approx 7/22/06, the pt developed numbness and tingling of her finger and toes. The numbness progressed, but the extent was not reported. She also had numbness of the tongue and difficulty speaking. The pt was hospitalized on an unknown date. Following discharge from the hospital, she was sent to rehabilitation, where she was released approximately one week prior to this report. As per the reporter, the pt continues to have residual effects. The pts past medical history is significant for fibromyalgia. She also had cellulitis of her right arm at the time of vaccination with Adacel on 7/10/06.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Acidosis, Dehydration, Diarrhoea, Gastroenteritis, Irritability
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Otitis media
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal distension, Blood chloride increased, Dehydration, Diarrhoea, Dry mouth
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Faeces discoloured, Gastroenteritis, Irritability, Lacrimation decreased
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Malaise, Metabolic acidosis, Pyrexia, Sleep disorder
Clinical narrative: Pts mother reported diarrhea, went to a hospital, admitted by 2-4 days, was discharged, also fussy. DC Summary for DOS 08/04-08/07/2006 DC DX: Acute Gastroenteritis with dehydration. Metabolic acidosis. Admitted with c/o diarrhea, cranky and stomach bloating. Sick for past 5 days with diarrhea and fever. No HX of bloody stool.  PE: temp 98.3, Heart Rate 144 and respirations 30, remainder of exam WNL. RX with IV fluids and Pedialyte. DC home. Per 60 day follow up: He is no longer a patient of the physician who reported him.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Arrhythmia, Diarrhoea, Fatigue, Injection site warmth, Myalgia
Clinical narrative: 8-9-06 muscle soreness (left deltoid) 8-10 and 8-11-06 diarrhea, site warm to touch-arm, shoulder and neck achy and sore, tiredness, temperature 99.3.  8-12-06 same as 8/10 and 8/11/06 plus heart beat fast and irregular for short time.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Tachycardia
Clinical narrative: 8-9-06 muscle soreness (left deltoid) 8-10 and 8-11-06 diarrhea, site warm to touch-arm, shoulder and neck achy and sore, tiredness, temperature 99.3.  8-12-06 same as 8/10 and 8/11/06 plus heart beat fast and irregular for short time.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Rash macular
Clinical narrative: Area of induration and macular rash in upper right muscle of 9cm x 7cm.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: High fever requiring ER visit, lab work done.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Lt deltoid area swollen, warm to touch, swelling and redness measures approx 4 1/2 inches x 3. Instructed to continue fever med and cold compresses and massage. Mom said she would  bring him to Dr if necessary. 8/25/06 11:05am spoke with mom, he's better, went to Dr.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Received MMR in L arm 8/3/06; parent reported redness and swelling same night, worse next day. No fever. Exam (8/5/06): 7 1/2cm x 8 1/2cm area of tender warm erythema on lat upper l arm, no induration. Impression local MMR reaction. Tx: ice pack, Motrin, MD check if worse.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 5 minutes post immunization client return to clinic with redness to L lower forearm. No itchy. Called MD, vital signs within normal limits. No resp distress. Benadryl 12.5mg 15ml, 7.5ml PO given as ordered. Monitored for 30 minutes.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Feeling hot, Injection site mass, Injection site swelling, Paraesthesia
Clinical narrative: C/o Thursday AM waking up with raised/swollen, warm, hard site. Pain from top of shoulder down to fingertips. Hand has been and is still tingling at a constant rate. Has used two rounds of Tylenol and warm compresses. Asked client to come into office today to view the site. 9/1/06: called to receive medical advice regarding symptoms mgmt. "Considered local reaction, self limiting, treat pain with whatever helps, i.e. Motrin, and apply warm compresses."
Age: 46.0
Sex: M
Vaccine: HEPAB, JEV, MEN, MMR
Symptoms: Pruritus, Rash
Clinical narrative: 10 small 2cm in diameter measle-like rash on R forearm elbow to wrist only. Itching occurred at about one week after MMR same side. No fever at any time, saw pt 8/14/06 for Boosters. 8/11/06 Rash crusted over no other symptoms since previous note (itching resolved). 8/25/06 resolved rash.
Age: 57.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Localized pain and swelling at site of injection without erythema, pain also restricted down L arm to hand and some paresthesias were noted. Nl new exam.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling R deltoid red; has to touch, itchy spreading to sore arm.
Age: 1.06
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Pt received varicella 8/22/06 and presented in our office with complaints of fever 100 to 102 x 3 days and red spots on neck and chest on 8/31/06.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: Patient came to office for administration of 3rd Hepatitis B vaccine. Was given 1 ml. of Tubersol (Mantoux)in error. This was administered IM. Center for Disease Conrol, physician & patient notified immediately.
Age: 12.0
Sex: M
Vaccine: MMRV, TDAP
Symptoms: Facial palsy
Clinical narrative: Vaccine given 8-28-06.  Bell's palsy 9-1-06.
Age: 56.0
Sex: F
Vaccine: IPV, JEV
Symptoms: Throat tightness
Clinical narrative: 0810 hrs on 17 Aug 2006 Approximately 25 minutes after JEV and IPV Vaccination the patient stated she felt right side throat tightness.  0812 hrs Patient was given Epi-pen auto injector, vitals monitored 0817 hrs Benadryl IM, 0900hrs oral prednizone, 1000hrs epi-pen auto injector because patient stated she still had very slight right side throat tighntess. She was released with a full recovery at 1110hrs. Her significant other drove her away from the facility.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Anorexia, Headache, Muscular weakness, Neck pain, Pain
Clinical narrative: Both arms were sore, just pink around the sites.  A few hours after the injections developed a headache, neck hurt, had a fever all night.  Legs were weak,  stomach upset, but never vomited, anorexia.  Stayed home from school the following day.  Still had a headache and neck hurt for the following two days, but attended school.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Stomach discomfort, Vomiting
Clinical narrative: Both arms were sore, just pink around the sites.  A few hours after the injections developed a headache, neck hurt, had a fever all night.  Legs were weak,  stomach upset, but never vomited, anorexia.  Stayed home from school the following day.  Still had a headache and neck hurt for the following two days, but attended school.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Neck pain, Pyrexia, Vomiting
Clinical narrative: Fever, neck hurt, headache, vomited.  Arms were sore.
Age: 1.58
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Somnolence
Clinical narrative: Patient had a fever of 103 and somnolence for 24 hours after vaccination.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Headache, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Headache, stiff neck, nausea, achey, weakness, fever.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Headache, stiff neck, nausea, achey, weakness, fever.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: PT WTIH RED, WARM, LARGE, HARD, KNOT TO SITE OF ADACEL IMMUNIZATION ON 8-30-06.  PT WAS ADVISED TO USE COOL COMPRESSES AND TAKE MOTRIN FOR PAIN AND CALL OFFICE BACK IF SITE PERSISTS WITH RED, WARM KNOT.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache
Clinical narrative: Severe headaches - when seen in clinic 2 days later headache resolving.  To monitor for now.
Age: 18.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TDAP, YF
Symptoms: Blood product transfusion, Disability, Gait disturbance, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Admitted to hospital on Sep 2nd, 2006 with bilateral upper and lower extremity (ascending) weakness, calf pains and intermittent tingling of feet. Vital signs normal, antalgic gait, walks only with assistance. Diagnosed with variant of Guillain Barre, treated with IV Immune Globulin. Remains in hospital at this time, but transferred from ICU to medical ward. 02/08/07-records reviewed  DX: GBS EMG NCS:abnormal study electrophysiologic evidence of severe motor greater than sensory acquired multifocal sensorimotor peripheral neuropathy with axonal greater than demyelinating features. Given the history this likely represents GBS. The prognosis for recovery with predominant axonal features would probably be a protracted course. Presented with progressive weakness and numbness in hands and feet time 3 days. Weakness began first then tenderness in his gastrocs and numbness working its way distal to proximal up to his elbow and knees. History of productive cough since beginning of basic training. No fever, chills or night sweats. Exposed to others with diarrhea but he has not had diarrhea.  Hospital course continued to have weakness in lower extremities mainly feet, also decreased grip strength with no change during ICU stay. Treated with IVIG for 3 days. No change in neuro symptoms or respiratory function transferred from ICU to medical floor and subsequently discharged. 1/29/2010 Last contact with patient : 5/1/09, on disabled retired list with 30% disability. Not back to baseline-still experiencing lower extremity weakness.
Age: 18.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TDAP, YF
Symptoms: Hypoaesthesia, Intensive care, Muscular weakness, Myalgia, Myalgia
Clinical narrative: Admitted to hospital on Sep 2nd, 2006 with bilateral upper and lower extremity (ascending) weakness, calf pains and intermittent tingling of feet. Vital signs normal, antalgic gait, walks only with assistance. Diagnosed with variant of Guillain Barre, treated with IV Immune Globulin. Remains in hospital at this time, but transferred from ICU to medical ward. 02/08/07-records reviewed  DX: GBS EMG NCS:abnormal study electrophysiologic evidence of severe motor greater than sensory acquired multifocal sensorimotor peripheral neuropathy with axonal greater than demyelinating features. Given the history this likely represents GBS. The prognosis for recovery with predominant axonal features would probably be a protracted course. Presented with progressive weakness and numbness in hands and feet time 3 days. Weakness began first then tenderness in his gastrocs and numbness working its way distal to proximal up to his elbow and knees. History of productive cough since beginning of basic training. No fever, chills or night sweats. Exposed to others with diarrhea but he has not had diarrhea.  Hospital course continued to have weakness in lower extremities mainly feet, also decreased grip strength with no change during ICU stay. Treated with IVIG for 3 days. No change in neuro symptoms or respiratory function transferred from ICU to medical floor and subsequently discharged. 1/29/2010 Last contact with patient : 5/1/09, on disabled retired list with 30% disability. Not back to baseline-still experiencing lower extremity weakness.
Age: 18.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TDAP, YF
Symptoms: Nerve conduction studies abnormal, Paraesthesia
Clinical narrative: Admitted to hospital on Sep 2nd, 2006 with bilateral upper and lower extremity (ascending) weakness, calf pains and intermittent tingling of feet. Vital signs normal, antalgic gait, walks only with assistance. Diagnosed with variant of Guillain Barre, treated with IV Immune Globulin. Remains in hospital at this time, but transferred from ICU to medical ward. 02/08/07-records reviewed  DX: GBS EMG NCS:abnormal study electrophysiologic evidence of severe motor greater than sensory acquired multifocal sensorimotor peripheral neuropathy with axonal greater than demyelinating features. Given the history this likely represents GBS. The prognosis for recovery with predominant axonal features would probably be a protracted course. Presented with progressive weakness and numbness in hands and feet time 3 days. Weakness began first then tenderness in his gastrocs and numbness working its way distal to proximal up to his elbow and knees. History of productive cough since beginning of basic training. No fever, chills or night sweats. Exposed to others with diarrhea but he has not had diarrhea.  Hospital course continued to have weakness in lower extremities mainly feet, also decreased grip strength with no change during ICU stay. Treated with IVIG for 3 days. No change in neuro symptoms or respiratory function transferred from ICU to medical floor and subsequently discharged. 1/29/2010 Last contact with patient : 5/1/09, on disabled retired list with 30% disability. Not back to baseline-still experiencing lower extremity weakness.
Age: 55.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Injection site pain
Clinical narrative: Pain, swelling, at injection site immediately after injection.  Pain worsened at night of day of shot, along with beginning feeling fatigue and malaise.  Fever (101.2) and moderate chills also began that evening.  24 hours later, still having all the previously mentioned symptoms.  Diarrhea started about 15 hours after injection.  Also has arthralgia.
Age: 55.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site swelling, Malaise, Pyrexia
Clinical narrative: Pain, swelling, at injection site immediately after injection.  Pain worsened at night of day of shot, along with beginning feeling fatigue and malaise.  Fever (101.2) and moderate chills also began that evening.  24 hours later, still having all the previously mentioned symptoms.  Diarrhea started about 15 hours after injection.  Also has arthralgia.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Pain in jaw
Clinical narrative: Began having jaw pain/subungual pain, neck stiffness/pain. Mom stated "he is acting odd". No fever. Was given Adacel during office visit for a laceration to his foot (2 days old). Cellulitis was diagnosed (foot) and Keflex rx but not filled until after adverse event. Mom gave Benadryl (40mg) at 1750 on 08/29/06 and symptoms resolved by 1830 8/29/06 entire event treated via telephone.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea, Muscle spasms
Clinical narrative: Severe diarrhea with cramping, now for >2 wks.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Severe diarrhea with cramping, now for >2 wks.
Age: 1.05
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Papulo vesicular lesions about 7 on scalp, trunk and extremity past 3-4 days.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Abnormal faeces, Bacterial infection, Haematochezia, Sepsis
Clinical narrative: Pt developed mucousy and occasional blood tinged stools 2 to 6 times per day since vaccines given. Heme + stool noted in office on 9/6.
Age: 1.15
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Child developed chickenpox.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt came into office at 11:15am with reddened warm to touch 4" diameter area on LVL at site of Hep A injection. Local reaction. Given 12.5mg Benadryl injection in office.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Hot, indurated erythema shoulder to elbow, into antecubital space and 95% circumference right arm.
Age: 1.02
Sex: F
Vaccine: HBHEPB, HEPA, MMRV
Symptoms: Urticaria
Clinical narrative: Urticarial rash started 8/31/06 48hrs post vaccines. Treated with Benadryl/hydrocortisone, no improvement. Started prednisolone 9/6/06.
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Injection site erythema, Injection site urticaria, Pruritus
Clinical narrative: 3 enlarged (golf ball sized) painful right axilla lymph nodes with large hot erythematous induration 270 degrees around the right tricep with tense painful blister, temperature, headache, fatigue.  Placed in quarters for 48 hours after being seen in acute care clinic.
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Blister, Erythema, Fatigue, Headache, Injection site warmth
Clinical narrative: 3 enlarged (golf ball sized) painful right axilla lymph nodes with large hot erythematous induration 270 degrees around the right tricep with tense painful blister, temperature, headache, fatigue.  Placed in quarters for 48 hours after being seen in acute care clinic.
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: 3 enlarged (golf ball sized) painful right axilla lymph nodes with large hot erythematous induration 270 degrees around the right tricep with tense painful blister, temperature, headache, fatigue.  Placed in quarters for 48 hours after being seen in acute care clinic.
Age: 49.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise, Nausea
Clinical narrative: Pain, swelling of the arm, hives.
Age: 49.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Pain, swelling of the arm, hives.
Age: 49.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site pain, Urticaria
Clinical narrative: Pain, swelling of the arm, hives.
Age: 41.0
Sex: F
Vaccine: MMR, TD, MMR, TDAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Area of redness/induration L arm 4x6cm adjacent to Adacel injection site. Began within 24 hrs of injection.
Age: 41.0
Sex: F
Vaccine: MMR, TD, MMR, TDAP
Symptoms: Rash
Clinical narrative: Area of redness/induration L arm 4x6cm adjacent to Adacel injection site. Began within 24 hrs of injection.
Age: 41.0
Sex: F
Vaccine: MMR, TD, MMR, TDAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Area of redness/induration L arm 4x6cm adjacent to Adacel injection site. Began within 24 hrs of injection.
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea, Weight increased
Clinical narrative: In 11th day of diarrhea after dose of Negative for Rotavirus no blood in stools. Baby gaining weight. No fever. Other vaccinations on same day unk type.
Age: 45.0
Sex: F
Vaccine: VARCEL, YF
Symptoms: Injection site erythema, Injection site inflammation, Pyrexia, Rash pruritic, Skin ulcer
Clinical narrative: 8/29/2006 Localized reaction, inflammation R Triceps 8/31/06 fever, inflammation shoulder to elbow R arm 4" wide, red, pruritic 9/1/06 Rash, bilateral legs, anterior, posterior and inside legs #100's. 3-4 lesion L arm. Seen by PCP, rash described as rose petals with dew drops. Antihistamine prescribed.
Age: 20.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Demyelination, Laboratory test abnormal, Meningitis viral, Paraesthesia, Urinary retention
Clinical narrative: Possible disseminated demyelination from vaccine administration and parasthesias, urinary retention. Treatment=steroids.
Age: 20.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: White blood cell disorder
Clinical narrative: Possible disseminated demyelination from vaccine administration and parasthesias, urinary retention. Treatment=steroids.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Coma, Dehydration, Eye movement disorder, Laboratory test abnormal, Muscle rigidity
Clinical narrative: Started vomiting evening of 8/14-had episode of posturing with head turned to light eyes of evened  right and twitching, some tongue twitching and rigidity right side.  Not responsive to parent's touch or stimulation brought to emergency department per paramedics. Let the above episodes witnessed in emergency department. D/C summary included eyes rolling up & dehydration.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Muscle twitching, Posturing, Vomiting
Clinical narrative: Started vomiting evening of 8/14-had episode of posturing with head turned to light eyes of evened  right and twitching, some tongue twitching and rigidity right side.  Not responsive to parent's touch or stimulation brought to emergency department per paramedics. Let the above episodes witnessed in emergency department. D/C summary included eyes rolling up & dehydration.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: Skin involvement papules of head, neck, shoulders, left back wound culture= no growth, placed on antibiotics- wounds self resolving.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Depression, Diabetes mellitus, Gout, Hypertension, Intervertebral disc displacement
Clinical narrative: Panic attacks, major depression, lumbar disc displacement, obesity, gout, hypertension, diabetes. 1/4/10 Faced an operation of extracting lesions on left forearm and in turn to be operated for a second one on the same left forearm. Pain in lower extremities being treated for diabetes which there is no family hisotry on such sickness plus vision problem, also being treated for a possible ear device for hearing to be included for treatment.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Obesity, Pain in extremity, Panic attack, Visual impairment
Clinical narrative: Panic attacks, major depression, lumbar disc displacement, obesity, gout, hypertension, diabetes. 1/4/10 Faced an operation of extracting lesions on left forearm and in turn to be operated for a second one on the same left forearm. Pain in lower extremities being treated for diabetes which there is no family hisotry on such sickness plus vision problem, also being treated for a possible ear device for hearing to be included for treatment.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Right anterior thigh local reaction raised, red, hot (5x4cm). Child walked without limp, only tender to touch.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Fatigue, Injection site erythema, Pyrexia
Clinical narrative: Significant redness surrounding site of vaccine administration. (pt also experiencing persistent fever/chills/fatigue x 2 wks).
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Anger, Arthralgia, Disturbance in attention, Hypoaesthesia, Infection
Clinical narrative: Infection in throat, numbness and tingling in fingers, insomnia, loss of concentration, joints ache and muscle, cramps legs, mood angry, weight gain.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Insomnia, Mood altered, Muscle spasms, Myalgia, Paraesthesia
Clinical narrative: Infection in throat, numbness and tingling in fingers, insomnia, loss of concentration, joints ache and muscle, cramps legs, mood angry, weight gain.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Weight increased
Clinical narrative: Infection in throat, numbness and tingling in fingers, insomnia, loss of concentration, joints ache and muscle, cramps legs, mood angry, weight gain.
Age: 54.0
Sex: M
Vaccine: ANTH, MNQ, SMALL
Symptoms: Dry skin, Hypertension, Pruritus, Rash
Clinical narrative: Rash, itches and dry skin, left neck side surgery, high pressure.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Acne, Arthralgia, Asthenia, Back pain, Fatigue
Clinical narrative: Have experienced lots of headaches, back pain, muscle pain such as arms biceps, elbows, knees, foot, heels, weakness, itchy skin, hands, fingers, very tired all the time. Lack of sexual interest and pimples on my legs.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Myalgia, Pruritus
Clinical narrative: Have experienced lots of headaches, back pain, muscle pain such as arms biceps, elbows, knees, foot, heels, weakness, itchy skin, hands, fingers, very tired all the time. Lack of sexual interest and pimples on my legs.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Pruritus
Clinical narrative: Itching on all parts of body and some cyst bumps on upper and lower back.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site discolouration, Pyrexia, Rash, Skin ulcer
Clinical narrative: Fever 100.5F, orally on 8/7/06. Rash, flat, blanching, well circumscribed lesions, on trunk and arms developed 8/28/06.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4 1/2" cm reaction with swelling, redness. Ice area, if reaction getting larger return to clinic.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Fatigue, Pain, Pyrexia
Clinical narrative: Received Menactra on 8/23/06. On 8/24/06 had fever to 103, generalized achiness esp. in lower extremities, weak and wobbly. At 2AM 8/24 looked tired and sleepy, joint tenderness L deltoid. Observed and returned to usual self.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Somnolence
Clinical narrative: Received Menactra on 8/23/06. On 8/24/06 had fever to 103, generalized achiness esp. in lower extremities, weak and wobbly. At 2AM 8/24 looked tired and sleepy, joint tenderness L deltoid. Observed and returned to usual self.
Age: 1.01
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Fever to 104, 48 hours after vaccinations given, that continued till 4-5 days after vaccines.  Viral upper respiratory infection diagnosed 8/26.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Swelling
Clinical narrative: Left arm swelling.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Vomiting
Clinical narrative: Developed abdominal pain, vomiting, no fever.
Age: 1.59
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient's mother called 9/1/06 at 9:12 am and stated injection site red, swollen, and bigger than 50 cents piece using TYLENOL for low grade temperature.  Also using cold compress.  Patient seen in office on 09/1/06 at 9:40 with redness and swelling of right anterior thigh.  Patient prescribed ATARAX 10 mg/5ml, 1/4 teaspoon four times a day and follow up as needed.
Age: 5.0
Sex: M
Vaccine: IPV
Symptoms: Headache, Pyrexia
Clinical narrative: 8/ headache, fever up to 103.1 resolved 8/30/06 treated with Ibuprofen
Age: 1.02
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 2-3 vesicles 2 weeks after Varivax.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Myalgia, Nausea, Paraesthesia, Vomiting
Clinical narrative: Received vaccine about 3:15 pm, awoke 1 am with vomiting and "tingly" arm in which vaccine administered.  Soreness at site of injection noted about 1 am.  At time of reporting, 9:40 am the next day, still with arm tingling, nausea and headache.
Age: 1.01
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Chicken pox rash noted on forehead, abdomen, buttocks back of neck.  Approximately 20-30 pox total, rash appeared 8/31/06 doctor diagnosed vaccine, virus chicken pox 9/1/06 .
Age: 60.0
Sex: M
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Myalgia, Tenderness
Clinical narrative: Deep aching muscle pain, subsides with no use of arm, pain is constant with movement remains tender to touch, localized from elbow to shoulder had 2 w/o pt with effect days U sound and E stimulus.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Parotid gland enlargement
Clinical narrative: Swelling of parotid gland versus pre auricular lymph node.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: DTaP given on 8/26-06.  Redness, swelling, itching noticed only this morning (8-28-06).  Treated with KEFLEX and BENADRYL.  8-31-06 Grand mom told us all the redness, swelling, itching are completely gone.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm Swollen, red local reaction 10cm x 10 cm area.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 1. Site of injection: vesicular cluster on 8/22/06.  2. Generalized vesicular eruption (20 lesions) onset 8/23/06, no systemic illness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Rash maculo-papular
Clinical narrative: Left leg splotchy, red, and warm to the touched.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Hypertension, Malaise, Pallor, Pharyngolaryngeal pain
Clinical narrative: Child became very pale and said she didn't feel well. Cold cloths applied on back of neck and forehead. C/o throat feeling hurt. Pt asked for H2O and took pills. BP 118/105. pt color returned and pt walked out of clinic. Pt did not lose consciousness.
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Anxiety, Dizziness, Heart rate increased, Paraesthesia
Clinical narrative: Pt reported that before the shot got in, my heart started racing. Also stated that when she returned to work her arm started tingling down into fingers and she3 became dizzy. She was taken to Hospital and evaluated by RN NP and given steroid injection and an anti anxiety med Xanax. She was informed by nurse practitioner that she could not be sure if SX were r/t vaccination or not.
Sex: U
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 1.31
Sex: F
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Dermatitis bullous, Erythema, Fluid retention, Skin ulcer
Clinical narrative: 3 Lesions filled with fluid with erythematous base 1 on abdomen, 1 under nose and 1 on cheek started 8/29/06. Varicella like lesions.
Age: 0.64
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Area of erythema with well defined border around DTaP injection site, hard, non tender. Area of redness is the size of a quarter, left thigh same. Area of redness a dime sized, TX with Augmentin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Redness and tenderness at injection site Cephalexin x 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Right arm at site of DTaP is red, swollen (3 inches) warm to touch, no streaking.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth, Rash macular
Clinical narrative: Within Minutes of receiving vaccines on 8/22/06 pt with blotches on face. This winter informed MD and ordered per MD to give pt Benadryl. Within minutes blotches diminished. Received call 8/23/06 that pt left deltoid red and swollen. Pt came in to office lt deltoid red, warm and swollen. Pt treated with 1 gm Rocephin. Benadryl and ice. Upon recheck on 8/24/06 pt lt deltoid with decreased redness and no swelling.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Within Minutes of receiving vaccines on 8/22/06 pt with blotches on face. This winter informed MD and ordered per MD to give pt Benadryl. Within minutes blotches diminished. Received call 8/23/06 that pt left deltoid red and swollen. Pt came in to office lt deltoid red, warm and swollen. Pt treated with 1 gm Rocephin. Benadryl and ice. Upon recheck on 8/24/06 pt lt deltoid with decreased redness and no swelling.
Age: 1.03
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Varicella, Zovirax 200 mg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Local reaction from injection site redness, swelling and tenderness for 3 days.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes, neck, groin. 7 days post vaccine
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Localized redness, pain, and itching occurred 8-12 hours after immunization was administered, (area upper thigh, other immun lower thigh).
Age: 1.01
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Within 24 hours of vaccination, left upper leg had significant swelling, redness, heat and tenderness.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen area 10mm long by 9mm wide.
Age: 31.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Parotitis, Swelling
Clinical narrative: 8/29/06 stated swelling behind right ear and right cheek area 3 days after MMR was given. She stated it got worse, no fever V/S stable. 8/29/06 was seen by Dr. Diagnosis possible parotitis. Pt instructed to apply warm compresses, NSAIDS as needed.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Indurated, red R thigh.
Age: 1.01
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Unevaluable event
Clinical narrative: Ofc. rec'd call from mom stating pt had an adverse reaction to shots given on 8/22/06. MD advised pt to return to the office to assess for treatment, mom refused, stating pt will return to previous MD for care.
Age: 1.05
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rash day five. Tx: Tylenol, Motrin.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Feeling hot, Headache, Nausea, Somnolence
Clinical narrative: PT C/O HEADACHE, DROWSINESS, NAUSEA AND FELT LIKE HE HAD A FEVER.  PT VITAL SIGNS NORMAL APPEARED DROWSY.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Agitation, Antisocial behaviour, Eye movement disorder, Lethargy, Musculoskeletal stiffness
Clinical narrative: 8/22/06: Prior to immunizations, client seemed less socially responsive than other children of same age. Mother stated no recent illness and no allergies.  Upon giving immunizations, child became aggitated and nurse needed assistance from another staff member for restraint.  IPV and DTaP administered.  Within seconds, child's eyes rolled upward and both arms stiffened.  Lasted approximately 3-5 seconds.  Child also became very lethargic which lasted 3-5 minutes.  Responded normally when given a toy - able to walk out of clinic.  Mother instructed to see pediatrician.  MMR withheld at this visit.
Age: 0.77
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Diarrhoea, Muscle twitching
Clinical narrative: 8-9-06 Mother called and reported that during the night the child had started crying uncontrollably and noted some muscle twitching in her legs, no fever.  Mom contacted the ER and was told to give tylenol and motrin alternating, some diarrhea started this am and mom was going to see her family doctor.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Patient reported fever 99.0-100.0F.  Had a reported rash on body.  "Few spots on Sunday and more on Monday."
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Abdominal pain upper, Gastrointestinal disorder, Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Two to three days after receipt of YF vaccine, had HA. Took tylenol and ibuprofen. Then on 9/4/06, had GI problems, nausea, and stomach pain. Still has nausea, stomach pain, malaise, muscle pain, and slowed mental status. Speech is very slow, compared to usual. Also has some redness and swelling at injection site.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Mental impairment, Myalgia, Nausea, Speech disorder
Clinical narrative: Two to three days after receipt of YF vaccine, had HA. Took tylenol and ibuprofen. Then on 9/4/06, had GI problems, nausea, and stomach pain. Still has nausea, stomach pain, malaise, muscle pain, and slowed mental status. Speech is very slow, compared to usual. Also has some redness and swelling at injection site.
Age: 20.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Chills, Pharyngolaryngeal pain, Rash, Rhinorrhoea
Clinical narrative: Approximately 3 - 4 hours after vaccination patient describes a rash on both arms (like mosquito bites).  His symptoms progressed to chills, a runny nose and sore throat.  He did not measure his temperature.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Pharyngeal oedema
Clinical narrative: 30 mins after injection was given, pt began to experience swelling of her throat. Tx: 50mg of Benadryl IM and monitor x 30 mins and 60mg of Prednisone PO.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 9cm redness with induration r deltoid
Age: 0.37
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Dyskinesia, Irritability, Myoclonus
Clinical narrative: Rhythmic myoclonic jerks for 30 mins starting 1 hr after vaccines given; fussiness for 7 more days. Myoclonci jerks of both arms while sleeping, every 1-2 minutes for 30 minutes total, onset 90 minutes after vaccinations. (Not reported to MD until 10/17/2006)
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV
Symptoms: Contusion, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: L leg swollen along spot, with black mark on L leg. It looks really red and swollen, itchy. Pt put ice on affected area.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Photophobia, Vomiting
Clinical narrative: Approximately 18 hrs. after receiving menactra vaccine client began vomiting (lasting 2 days) and experienced a severe headache with light sensitivity (lasting 3 days). Client denies fever, neck/back stiffness or weakness of extremities. He states he fully recovered 7 days post vaccination.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Red, swollen arm with swelling down to fingers on side she received injection. She also had a low grade fever, fatigue, and aching all over. She was up all night last night with fever and pain in arm. The injection was given on 9/2/06. She was seen by a MD today and given a solumedrol injection, samples of Zyrtec (she declined Benadryl because it makes her feel bad) and Celebrex.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Angioneurotic oedema, Oedema peripheral, Urticaria
Clinical narrative: [Summary Note: Right forearm cellulitis dx 2 days post AVA vaccination and 1 1/2 month post SMPX vac with reoccurrence right hand angioedema/urticaria up to 3 months later while deployed Feb-Aug 04 (no other site edema noted); @ 11 months post AVA vaccination c/o right cheek, lip, neck, hand and later foot edema, this is 2 months post TD and Influenza vaccinations 12/04 and three months post typhoid vaccination 11/05.]   Treated with prednisone tapers, benadryl, claritin, f/u allergy/immunology.  Symptoms persist prn as of 2006 Sept.