chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Abnormal behaviour, Brain oedema, Central nervous system lesion, Ear discomfort, Irritability
Clinical narrative: PATIENT WAS A HEALTHY, HAPPY, THRIVING, ADVANCED INFANT MEETING ALL OF HIS MILESTONES, CRAWLING,SITTING, AND STANDING. NEVER SICK. HE RECEIVED HIS VACCINES ON 09/10/2008 ON 09/13/2008 MOTHER NOTICED PATIENT WAS NOT ACTING NORMAL, SEEMED TO BE OFF BALANCE, WOULD STARE FOR AN EXTENDED PERIOD OF TIME, AND WAS FUSSY. SHE NOTICED HE WOULD PULL AT HIS RIGHT EAR IT WAS THE WEEKEND, SO SHE GAVE HIM TYLENOL FOR THE DISCOMFORT HE SEEMED TO BE IN. SHE TOOK PATIENT TO THE DOCTOR ON TUESDAY, SURE IT WAS AN EAR INFECTION. UPON DOCTORS EXAMINATION SHE ADVISED MOTHER TO TAKE HIM TO THE HOSPITAL. MOTHER TOOK HIM TO MEDICAL CENTER WHERE THEY PERFOMED A CT-SCAN OF THE BRAIN ON PATIENT. SHE WAS TOLD HIS BRAIN WAS SWOLLEN AND THEY AIREVACTED HIM TO  HOSPITAL WERE HE STILL REMAINS. SINCE HIS HOSPITALIZATION PATIENT HAS BEEN THROUGH A SERIES OF MRA'S MRI'S BLOOD WORK (ETC) HE SUFFERS FROM SEIZURES, SWELLING OF THE BRAIN, STROKES, AND NUMEROUS BRAIN LESIONS. WITH NO DIAGNOSIS OR PROGNOSIS FROM THE DOCTORS, THEY ARE UNABLE TO GIVE US A DIAGNOSIS. THEY ARE TREATING HIM WITH IV METHYLPREDNISONE, AND PHENOBARBITAL. THE FACTS ARE AS STATED ABOVE PATIENT WAS HEALTHY AND HAPPY PRIOR TO THE VACCINES.  10/15/2008 Reviewed hospital medical records of 09/18-10/03/2008. FINAL DX: multiple posterior fossa infarcts; ataxia; new onset seizures x 1 episode Records reveal patient experienced fall 5 days prior to admission hitting left side of head.  Two days prior to admission had intermittent episodes of poor balance, veering & falling to the left, decreased resonsiveness, abnormal behavior.  One day prior to admit, seen by PCP & sent to ER where CT scan reveled right cerebellar contusion.  Neuro, ID & Heme/Onc consults done & admitted to PICU.  DTRs quite exaggerated in LEsTx w/steroid taper.  Had possible seizure x 1 min w/eye/head deviation to right & postictal sleepiness.  Loaded w/Pb & steroids increased & tapered again.  Progressed slowly.  D/C to home on ASA, steroids & Pb w/PT & ST referrals.  10/3/08 Reviewed ER medical records of 9/17/2008. FINAL DX: right cerebellar contusion Records reveal patient experienced balance difficulty & fall from approx 3 inch step 4 days prior.  Left eye ecchymosis noted.  Excessively sleepy on day of visit w/increasing difficulty w/balance & left sided weakness. Transferred to higher level of care.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Staring
Clinical narrative: PATIENT WAS A HEALTHY, HAPPY, THRIVING, ADVANCED INFANT MEETING ALL OF HIS MILESTONES, CRAWLING,SITTING, AND STANDING. NEVER SICK. HE RECEIVED HIS VACCINES ON 09/10/2008 ON 09/13/2008 MOTHER NOTICED PATIENT WAS NOT ACTING NORMAL, SEEMED TO BE OFF BALANCE, WOULD STARE FOR AN EXTENDED PERIOD OF TIME, AND WAS FUSSY. SHE NOTICED HE WOULD PULL AT HIS RIGHT EAR IT WAS THE WEEKEND, SO SHE GAVE HIM TYLENOL FOR THE DISCOMFORT HE SEEMED TO BE IN. SHE TOOK PATIENT TO THE DOCTOR ON TUESDAY, SURE IT WAS AN EAR INFECTION. UPON DOCTORS EXAMINATION SHE ADVISED MOTHER TO TAKE HIM TO THE HOSPITAL. MOTHER TOOK HIM TO MEDICAL CENTER WHERE THEY PERFOMED A CT-SCAN OF THE BRAIN ON PATIENT. SHE WAS TOLD HIS BRAIN WAS SWOLLEN AND THEY AIREVACTED HIM TO  HOSPITAL WERE HE STILL REMAINS. SINCE HIS HOSPITALIZATION PATIENT HAS BEEN THROUGH A SERIES OF MRA'S MRI'S BLOOD WORK (ETC) HE SUFFERS FROM SEIZURES, SWELLING OF THE BRAIN, STROKES, AND NUMEROUS BRAIN LESIONS. WITH NO DIAGNOSIS OR PROGNOSIS FROM THE DOCTORS, THEY ARE UNABLE TO GIVE US A DIAGNOSIS. THEY ARE TREATING HIM WITH IV METHYLPREDNISONE, AND PHENOBARBITAL. THE FACTS ARE AS STATED ABOVE PATIENT WAS HEALTHY AND HAPPY PRIOR TO THE VACCINES.  10/15/2008 Reviewed hospital medical records of 09/18-10/03/2008. FINAL DX: multiple posterior fossa infarcts; ataxia; new onset seizures x 1 episode Records reveal patient experienced fall 5 days prior to admission hitting left side of head.  Two days prior to admission had intermittent episodes of poor balance, veering & falling to the left, decreased resonsiveness, abnormal behavior.  One day prior to admit, seen by PCP & sent to ER where CT scan reveled right cerebellar contusion.  Neuro, ID & Heme/Onc consults done & admitted to PICU.  DTRs quite exaggerated in LEsTx w/steroid taper.  Had possible seizure x 1 min w/eye/head deviation to right & postictal sleepiness.  Loaded w/Pb & steroids increased & tapered again.  Progressed slowly.  D/C to home on ASA, steroids & Pb w/PT & ST referrals.  10/3/08 Reviewed ER medical records of 9/17/2008. FINAL DX: right cerebellar contusion Records reveal patient experienced balance difficulty & fall from approx 3 inch step 4 days prior.  Left eye ecchymosis noted.  Excessively sleepy on day of visit w/increasing difficulty w/balance & left sided weakness. Transferred to higher level of care.
Age: 27.0
Sex: M
Vaccine: TD
Symptoms: Chest pain, Dyspnoea, Musculoskeletal chest pain, Pericarditis
Clinical narrative: Developed chest pain around 7/12/1998. Seen on sick call on 7/14/1998 for chest pain. Seen again on 7/28/1998 for chest wall pain and shortness of breath with exercise. Had CXR, EKG done, but results not visible; treated with NAPROSYN. Documentation of ER visit and admission to hospital between 15 Sep and 16 Sep 1998 for pericarditis.  10/1/08 Reviewed hospital medical records of 9/15-9/17/1998. FINAL DX: pericarditis, likely secondary to viral infection Records reveal patient experienced chest pain x 2 days after vaccinations.  Had body heaviness & weakness. Tx w/NSAIDS
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Activities of daily living impaired, Anion gap normal, Asthenia, Blood calcium normal, Blood chloride normal
Clinical narrative: 22 yo male with h/o leg numbness with onset of symptoms during the 1st week in July, awoke in the AM with patchy numbness in the legs bilaterally to the mid-thigh, stable since onset without worsening or improvement. He reports that his walking and leg movements become more difficult as the day progresses; they are better in the AM, but not normal. In the morning, he has persistent numbness, with decreased speed of walking, reports inability to jog or run (may catch himself or have the feeling that his legs are 'going out.)' He reports that later in the day he may have increase in his 'lack of feeling' and increased difficulty walking. His strength and sensation in the arms are normal, possibly slightly decreased due to lack of exercise. He reports that he had problems with achieving erections initially, although reports that this has normalized for the past two weeks. Bowel and bladder function are normal; last bowel movement last PM, with normal frequency of bowel movements over the past month. He reports urination is normal as well, has not noted increased urinary frequency, urinary urgency, or incontinence, and has had no bowel incontinence. Seen by doctor on the 17th of July who recommended prompt referral to Neurology. He went out of town for a weekend, reports that he saw a doctor, with MRI's done at hospital. Denies any prior similar episodes or family history of similar problems. He denies any recent illness or fevers. He was last deployed early this year (returned 1/09/08).  SEE ATTACHED NEUROLOGY SUMMARY. INITIALLY PT QUESTIONED THAT HIS SYMPTOMS WERE RELATED TO HIS 2ND ANTHRAX VACCINE, BUT DID NOT PROVIDE DOCUMENTATION OF A MORE RECENT ANTHRAX VACCINE. 9/26/08 Case closed w/medical records that accompanied report.   FINAL DX: Guillain Barre syndrome Records reveal patient experienced numbness of legs, difficulty walking; sexual dysfunction early July, 2008.  Seen by ortho clinic & referred to neuro clinic 8/4/08.  Decreased bilateral LE reflexes.  Tx w/IVIG.  Improved approx 16 days s/p IVIG w/resolution of numbness knees to ankles.  However, feet/ankles numbness & weakness persisted; & legs tire quickly.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood urea increased
Clinical narrative: 22 yo male with h/o leg numbness with onset of symptoms during the 1st week in July, awoke in the AM with patchy numbness in the legs bilaterally to the mid-thigh, stable since onset without worsening or improvement. He reports that his walking and leg movements become more difficult as the day progresses; they are better in the AM, but not normal. In the morning, he has persistent numbness, with decreased speed of walking, reports inability to jog or run (may catch himself or have the feeling that his legs are 'going out.)' He reports that later in the day he may have increase in his 'lack of feeling' and increased difficulty walking. His strength and sensation in the arms are normal, possibly slightly decreased due to lack of exercise. He reports that he had problems with achieving erections initially, although reports that this has normalized for the past two weeks. Bowel and bladder function are normal; last bowel movement last PM, with normal frequency of bowel movements over the past month. He reports urination is normal as well, has not noted increased urinary frequency, urinary urgency, or incontinence, and has had no bowel incontinence. Seen by doctor on the 17th of July who recommended prompt referral to Neurology. He went out of town for a weekend, reports that he saw a doctor, with MRI's done at hospital. Denies any prior similar episodes or family history of similar problems. He denies any recent illness or fevers. He was last deployed early this year (returned 1/09/08).  SEE ATTACHED NEUROLOGY SUMMARY. INITIALLY PT QUESTIONED THAT HIS SYMPTOMS WERE RELATED TO HIS 2ND ANTHRAX VACCINE, BUT DID NOT PROVIDE DOCUMENTATION OF A MORE RECENT ANTHRAX VACCINE. 9/26/08 Case closed w/medical records that accompanied report.   FINAL DX: Guillain Barre syndrome Records reveal patient experienced numbness of legs, difficulty walking; sexual dysfunction early July, 2008.  Seen by ortho clinic & referred to neuro clinic 8/4/08.  Decreased bilateral LE reflexes.  Tx w/IVIG.  Improved approx 16 days s/p IVIG w/resolution of numbness knees to ankles.  However, feet/ankles numbness & weakness persisted; & legs tire quickly.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: CSF cell count normal, CSF glucose normal, CSF protein normal, CSF test normal, CSF white blood cell count negative
Clinical narrative: 22 yo male with h/o leg numbness with onset of symptoms during the 1st week in July, awoke in the AM with patchy numbness in the legs bilaterally to the mid-thigh, stable since onset without worsening or improvement. He reports that his walking and leg movements become more difficult as the day progresses; they are better in the AM, but not normal. In the morning, he has persistent numbness, with decreased speed of walking, reports inability to jog or run (may catch himself or have the feeling that his legs are 'going out.)' He reports that later in the day he may have increase in his 'lack of feeling' and increased difficulty walking. His strength and sensation in the arms are normal, possibly slightly decreased due to lack of exercise. He reports that he had problems with achieving erections initially, although reports that this has normalized for the past two weeks. Bowel and bladder function are normal; last bowel movement last PM, with normal frequency of bowel movements over the past month. He reports urination is normal as well, has not noted increased urinary frequency, urinary urgency, or incontinence, and has had no bowel incontinence. Seen by doctor on the 17th of July who recommended prompt referral to Neurology. He went out of town for a weekend, reports that he saw a doctor, with MRI's done at hospital. Denies any prior similar episodes or family history of similar problems. He denies any recent illness or fevers. He was last deployed early this year (returned 1/09/08).  SEE ATTACHED NEUROLOGY SUMMARY. INITIALLY PT QUESTIONED THAT HIS SYMPTOMS WERE RELATED TO HIS 2ND ANTHRAX VACCINE, BUT DID NOT PROVIDE DOCUMENTATION OF A MORE RECENT ANTHRAX VACCINE. 9/26/08 Case closed w/medical records that accompanied report.   FINAL DX: Guillain Barre syndrome Records reveal patient experienced numbness of legs, difficulty walking; sexual dysfunction early July, 2008.  Seen by ortho clinic & referred to neuro clinic 8/4/08.  Decreased bilateral LE reflexes.  Tx w/IVIG.  Improved approx 16 days s/p IVIG w/resolution of numbness knees to ankles.  However, feet/ankles numbness & weakness persisted; & legs tire quickly.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Carbon dioxide normal, Demyelinating polyneuropathy, Electromyogram abnormal, Erectile dysfunction, Gait disturbance
Clinical narrative: 22 yo male with h/o leg numbness with onset of symptoms during the 1st week in July, awoke in the AM with patchy numbness in the legs bilaterally to the mid-thigh, stable since onset without worsening or improvement. He reports that his walking and leg movements become more difficult as the day progresses; they are better in the AM, but not normal. In the morning, he has persistent numbness, with decreased speed of walking, reports inability to jog or run (may catch himself or have the feeling that his legs are 'going out.)' He reports that later in the day he may have increase in his 'lack of feeling' and increased difficulty walking. His strength and sensation in the arms are normal, possibly slightly decreased due to lack of exercise. He reports that he had problems with achieving erections initially, although reports that this has normalized for the past two weeks. Bowel and bladder function are normal; last bowel movement last PM, with normal frequency of bowel movements over the past month. He reports urination is normal as well, has not noted increased urinary frequency, urinary urgency, or incontinence, and has had no bowel incontinence. Seen by doctor on the 17th of July who recommended prompt referral to Neurology. He went out of town for a weekend, reports that he saw a doctor, with MRI's done at hospital. Denies any prior similar episodes or family history of similar problems. He denies any recent illness or fevers. He was last deployed early this year (returned 1/09/08).  SEE ATTACHED NEUROLOGY SUMMARY. INITIALLY PT QUESTIONED THAT HIS SYMPTOMS WERE RELATED TO HIS 2ND ANTHRAX VACCINE, BUT DID NOT PROVIDE DOCUMENTATION OF A MORE RECENT ANTHRAX VACCINE. 9/26/08 Case closed w/medical records that accompanied report.   FINAL DX: Guillain Barre syndrome Records reveal patient experienced numbness of legs, difficulty walking; sexual dysfunction early July, 2008.  Seen by ortho clinic & referred to neuro clinic 8/4/08.  Decreased bilateral LE reflexes.  Tx w/IVIG.  Improved approx 16 days s/p IVIG w/resolution of numbness knees to ankles.  However, feet/ankles numbness & weakness persisted; & legs tire quickly.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Movement disorder, Nuclear magnetic resonance imaging abnormal, Sensory loss
Clinical narrative: 22 yo male with h/o leg numbness with onset of symptoms during the 1st week in July, awoke in the AM with patchy numbness in the legs bilaterally to the mid-thigh, stable since onset without worsening or improvement. He reports that his walking and leg movements become more difficult as the day progresses; they are better in the AM, but not normal. In the morning, he has persistent numbness, with decreased speed of walking, reports inability to jog or run (may catch himself or have the feeling that his legs are 'going out.)' He reports that later in the day he may have increase in his 'lack of feeling' and increased difficulty walking. His strength and sensation in the arms are normal, possibly slightly decreased due to lack of exercise. He reports that he had problems with achieving erections initially, although reports that this has normalized for the past two weeks. Bowel and bladder function are normal; last bowel movement last PM, with normal frequency of bowel movements over the past month. He reports urination is normal as well, has not noted increased urinary frequency, urinary urgency, or incontinence, and has had no bowel incontinence. Seen by doctor on the 17th of July who recommended prompt referral to Neurology. He went out of town for a weekend, reports that he saw a doctor, with MRI's done at hospital. Denies any prior similar episodes or family history of similar problems. He denies any recent illness or fevers. He was last deployed early this year (returned 1/09/08).  SEE ATTACHED NEUROLOGY SUMMARY. INITIALLY PT QUESTIONED THAT HIS SYMPTOMS WERE RELATED TO HIS 2ND ANTHRAX VACCINE, BUT DID NOT PROVIDE DOCUMENTATION OF A MORE RECENT ANTHRAX VACCINE. 9/26/08 Case closed w/medical records that accompanied report.   FINAL DX: Guillain Barre syndrome Records reveal patient experienced numbness of legs, difficulty walking; sexual dysfunction early July, 2008.  Seen by ortho clinic & referred to neuro clinic 8/4/08.  Decreased bilateral LE reflexes.  Tx w/IVIG.  Improved approx 16 days s/p IVIG w/resolution of numbness knees to ankles.  However, feet/ankles numbness & weakness persisted; & legs tire quickly.
Age: 32.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Aching in hips, legs, fever (101.7), chills, tiredness, headache.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient presented to the pharmacy complaining of redness, swelling (very well demarcated) and injection site tenderness (upon touch).  Patient has not seeked medical attention thus far.
Age: 2.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, vomiting overnight on 9-24-08.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Lg red, baseball size, inflamed injection site, 24 hours post shot.  Ice, ibuprofen, BENADRYL.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Activated partial thromboplastin time shortened, Anxiety, Aspartate aminotransferase normal, Axillary pain, Basophil count normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin, Blood calcium normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Blood chloride increased, Blood cholesterol normal, Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Blood creatinine normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Blood glucose normal, Blood phosphorus decreased, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Blood uric acid decreased, Carbon dioxide normal, Chest discomfort, Chest pain, Eosinophil count normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Eosinophil percentage, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased, Hypoaesthesia
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: International normalised ratio, Lymphadenopathy, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Neck pain, Neutrophil count normal, Neutrophil percentage, Pain in extremity, Palpitations
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Platelet count normal, Protein total normal, Prothrombin time normal, Red blood cell count decreased, Red cell distribution width decreased
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 21.0
Sex: F
Vaccine: FLUN3, SMALL
Symptoms: Troponin I, White blood cell count decreased
Clinical narrative: Pt had FLUMIST and SPV (left arm) on 9/2/08 and anthrax #3 on 9/3/08.  Pt states that on 9/2/08 she started having left arm pain, and she noted a swollen lymph node on the left side of her neck and her left axilla.  She also had pain in these areas.  On 9/6/08 she started having left arm and hand numbness (intermittent).  On the nite of 9/6/08 she had chest "pressure" (6/10) which increased with lying down and improved with sitting up.  The pt denied having SOB, but did say that she felt "anxious" and could feel her heart pounding.  The chest pain lasted 48 hours.  The pt went to the ER on 9/11/08 and was told that she was released to full duty.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pruritus
Clinical narrative: Back of (L) arm, swelled on Wed. afternoon.  Very red and itching.  Instructed to apply heat Q3-4hr.  PRN and MOTRIN.  Appt on Thurs.  Warm extremely red, swollen and temp 101.7.  Given IM ROCEPHIN.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Allergy test positive, Urticaria
Clinical narrative: Pt developed hives 20-30 minutes after receiving GARDASIL, was given BENADRYL & Prednisone.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy test positive, Urticaria
Clinical narrative: Pt received Flu Vaccine.  Within 30 minutes she developed hives, prescribed with BENADRYL & Prednisone.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Asthenia, Blood pressure normal, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: After receiving Iz patient stood became weak, pale diaphoretic (BP normal) stated she was very dizzy.  Patient placed on bed until dizziness subsided.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site anaesthesia, Injection site pain
Clinical narrative: Right arm (deltoid) pain\ numbness at site of injection X 20 days after injection, zero redness or warmth.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Paraesthesia
Clinical narrative: Tingling in hands/fingers on side of HPV vaccine noted 24 hours after shot and continued intermittently at least 3 days.  No abnormalities on exam.  12/3/08 Office note received from PCP. Pt seen for c/o tingling sensation in R hand/fingers since 1 day after vax. Occurs intermittantly.  PE WNL. Normal strength. Impression: May have irritation from vaccine or something else. Resolved by 9/30/08
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Erythematous rash over arms, legs and torso consistent with urticaria.   No fever/chills, URI symptoms, and no dyspnea/wheezing.  Seen in Urgent Care on 09/14/2008 and treated with prednisone and CLARITIN.  Compounding aspect is that SM received Amoxicillin for Otitis Media the day after the SPV and stopped taking it 1-2 days prior to onset of rash.
Age: 64.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Erythema, Hyperhidrosis, Injection site induration, Injection site pain
Clinical narrative: Patient has an encircled area on her left proximal triceps region where there was previously noted by ER induration and a central area of thickening.  This area has faded compared to previously described on reports from the emergency room hand is still somewhat tender to touch in the central area around the site of the injection.  --There is no signs of the ascending cellulitis--  The patient is a very pleasant 65 year old female who comes in 2 days after she received a PNEUMOVAX injection.  She feels like she is getting a cellulitis.  She has felt some chills, no documented fever but somewhat sweaty yesturday.  Those symptoms have somewhat improved but she has noticed increases redness to her left upper arm and came in for further evaluation.
Age: 19.0
Sex: M
Vaccine: JEV
Symptoms: Burning sensation, Chills, Eye pruritus, Hyperhidrosis, Nasopharyngitis
Clinical narrative: Pt had JEV (right) and typhoid (left) afternoon of 9/12/08.  Pt had a cold (productive cough, sneezing).  9/14/08 pt felt chilled although he was sweating; did not take temp; took tylenol; cough was worse.  9/16/08 0130 pt woke with sensation of burning/intense itching of legs.  He had flesh colored raised areas up to 3" all over legs and feet (worse behind knees); itchy eyes and increased rhinnorhea; no SOB or scratchy throat.  Pt sprayed his legs with generic athletes foot spray which did not help.  Rash  was better in the arm and resolved by noon.  No recent outdoor activity, no new soap, detergent, clothes, linens.  No other people in barracks with rash.
Age: 19.0
Sex: M
Vaccine: JEV
Symptoms: Productive cough, Pruritus, Rash, Rhinorrhoea, Sneezing
Clinical narrative: Pt had JEV (right) and typhoid (left) afternoon of 9/12/08.  Pt had a cold (productive cough, sneezing).  9/14/08 pt felt chilled although he was sweating; did not take temp; took tylenol; cough was worse.  9/16/08 0130 pt woke with sensation of burning/intense itching of legs.  He had flesh colored raised areas up to 3" all over legs and feet (worse behind knees); itchy eyes and increased rhinnorhea; no SOB or scratchy throat.  Pt sprayed his legs with generic athletes foot spray which did not help.  Rash  was better in the arm and resolved by noon.  No recent outdoor activity, no new soap, detergent, clothes, linens.  No other people in barracks with rash.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Post Vaccine Varicella
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.  Pediarix was given as 4th.- it is only to be  used for 1, 2, 3.  Pt had no problems.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Myalgia, Rash papular, Rash pruritic, Tinnitus
Clinical narrative: Papular rash scarting near injection site and spreading to trunk and extremities.  Rash was itchy accompanied by  myalgias, arthralgias, tinnitus seen in ER 31 Aug, Given hydrosyzine/cimstidine/prednisone.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Some day local reaction was arm sore red warm and big 5PM had softball sized swelling are of injection with some nausea and felt feverish that day. Felt fine next day except re jot soreness and edema con't X 2-3 wks (in L arm)
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Local reaction, Nausea, Oedema, Pyrexia
Clinical narrative: Some day local reaction was arm sore red warm and big 5PM had softball sized swelling are of injection with some nausea and felt feverish that day. Felt fine next day except re jot soreness and edema con't X 2-3 wks (in L arm)
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling and warmth at injection site. Treated with ORAPRED BID X 3 days X ATAVAX - TID PRN
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pustular
Clinical narrative: Rash (pustular) - generalized since 09/23/2008 - No fever
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site rash, Local reaction, Rash erythematous, Rash maculo-papular
Clinical narrative: Rash on thigh at injection site develop on 9/22/08.  Local reaction to VARIVAX.  Erythematous maculo/papular rash to trunk developed today 9/23/08 and is developing.  Noting some rash starting on face - behind ears.  Rubella rash."
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Paraesthesia
Clinical narrative: Tinglin in hands/fingers on side of HPV vaccine noted 24 hrs after shot and continued intermittently at least 3 days. No abnormalities on exam.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Autopsy, Unresponsive to stimuli
Clinical narrative: Pt. received vaccines on 7/31/08 and was then brought to the local emergency room unresponsive, without vital signs. They attempted resuscitation but he did not survive.   2/20/09 Autopsy report states COD as SIDS; perimembranous atrial septal defect.  Manner of death undetermined.  Report also states patient had seen PCP & slight heart murmur detected.  referred to peds cardiologist but expired prior to appt.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Bed rest, Convulsion, Menstruation irregular, Muscle spasms, Neurological symptom
Clinical narrative: Seizures - antiseizure medication; Blood clot (left arm) - blood thinner. Extreme pain on left side, felt like a Charlie Horse. Irregular menstrual cycle - Oct '07 - Jan '08. Rashes/hives - ALLEGRA, ZYRTEC, BENADRYL. Brain inflammation. Phantom feeling on left side. Bedrest for 2 months.  10/14/2008 MR received for DOS 1/27-2/20/2008 with D/C DX:  Simple partial seizures with capacity for secondary generalization.  Epilepsia partialis continua manifested by L chest pain, L neck pressure, and L-sided numbness and paresthesias involving the arm and leg.  R parietal cortex lesion.  Pulmonary Embolism from probable hypercoagulable state.  Sinusitis. Pt presented after transfer from local facility. Has had 5-10 ER visits over the last 11 days for progression of symptoms which began 1/16/2008 with numbness and discomfort which begins in the L arm and progresses to chest and L leg. Symptoms have become more frequent and of increased intensity. On the night prior to admission pt was found unresponsive and gurgling. Seen in local ER and d/c. 2nd episode which involved flailing of all 4 limbs followed by becoming unresponsive and limp. Initial PE (+) for L sided weakness, tongue lac, and subjective decreased sensation of the L arm. Initially had some improvement in seizure activity on  anti-convulsants, however pt developed persisitant numbess of the L arm, thorax and L leg and increasing pain in the chest and L neck. PE was dx 2/11 and pt placed on anti-coagulants. IVC filter placed and removed 2/19/08. Symptoms of numbness and pain decreased as seizures under control. D/C home 2/20/08. 2/2/09 MR received from neurology consults dated 5/7/08, 5/9/08 and 11/6/08. DX include Refractory partial epilepsy, R central MRI abnormality, Pulmonary embolism, Coumadin anticoagulation, Urticaria, RUQ abdominal pain, Loss of taste and weight loss, New onset migraine H/A w/out oura, recurrent sinusitis and hx of neutropenia.  Hx as above.  Still with daily seizures. New onset migraines which began in 7/2008 with phono/photophobia and transient hearing decrease.  Some decrease in seizure with multiple meds.   1/27/2010 Patient continues to have seizures, but controlled with medication. 3 more emergency visits since 9/08. 2 for headaches, 1 for chest pain lasting 24 hours after seizures.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Phantom pain, Rash, Thrombosis, Urticaria
Clinical narrative: Seizures - antiseizure medication; Blood clot (left arm) - blood thinner. Extreme pain on left side, felt like a Charlie Horse. Irregular menstrual cycle - Oct '07 - Jan '08. Rashes/hives - ALLEGRA, ZYRTEC, BENADRYL. Brain inflammation. Phantom feeling on left side. Bedrest for 2 months.  10/14/2008 MR received for DOS 1/27-2/20/2008 with D/C DX:  Simple partial seizures with capacity for secondary generalization.  Epilepsia partialis continua manifested by L chest pain, L neck pressure, and L-sided numbness and paresthesias involving the arm and leg.  R parietal cortex lesion.  Pulmonary Embolism from probable hypercoagulable state.  Sinusitis. Pt presented after transfer from local facility. Has had 5-10 ER visits over the last 11 days for progression of symptoms which began 1/16/2008 with numbness and discomfort which begins in the L arm and progresses to chest and L leg. Symptoms have become more frequent and of increased intensity. On the night prior to admission pt was found unresponsive and gurgling. Seen in local ER and d/c. 2nd episode which involved flailing of all 4 limbs followed by becoming unresponsive and limp. Initial PE (+) for L sided weakness, tongue lac, and subjective decreased sensation of the L arm. Initially had some improvement in seizure activity on  anti-convulsants, however pt developed persisitant numbess of the L arm, thorax and L leg and increasing pain in the chest and L neck. PE was dx 2/11 and pt placed on anti-coagulants. IVC filter placed and removed 2/19/08. Symptoms of numbness and pain decreased as seizures under control. D/C home 2/20/08. 2/2/09 MR received from neurology consults dated 5/7/08, 5/9/08 and 11/6/08. DX include Refractory partial epilepsy, R central MRI abnormality, Pulmonary embolism, Coumadin anticoagulation, Urticaria, RUQ abdominal pain, Loss of taste and weight loss, New onset migraine H/A w/out oura, recurrent sinusitis and hx of neutropenia.  Hx as above.  Still with daily seizures. New onset migraines which began in 7/2008 with phono/photophobia and transient hearing decrease.  Some decrease in seizure with multiple meds.   1/27/2010 Patient continues to have seizures, but controlled with medication. 3 more emergency visits since 9/08. 2 for headaches, 1 for chest pain lasting 24 hours after seizures.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery, X-ray abnormal
Clinical narrative: Patient developed intussusception requiring surgical intervention on 6th day following vaccine admin.   11/25/08 Reviewed hospital medical record of 9/22-10/05/2008. FINAL DX: no d/c summary available.  Admitted for intussusception; exp laparotomy w/ileocecectomy w/primary anastamosis; inverted Meckel's diverticulum. Records reveal patient experienced bloody stools Tx w/parenteral nutrition, NGT, narcotic pain meds.  Failed diet progression, developed firm abd distention, increased pain & irritability.  Dx w/postop ileus.  Returned to OR for re-exploration & repair of anastamotic leak 9/28, remained intubated & admitted to PICU.  Had bilious emesis prior to intubation & concerned for aspiration.  Extubated by next day & transferred to regular floor.  Progressed well, tolerated oral feeds, completed antibiotics & d/c to home  .
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Blood culture negative, Decreased activity, Haematocrit decreased, Haemoglobin decreased, Irritability
Clinical narrative: Presented to ED one day after immunization with fever 40.4, increased fussiness, decreased activity, edema, pain - BP 100/32 - Treated with N S bolus, antibiotics - Admitted to hospital x 3 days, treated with morphine and antibiotics - Resolved.   10/6/08 MR received for DOS 9/12-15/2008 with D/C DX:  Sickle Cell Disease HgbSS.  Inflammatory Reaction.  Pt presented 1 day after Pneumovax with fever, leg pain and swelling and refusal to walk.  PE (+) for mild icterus, dry lips, tachypnea, and swelling/warmth of L thigh/knee.  Tx with abx and pain meds.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Oedema, Pyrexia, White blood cell count increased
Clinical narrative: Presented to ED one day after immunization with fever 40.4, increased fussiness, decreased activity, edema, pain - BP 100/32 - Treated with N S bolus, antibiotics - Admitted to hospital x 3 days, treated with morphine and antibiotics - Resolved.   10/6/08 MR received for DOS 9/12-15/2008 with D/C DX:  Sickle Cell Disease HgbSS.  Inflammatory Reaction.  Pt presented 1 day after Pneumovax with fever, leg pain and swelling and refusal to walk.  PE (+) for mild icterus, dry lips, tachypnea, and swelling/warmth of L thigh/knee.  Tx with abx and pain meds.
Age: 14.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ
Symptoms: Computerised tomogram normal, Convulsion, Fall, Head injury, Syncope
Clinical narrative: Pt received FLUMIST, MENACTRA and GARDASIL, had syncopal event, fell & head injury, and had approx. 15-20 sec generalized seizure.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Vesicular eruption
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain upper, Dizziness, Erythema, Nausea, Pain
Clinical narrative: Pt c/o nausea - dizziness - stomachache - fever. When seen in office temp-98.5 - arm warm to touch - red area - 4x6 inches.  Systemic and localized pain.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Skin warm
Clinical narrative: Pt c/o nausea - dizziness - stomachache - fever. When seen in office temp-98.5 - arm warm to touch - red area - 4x6 inches.  Systemic and localized pain.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Blister, Nausea, Oedema, Oedema peripheral
Clinical narrative: Swelling left arm - nausea 24 hours  after vaccine - resolved 48 after edema X 1 day - 12 vesicles on chest.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Fever for 3-4hrs, injection site was red, swollen and hot the day aftr the shot.  Pt complains of headaches moving down her back through her pine.  Pt was referred to central Texas Medical Center ER.  Pt's mother states that Pt was seen in ER, given ABx for sinus infection, and is feeling better and back in school. 09/18/2008
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Sinusitis
Clinical narrative: Fever for 3-4hrs, injection site was red, swollen and hot the day aftr the shot.  Pt complains of headaches moving down her back through her pine.  Pt was referred to central Texas Medical Center ER.  Pt's mother states that Pt was seen in ER, given ABx for sinus infection, and is feeling better and back in school. 09/18/2008
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Muscle twitching, Pyrexia, Vomiting
Clinical narrative: On set 9-20-2008  0500 - of fever, chills, twitching, full body, vomited x1 (vomiting reported by child) not certain as parent did not witness discussed with on call MD - question flu like viral illness or reaction to TDAP.  Monitor & hydrate call if increasing concerns.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury
Clinical narrative: Pt. fell to ground, hit back of head, did no lose consciousness. Pt. remained in office, lying down -  B/P 100/70 for one hour.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Amnesia, Clonus, Disorientation, Fatigue, Feeling abnormal
Clinical narrative: Suspected syncope VS seizure.  Five minutes after immunization, patient felt odd, then per mom, her legs "flipped out from her body"- mom caught her torso; arms extended and entire body stiffened X seconds. Then, approximately 15 sec of clonic movement of legs. Teeth bit lower lip. Then, big gasp of air, and patient "came to; though pale and slightly disoriented X 5-10 min, and tired for at least several hours after.  Amnesia of event. To Emergency Department for evaluation.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Laceration, Musculoskeletal stiffness, Pallor
Clinical narrative: Suspected syncope VS seizure.  Five minutes after immunization, patient felt odd, then per mom, her legs "flipped out from her body"- mom caught her torso; arms extended and entire body stiffened X seconds. Then, approximately 15 sec of clonic movement of legs. Teeth bit lower lip. Then, big gasp of air, and patient "came to; though pale and slightly disoriented X 5-10 min, and tired for at least several hours after.  Amnesia of event. To Emergency Department for evaluation.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus
Clinical narrative: 10 minutes after receiving ZOSTAVAX began to complain of redness & itching at injection site.  Requested follow-up by nurse
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: *frequent vomiting and diarrhea *PEDILYTE 1L Ad lib
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Conversion disorder, Dyspnoea, Myalgia, Pyrexia
Clinical narrative: High fever 102 degrees up and down for 5 days. Stomach pains, muscle aches, emotional stress, and hysteria, (complained of ribs aching - breathing difficult at times)
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Stress
Clinical narrative: High fever 102 degrees up and down for 5 days. Stomach pains, muscle aches, emotional stress, and hysteria, (complained of ribs aching - breathing difficult at times)
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Nausea, Pruritus generalised
Clinical narrative: Rec'd vaccine at 1600 hrs & began itching lower back in evening.  Itching inc'd next day all over body & arm.  Lt arm itching & burning intensely the 2nd day with intense red color.  Nausea for 2-3 days.  Report & event to Dr.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Headache, Pain, Pruritus, Rash papular
Clinical narrative: Red papules on face, headache and body ache with itching within 18 hours of administration of MENACTRA and GARDASIL immunization.
Age: 10.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Culture urine positive, Pain, Pyrexia, White blood cell count increased
Clinical narrative: Presented to clinic one day after immunization with fever/pain - treated with IV antibiotics-Temp 38 degrees, arm pain 7 on scale of 0 -10.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Body temperature increased, Ear infection, Erythema, Rash, Urticaria
Clinical narrative: pm 9/10 - T 101.  9/16 rash - describes as red whelps - but house very hot - she's been canning vegetables/onions.  5am Temp 100.2.  Saw Dr. 9/18 - ear infection - and improved once Ab started.
Age: 1.11
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Drug administered at inappropriate site, Incorrect route of drug administration
Clinical narrative: MMR vaccine was given intramuscular in right thigh, instead of subcutaneous to upper arm
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Drug administered at inappropriate site, Incorrect route of drug administration
Clinical narrative: MMR was given intramuscular in right thigh instead of subcutaneous to arm.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drug administered at inappropriate site, Incorrect route of drug administration
Clinical narrative: MMR was given intramuscular in right thigh instead of subcutaneous arm.
Age: 1.05
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug administered at inappropriate site, Incorrect route of drug administration
Clinical narrative: MMR was given IM RT instead of SQ to arm