chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: MMRV, TD, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave private MRV, private VZV, Td. Client should have received MMR, Td, VZV private. Incorrect age for MMRV. Mgr and RN notified immediately. Pt had no adverse effects in the 45 min post vaccine at clinic.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 8-1-07 Tdap given 12-29-06. Client in for immun 7-31-07 and was given Tdap again. No adverse events at this time. 8-7-07 No adverse events reported to Hth Dept.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Pyrexia
Clinical narrative: Severe headache/fever
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Anorexia, Headache, Lethargy, Tremor
Clinical narrative: Shaking, headache, lethargic, no appetite.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Fever to 102, chills and arm pain lasting 24+ hours.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Dyspnoea, Gait disturbance, Injection site pain
Clinical narrative: Patient developed weakness, significant site pain, difficulty walking, taking deep breath.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Gait disturbance, Hyperventilation, Injection site pain
Clinical narrative: Patient developed weakness, significant site pain, difficulty walking, taking deep breath.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Unconsolable crying started about 2-3 hours post vaccine.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pyrexia, Rash, Vomiting
Clinical narrative: Grandmother phoned health department approximately 45 minutes following child's 2nd dose of varicella on 8/15/07.  Stated client had fever of 102F and had vomited.  Grandmother instructed by health department to give child Motrin and take her to MD or ER if symptoms persisted.  Also instructed to call back to the health department.  On August 16th, pm, grandmother called and stated that child had awakened the morning of the 16th with "red rash all over her body", temp of 103, and had been taken to family MD. Dr. prescribed Benadryl 50 mg po every 4 hours x 24 hours and decrease to every 6 hours and to  continue giving child Motrin as needed for fever.  Telephone call to grandmother by health department nurse on 8/17/07 to check on child's progress. Grandmother stated that child has no fever and only a "little rash" on her body.  Stated child "is back to her normal self".
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Adverse drug reaction, Injection site erythema
Clinical narrative: Patient presented to the Medical Clinic on 7/13/07 for routine visit and was noted with redness 4 inches in diameter around 3rd anthrax site. Diagnosed as adverse reaction to anthrax vaccination and was given Claritin and Triamcinolone cream.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Alanine aminotransferase normal, Arthralgia, Aspartate aminotransferase increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: Patient presented to the ER on 6/22/07 with c/o overall malaise and joint pain. Reported increased lethargy at time of visit. Low grade temp of 37.7 at time of visit. Given IV fluids and Dilaudid for pain control. Mutliple labs taken, see below. Diagnoses of Dehydration and myalgias given.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Body temperature increased, Borrelia burgdorferi serology
Clinical narrative: Patient presented to the ER on 6/22/07 with c/o overall malaise and joint pain. Reported increased lethargy at time of visit. Low grade temp of 37.7 at time of visit. Given IV fluids and Dilaudid for pain control. Mutliple labs taken, see below. Diagnoses of Dehydration and myalgias given.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Carbon dioxide abnormal, Dehydration, Haematocrit normal, Haemoglobin normal, Lethargy
Clinical narrative: Patient presented to the ER on 6/22/07 with c/o overall malaise and joint pain. Reported increased lethargy at time of visit. Low grade temp of 37.7 at time of visit. Given IV fluids and Dilaudid for pain control. Mutliple labs taken, see below. Diagnoses of Dehydration and myalgias given.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Malaise, Myalgia, Platelet count decreased, Red blood cell sedimentation rate, White blood cell count normal
Clinical narrative: Patient presented to the ER on 6/22/07 with c/o overall malaise and joint pain. Reported increased lethargy at time of visit. Low grade temp of 37.7 at time of visit. Given IV fluids and Dilaudid for pain control. Mutliple labs taken, see below. Diagnoses of Dehydration and myalgias given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Localized erythema, induration, and mild tenderness, 6 x6 cm. area, at injection site over left deltoid muscle.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Anorexia, Culture throat negative, Ear pain, Fatigue, Feeling hot and cold
Clinical narrative: dTap and Menningococcal shots given at 2:00pm Monday, August 20.  Nausea began at ~9:30pm and he vomited at 11:00pm that evening.  Tuesday began with headache, fever (extreme hot/sweaty to shivers/cold), sore throat w/slightly swollen lymph nodes, exhaustion and no appetite; Tuesday mid-night woke up with very wet bedsheets and pillow case (from sweating); Wednesday began with stiff neck, continued sore throat, swollen lymph nodes, headache, fever, still no appetite; and significant left earache.  Thursday (today) fever gone, but sore throat, swollen lymph nodes and increased mucous.  Did eat small amount of breakfast.  Seems to be recovering!
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Headache, Hyperhidrosis, Inappropriate schedule of drug administration, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: dTap and Menningococcal shots given at 2:00pm Monday, August 20.  Nausea began at ~9:30pm and he vomited at 11:00pm that evening.  Tuesday began with headache, fever (extreme hot/sweaty to shivers/cold), sore throat w/slightly swollen lymph nodes, exhaustion and no appetite; Tuesday mid-night woke up with very wet bedsheets and pillow case (from sweating); Wednesday began with stiff neck, continued sore throat, swollen lymph nodes, headache, fever, still no appetite; and significant left earache.  Thursday (today) fever gone, but sore throat, swollen lymph nodes and increased mucous.  Did eat small amount of breakfast.  Seems to be recovering!
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Nausea, Pharyngolaryngeal pain, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: dTap and Menningococcal shots given at 2:00pm Monday, August 20.  Nausea began at ~9:30pm and he vomited at 11:00pm that evening.  Tuesday began with headache, fever (extreme hot/sweaty to shivers/cold), sore throat w/slightly swollen lymph nodes, exhaustion and no appetite; Tuesday mid-night woke up with very wet bedsheets and pillow case (from sweating); Wednesday began with stiff neck, continued sore throat, swollen lymph nodes, headache, fever, still no appetite; and significant left earache.  Thursday (today) fever gone, but sore throat, swollen lymph nodes and increased mucous.  Did eat small amount of breakfast.  Seems to be recovering!
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Wrong drug administered
Clinical narrative: dTap and Menningococcal shots given at 2:00pm Monday, August 20.  Nausea began at ~9:30pm and he vomited at 11:00pm that evening.  Tuesday began with headache, fever (extreme hot/sweaty to shivers/cold), sore throat w/slightly swollen lymph nodes, exhaustion and no appetite; Tuesday mid-night woke up with very wet bedsheets and pillow case (from sweating); Wednesday began with stiff neck, continued sore throat, swollen lymph nodes, headache, fever, still no appetite; and significant left earache.  Thursday (today) fever gone, but sore throat, swollen lymph nodes and increased mucous.  Did eat small amount of breakfast.  Seems to be recovering!
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abasia
Clinical narrative: RECEIVED PHONE CALL FROM MOM, ON 8/23/2007 THAT CHILD COULD NOT WALK ON LEGS TODAY.  MOM WANTED TO KNOW IF THESE COULD BE FROM VACCINES.
Age: 1.08
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 38 hours after recieving vaccination he developed a fever of 102.3 that lasted for three days.  The day after the fever broke he developed a rash that covered the trunk of his body.  the rash took four to five days to clear up.  Then a few days later (12 days after the vaccination) he broke into another rash.  He was seen by physicians for both rashes.  Both times it was stated that it could be a reaction to the vaccines.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac enzymes increased, Cardiomegaly, Chest X-ray abnormal, Chest pain, Echocardiogram normal
Clinical narrative: 5/9/07 pt had lymphadenitis and streaking s/p smallpox on 4/30/07; 5/11/07 pt developed chest pain and admitted to civilian hospital with pericarditis.  9/4/07 Reviewed medical records from WRAMC-VHC which reveal  patient experienced swelling, redness, streaking & lymph node swelling 7-9 days s/p vax on 4/30 then developed chest pain 5/8/07 which progressed & was admitted to outlying hospital 5/11-5/12/07.   FINAL DX: Pericarditis.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site streaking, Lymphadenitis, Pericarditis
Clinical narrative: 5/9/07 pt had lymphadenitis and streaking s/p smallpox on 4/30/07; 5/11/07 pt developed chest pain and admitted to civilian hospital with pericarditis.  9/4/07 Reviewed medical records from WRAMC-VHC which reveal  patient experienced swelling, redness, streaking & lymph node swelling 7-9 days s/p vax on 4/30 then developed chest pain 5/8/07 which progressed & was admitted to outlying hospital 5/11-5/12/07.   FINAL DX: Pericarditis.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: TWO DAYS AFTER IMMUNIZATION, PATIENT COMPLAINED OF ITCHING, REDNESS AND BUMPS TO BOTH HANDS.
Age: 9.0
Sex: F
Vaccine: MMRV
Symptoms: Erythema, Induration, Local reaction, Pain, Skin warm
Clinical narrative: 40x40mm area of erythema on left upper arm. Area is hot, hard and painful to the touch. Per mother's report area of erythema was twice as large yesterday (8/22/07). Mother started oral benadry and ibuprofen with good result. Child brought back in to our office today to check and make sure area is not cellulitis. Dr. examined and stated area is a reaction not cellulitis.
Age: 1.58
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Wrong drug administered
Clinical narrative: Patient received a small area of erythema at site of varicella vaccination.  This is the 3rd patient that has had this reaction in the past week to the Merk Varivax, different lots.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pyrexia
Clinical narrative: Headache and fever > 102.0 F for 48 hours after injection
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Local swelling, Rash pustular
Clinical narrative: Pustules face/chin with swelling of neck
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Gait disturbance, Joint swelling
Clinical narrative: Pt received DTap and varicella vaccine in right thigh, had acute large amount of swelling, knee joint swelling, difficulty walking
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Dizziness, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: High Fever, Chills, sore throat, dizziness. treatment: alternate tylenol 650mg with Ibuprophin 400mg.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, HIBV, MMR, PER, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Pain, Pyrexia, Rash
Clinical narrative: Painful rash with fever. Treatment: Cefuroxime, Acyclovir, Benadryl, Motrin, Clindamycin.  9/4/07 Received hospital medical records which reveal patient experienced 10 day history of worsening periorbital cellulitis.  Red raised lesion on left upper eyelid had been scratched, crusted & bleeding.  Then spread to itchy, painful lesions around upper & lower eyelid, below nose & onto left cheek w/fever  3 days.  Admitted 8/23-8/25/07.  Tx w/antibiotics & antivirals.  ID & Opthmol consults. FINAL DX: Periorbital cellulits, probable herpes zoster.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: On Monday night - c/o pain to (R) arm with redness, swelling, and warm to touch. Patient returned today (Thurs.) because of concerns and was seen by CNP.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Diarrhoea, Measles antibody negative, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Fever, sore throat, diarrhea, rash
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Chest X-ray normal, Varicella
Clinical narrative: vaccinated for varicella 8/7/07. presented to ER 8/17 with chickenpox seen by PMP 8/17-dg prob. atentuated II varicella
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 102.7 max.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Injection site erythema
Clinical narrative: Rt leg erythema 5 1/2" x 6 1/2" Lt leg erythema 2"x 2"
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: 2"x2" red, raised, tender area. No infected.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Dizziness, Feeling abnormal, Hyperhidrosis, Skin warm
Clinical narrative: Donor began to c/o feeling "strange" just after immunization was given. Donor was monitored for required 15 min and stated that she felt ok upon leaving center. Donor states that on her way home from center, she began to feel dizzy and light-headed, c/o chills and warmth, also diaphoresis. Donor made appt. with her MD, but felt better by the next day so she did not go. Donor did not notify center of reaction until 8/23/07. Donor states that she is feeling normal today, had no further problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Patient received vaccines on 8/21/03. MMR in (Lt) thigh; DTaP and IPV on (Rt) thigh. She developed 2cm erythema on (Lt) thigh and 8cm erythema (Rt) thigh.
Age: 1.3
Sex: M
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Hive on trunk - 6-8 hrs after immunization.
Age: 21.0
Sex: M
Vaccine: MMR, TD
Symptoms: Abscess limb, Subcutaneous abscess
Clinical narrative: 1 day after receiving MMR and Td developed multiple skin abscesses on legs.
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site cellulitis, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed swelling and cellulitis of upper arm to mid forearm within 2-3 days of s/c Anthrax. Pt reported no fever but very warm area over the injection site. Pt given antiinflammatory and Tylenol.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Idiopathic thrombocytopenic purpura, Joint effusion, Oedema peripheral, Pain in extremity
Clinical narrative: 24 yo male with (R) UE redness, warmth, swelling, and pain x 1 day. Received 5th anthrax vaccination 2 days ago. PE reveals large erythematous and edematous area measuring 31.75 x 18.5 cm with + effusion over elbow and + ITP to post elbow.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Skin warm
Clinical narrative: 24 yo male with (R) UE redness, warmth, swelling, and pain x 1 day. Received 5th anthrax vaccination 2 days ago. PE reveals large erythematous and edematous area measuring 31.75 x 18.5 cm with + effusion over elbow and + ITP to post elbow.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pallor, Skin warm
Clinical narrative: About 4-5 cm mod. swelling/blanching erythema/warmth (R) deltoid
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Local reaction, Skin warm
Clinical narrative: 4 x 3/12 cm redness-hot to touch local reaction slight induration no tenderness
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 29 yo male developed large red, swollen, warm area of skin to posterior (L) UE extending to proximal forearm (20x19cm) 2 days ago after receiving 7th Anthrax (Booster) vaccination 3 days ago.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Cold compress therapy, Erythema, Injection site swelling, Pain in extremity, Skin warm
Clinical narrative: 8/14/07 Pt called to report (R) arm sore/tender to touch that began previous night several hours after Pneumovax. Small swelling at site and was uncomfortable to sleep. Advised Advil, ice packs alternate with arm pack. 8/15/07 Phone call - swelling increased, redness, pain. Office visit - started Keflex 500mg 4x day for 10 d. Swelling extended below elbow. Hot to touch. 8/16/07 Swelling improved, decreased pain, decreased redness.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Sleep disorder, Tenderness
Clinical narrative: 8/14/07 Pt called to report (R) arm sore/tender to touch that began previous night several hours after Pneumovax. Small swelling at site and was uncomfortable to sleep. Advised Advil, ice packs alternate with arm pack. 8/15/07 Phone call - swelling increased, redness, pain. Office visit - started Keflex 500mg 4x day for 10 d. Swelling extended below elbow. Hot to touch. 8/16/07 Swelling improved, decreased pain, decreased redness.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Faeces discoloured, Screaming
Clinical narrative: Mother reported that 2 hours after given the vaccine, he started screaming and cried for unknown period of time. He had two "jet black" pudding consistency stools. One that day and one the next day.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal pain upper, Angioedema, Eye swelling, Eyelid oedema, Hyperhidrosis
Clinical narrative: Approx 1/2 hour after vaccines, returned to clinic c/o tummy pain and sweating (very hot outside). Nurse practitioner listened and examined chest - breath sounds clear, no retracting, no increased respiratory effort. Approx 10 minutes later, Mom called clinic stating eyelids slightly puffy and child itching, no breathing problem but tummy still hurts. Advised to give Benadryl and call back. Approx 2 minutes later Mom called stated lips swollen and eyes more puffy (nearly shut). Mom was advised to go to local ER dept and did. ER tx Benadryl IV adm. Angioedema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Lip swelling, Pruritus
Clinical narrative: Approx 1/2 hour after vaccines, returned to clinic c/o tummy pain and sweating (very hot outside). Nurse practitioner listened and examined chest - breath sounds clear, no retracting, no increased respiratory effort. Approx 10 minutes later, Mom called clinic stating eyelids slightly puffy and child itching, no breathing problem but tummy still hurts. Advised to give Benadryl and call back. Approx 2 minutes later Mom called stated lips swollen and eyes more puffy (nearly shut). Mom was advised to go to local ER dept and did. ER tx Benadryl IV adm. Angioedema.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: (L) upper arm subcutaneous area with raised patch of eryth warmth tender 7cmx10cm. Started yesterday evening (day of vaccine) with itching; did not notice erythema. This afternoon (24 hrs later) with sudden swelling.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Inflammation, Pruritus, Pyrexia, Skin warm
Clinical narrative: Extreme itchiness, inflammation, red, hot skin started around ears and neck. Then proceeded to entire body. Very uncomfortable and also fever (slight).
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: itchy red mass noted on (L) deltoid at site of Varicella
Age: 21.0
Sex: F
Vaccine: ANTH, HEPA, TYP
Symptoms: Erythema, Rash generalised, Vaccinia
Clinical narrative: Rash all over body, small and red. (General vaccinia)
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Cold compress therapy, Erythema, Skin warm, Tenderness
Clinical narrative: (R) subcutaneous upper arm with 3.5 x 4 cm raised erythm warm tender patch treatment plan ice motrin prn
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Eye pruritus, Rash
Clinical narrative: Rash face, mouth, eyes, and back + itch. Rash on back starts at injection site and continues to spread.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: PPV 23 vaccine administered on 8/15/07 in (R) arm SQ. On 8/16/07 pt developed erythema, pain, and increased heat over int. (R) arm. Pt seen today 8/17/07. (R) arm 6.4 cm L x 5.6 cm W erythema
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site swelling, Oedema peripheral, Skin warm
Clinical narrative: Child received varicella vaccine 08/4/07 at 9:00 AM. By evening, left arm was sore: slightly swollen at site. In the morning, it was red, hot, and swollen from shoulder to elbow.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever after vaccine administration
Age: 10.0
Sex: F
Vaccine: PPV, VARCEL
Symptoms: Cold compress therapy, Erythema, Skin warm, Swelling
Clinical narrative: Pt developed redness, swelling, and heat in area (L arm) of vaccine. Mother took pt to ER 8/1/07 in evening was told to take Tylenol and apply ice. Pt. told in our office to continue applying ice and use Tylenol. After 72 hours, pt. can alternate ice and heat.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Started child on Rotateq oral vaccine #1 dose 8-15-07. Discovered 8-16-07 child was 16 weeks of age when dose started 4 weeks older than recommended age to start Rota vaccine series.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: onset large localized redness, swelling, warmth which spread to lower part of arm (near elbow) 6x6cm around site, 9 x 6.5 cm area 10" below site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Incorrect route of drug administration
Clinical narrative: DTaP given sub Q instead of IM in right arm. 8/20/07 Pt doing well; no unusual swelling or problems.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Flushing, Immediate post-injection reaction, Skin discolouration
Clinical narrative: Immunization site immediately turned white in center and red surrounding; area itching. About 3 inches in diameter; decreasing about quarter size after about 10 min. Face also flushed. 25 mg Benadryl given po. Client instr. to remain in clinic assessed x 20min
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Culture, Decreased appetite, Full blood count, Liver function test, Pyrexia
Clinical narrative: This is mom's statement over the phone on 8-6-07: Fever (101-103F) began within a few hrs of shots. On Fri, 8/3, a mild rash began. By Sat. rash was greater and by Sun, "there were more dots than baby." Appetite decreased. She took baby to ER where 3 docs thought it might be measles until contacted CDC who said, no, only if vaccine was compromised. We have had no other report of problems and cold  was kept intact.
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash, Renal function test, Skin test
Clinical narrative: This is mom's statement over the phone on 8-6-07: Fever (101-103F) began within a few hrs of shots. On Fri, 8/3, a mild rash began. By Sat. rash was greater and by Sun, "there were more dots than baby." Appetite decreased. She took baby to ER where 3 docs thought it might be measles until contacted CDC who said, no, only if vaccine was compromised. We have had no other report of problems and cold  was kept intact.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site haemorrhage, Medical device complication
Clinical narrative: Information has been received from a Licensed Visiting Nurse concerning a 23 year old female who on 05-JUL-2007 was vaccinated with Gardasil (Lot #0469U). On 05-JUL-207 the prefilled syringe plunger locked when the patient was administered the injection. The patient's arm bled a small amount when the needle was removed. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Asthenia, Pruritus, Pyrexia, Urticaria
Clinical narrative: Information has been received from a physician assistant concerning a female patient who in June 2007, was vaccinated with a first dose of Gardasil. On 04-AUG-2007, the patient was vaccinated with a second dose of Gardasil (Lot# 658100/0525U). Illness at the time included a sore throat (viral syndrome). On 07-AUG-2007 three days later, the patient developed hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness. On 09-AUG-2007, the patient came in to see the physician. The physician put the patient on steroids and loratadine (CLARITIN) (manufacturer unknown). No laboratory diagnostic studies were performed. At the time of this report, the patient was recovering. The nurse practitioner wasn't sure if the patient's symptoms were related to the viral syndrome or the vaccine. No product quality complaint was involved. Hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness were considered to be disabling.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Crying, Head injury, Loss of consciousness, Screaming, Skull fracture
Clinical narrative: Information has been received from a physician and certified medical assistant concerning a 16 year old female, who on 03-AUG-2007 was vaccinated intramuscularly with a 0.5mL dose of Gardasil (Lot# 655620/0171U). Concomitant suspect vaccinations included hepatitis A vaccine (inactive) (duration and dose not reported) and varicella virus vaccine live (duration and dose not reported). Other concomitant therapy included MENACTRA. On 03-AUG-2007 following the vaccinations, the patient fainted at the front desk when she went to make the next appointment. The patient hit the back of her head and lost consciousness for 1 to 2 minutes. When the patient regained consciousness, the patient was screaming and crying. When the paramedics arrived and tried to get the patient into the ambulance, the patient was fighting with the paramedics. The patient was taken to the emergency room at a hospital then was transported to a pediatric hospital where she saw a pediatric neurologist. The patient was found to have a small fracture at the back of her head. The medical assistant mentioned to the nurse that the patient was cold, clammy, and had high anxiety prior to all the vaccines. The father mentioned that the patient has been having anxiety attacks. The office had offered to give 2 vaccinations at one visit and the other 2 at another time but the patient had refused. The patient recovered on an unspecified date. No product quality complaint was involved. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Syncope
Clinical narrative: Information has been received from a physician and certified medical assistant concerning a 16 year old female, who on 03-AUG-2007 was vaccinated intramuscularly with a 0.5mL dose of Gardasil (Lot# 655620/0171U). Concomitant suspect vaccinations included hepatitis A vaccine (inactive) (duration and dose not reported) and varicella virus vaccine live (duration and dose not reported). Other concomitant therapy included MENACTRA. On 03-AUG-2007 following the vaccinations, the patient fainted at the front desk when she went to make the next appointment. The patient hit the back of her head and lost consciousness for 1 to 2 minutes. When the patient regained consciousness, the patient was screaming and crying. When the paramedics arrived and tried to get the patient into the ambulance, the patient was fighting with the paramedics. The patient was taken to the emergency room at a hospital then was transported to a pediatric hospital where she saw a pediatric neurologist. The patient was found to have a small fracture at the back of her head. The medical assistant mentioned to the nurse that the patient was cold, clammy, and had high anxiety prior to all the vaccines. The father mentioned that the patient has been having anxiety attacks. The office had offered to give 2 vaccinations at one visit and the other 2 at another time but the patient had refused. The patient recovered on an unspecified date. No product quality complaint was involved. Additional information is not expected.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Breast pain, Chest pain, Injection site pain
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient's pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Headache, Immediate post-injection reaction, Influenza like illness, Malaise, Nausea
Clinical narrative: Information has been received from a female pharmacist who is also the patient with Sjogren's syndrome and "other health issues" who on 04-JUN-2007 was vaccinated with a first dose of Gardasil. On 04-JUN-2007 immediately post vaccination the patient did not feel good and developed pain in her left arm, nausea, and headache. On an unspecified date the symptoms resolved. On 09-JUN-2007 and 10-JUN-2007 the patient felt sick, had pains in her legs and whole body, resembling "flu like symptoms." On 18-JUL-2007 the patient developed vasculitis in her right leg. On 04-AUG-2007 the patient was hospitalized with a diagnosis of, bilateral pulmonary embolism. She was treated with 5 mg of COUMADIN daily and 81 mg of Aspirin daily. On 10-AUG-2007 the patient was discharged from the hospital. At the time of the report the patient's outcome was unknown. The reporting pharmacist considered the events to be other important medical events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pain in extremity, Pulmonary embolism, Vasculitis
Clinical narrative: Information has been received from a female pharmacist who is also the patient with Sjogren's syndrome and "other health issues" who on 04-JUN-2007 was vaccinated with a first dose of Gardasil. On 04-JUN-2007 immediately post vaccination the patient did not feel good and developed pain in her left arm, nausea, and headache. On an unspecified date the symptoms resolved. On 09-JUN-2007 and 10-JUN-2007 the patient felt sick, had pains in her legs and whole body, resembling "flu like symptoms." On 18-JUL-2007 the patient developed vasculitis in her right leg. On 04-AUG-2007 the patient was hospitalized with a diagnosis of, bilateral pulmonary embolism. She was treated with 5 mg of COUMADIN daily and 81 mg of Aspirin daily. On 10-AUG-2007 the patient was discharged from the hospital. At the time of the report the patient's outcome was unknown. The reporting pharmacist considered the events to be other important medical events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Information has been received from a physician concerning a female (age not reported) with a history of past seizures who on an unspecified date was vaccinated with a first dose of Gardasil (lot # unknown). On an unspecified date the patient was vaccinated with a second dose of Gardasil (lot # unknown) 0.5mL injection. On an unspecified date several weeks after receiving her second dose of Gardasil the patient had a seizure. Medical attention was sought. On an unspecified date the patient had recovered from the seizure. No further information was provided. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion, Dizziness postural, Loss of consciousness
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female with a history of seizures who on 15-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of Gardasil. On 04-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-AUG-2007 the patient was vaccinated third dose of Gardasil (lot #0211U). Concomitant therapy included hormonal contraceptives (unspecified). On 10-AUG-2007 the patient stood up and became "really dizzy", passed out, and had a seizure. The patient reported her boyfriend "slapped her and it helped her come out of the seizure". There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. At the time of the report the patient had recovered. Upon internal review, seizures was considered to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Thrombocytopenia
Clinical narrative: Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with a first dose of Gardasil (lot# unknown). On an unspecified date the patient was vaccinated with a second dose of Gardasil injection and experienced thrombocytopenia. Medical attention was sought. The physician sent the patient to the hospital. At the time of reporting it was unknown if the patient had recovered. No additional information was provided. Upon internal review thrombocytopenia was considered to be an other important medical event. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a nurse practitioner concerning a 3 month old male who was vaccinated with a 2ml oral dose of Rotateq (No lot number was provided). The nurse practitioner reported within 3 weeks after vaccination the patient developed intussusception. Medical attention was sought and the patient was hospitalized and underwent surgery. Subsequently, the patient recovered. There was no product quality complaint. The event was also considered to be immediately life-threatening, disabling and an other important medical event (surgery) by the reporter. Additional information has been requested.   8/31/07 Received patient demographics from CDC.  9/4/07 Received vax record from pcp.  VAERS database updated w/same. 10/5/07 Reviewed hospital medical records which reveal patient experienced copious bilious drainage from NGT & dx w/ SBO.  Had previous surgery of ileocolic resection w/primary anastomosis for IS w/dead bowel.  Admitted 8/1-8/7/2007.  Operative findings on 8/3 was a very tough cord like adhesion going straight across the ileum about 4-5 cm prior to earlier anastamosis w/colon.  Adhesion was lysed & small bowel was functional & healthy.  Multiple other smaller adhesions were lysed as well.  Admitted to PICU for post op observation.   FINAL DX: No D/C summary included.  Recurrent intussusception, surgically reduced.  10/5/07 Received D/C summary.  Patient had bilious vomiting.  Laparotomy & lysis of adhesions as above.  FINAL DX: postoperative bowel obstruction, surgically reduced.  Records faxed to CDC.  10/29/07 Reviewed hospital medical records which reveal patient experienced bilious vomiting & lethargy x 1 day.  Admitted 6/20-6/25/2007.  Taken to OR for probable mid-gut volvulus & found to have incarcerated ileocolic IS w/necrotic ileum.  Right colon resection w/primary anastomosis was done.  Progressed well & d/c to home FINAL DX: Ileocolic intussusception, surgically reduced.  Records faxed to CDC.
Age: 12.0
Sex: M
Vaccine: MNQ, TTOX
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt started getting a fever the night of the 16th. The patient vomited in the middle of the night. His fever persisted for 3 days.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Depressed level of consciousness, Full blood count normal, Hypotonia, Pallor
Clinical narrative: Was in hot unairconditioned gym when baby cried unconsolably x 10-15min then went limp, pale and was unarousable. To ER. Observed in hosp.  8/31/07 Reviewed hospital medical records which reveal patient experienced unresponsive spell in a very warm room.  Patient began sweating profusely, intensely cried then fell asleep & could not be awakened.  Seen in ER 7/31/07 & was starting to awaken & cry.  Irritable.  Admitted overnight for observation & returned to baseline.   FINAL DX: possible heat stroke; possible reaction to immunization.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: Was in hot unairconditioned gym when baby cried unconsolably x 10-15min then went limp, pale and was unarousable. To ER. Observed in hosp.  8/31/07 Reviewed hospital medical records which reveal patient experienced unresponsive spell in a very warm room.  Patient began sweating profusely, intensely cried then fell asleep & could not be awakened.  Seen in ER 7/31/07 & was starting to awaken & cry.  Irritable.  Admitted overnight for observation & returned to baseline.   FINAL DX: possible heat stroke; possible reaction to immunization.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure, Body temperature increased, Cellulitis, Chest pain, Dyspnoea
Clinical narrative: 37 year old female with familial cardiomyopathy who received pneumococcal vaccination on 8/17/07 at her primary care office. Several hours later, pt developed swelling, redness, fever and tenderness. The next day pt developed shortness of breath and chest pain. She presented to the ED and was admitted to critical care requiring dobutamine and empiric IV tx for the cellulitis/pneumococcal vaccination reaction. Cardiology determined decompensation related to the Pneumovax reaction.9/7/07-records received for DOS 8/19-8/24/07-DC DX: Cellulitis of left upper arm after Pneumovax injection. Hypotension likely a combination of medications and secondary to reaction to Pneumovax. Acute renal failure (resolved). Left ventricular organized thrombus. Secondary DC DX: recent diagnosis of severe dialted cardiomyopathy, thought to be familial cardiomyopathy. Attention deficit disorder previously on Ritalin. History of nonsustained ventricular tachycardia. Migraine headaces.Admitted with syncopal episode and hypotension. Fever and chills, pain, swelling and warmth to the arm where vaccine was administered
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pyrexia, Swelling, Tenderness, White blood cell count increased
Clinical narrative: 37 year old female with familial cardiomyopathy who received pneumococcal vaccination on 8/17/07 at her primary care office. Several hours later, pt developed swelling, redness, fever and tenderness. The next day pt developed shortness of breath and chest pain. She presented to the ED and was admitted to critical care requiring dobutamine and empiric IV tx for the cellulitis/pneumococcal vaccination reaction. Cardiology determined decompensation related to the Pneumovax reaction.9/7/07-records received for DOS 8/19-8/24/07-DC DX: Cellulitis of left upper arm after Pneumovax injection. Hypotension likely a combination of medications and secondary to reaction to Pneumovax. Acute renal failure (resolved). Left ventricular organized thrombus. Secondary DC DX: recent diagnosis of severe dialted cardiomyopathy, thought to be familial cardiomyopathy. Attention deficit disorder previously on Ritalin. History of nonsustained ventricular tachycardia. Migraine headaces.Admitted with syncopal episode and hypotension. Fever and chills, pain, swelling and warmth to the arm where vaccine was administered
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Death
Clinical narrative: See ER notes attached.  11/27/07 Reviewed autopsy report which states COD as encephalomyelitis due to enterovirus (EV 71) & manner of death as natural. States history as: found supine in crib, unresponsive; no recent illness; no previous medical history;brain swelling; SDH, minimal; SAH, bilateral; microglial clusters, neuronal loss, neuronophagia & mild perivascular lymphocytic infiltrate w/gliosis in keeping with a viral poliomyelitis.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: 2 areas on bilateral thighs (injection site) with erythema/mild swelling. R thigh 4"x3" no drainage. L thigh 6"x5" small vesicle at injection site.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: after vaccines given pt appears to be fine 5 to 10 minutes after when had left office and waited for elevator, fainted and was brought back into office by m/c
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood test, Erythema, Headache, Lumbar puncture, Pain
Clinical narrative: Fever (103), body aches, headaches started about 24 hours after vaccines; swelling and redness to both deltoids; presented to ER - blood work, spinal tap performed - all normal.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever (103), body aches, headaches started about 24 hours after vaccines; swelling and redness to both deltoids; presented to ER - blood work, spinal tap performed - all normal.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood glucose normal, Dyskinesia, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Two minutes after receiving injection , child became very pale, slightly diaphoretic, fainted but arms were jerking in movement. Doctors examined child. Alert and talking, wanting to sit up. V/S taken. Child remained in office x 35 minutes. Doctor examined child, all V/S were normal, color pink A+O x 3. Released home with mother.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Urticaria
Clinical narrative: Received vaccine 8/31/07-Started with rash, hives-took Benadryl 25 mg p.o x 3-no relief-went to ER 8/4 received Benadryl 25 mg IV, Solumedrol 125 mg IV, Pepcid 20 mg IV, Epi 0.2 mg SQ, Benadryl 25 mg IV second dose.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Pyrexia
Clinical narrative: Symptoms started on 8-16-07. Pt c/o sore arm, inability to have complete ROM. Fever 101 and HA. Pt was advised to rest arm and use Ibuprofen for fever.
Age: 10.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: gave 10 y/o white male Menactra vaccine. Currently vaccine not approved for age group
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Amenorrhoea, Blood follicle stimulating hormone, Blood thyroid stimulating hormone
Clinical narrative: Amenorrhea x 3 months
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dry skin, Pruritus, Rash papular, Swelling face
Clinical narrative: Dry rough facial skin, itching and slight facial puffiness. Red papules on arms and legs. Began about 6 hrs after vaccines.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: Localized erythema at injection site
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Headache, Malaise, Nausea
Clinical narrative: Pt called from a pharmacy - states she received Gardasil vaccine this AM at our office - she is now experiencing nausea, stomach cramps, headache and generalized malaise - advised to call parent to take her home from mall - Benadryl 25mg - if SOB, chest pain or other severe symptoms, pt to go to ER.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Pt describes extreme redness and edema to injection site, fever of > 100.5, nausea - necessity to f/u with PCP who prescribed Biaxin for condition and swollen gland (L) side of neck.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: 1 day after immunization had (left shoulder - neck pain x 7 days. MD appt - medication and massage.
Age: 1.1
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Fine red raised papules rash torso, legs arms > 50 lesions
Sex: U
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Convulsion, Disorientation, Eye rolling, Loss of consciousness
Clinical narrative: After receiving vaccines, about 2 seconds later her eyes rolled to the neck of her head and she started to convulse and passed out. She came to and was disoriented and laid on exam table and was observed for about 20 mins. and sent home (pt did not eat anything today @ all)
Age: 1.1
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Urticaria
Clinical narrative: Patient became symptomatic on 8/14/07. Fever to 102 deg; followed by hives overall. Patient received vaccine-ProQuad 8/9/07. Followed up on 8/20/07 for patient status. Much improved only few hives remain.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 4 x 2 1/2 redness/swelling/ hardness around injection site. Itch and pain present.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling
Clinical narrative: (R) arm swelling and redness
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt developed fatigue and headache along with site reactiona (erythema, swelling and soreness)
Age: 43.0
Sex: F
Vaccine: RAB
Symptoms: Body temperature increased, Headache, Pain, Vomiting
Clinical narrative: Patient reports that she awoke at 0300 the day after recieving her third dose of Rabies vaccine with vomiting, a severe "unbearable" headache and a temprature of 103.1.  She also reports feeling achy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 08/23/07 1430 Mother called our office regarding her son's reaction to vaccine.  Mother stated patient's left arm was red and swollen. Mother stated she did not notice the reaction until Wednesday afternoon.  Encouraged mother to place ice on arm and to seek medical atttention.  Mother stated I think he will be okay.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Right arm red,swollen, warm to touch from shoulder to elbow 1 day after recieving DTAP. Temperature 100.1. Seen on office with 9X11cm area of redness right deltoid. Right arm circumference 23.5cm compared to 21 cm on left arm. Painful to touch. Ice packs, tylenol or motrin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Rash, Skin warm, Urticaria
Clinical narrative: 8/20/2007 Patient presented in office with hive type rash to lt anterior lateral thigh, warm to touch. Mother reports that it is spreeding. Refered to PCP who gave Depomedrol 40 mg IM to follow with Benadryl. Mother presented in office 8/23/2007 reports that patient is better.