chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Mean cell volume abnormal, Monocyte count increased, Musculoskeletal pain, Neck pain, Neutrophil count
Clinical narrative: Previous Td was March 2003. From HPI dated 12 Apr 07: Experienced onset of typical soreness at vaccination site followed by eruption of red raised areas. Has noticed associated dyesthesias with wearing his watch and clothing over his left arm to his wrist. Vague pain near posterior shoulder and neck. Reports previous hx of frozen shoulder after tetanus vaccine as a child. Left deltoid region with several raised erythematous and edematous plaques some with central papulovesicular change. No purpura, necrosis or crusts. Left hand no suspicious acral lesions. Apr 17: over past 5 days reports few new lesions on forearms and darker red color to older sites around shoulder. Also described episodes of 5/10 pain at shoulder site at rest and with arm elevation. Baseline 2/10 pain. No new lesions past day or so. Has several plaques of coalescing red to red brown papules over deltoid region with few scattered down to forearm. Some with focal superficial crusts. Diagnosis: 1. Brachial Neuritis 2.0 Arthus Reaction. Lesions, plaque 4/09/2007, lesion Vesicle 04/09/2007. Pain 04/09/2007 left shoulder and neck. Edema at injection site 30-50mm 04/07/2007. Paresthesia 04/09/2007 dysesthesia.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia, Platelet count normal, Radiculitis brachial, Rash papular, Red blood cell count decreased
Clinical narrative: Previous Td was March 2003. From HPI dated 12 Apr 07: Experienced onset of typical soreness at vaccination site followed by eruption of red raised areas. Has noticed associated dyesthesias with wearing his watch and clothing over his left arm to his wrist. Vague pain near posterior shoulder and neck. Reports previous hx of frozen shoulder after tetanus vaccine as a child. Left deltoid region with several raised erythematous and edematous plaques some with central papulovesicular change. No purpura, necrosis or crusts. Left hand no suspicious acral lesions. Apr 17: over past 5 days reports few new lesions on forearms and darker red color to older sites around shoulder. Also described episodes of 5/10 pain at shoulder site at rest and with arm elevation. Baseline 2/10 pain. No new lesions past day or so. Has several plaques of coalescing red to red brown papules over deltoid region with few scattered down to forearm. Some with focal superficial crusts. Diagnosis: 1. Brachial Neuritis 2.0 Arthus Reaction. Lesions, plaque 4/09/2007, lesion Vesicle 04/09/2007. Pain 04/09/2007 left shoulder and neck. Edema at injection site 30-50mm 04/07/2007. Paresthesia 04/09/2007 dysesthesia.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Skin lesion, Type III immune complex mediated reaction, Varicella, Vasculitis, White blood cell count normal
Clinical narrative: Previous Td was March 2003. From HPI dated 12 Apr 07: Experienced onset of typical soreness at vaccination site followed by eruption of red raised areas. Has noticed associated dyesthesias with wearing his watch and clothing over his left arm to his wrist. Vague pain near posterior shoulder and neck. Reports previous hx of frozen shoulder after tetanus vaccine as a child. Left deltoid region with several raised erythematous and edematous plaques some with central papulovesicular change. No purpura, necrosis or crusts. Left hand no suspicious acral lesions. Apr 17: over past 5 days reports few new lesions on forearms and darker red color to older sites around shoulder. Also described episodes of 5/10 pain at shoulder site at rest and with arm elevation. Baseline 2/10 pain. No new lesions past day or so. Has several plaques of coalescing red to red brown papules over deltoid region with few scattered down to forearm. Some with focal superficial crusts. Diagnosis: 1. Brachial Neuritis 2.0 Arthus Reaction. Lesions, plaque 4/09/2007, lesion Vesicle 04/09/2007. Pain 04/09/2007 left shoulder and neck. Edema at injection site 30-50mm 04/07/2007. Paresthesia 04/09/2007 dysesthesia.
Age: 12.0
Sex: F
Vaccine: DTAPHEPBIP, TDAP
Symptoms: Dizziness, Medication error, Neurological examination
Clinical narrative: Patient was ordered the Hep A vaccine and the Boostrix. The Pediarix and Boostrix was given in error. c/o dizziness one month later
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt received vaccines on 4/24/07 and subsequently developed 9x11cm indurated, warm, red area on (L) upper arm. Pt in NAD, afebrile
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Bronchitis, Cough, Postnasal drip, Rhinorrhoea
Clinical narrative: Marked worsening of rhinorrhea, cough, post nasal drip after receiving vax and temp = 102 (tympanic). Clinically diagnosed sinusitis and bronchitis. Started today on Augmentin and IBPF.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Sinusitis
Clinical narrative: Marked worsening of rhinorrhea, cough, post nasal drip after receiving vax and temp = 102 (tympanic). Clinically diagnosed sinusitis and bronchitis. Started today on Augmentin and IBPF.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, Medication error, Unevaluable event
Clinical narrative: Sisters in same exam room; both due to receive HPV vaccine and Menactra. 12 y/o patient received 1 dose of HPV vaccine in each arm, I'm simultaneously, instead of 1 dose HPV and 1 dose Menactra.
Age: 1.92
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Body temperature increased, Febrile convulsion, Full blood count, Gastroenteritis, Unresponsive to stimuli
Clinical narrative: Seizure like activity @ home approx 8 hrs after immunizations received-unresponsive to name-to local ER-had temp 102- septic workup negative per mother's report. Diagnosed w/febrile seizures. Had onset of gastroenteritis 4/19/07-Had repeat seizure at ER and recovered after incident.
Age: 4.0
Sex: F
Vaccine: DTAP, MMRV, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: pt came in with red, hot rash on upper (L) arm measuring approximately 11 cm in circumference. 2 day after receiving DTaP in that area.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: "Egg-sized" swelling appeared 3 days after immunization at injection site.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Fatigue, Hypersensitivity, Nausea, Pruritus
Clinical narrative: Patient developed itching and rash on her chest which is a typical location for her when she has an allergic reaction. Also had dizziness, fatigue and nausea.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Rash
Clinical narrative: Patient developed itching and rash on her chest which is a typical location for her when she has an allergic reaction. Also had dizziness, fatigue and nausea.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash maculo-papular, Rash pruritic
Clinical narrative: Pt adm Zostavax on 4/22/07. On 4/25/07 noted rash which was pruritic on her back. Office eval 4/26 am revealed faint mac/pap rash lower back which crossed midline. No vesicles. No a shingles ves.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Cold compress therapy, Injection site pruritus, Injection site swelling, Rash
Clinical narrative: Patient called, vaccine site swollen, pink, size of orange, itchy. Advised by doctor to and rash around neck. Take Benadryl and apply cold pack to site.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash generalised
Clinical narrative: Full body rash
Age: 0.18
Sex: M
Vaccine: HIBV, IPV
Symptoms: Crying, Injection site erythema, Injection site swelling, Tremor
Clinical narrative: Immunization given approx 10:00 AM, Pt fed normally at Noon. Around 1 o'clock mother and grand mother brought son into office was crying and had redness and swelling R thigh. Shaking when moved to position, mother to give Ibuprofen 1.2 cc Q 6 hours, Benadryl tsp Q 6 hours.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Erythema
Clinical narrative: 4-21-07 Arm reddened round area approximately 1/2" diameter. 4-22-07 Slightly larger reddened area. 4-23-07 Approximately 2 inches in diameter reddened, round, warm to touch. 4-25-07 Employer's nurse states area decrease.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, itching of left upper arm within 48 hours of vaccine. Given Atarax and Omnicef.
Age: 1.82
Sex: F
Vaccine: DTAP, HEPA, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4/25/07 redness noted on RT upper thigh swelling, 4/26/07 still red today but less swelling
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Swelling
Clinical narrative: L triceps swelling, redness through elbow measurement: L 11.5 R 10.5,  12.5 R 11, L 12.3/4 R 11 3/4. treatment cold compress Keflex 500 mg PO BID x 10 days.
Sex: F
Vaccine: ANTH
Symptoms: Deep vein thrombosis
Clinical narrative: 4/12/07 Subject reports that she received 6 anthrax vaccines, the last one being Oct 2005. In February 2005, while deployed, she experienced a DVT in her right leg and was hospitalized. She states she submitted a VAERS report and has been working with VAERS for the last year. This case may be linked to VAERS case # 261671
Age: 0.33
Sex: F
Vaccine: DTAP, IPV, RV5, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from the government agencies concerning a 6 month old female patient with no medical history who on the morning of 23-JAN-2007 was vaccinated po with the second dose of Rotateq (Lot# 654423/0904F). There was no concomitant medication and no illness at the time of vaccination. On 11-FEB-2007 the patient developed intussusception which required surgery. The patient was hospitalized for four days. The patient subsequently recovered. The records of testing prior to release of the lot in question have been rechecked and found to be satisfactory. The lot met the requirements of the government and was release by the regulatory agency."
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Influenza like illness, Injected limb mobility decreased, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a health care worker concerning a 77 year old male with procaine hydrochloride (NOVOCAIN) allergy and hay allergy and a history of basal cell carcinoma on the forehead and hyperlipidaemia who on 16-APR-2007 was vaccinated subcutaneously with a second 0.5 mL dose of Pneumovax 23 (Lot #651330/1048P). Concomitant therapy included atorvastatin calcium (LIPITOR), aspirin, linsinopril (MSD), carvedilol (COREG), vitamins (unspecified), niacin, finasteride (MSD) and morniflumate (FLOMAX (morniflumate)). On 16-APR-2007 the patient developed left upper arm injection reaction. The day after the injection, the patient called the office and stated that he was experiencing "flu-like symptoms". By the end of the day, the patient's left arm was very sore and he was having trouble using the arm. The patient was seen by the physician on 18-APR-2007 and that time the left arm had redness and edema around the upper arm and extending down the arm to about an inch into the elbow area. The arm was not to touch and painful to touch and movement. The patient continued to have difficulty using the arm. The nurse stated that the patient had pain just getting his coat off. The patient was placed on cephalexin (KEFLEX) 500 mg orally four times a day. Laboratory diagnostic tests were performed on 16-APR-2007 prior to the injection but was pending. It was noted that the patient had been vaccinated with first dose of Pneumovax 23 in 2000 and did not experience any problems at that time. At the time of this report, the patient was recovering. No product quality complaint was involved. Left upper arm injection reaction, flu-like symptoms, having trouble using the arm, redness and edema around the upper arm and extending down the arm to about an inch into the elbow area, arm hot to touch and arm painful to touch and movement (left are very sore) were considered to be disabling. Additional information has been requested.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Injection site reaction, Injection site warmth, Laboratory test
Clinical narrative: Information has been received from a health care worker concerning a 77 year old male with procaine hydrochloride (NOVOCAIN) allergy and hay allergy and a history of basal cell carcinoma on the forehead and hyperlipidaemia who on 16-APR-2007 was vaccinated subcutaneously with a second 0.5 mL dose of Pneumovax 23 (Lot #651330/1048P). Concomitant therapy included atorvastatin calcium (LIPITOR), aspirin, linsinopril (MSD), carvedilol (COREG), vitamins (unspecified), niacin, finasteride (MSD) and morniflumate (FLOMAX (morniflumate)). On 16-APR-2007 the patient developed left upper arm injection reaction. The day after the injection, the patient called the office and stated that he was experiencing "flu-like symptoms". By the end of the day, the patient's left arm was very sore and he was having trouble using the arm. The patient was seen by the physician on 18-APR-2007 and that time the left arm had redness and edema around the upper arm and extending down the arm to about an inch into the elbow area. The arm was not to touch and painful to touch and movement. The patient continued to have difficulty using the arm. The nurse stated that the patient had pain just getting his coat off. The patient was placed on cephalexin (KEFLEX) 500 mg orally four times a day. Laboratory diagnostic tests were performed on 16-APR-2007 prior to the injection but was pending. It was noted that the patient had been vaccinated with first dose of Pneumovax 23 in 2000 and did not experience any problems at that time. At the time of this report, the patient was recovering. No product quality complaint was involved. Left upper arm injection reaction, flu-like symptoms, having trouble using the arm, redness and edema around the upper arm and extending down the arm to about an inch into the elbow area, arm hot to touch and arm painful to touch and movement (left are very sore) were considered to be disabling. Additional information has been requested.
Sex: U
Vaccine: RV5, UNK
Symptoms: Immunology test normal, Pseudomonal sepsis
Clinical narrative: Information has been received from a physician concerning a patient with unknown medical history who was vaccinated with a dose of Rotateq. Concomitant vaccination administered that day included "other" vaccines. "Two months ago", in approximately February 2007, the  patient developed pseudomonis sepsis after vaccination with Rotateq. The patient's case was "very severe". An "amputation' was ruled out". Two immunodeficiency tests were performed and were both negative. The patient was "negative" for immunocompromise. The patient was recovering. The healthcare provider stated that there was a "temporal association" with Rotateq because it was the "newest" vaccine administered and because it was a live viral vaccine. Upon internal review the patient's pseudomonis sepsis was considered to be an other important medical event. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Anoxic encephalopathy, Blood glucose increased, Carpal tunnel syndrome, Encephalitis, Endotracheal intubation
Clinical narrative: Information has been received from a physician concerning a male who on 05-APR-2007 was vaccinated with a single dose of Zostavax. On 14-APR-2007 (also reported as 17-APR-2007) the patient experienced "encephalitis" and was hospitalized. It was reported that the patient was air lifted to a hospital and was in the ICU. There was no product quality complaint involved. No further information. Additional information has been requested. 5/1/07 T/C to reporter to request missing info.  Received patient demographics.   6/15/07 Received provider medical records which included vax lot #.  VAERS database updated.  Seen in PCP office on 4/5/07 for diet consult re diabetes, wt 301.  left inguinal hernia & possible right hand CTS noted.  8/21/07 Received hospital medical records which reveal patient experienced unresponsiveness while at home.  Out of state daughter called EMS when no response.  Daughter stated patient had c/o stiff neck, sour stomach, weakness & febrile to 104  since zostavax on 4/5/07.  Found to be unresponsive w/rash on abdominal area.  Glucose was 326.  Intubated & helicoptered to ER.  Admitted 4/14-5/14/07.  Found to be in acute renal failure secondary to rhabdomyolysis & hypotension.  Tx w/hemodialysis, pressors, antivirals & antibiotics.  Nephrology, neurology & ID consults done.  Trached & weaned to trach collar oxygen, feeding tube placement.  Weaned from hemodialysis & renal function slowly improving.  Remained in comatose state w/poor prognosis at transfer.  FINAL DX: viral meningitis, anoxic brain injury. 7/25/08-ventricular arrhythmia. arteriosclerotic cardiovascular disease. 1/4/2010 My brother died Oct 13, 2007. There were mistakes performed in medical center which caused him to go without 02 for 15 minutes. He was only minimaly conscious after that point.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Inguinal hernia, Monocyte count decreased, Neutrophil count increased
Clinical narrative: Information has been received from a physician concerning a male who on 05-APR-2007 was vaccinated with a single dose of Zostavax. On 14-APR-2007 (also reported as 17-APR-2007) the patient experienced "encephalitis" and was hospitalized. It was reported that the patient was air lifted to a hospital and was in the ICU. There was no product quality complaint involved. No further information. Additional information has been requested. 5/1/07 T/C to reporter to request missing info.  Received patient demographics.   6/15/07 Received provider medical records which included vax lot #.  VAERS database updated.  Seen in PCP office on 4/5/07 for diet consult re diabetes, wt 301.  left inguinal hernia & possible right hand CTS noted.  8/21/07 Received hospital medical records which reveal patient experienced unresponsiveness while at home.  Out of state daughter called EMS when no response.  Daughter stated patient had c/o stiff neck, sour stomach, weakness & febrile to 104  since zostavax on 4/5/07.  Found to be unresponsive w/rash on abdominal area.  Glucose was 326.  Intubated & helicoptered to ER.  Admitted 4/14-5/14/07.  Found to be in acute renal failure secondary to rhabdomyolysis & hypotension.  Tx w/hemodialysis, pressors, antivirals & antibiotics.  Nephrology, neurology & ID consults done.  Trached & weaned to trach collar oxygen, feeding tube placement.  Weaned from hemodialysis & renal function slowly improving.  Remained in comatose state w/poor prognosis at transfer.  FINAL DX: viral meningitis, anoxic brain injury. 7/25/08-ventricular arrhythmia. arteriosclerotic cardiovascular disease. 1/4/2010 My brother died Oct 13, 2007. There were mistakes performed in medical center which caused him to go without 02 for 15 minutes. He was only minimaly conscious after that point.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood glucose increased, Blood test, Convulsion, Electroencephalogram, Encephalitis viral
Clinical narrative: Information has been received from a physician concerning a male who on 05-APR-2007 was vaccinated with a single dose of Zostavax. On 14-APR-2007 (also reported as 17-APR-2007) the patient experienced "encephalitis" and was hospitalized. It was reported that the patient was air lifted to a hospital and was in the ICU. There was no product quality complaint involved. No further information. Additional information has been requested. 5/1/07 T/C to reporter to request missing info.  Received patient demographics.   6/15/07 Received provider medical records which included vax lot #.  VAERS database updated.  Seen in PCP office on 4/5/07 for diet consult re diabetes, wt 301.  left inguinal hernia & possible right hand CTS noted.  8/21/07 Received hospital medical records which reveal patient experienced unresponsiveness while at home.  Out of state daughter called EMS when no response.  Daughter stated patient had c/o stiff neck, sour stomach, weakness & febrile to 104  since zostavax on 4/5/07.  Found to be unresponsive w/rash on abdominal area.  Glucose was 326.  Intubated & helicoptered to ER.  Admitted 4/14-5/14/07.  Found to be in acute renal failure secondary to rhabdomyolysis & hypotension.  Tx w/hemodialysis, pressors, antivirals & antibiotics.  Nephrology, neurology & ID consults done.  Trached & weaned to trach collar oxygen, feeding tube placement.  Weaned from hemodialysis & renal function slowly improving.  Remained in comatose state w/poor prognosis at transfer.  FINAL DX: viral meningitis, anoxic brain injury. 7/25/08-ventricular arrhythmia. arteriosclerotic cardiovascular disease. 1/4/2010 My brother died Oct 13, 2007. There were mistakes performed in medical center which caused him to go without 02 for 15 minutes. He was only minimaly conscious after that point.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Hypoventilation, Loss of consciousness, Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Information has been received from a physician concerning a male who on 05-APR-2007 was vaccinated with a single dose of Zostavax. On 14-APR-2007 (also reported as 17-APR-2007) the patient experienced "encephalitis" and was hospitalized. It was reported that the patient was air lifted to a hospital and was in the ICU. There was no product quality complaint involved. No further information. Additional information has been requested. 5/1/07 T/C to reporter to request missing info.  Received patient demographics.   6/15/07 Received provider medical records which included vax lot #.  VAERS database updated.  Seen in PCP office on 4/5/07 for diet consult re diabetes, wt 301.  left inguinal hernia & possible right hand CTS noted.  8/21/07 Received hospital medical records which reveal patient experienced unresponsiveness while at home.  Out of state daughter called EMS when no response.  Daughter stated patient had c/o stiff neck, sour stomach, weakness & febrile to 104  since zostavax on 4/5/07.  Found to be unresponsive w/rash on abdominal area.  Glucose was 326.  Intubated & helicoptered to ER.  Admitted 4/14-5/14/07.  Found to be in acute renal failure secondary to rhabdomyolysis & hypotension.  Tx w/hemodialysis, pressors, antivirals & antibiotics.  Nephrology, neurology & ID consults done.  Trached & weaned to trach collar oxygen, feeding tube placement.  Weaned from hemodialysis & renal function slowly improving.  Remained in comatose state w/poor prognosis at transfer.  FINAL DX: viral meningitis, anoxic brain injury. 7/25/08-ventricular arrhythmia. arteriosclerotic cardiovascular disease. 1/4/2010 My brother died Oct 13, 2007. There were mistakes performed in medical center which caused him to go without 02 for 15 minutes. He was only minimaly conscious after that point.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Blood folate normal, Blood glucose normal, Blood immunoglobulin G normal, Blood test normal, Blood thyroid stimulating hormone
Clinical narrative: I developed neuritis and systemic polyneuropathy treated pain with Neurotin symptoms noted and 1 week after vaccination initially.    05/03/2007 MR received for multiple neuro consult OVs beginning 10/13/2006 to 3/27/2207 for c/o initially numbness of the lower extremities. Initial PE shows 2+ knee and 1+ ankle relexes and mild sensory disturbance over the ventral aspects of feet. Otherwise WNL. DX: Mild sensory neuropathy ideopathic in nature.  Further F/U show sensory sx now increased and progressing to the arms.  Numbness and tingling now to the mid thigh and left arm.  Legs heavy.  Now noted on 11/16/06 that sx. began after DPT vax.  OV 12/11/06 with development of diffuse dysthetic pain in arms legs and trunk. DX:  Ideopathic neuropathy. Polyneuritis and neuropathy.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Lumbar puncture normal, Neuritis, Pain, Polyneuropathy
Clinical narrative: I developed neuritis and systemic polyneuropathy treated pain with Neurotin symptoms noted and 1 week after vaccination initially.    05/03/2007 MR received for multiple neuro consult OVs beginning 10/13/2006 to 3/27/2207 for c/o initially numbness of the lower extremities. Initial PE shows 2+ knee and 1+ ankle relexes and mild sensory disturbance over the ventral aspects of feet. Otherwise WNL. DX: Mild sensory neuropathy ideopathic in nature.  Further F/U show sensory sx now increased and progressing to the arms.  Numbness and tingling now to the mid thigh and left arm.  Legs heavy.  Now noted on 11/16/06 that sx. began after DPT vax.  OV 12/11/06 with development of diffuse dysthetic pain in arms legs and trunk. DX:  Ideopathic neuropathy. Polyneuritis and neuropathy.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate normal, Scan brain, Spinal X-ray normal, Syphilis test negative, Vitamin B12 normal
Clinical narrative: I developed neuritis and systemic polyneuropathy treated pain with Neurotin symptoms noted and 1 week after vaccination initially.    05/03/2007 MR received for multiple neuro consult OVs beginning 10/13/2006 to 3/27/2207 for c/o initially numbness of the lower extremities. Initial PE shows 2+ knee and 1+ ankle relexes and mild sensory disturbance over the ventral aspects of feet. Otherwise WNL. DX: Mild sensory neuropathy ideopathic in nature.  Further F/U show sensory sx now increased and progressing to the arms.  Numbness and tingling now to the mid thigh and left arm.  Legs heavy.  Now noted on 11/16/06 that sx. began after DPT vax.  OV 12/11/06 with development of diffuse dysthetic pain in arms legs and trunk. DX:  Ideopathic neuropathy. Polyneuritis and neuropathy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh swollen, red and hot at the site where the shot was given.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Balance disorder, Bradyphrenia, Dizziness, Ear disorder, Ear pain
Clinical narrative: Patient was seen in our office around 3:00 PM 4-24-07 for earache. He received 2 vaccines Tdap & Menactra. Patient's mother called our office 4-25-07 and stated he passed out last night (4-24-07) at 11:00 PM. He felt dizzy, was off balance and was thinking slow.  Mother had difficulty waking him up. She took him to Emergency Dept and was told by ER doctor that above symptoms was most likely due to his ear problem-his ear canal was red.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Patient was seen in our office around 3:00 PM 4-24-07 for earache. He received 2 vaccines Tdap & Menactra. Patient's mother called our office 4-25-07 and stated he passed out last night (4-24-07) at 11:00 PM. He felt dizzy, was off balance and was thinking slow.  Mother had difficulty waking him up. She took him to Emergency Dept and was told by ER doctor that above symptoms was most likely due to his ear problem-his ear canal was red.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Pain
Clinical narrative: On 23Apr2007 member-complained of body aches, joint pain-member did not check for fever. Member medicated himself with Motrin 600 mg x 3 days. Today 27apr07-member better-no pain.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Joint range of motion decreased, Local swelling, Pain in extremity
Clinical narrative: Right UE Cellulitis 3pm/per pt. pain UE started in AM with decreased ROM progressively increased swelling to left neck.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Body temperature increased, Chills, Injection site erythema, Injection site rash, Pain
Clinical narrative: On 25 apr 2007 at approx 2100 hr. c/o fever and chills, bodyaches. Temp 101.8F-oral. resolved with Advil-better now. Member also c/o severe site reaction-size approx-12cm x 7cm this is resolved today-now smaller area of redness
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: On 25 apr 2007 at approx 2100 hr. c/o fever and chills, bodyaches. Temp 101.8F-oral. resolved with Advil-better now. Member also c/o severe site reaction-size approx-12cm x 7cm this is resolved today-now smaller area of redness
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 cm by 2am red induration area on rt thigh
Age: 1.58
Sex: U
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 19 month old BM received single imm. left thigh. Mom notes swelling, warm and red anterior thigh starting at 29 hours. No limping physical noted for.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Hypotension, Urticaria, Wheezing
Clinical narrative: Rapid onset wheezing, hypotension and urticaria within 15 minutes of vaccines.  5/15/07 Received hospital medical records which reveal patient experienced wheezing, dizziness & itching. Admitted for observation 4/6-4/8/07.  Kept on steroids & antihistamines as well as IVF.  Progressed well & d/c home on steroids & antihistamine & local skin care. FINAL DX:  allergic reaction to vaccines & angioedema, both resolved.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: patch L deltoid swelling pruritic
Age: 80.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Noticed Swelling and redness of left arm below shoulder and in the inside of arm very warm to the touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site papule, Injection site swelling
Clinical narrative: Leg swelling entire Ant thigh, Erythematous and indurated with central unroofed papules.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Loss of consciousness
Clinical narrative: Pt passed out after injection - Head injury obtained.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Acidosis, Anorexia, Cough, Diarrhoea, Feeding disorder of infancy or early childhood
Clinical narrative: On 2/13/2007, our son, age 2 months received the oral vaccine Rotateq at his routine 2 month well-baby check up. Two days later he developed diarrhea which lasted 7 days. During this period he became very fussy during feedings and lost his appetite. On the seventh day of his diarrhea, he was switched form his regular mild-based formula to soy formula. The diarrhea ceased, however the feeding issues remained. The feeding resistance he was exhibiting turned to overall feeding refusal, insomuch that he needed to be fed asleep, on in a very near sleep stage. He also developed a cough and wheezing. Labs were drawn weeks later and have been repeated several times since. The results all show elevated liver enzymes and acidosis. It is our belief that the Rotateq vaccine is responsible for  the problems my son is experiencing, and we have asked the Dr to report this incidence to manufacturer and VAERS in order to initiate a formal inquiry on our behalf.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Hepatic enzyme increased, Irritability, Wheezing
Clinical narrative: On 2/13/2007, our son, age 2 months received the oral vaccine Rotateq at his routine 2 month well-baby check up. Two days later he developed diarrhea which lasted 7 days. During this period he became very fussy during feedings and lost his appetite. On the seventh day of his diarrhea, he was switched form his regular mild-based formula to soy formula. The diarrhea ceased, however the feeding issues remained. The feeding resistance he was exhibiting turned to overall feeding refusal, insomuch that he needed to be fed asleep, on in a very near sleep stage. He also developed a cough and wheezing. Labs were drawn weeks later and have been repeated several times since. The results all show elevated liver enzymes and acidosis. It is our belief that the Rotateq vaccine is responsible for  the problems my son is experiencing, and we have asked the Dr to report this incidence to manufacturer and VAERS in order to initiate a formal inquiry on our behalf.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Acidosis, Cough, Decreased appetite, Diarrhoea, Feeding disorder
Clinical narrative: On 2/13/2007, our son, age 2 months received the oral vaccine Rotateq at his routine 2 month well-baby check up. Two days later he developed diarrhea which lasted 7 days. During this period he became very fussy during feedings and lost his appetite. On the seventh day of his diarrhea, he was switched form his regular mild-based formula to soy formula. The diarrhea ceased, however the feeding issues remained. The feeding resistance he was exhibiting turned to overall feeding refusal, insomuch that he needed to be fed asleep, on in a very near sleep stage. He also developed a cough and wheezing. Labs were drawn weeks later and have been repeated several times since. The results all show elevated liver enzymes and acidosis. It is our belief that the Rotateq vaccine is responsible for  the problems my son is experiencing, and we have asked the Dr to report this incidence to manufacturer and VAERS in order to initiate a formal inquiry on our behalf.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Hepatic enzyme increased, Hepatic function abnormal, Irritability, Laboratory test abnormal, Wheezing
Clinical narrative: On 2/13/2007, our son, age 2 months received the oral vaccine Rotateq at his routine 2 month well-baby check up. Two days later he developed diarrhea which lasted 7 days. During this period he became very fussy during feedings and lost his appetite. On the seventh day of his diarrhea, he was switched form his regular mild-based formula to soy formula. The diarrhea ceased, however the feeding issues remained. The feeding resistance he was exhibiting turned to overall feeding refusal, insomuch that he needed to be fed asleep, on in a very near sleep stage. He also developed a cough and wheezing. Labs were drawn weeks later and have been repeated several times since. The results all show elevated liver enzymes and acidosis. It is our belief that the Rotateq vaccine is responsible for  the problems my son is experiencing, and we have asked the Dr to report this incidence to manufacturer and VAERS in order to initiate a formal inquiry on our behalf.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Expired drug administered, No adverse effect
Clinical narrative: Pt got Dtap #1 Lot = AC14B006BA with Exp date: 2/26/07 given 4/23/07 (vaccine date was expired = no reaction)
Age: 43.0
Sex: M
Vaccine: HEPAB
Symptoms: Fatigue, Pallor, Pyrexia, Sinus headache
Clinical narrative: pale body, headaches (sinus), tired (slept all day Saturday) fever, on Wednesday 4/18 feels much better.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Hep A given in LD 4-25-07 c/o pain, reddness and swelling at site onset 4-26-07 Sit was warm to toucha nd meassured 50 mm, Instructed mom to apply cool compress and advil as needed
Age: 43.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: C/O PAIN IN AMR,NUMBNESS AND TINGLING, BUT DID NOT PRESENT TO PHYSICIAN WITH THESE SYMPTOMS UNTIL 03/16/07 AT WHICH TIME SYMPTOMS HAD RESOLVED.THIS WHAT THE PT.STATES.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Rash
Clinical narrative: Patient developed rash 7 hours after imunization
Age: 15.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Asthenia, Cold sweat, Dizziness, Hypoaesthesia oral, Musculoskeletal pain
Clinical narrative: 2-3 minuites after receiving VZV and Tdap pt. began to feel faint and c/o dizziness and fainted.Skin cold and clammy, B/P 130/74. Pulse 64/reg. Pt.easily aroused in less than one minute after fainting. Alert and oriented to person, place,date,and situation.C/O generalized weakness and momentary numbness in lips and throat with no c/o shortness of breath..or difficulty breathing. After 10 min.of clinical observation: B/P 130/78, pulse 60/reg. while sitting. C/O soreness afterward in (L) shoulder. No swelling noted. Moves all extremities well.  Left per wheel chair with god-grandmother enroute to Urgent facility for evaluation. Child's father notified of incident and will be meeting child and god-grandmother at the facility. Pt. left in good spirits, no apparent distress and asked god-grandmother to follow-up with Health Dept. as to care rendered at the urgent care facility. Nurses clinical documentation sent with patient to facility.
Age: 15.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Pharyngeal hypoaesthesia, Syncope
Clinical narrative: 2-3 minuites after receiving VZV and Tdap pt. began to feel faint and c/o dizziness and fainted.Skin cold and clammy, B/P 130/74. Pulse 64/reg. Pt.easily aroused in less than one minute after fainting. Alert and oriented to person, place,date,and situation.C/O generalized weakness and momentary numbness in lips and throat with no c/o shortness of breath..or difficulty breathing. After 10 min.of clinical observation: B/P 130/78, pulse 60/reg. while sitting. C/O soreness afterward in (L) shoulder. No swelling noted. Moves all extremities well.  Left per wheel chair with god-grandmother enroute to Urgent facility for evaluation. Child's father notified of incident and will be meeting child and god-grandmother at the facility. Pt. left in good spirits, no apparent distress and asked god-grandmother to follow-up with Health Dept. as to care rendered at the urgent care facility. Nurses clinical documentation sent with patient to facility.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthma, Cough, Dysphonia, Injection site swelling, Pharyngolaryngeal pain
Clinical narrative: After receiving a Shingles vaccine on 4/23/07 I initially had only a swelling at the injection site.  However, in the next 3 days I began to suffer from asthma like symptoms, coughing, sore throat, and hoarseness.  I am still experiencing these symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Expired drug administered, Medication error
Clinical narrative: None noted      MMR Vaccine that was given was expired by 14 days
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Full blood count normal, Insomnia, Metabolic function test normal, Nausea
Clinical narrative: Light-headedness and nausea, mostly with position changes or walking, lasting up to 2 hrs, relieved with lying down, for 3 days, beginning 4 days after receiving 3rd Gardasil vaccine.  Had 2 episodes 1st day, then 4 episodes next day. Came in for eval 3rd day, had brief episode that morning, and for 2 min. while standing in office.  Menses started 2nd day.  Also some difficulty falling asleep 1st and 2nd days.  Symptoms all resolved by 4th day, was reportedly back to normal.   No treatment given except recommendation to increase fluids, get up slowly.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site nodule, Oedema peripheral
Clinical narrative: BILATERAL FOREARM/HAND EDEMA (UNABLE TO MAKE FIST) STARTED BETWEEN 48-72 HOURS POST ANTHRAX #2 VACCINATION.  PT ALSO C/O NODULE IN ARM @ VACCINE SITE.  PT RX'D STEROID DOSE PACK.  EDEMA ALREADY SUBSIDING BY THE TIME HE WAS EXAMINED BY PHYSICIAN.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Pyrexia, Rash
Clinical narrative: ON 4-10-2007 PATIENT DEVELOPED A RASH. WAS SEEN IN OUR OFFICE ON 4-13-2007. THEN PATIENT SAW A DERMATOLOGIST DX WITH SHINGLES. ON 4-20-2007 WAS RECHECKED DO RASH SPREADING AND FEVER.
Age: 1.92
Sex: F
Vaccine: DTAP, FLU3, HEPA, HIBV, IPV, MMRV, PNC
Symptoms: Incorrect dose administered
Clinical narrative: Client received age inappropriate 0.5ml dose of Fluzone rather than 0.25ml in her right thigh. No adverse event or reaction has been reported at this time.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Local reaction at injection site consisting of erythema, inc warmth, firm edema, & mild tenderness.  Area affected approximately 12.5cm x 12.5cm.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Myalgia, Swelling
Clinical narrative: Localized swelling, malaise and myalgias.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Whole-arm swelling.  Circumference of left deltoid (site of DTaP) measured today at 12:30 p.m.:  18.5 cm.  Right deltoid was 15.5 cm.
Age: 23.0
Sex: M
Vaccine: RAB
Symptoms: Asthenia, Hypoaesthesia oral, Paraesthesia, Speech disorder, Visual disturbance
Clinical narrative: Pt. returned for Rabies#2 on 4-26-07. Received Rabies #1 on 04-19-2007. Pt. stated that on Saturday, 4-21-2007 around 12 noon, that he began to have tingling in Right arm, difficulty seeing in Right eye,unable to speak for approximately 3-4 minutes and numbness on right side of lip. His father witnessed this episode. After several minutes, pt. states he was weak. Pt. able to go lay down. He states he took a nap for two hours.  Upon awaking, he was completely well. Pt. states he did not seek medical help because he felt better. Denies any previous episodes or any since that time. Rabies #2 not given. Referred for MD evaluation. 05/15/07-records received for DOS 4/26/07-C/O loss of vision in right eye, aphasia, right side numbness and facial droop. Occurred a few days after rabies shot. PE unremarkable. Assessment:Episode of acute visual changes/aphasia/paresthesia, differential includes TIA and migraine equivalent. MRI/MRA to be scheduled.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Ear infection, Injection site swelling
Clinical narrative: Mother stated that approx 3 hours after vaccines were given, child's Right deltoid was swollen by 1 1/2" wide, red, and warm to touch.  Noted that DTaP was given in (R) deltoid.  Mother got concerned over the weekend and on 4/9/2007 took child to Dr.'s office to be checked out, which Dr. gave her some medicine and also diagnosed with start of ear infection.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Loss of consciousness, Migraine
Clinical narrative: 1 1/2 hours after vaccine administration the patient complained of a headache and lossed consciousness for 3 minutes.  She regained consciousness, attempted to stand, and loss consciousness again for 3 minutes.  Paramedics transported her to the emergency room where it was determined that patient had a migraine headache.  She was released into the care of her mother.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Headache, Injection site erythema, Injection site swelling, Pyrexia, Rash
Clinical narrative: Headache, fever, "red upper arm and upper arm swelling"   "Rash on her back (which may have been caused by sunblock she used the day before). "Rash not associated with vaccines".
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Phone call from mother stating patient had a 3-4 inch diameter red, swollen, sore upper left arm. No fever.   Symptoms improved but not completely gone.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: LEFT DELTOID -MOTHER NOTED LEFT DELTOID AREA WAS SWOLLEN, RED,"HOT TO TOUCH" & HARD" @ 6PM MOTHER APPLIED "TRIAXOLONE" & WHEN CHILD WAS NOTED ITCHING MOTHER APPLIED ALCOHOL.  SWELLONG CONSIDERABLY RESOLVED, THIS AM, PER MOTHER
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Lumbar puncture, Muscular weakness, Myelitis transverse, Myelopathy, Nuclear magnetic resonance imaging
Clinical narrative: 22 days after receiving vaccine developed acute transverse myelitis at T6 level.  8/14/2007 MR received for DOS 4/25-5/1/2007.  Initially presented with sudden onset weakness in the legs, 10/10 abdominal pain and trouble walking. Numbness and tingling of extremities as well. Admitted with DX of weakness. Discharge DX:  Transverse myelitis.  UTI. 1/4/10 Leg weakness to Transevere Myelitis
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: 22 days after receiving vaccine developed acute transverse myelitis at T6 level.  8/14/2007 MR received for DOS 4/25-5/1/2007.  Initially presented with sudden onset weakness in the legs, 10/10 abdominal pain and trouble walking. Numbness and tingling of extremities as well. Admitted with DX of weakness. Discharge DX:  Transverse myelitis.  UTI. 1/4/10 Leg weakness to Transevere Myelitis
Age: 0.3
Sex: F
Vaccine: DTAP, HEP
Symptoms: C-reactive protein increased, Platelet count increased, Pyrexia, Rash maculo-papular, White blood cell count increased
Clinical narrative: 24 Hrs after vaccines were given presented with rash maculo papular on chest, back and abdomen at the same time fever initially 100.4, went to to 103 x 3 days; on 3rd admitted to hosp continued with fever up to 102.5, 2 more days rash fade off fast with Hydroxyzine PO.  06/12/2007 MR received for a 4 day hospital admit (1/2-6/07) for c/o maculopapular rash on infant's abdomen, chest, and back as well as fever.  Infant has been crying more, greatest when fever is high.  Admitted for febrile illness. D/C DX: Viral Infection non-specified.  Thrombocytosis resolved.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Arthropathy, Injection site pain
Clinical narrative: Pain at injection site. Loss of function of shoulder. Patient claims that injection caused permanent damage to shoulder joint.
Age: 0.18
Sex: F
Vaccine: RV5, RV5
Symptoms: Culture stool positive, Diarrhoea, Flatulence, Rotavirus test positive, Vomiting
Clinical narrative: 4-8-07 diarrhea started and had some vomiting and gassy formula changed from Similac advanced to Isomil and giving pedialyte. 4-14-07 Semi-solid stool, 4-24-07 firm stools
Age: 0.18
Sex: F
Vaccine: RV5, RV5
Symptoms: Diarrhoea, Flatulence, Rotavirus infection, Rotavirus test positive, Vomiting
Clinical narrative: 4-8-07 diarrhea started and had some vomiting and gassy formula changed from Similac advanced to Isomil and giving pedialyte. 4-14-07 Semi-solid stool, 4-24-07 firm stools
Age: 0.18
Sex: F
Vaccine: RV5, RV5
Symptoms: Vomiting projectile, Weight decreased
Clinical narrative: 4-8-07 diarrhea started and had some vomiting and gassy formula changed from Similac advanced to Isomil and giving pedialyte. 4-14-07 Semi-solid stool, 4-24-07 firm stools
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Red, firm area approx 2 cm x 4 cm to right arm that is warm to touch
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient received Gardasil vaccine on 4-11-07. On 4-25-07, patient had + pregnancy test.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Right arm pt has redness, no fever, no pain and warmth. 15 x 10 cm. No induration.
Age: 1.25
Sex: M
Vaccine: MMRV
Symptoms: Injection site rash, Lethargy, Urticaria, Vomiting
Clinical narrative: Skin rash at site x one week. lethargy x 2 episodes of vomiting lasting 7d began 5 to 7 days after administration. hives-mild case comes and goes x one week
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Cold compress therapy, Crying, Injection site erythema, Irritability, Pyrexia
Clinical narrative: 4/24 3:08 Pm - Dad called the office to report the baby had been crying for 1 1/2 - 2 hrs Inj site (LF th) red. recommendation to give Tylenol every 4 hrs - today and following day, cool compresses to thigh. We would call later with follow up. No known fever. 4/24  - 710 Pm pt no longer crying T 100.8. 4/24 - 10 Pm  - fever 102.2, whiney, fussy - spoke with physician on call
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient called pharmacy to report redness and swelling at site of vaccine. Advise ice and ibuprofen/tylenol and to call MD if symptoms worsened.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Abdominal pain, Arthritis, Henoch-Schonlein purpura, Rash
Clinical narrative: Arthritis, rash, abdominal pain c/w H-S-P.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Nausea
Clinical narrative: nausea and dizziness