chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Eyelid oedema, Swelling face, Urticaria
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 21 March 2007 from a healthcare professional. A 54 year old female patient received on 28 February 2007 intramuscular first dose of Adacel (lot# C2690AA) and immediately developed facial swelling including eyelids and generalized hives on face and chest. Treated with Benadryl, Tagament and prednisone. The event resolved and the patient recovered. No other vaccines were given concomitantly. At the time of vaccination the patient had vertigo. Received Fluzone on 11 October 2007 and experienced generalized hives and lump on elbow (case 2007-00862). The patient medical history included multiple environmental life threatening allergies and asthma. Concomitant medications included: ASA, fish oil, Spironolactone, Terbutaline prn, Benadryl prn, singulair, Combavent, Adver. The reporter is the same as in case 2007-00862.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 20 March 2007 from a healthcare professional. An 11 year old male patient received on 19 March 2007 a dose of Menactra (lot number U1860AA), intra-muscular into the left deltoid and a dose of BoosTrix (lot# AC52B009BA), intra-muscular into the right deltoid. After vaccination, he experienced syncope for 30 seconds, unresponsive, pallor and weakness for 15 minutes. He was treated with 02 and recovered. The patient did not have illness at time of vaccination. Medical history and concomitant medications were not reported.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Convulsion, Drug screen negative, Laboratory test normal
Clinical narrative: Seizure following vaccinations on 3/19/07. Pt received Tdap, Varicella, IPV, Hep B. Patient had one seizure on 3/19/07 and a second seizure on 3/21/07. 04/17/2007 MR received for ER visit for 2nd episode of seizure activity in 2 days. Initial event occured 2 hours after vax and lasted ~2 minutes.  The event today which resulted in ER visit lasted ~15 min. PE: WNL. DX: Epilepsy vs. non-epileptic events.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Fatigue, Headache, Pyrexia, Stomach discomfort
Clinical narrative: Adverse reaction. HA, fever, fatigue, arthralgia, stomach upset without vomiting or diarrhea.  04/17/2007 MR received for OV for c/o fever, H/A, fatigue, arthralgia, and GI upset.  PE: WNL except for ankle pain 2' to fx. and ill-appearing. Temp. 101.2'F Assessment:  Drug reaction to Adacel vaccine.  Right ankle sprain (later dx as fx by X-ray). No other tx. sought.
Age: 17.0
Sex: M
Vaccine: MNQ, UNK
Symptoms: Throat irritation, Throat tightness, Urticaria
Clinical narrative: Approximately 18 hrs after injection of vaccine, client develop initially under skin followed by development of wheals on neck, torso, head and face right side. Later develop throat irritation and tightness. Has been on Benadryl since Saturday night. Remains on 25 mg Benadryl with decreased free of doses each day.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Patient presented to office with Right arm red and swollen after vaccination the previous two days-symptoms began the same day as vaccination.
Age: 39.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Lymphadenopathy
Clinical narrative: 12 days post injection of MMR and Tdap employee experienced bilateral swollen glands. No other symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Pyrexia
Clinical narrative: Redness to left deltoid and itching developing less then 24 hours after immunization. Symptoms waxed and waned and improved by clinic appointment. Treatment with Benadryl as needed. Fever to 102 within 48 hours of immunization treatment with Tylenol.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Auricular swelling, Ear pain, Herpes zoster, Pain, Pain of skin
Clinical narrative: 1/2 hour later woke up with swollen tongue, ear, aches, stinging scalp. (All on right side of head and face). Sharp pain in ear. Saw Dr.-diagnosis-shingles 3/18 scabs beginning to fade off-ones on scalp have not formed scabs yet. Prescription used-Famvir. Further recovery will take time. Still sharp pain in right ear; occasionally.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin disorder, Swollen tongue, Vaccination failure
Clinical narrative: 1/2 hour later woke up with swollen tongue, ear, aches, stinging scalp. (All on right side of head and face). Sharp pain in ear. Saw Dr.-diagnosis-shingles 3/18 scabs beginning to fade off-ones on scalp have not formed scabs yet. Prescription used-Famvir. Further recovery will take time. Still sharp pain in right ear; occasionally.
Age: 1.01
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Measles, Rash
Clinical narrative: Transient measles no nausea, vomiting diarrhea or fever. No other symptom except rash.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site swelling, Joint swelling
Clinical narrative: Left leg thigh swollen all over the knee.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Skin reaction
Clinical narrative: Skin reaction
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood glucose, Dizziness, Electrocardiogram normal, Fall, Head injury
Clinical narrative: Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching when RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Headache, Muscle twitching, Pallor, Staring
Clinical narrative: Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching when RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.
Sex: F
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Rash
Clinical narrative: Rash started night of 3-26-07. No treatment necessary. Reassurance and explanation to parent by doctor.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm swollen and red and warm to touch (localized cellulitis), afebrile.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injected limb mobility decreased, Injection site pain
Clinical narrative: By noon on day of shot deep pain in arm in immediate area where shot was given, no rash or redness occurred. I couldn't move arm more than 45 degree angle anyway. I had absolutely no problems with arm before shot was given.  Was on work restrictions, went thru 18 physical therapy treatment. Arm is better but not near full recovered. Arm bothers me thru the night I wake up with pain quite often. I can't reach up or back or lift anything too heavy without pain.
Age: 19.0
Sex: F
Vaccine: IPV, TDAP
Symptoms: Loss of consciousness, Pain
Clinical narrative: Blacked out in washroom morning after injections (No history of ever blacking out before). Body very achey when awakened.
Sex: F
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Office assistant gave DTaP rather than Tdap to 11 year old patient during her annual physical. This was during a well child visit to pediatrician. MOD is float for several offices.
Sex: U
Vaccine: TDAP
Symptoms: Medication error
Clinical narrative: Adacel (Tdap) is a new vaccination intended for adults under 65, which should replace Td for tetanus booster and will increase immunity to Pertussis. Daptacel (DTaP) is one of many brand names of the vaccine which is intended for infant use. The component antigens are the same, but the relative amounts are much greater for the infant vaccination. The nomenclature DTaP and Tdap is confusing and a potential source of error, which is further compounded by the similarity in the brand names. We have identified instances where adults and one adolescent have received inappropriate infant vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Urticaria
Clinical narrative: MMR given in left arm at 5 minutes wheal developed under site given approximately 3cm x 4cm."
Age: 1.53
Sex: M
Vaccine: DTAP, PNC
Symptoms: Bronchiolitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient received IM of vaccines in anterior right thigh on 27 Mar 2007 mom states redness at injection site and circumferential erythema, swelling, tenderness and warmth began 28 Mar 2007. Less today. Child, also presents with bronchiolitis today. Treated with Augmentin, Ibuprofen, Prednisone syrup.
Age: 9.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Local about 1 inch diameter indurated reaction which mom reports was twice that size 1 day ago. 02/11/2010 Information has been received from a nurse practicioner and a registered nurse concerning an 8-year-old female with no pre-existing allergies, birth defects, or medical conditions who on 27-FEB-2007 at 15:50 pm was vaccinated subcutaneously in the left arm with second dose of VARIVAX (lot# 656079/1106F). It was reported that he was vaccinated at her well child check-u. on 28-FEB-2007 the patient returned to the office with an 8 x 5 cm swollen, hard, red, hot area at the injection stie. The patient's mother reported a decrease in swelling without treatment. It was reported that hte patient recovered as of 13-MAR-2007. The records of testing prior to release of the lot in question have been rechecked and found to be sastifactory. The lot met the requirements and was released by the regulatory agency. Additional information has been requested.
Age: 1.28
Sex: M
Vaccine: DTAP
Symptoms: Swelling face
Clinical narrative: Dtap challenge performed at doctor visit. Skin prick test to h10 dilution of Tripedia and histamine-7x8 reaction to histamine only. Intradermal injection of 0.05cc histamine, 0.1cc saline, and 0.05cc 1:100 dilution of vaccine to Left tricep. Developed facial flushing. Intradermal vaccine site had 7x7mm with flare histamine had 35x25mm reaction with flare. Ears now flushed.
Age: 16.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: First day after shot had red quarter size rash/redness. Second/Third day rash/redness baseball size, forth/fifth day top of shoulder to elbow rash/redness hot to touch lasted for two/three days. Told to take Tylenol, week later redness/rash went away.
Age: 59.0
Sex: M
Vaccine: RAB
Symptoms: Fall, Gait disturbance, Head injury
Clinical narrative: Donor got Rabies immunization at 1:10pm. Went to wait 15 min in pherevis area after shot. Donor got up to walk away and fell on floor hitting head in two spots. Phleb tried to catch donor before he fell but was unable to catch him. Donor was staggering when walking.
Age: 58.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received Varicella vaccine 3/22/07 in left posterior upper arm. Patient presented 2 days later with severe redness, swelling, pain left posterior upper arm. Getting worse with time. Diagnosed with Atanax and covered with antibiotic for possible cellulitis.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Oedema peripheral
Clinical narrative: 12x10 cm well circumscribed area of redness and tender induration, swelling of arm by 1 inch compared to left.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Td given 2/20/07-developed fever and arm pain 2/21/07. Mid afternoon-called primary care physician 2/22/07-asked to to come in for evaluation-temp 101.8-inject site 10mm swollen, painful, red and hot. Treated with Keflex 250mg four times a day for 10 days.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Td given 2/20/07-developed fever and arm pain 2/21/07. Mid afternoon-called primary care physician 2/22/07-asked to to come in for evaluation-temp 101.8-inject site 10mm swollen, painful, red and hot. Treated with Keflex 250mg four times a day for 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Red swelling, erythema and warm to touch 17 x 21.3cm erythema and swelling.
Age: 6.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site reaction, Injection site warmth
Clinical narrative: Parent called Sunday at 1834 reported baseball size reaction warm to touch from shot.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain, Anxiety, Deafness, Dizziness, Hyperhidrosis
Clinical narrative: 10 minutes after immunization patient described feeling dizzy and nauseated, having abdominal pain and blurred vision also numbness in lips and hearing loss for 3 minutes. Patient diaphoretic, pale and anxious. Completed donating 825cc plasma prior to vaccination.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Hypoaesthesia oral, Nausea, Pallor, Vision blurred
Clinical narrative: 10 minutes after immunization patient described feeling dizzy and nauseated, having abdominal pain and blurred vision also numbness in lips and hearing loss for 3 minutes. Patient diaphoretic, pale and anxious. Completed donating 825cc plasma prior to vaccination.
Age: 21.0
Sex: F
Vaccine: HIBV
Symptoms: Antibody test abnormal, Epiglottitis
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning a 21 year old female patient who in received PedvaxHib. Approximately one month ago, the patient developed epiglottitis and was hospitalized. The patient's serum Haemophilus influenzae type b polyribosylribitol phosphate antibody test (HIB) titer was low. She was recovering, Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from  licensed practical nurse concerning a patient who about a month ago (approximately February 2007), was vaccinated with Rotateq. Subsequently, the patient experienced hematochezia. The patient sought unspecified medical attention. Subsequently, the patient recovered from hematochezia. Upon internal review hematochezia was determined to be an other important medical event. In follow-up, the nurse could not provided further details she even thought that there may be several patients. Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site rash, Rash generalised
Clinical narrative: Information has been received from a registered nurse concerning a 10 year old female with a penicillin allergy who on 19-MAR-2007 was vaccinated IM with a 0.5 ml second dose of Gardasil (Lot# 654741/0013U). There was no concomitant medication. On 19-MAR-2007 the patient developed a rash all over her body, especially near the injection site. The nurse reported that the patient was given BENADRYL for the rash. The patient went to see her pediatrician who reportedly prescribed the patient with prednisone an ZYRTEC. It was also reported that the patient did not have a reaction to her first dose of Gardasil. At the tiem of the report, the patient was recovering. The nurse felt that the patient's rash was an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
Clinical narrative: Information has been received from a physician concerning her 18 year old daughter with penicillin and sulfonamide allergy, attention deficit/hyperactivity disorder, anxiety and migraine who on 15-MAR-2007 was vaccinated, intramuscularly, with a dose of Gardasil. Concomitant therapy included TOPAMAX, STRATTERA and ZOLOFT. On 18-MAR-2007 the patient experienced "soreness in her legs" and her "knees and ankles began to hurt. "The patient took ibuprofen for the symptoms. On 20-MAR-2007, the patient was not able to attend school. It was reported that she was "not walking normally" and "walking like an old lady." Unspecified medical attention was sought. There was no laboratory or diagnostic test performed. At the time of the report, the symptoms had not resolved. The physician considered "knees and ankles began to hurt" and "soreness in her legs" to be disabling events.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Information has been received from a physician concerning her 18 year old daughter with penicillin and sulfonamide allergy, attention deficit/hyperactivity disorder, anxiety and migraine who on 15-MAR-2007 was vaccinated, intramuscularly, with a dose of Gardasil. Concomitant therapy included TOPAMAX, STRATTERA and ZOLOFT. On 18-MAR-2007 the patient experienced "soreness in her legs" and her "knees and ankles began to hurt. "The patient took ibuprofen for the symptoms. On 20-MAR-2007, the patient was not able to attend school. It was reported that she was "not walking normally" and "walking like an old lady." Unspecified medical attention was sought. There was no laboratory or diagnostic test performed. At the time of the report, the symptoms had not resolved. The physician considered "knees and ankles began to hurt" and "soreness in her legs" to be disabling events.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Muscle twitching, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Initial and follow-up information has been received from a Medical Assistant concerning a 17 year old female patient who on 15-MAR-2007 was vaccinated IM with her first dose of Gardasil, lot #654702/0011U. The reporter reported soon after the injection "her arm hurt really bad" and was stiff. On 16-MAR-2007 the patient developed sporadic twitching of her whole body. The reporter stated that the patient "looked as if she had Tourette syndrome. " On 17-MAR-2007 the patient was examined in the emergency room and was released a few hours later. She was examined by her primary physician and gynecologist. She had an appointment with a neurologist. She has not had any improvement in her symptoms of sporadic twitching, however arm pain and stiffness were subsiding. The reporter considered the events to be disabling because the patient was unable to perform her activities of daily living for a week. Additional information has been requested.  7/7/2009 Neuro consult received for 3/20/07-4/13/07 with DX: Intermittent myoclonus. Pt presented for consult after developing twitching in the L leg and shoulder which developed on 3/16/07, one day after receiving HPV vax in R deltoid. Pt also c/o shoulder pain and RUE pain making it difficult to use the R arm. Pt c/o increasing frontal H/A since that time as well. Plantar responses were flexor on the right and extensor on the left. Intermittent jerky movement mostly upper part of body toward left shoulder and rarely in the legs.  F/U 3/30/07 with continued H/A and blurred vision but improvement in twitching. RUE pain improved, but now sharp pain in top of neck. Tx with Naproxen which was later d/c due to epigastric pain. Topamax started.  7/14/09 PCP records recd. Seen 3/19/07 for dx: motor twitching. See neuro records.  7/17/09 ER records received DOS 3/17/07 to 3/18/07. Assessment: Shoulder Twitching. Patient presented with sudden onset left shoulder twitching (intermittent). Left shoulder muscle pain. Ativan prescribed, symptom improved, and patient discharged.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Body temperature increased, Erythema, Pyrexia, Rash morbilliform, Swelling face
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with no known history or allergies who on 07-MAR-2007 was vaccinated with a dose of ProQuad. Concomitant therapy included amoxicillin. Eight days after vaccination, on 15-MAR-2007, the patient broke out in a measles-like rash all over her entire body. She had more than 300 "flat red spots" and a fever as high as 103.4 degrees. Her face was also very swollen. Unspecified medical attention was sought. At the time of the report, she was recovering. There was no product quality complaint involved. The reporter considered her daughter's experiences to be disabling. Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Immunized Friday 3/23/07-returned Monday 3/26/07 about 3cm diameter local erythematous duration with slight swelling.
Age: 0.21
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: fever, irritability
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Red, hard, warm, swollen area on right deltoid measuring 115mm x 85mm, Child has been chilling, and generally not feeling well per mother. Symptoms started around 2:00 PM 3/29/07. Child has had cool pks and Motrin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Malaise
Clinical narrative: Red, hard, warm, swollen area on right deltoid measuring 115mm x 85mm, Child has been chilling, and generally not feeling well per mother. Symptoms started around 2:00 PM 3/29/07. Child has had cool pks and Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: R upper arm - erythematous,warm, edematous 15x20 cm area non tender began within 24' of imm, progressed at 48 hours after immunization. tx'd w/omnicef, Benadryl, F/U - much better within 24 hours.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling face
Clinical narrative: SWELLING OF THE FACE
Age: 36.0
Sex: F
Vaccine: DTP
Symptoms: Neuralgic amyotrophy
Clinical narrative: Parsonage Turner Syndrome developed after vaccine administration
Age: 1.42
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site cellulitis
Clinical narrative: Patient developed cellulitis of the right leg where Dtap was given. Patient was taken to Healthcare at 9:58 pm by mother and patient treated by Dr and given an antibiotic.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Agitation, Crying, Enema administration, Faeces hard, Haematochezia
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery, X-ray
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Enema administration, Faeces hard, Haematochezia, Intussusception
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Surgery, X-ray
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Appendicectomy, Band neutrophil count decreased, Barium enema, Crying
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Faeces hard, Haematochezia, Intussusception, Irritability
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Laparoscopy, Lethargy, Lymphocyte count decreased, Maternal condition affecting foetus, Pyrexia
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Surgery, Vomiting, White blood cell count normal, X-ray abnormal
Clinical narrative: CHILD BROUGHT TO OFFICE AM ON 3/12/07 HARD STOOLS,FUSSY & CRYING DIAPER WITH BLOOD IN STOOL BROUGHT BACK TO OFFICE IN PM 2 DIAPERS BLOOD STAINED DIAPER TESTED POSITIVE FOR BLOOD INTUSSUSUPTION-COULD NOT BE REDUCED BY ENEMA WAS SURGICALLY REDUCED BOWEL VIABLE  4/13/07 Received medical records from hospital which reveal patient experienced bloody stools, vomiting, lethargy & fever.  Transferred from outlying hospital for higher level of care 3/12/07-3/17/07. Given IVF & antibiotics & taken to OR for exp lap & reduction of IS & appendectomy.  Progressed well & d/c to home on 3/17/07. No D/C summary available. FINAL DX: Ileocecal intussusception, surgically reduced.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: C/o pain that wakes patient up at night taking 800 mgs motrin - using heat but not helping
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Blood creatine phosphokinase, Full blood count normal, Myalgia, Pyrexia
Clinical narrative: Fever 12 horus after vaccine , myalgias and achign joints. No shortness of breath, no hives, no warm or red joints.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate, Urine analysis normal
Clinical narrative: Fever 12 horus after vaccine , myalgias and achign joints. No shortness of breath, no hives, no warm or red joints.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA, MMR, TDAP
Symptoms: Fatigue, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Encountered typical bilat arm soreness for a couple days post-vaccination.  Pt stated felt possible fever early-on, did not take temp and denies fever now.  Stated arm soreness got better after a few days, then noticed pain at bedtime last Sunday.  States constant pain "bearable" during day, Advil helps; however, throbbing pain wakes her up at night.  Denies observable redness or swelling. Upper arm is slightly sore to touch, believes uppermost injection site to be worse.  Self-treatment:  only Advil/was leery of applying heat or cold. Advised to seek visit with healthcare provider.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LEFT DELTOID WITH REDNESS, SWELLING OVER 2 INCH AREA.  DR  ADVISED TYLENOL OR MOTRIN AS DIRECTED.  IF CONDITION WORSENS GO TO EMERGENCY ROOM.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Body temperature increased, Crying, Hypersomnia
Clinical narrative: Excessive Sleepiness, Crying, Temperature of 102.5 for two days
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Flushing, Hyperhidrosis, Lethargy, Malaise
Clinical narrative: approximately 10 minutes after administration of Varivax pt complained of not feeling well. Looked sweaty and started coughing and vomiting. Albuterol nebulizer treatment was started. Pt stopped vomiting but became pale/lethargic with a flushed rash. Epinephrine (1:1000)IM and Benadryl IM was given with improved color/pt more alert. Pt was transported to ER for further care/ observation.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pallor, Rash, Vomiting
Clinical narrative: approximately 10 minutes after administration of Varivax pt complained of not feeling well. Looked sweaty and started coughing and vomiting. Albuterol nebulizer treatment was started. Pt stopped vomiting but became pale/lethargic with a flushed rash. Epinephrine (1:1000)IM and Benadryl IM was given with improved color/pt more alert. Pt was transported to ER for further care/ observation.
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Reaction began 3/23/07 - "Little red bumps" on shoulder & chest. Had a few on back and leg - afebrile, no other symptoms. 3/16/07 Rec'd vaccine at Air force base.  04/09/2007 MR received for an ER visit for a c/o rash and a resolving local reaction to small pox vax. PE:  macular papular rash noted on trunk mainly with a few lesions on arms and legs. Local reaction healing well per ID consult.  Otherwise WNL. Discharged home on contact isolation. Principal DX: Reaction to Vaccinia vaccination.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Seizure anoxic, Syncope vasovagal
Clinical narrative: Vasovagal response VS Reflex anoxic seizure
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: Pt reported pain in R upper arm & itching. Site warm to touch & swollen.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Abdominal pain, Chills, Dizziness, Headache, Influenza serology negative
Clinical narrative: Received Gardasil and Menactra on same day 3/13/07 at a routine physician. Approximately 12 hours later, she began with fevers, chills, headache, dizziness, sore throat & abdominal pain, vomited x 1
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test negative, Vomiting
Clinical narrative: Received Gardasil and Menactra on same day 3/13/07 at a routine physician. Approximately 12 hours later, she began with fevers, chills, headache, dizziness, sore throat & abdominal pain, vomited x 1
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Abdominal pain, Chills, Dizziness, Headache, Hypotension
Clinical narrative: Received Gardasil and Menactra on same day 3/13/07 at a routine physician. Approximately 12 hours later, she began with fevers, chills, headache, dizziness, sore throat & abdominal pain, vomited x 1
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Influenza, Influenza serology negative, Oropharyngeal pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Received Gardasil and Menactra on same day 3/13/07 at a routine physician. Approximately 12 hours later, she began with fevers, chills, headache, dizziness, sore throat & abdominal pain, vomited x 1
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Tachycardia, Vomiting
Clinical narrative: Received Gardasil and Menactra on same day 3/13/07 at a routine physician. Approximately 12 hours later, she began with fevers, chills, headache, dizziness, sore throat & abdominal pain, vomited x 1
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen, red 3cm area around injection site L deltoid within 2D. Treated with Ice, Ibuprofen, Cephalexin
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Bursitis, Skin nodule
Clinical narrative: Patient came to BOH on 3/27/07 to report adverse reaction from flu shot. She had no complaints until before Christmas (cannot give exact date) C/O burning in L arm, no redness, no swelling. Did not see MD. In Jan she felt lump in L arm (50 cent size) MD said it was bursitis - now lump is 25 cent size, no pain, no redness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: R thigh - Red - warm to touch Hot pack
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose normal, Blood pressure normal, Dizziness, Heart rate normal, Injection site pain
Clinical narrative: Dizziness, Syncope recovered in few minutes. Patient also complained of severe pain at Vaccine site. Tylenol PO given.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Oxygen saturation normal, Syncope
Clinical narrative: Dizziness, Syncope recovered in few minutes. Patient also complained of severe pain at Vaccine site. Tylenol PO given.
Age: 41.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Malaise, Nausea, Pyrexia, Stomach discomfort
Clinical narrative: Donor C/O lightheaded and dizzy, nausea & vomiting mild stomach lightening & stated felt like he had a fever. First reported at 6pm and was spoken to at 7P & 830P. Stated felt sick but did not fed need to seek med F/U at thee time - Advised to seek med attention if worsens or resolves & call center.
Age: 41.0
Sex: M
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: Donor C/O lightheaded and dizzy, nausea & vomiting mild stomach lightening & stated felt like he had a fever. First reported at 6pm and was spoken to at 7P & 830P. Stated felt sick but did not fed need to seek med F/U at thee time - Advised to seek med attention if worsens or resolves & call center.
Age: 1.03
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site induration
Clinical narrative: Local areas of induration at vaccination sites very pronounced.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Swelling, erythema, tender.
Age: 37.0
Sex: M
Vaccine: VARCEL
Symptoms: Chills, Erythema, Musculoskeletal stiffness, Pyrexia, Rash vesicular
Clinical narrative: 2 weeks after vaccination had fever, chills, neck stiffness. Never reported at that time. Then soon after that developed red vesicular rash over scalp, forehead, arms, chest and trunk. Now the neck stiffness, fever and chills have disappeared but rash still persists. Denies any shortness of breath or chest pain or choking sensation or mental confusion. Still recovering.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Respiratory distress
Clinical narrative: coughing, respiratory distress
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Swelling
Clinical narrative: Right deltoid swollen/red. Hot pack-reverse if worsens.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Induration, Tenderness
Clinical narrative: Indurated, mildly tender to pressure area 1 1/2-2cms on posterior Left upper arm. Non fluctuant.
Age: 14.0
Sex: M
Vaccine: DTAP
Symptoms: Nausea, Vomiting
Clinical narrative: vomiting and nausa for over 7 hrs
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Gardasil give in Right Deltoid on Monday March 26. On Wed, March 28, patient reported itching, swelling and redness in Right upper arm. 4 1/2 inch by 5 inch red, swollen, hot area noted on upper right arm. Taken to see MD on Thursday March 29. Patient started on Omnicef 300mg BID, Zyrtec 10mg QD, cool compresses and Advil PRN. On Saturday, March 31, Patient becan complaints of tingling in fingers of Rt. hand. Rt. arm 3-4 cm larger than left arm. Called Dr. instructed to elavate arm and give Advil around the clock. Report increase swelling or symptoms to physician.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia
Clinical narrative: Gardasil give in Right Deltoid on Monday March 26. On Wed, March 28, patient reported itching, swelling and redness in Right upper arm. 4 1/2 inch by 5 inch red, swollen, hot area noted on upper right arm. Taken to see MD on Thursday March 29. Patient started on Omnicef 300mg BID, Zyrtec 10mg QD, cool compresses and Advil PRN. On Saturday, March 31, Patient becan complaints of tingling in fingers of Rt. hand. Rt. arm 3-4 cm larger than left arm. Called Dr. instructed to elavate arm and give Advil around the clock. Report increase swelling or symptoms to physician.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: Information has been received from a physician concerning a 4 month old female, with no medical history, who was vaccinated with a 2 ml oral dose of Rotateq. Subsequently the patient experienced intussusception. It was reported that the patient recovered. It was noted that laboratory or diagnostic test were performed. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. The patient's experience was considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Laboratory test
Clinical narrative: Information has been received from a physician concerning a 4 month old female, with no medical history, who was vaccinated with a 2 ml oral dose of Rotateq. Subsequently the patient experienced intussusception. It was reported that the patient recovered. It was noted that laboratory or diagnostic test were performed. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. The patient's experience was considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Barium enema, Intussusception
Clinical narrative: Information has been received from a physician concerning a 4 month old female, with no medical history, who was vaccinated with a 2 ml oral dose of Rotateq. Subsequently the patient experienced intussusception. It was reported that the patient recovered. It was noted that laboratory or diagnostic test were performed. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. The patient's experience was considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Upper respiratory tract congestion
Clinical narrative: Fever day of shot, chest congestion x 1 week. Treated with Tylonel and cough suryp
Age: 0.5
Sex: M
Vaccine: FLUX
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Lumbar puncture normal
Clinical narrative: My son was given the first shot (of the 4 that needs to be given) on the 23rd March 07 at 2030 Hrs in the evening - he had a seizure the very next day on the 24th at 1120 Hrs and was rushed to the ER. CT Scan - LP Test and EEG was conducted on him and all were normal. He was hospitalized for a period of 5 days (2 Days of ICU Care) now he seems fine but i would like to know the possibilities of the Seizure to relapse in the future - the medication prescribed for him is EPTOIN a syrup and i was also told that it has some serious side effects to the Brain.
Age: 1.26
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Apnoea, CSF culture negative, CSF test normal, Computerised tomogram normal, Convulsion
Clinical narrative: Seizure with fever - complex - required intubation secondary to apnea - No previous HX of seizures.  07/09/2007 MR received for o/n hospital stay 3/23-24/2007 after transport from another facility.  Child initially presented for an episode of decreased tone, staring without focusing or tracking, emesis, and lip cyanosis. Child presented in previous hospital ER then had some retractions and a 15 second episode of apnea.  Not responsive to pain, no gag, minimal corneal responsiveness.  He briefly desaturated to 62 and 75%. At this point he was intubated and prepared for transfer.    . Txd with anticonvusants for presumed seizure. Assessment: Presumed seizure in a previously normal child who had a prolonged period of unresponsiveness followed by apnea. ER record 4/11/2007 for a witnessed seizure with generalized motor activity with eyes rolling up, LOC and unresponsiveness.  This episode included a fever of 101.6, transient stiffness, and a left gaze x 20 min after event. Admitted and treated for seizure. Clinical impression: Fever. Seizure.
Age: 1.26
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Drug screen negative, Intubation, Pyrexia
Clinical narrative: Seizure with fever - complex - required intubation secondary to apnea - No previous HX of seizures.  07/09/2007 MR received for o/n hospital stay 3/23-24/2007 after transport from another facility.  Child initially presented for an episode of decreased tone, staring without focusing or tracking, emesis, and lip cyanosis. Child presented in previous hospital ER then had some retractions and a 15 second episode of apnea.  Not responsive to pain, no gag, minimal corneal responsiveness.  He briefly desaturated to 62 and 75%. At this point he was intubated and prepared for transfer.    . Txd with anticonvusants for presumed seizure. Assessment: Presumed seizure in a previously normal child who had a prolonged period of unresponsiveness followed by apnea. ER record 4/11/2007 for a witnessed seizure with generalized motor activity with eyes rolling up, LOC and unresponsiveness.  This episode included a fever of 101.6, transient stiffness, and a left gaze x 20 min after event. Admitted and treated for seizure. Clinical impression: Fever. Seizure.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood glucose increased
Clinical narrative: On 11/Oct/2006, a report was received, via a company representative, concerning a 63-year-old female. No details were provided regarding the vaccinee's medical history or concomitant medications. On 10/Oct/2006 the vaccinee received Fluvirin, intramuscularly. On the same day, 10/Oct/2006, the vaccinee also received a pneumonia vaccine. The following day, the vaccinee experienced a raised blood glucose of 300. Follow-up information will sought. A follow-up report was received from a healthcare professional on 27/Mar/2007, concerning a 63-year-old female vaccinee. The vaccinee has a history of diabetes, blister following oral administration of Statins in 2003, Ovary Ooperectomy in 1997, Gallbladder removal in 1996 and Tonsillectomy and Adenoidectomy in 1955. The vaccinee's concomitant medications include Humalog, 60u once a day, subcutaneously for diabetes, since 1997, Humalein, 160u once a day, subcutaneously for diabetes, since 1987, Acupril for spill protein 20 mg once a day, orally since 1999. Lasix, 1 tablet once a day, orally as a diuretic, from 2006 and Zetia, 1 tablet once a day, orally for raised cholesterol from 2005 to 2006. On 10/Oct/2006 the vaccinee received Fluvirin. On the same day, 10/Oct/2006, the vaccinee also received Pneumovax 0.5ml intramuscularly into her right deltoid. The following day, 11/Oct/2006, the vaccinee experienced a raised blood sugar level of 294. The vaccinee had fasted prior to administration of the test. The symptoms have resolved. The reporter considers the event to be serious, however her causal assessment is unknown. Follow-up information will be sought.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Cough, Dyspnoea, Nasopharyngitis
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 23 March 2007 from a health care professional. A 33-year-old female patient, with no concurrent illnesses and no known allergies, had received a left deltoid, intramuscular injection of Adacel, lot number C2559AA, on 24 August 2006. On 29 January 2007, 158 days post-immunization, the patient developed cold-like symptoms, shortness of breath and persistent cough. She was evaluated in the physician's office four days later on 02 March 2007, and had a serology test for Bordetella pertussis IGG/IGM. The result of the IGG was 24 and IGM was 13. She was started on a "z-pack" for five days. No cultures were done. At the time of this report, the patient had recovered.