chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: This spontaneous report was received from a pharmacist refers to a 52 year old female patient. On 30-APR-2013, the patient was vaccinated with a dose of ZOSTAVAX, (lot number, expiry date was not reported, route was subcutaneous). Concomitant therapies included prednisone and ROCEPHIN. On 01-MAY-2013, the patient experienced cellulitis after receiving ZOSTAVAX. On 03-MAY-2013, the patient was prescribed KEFLEX as a treatment. The outcome of cellulitis was reported as recovered. The patient sought medical attention. Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: This spontaneous report as received from a Registered Nurse refers to a 33 year old female patient with no pertinent medical history. On 06-JUN-2013 the patient was vaccinated with VARIVAX (Merck) (lot # H018796, exp date 24-OCT-2014) 0.5 ml, once, subcutaneously. Concomitant therapies included vitamins (unspecified) and iron (unspecified). The Registered Nurse reported that on an unknown date (approximately in June 2013) the patient experienced cellulitis at the injection site for several days, after receiving a dose of VARIVAX (Merck). Registered Nurse stated she learned of this adverse reaction only after she called the patient to check on her status. When the Registered Nurse called the patient on 06-JUN-2013, the patient informed her of the adverse event that occurred. Registered Nurse stated patient sought no medical attention and her symptoms "went away on their own after a couple of days". Registered Nurse also reported that the patient gets hives when she took azithromycin (manufacturer unknown) (MARRS case 1306USA009544). Two other patients (MARRS cases 1306USA009129 and 1306USA006664), experienced adverse reactions after receiving doses of VARIVAX (Merck) from this lot. Nurse was requesting a lot check for this VARIVAX (Merck). Patient did not receive treatment, laboratory tests were not performed. At the time of the report the outcome of cellulitis at the injection site for several days was reported as recovering. This is one of several reports from the same source. Additional information has been requested.
Age: 49.0
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a 49 year old patient regarding self. On an unknown date in AUG-2012, the patient was vaccinated with a dose of ZOSTAVAX,(lot number, expiry date and router was not reported). Concomitant medications were not reported. On an unknown date, the patient experienced shingles. The patient stated shingles was very mild and of short duration. The outcome of shingles was unknown. Additional information is not expected.
Age: 12.0
Sex: M
Vaccine: HPV4, HPVX
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Seizure.
Age: 12.0
Sex: M
Vaccine: HPV4, HPVX
Symptoms: Convulsion
Clinical narrative: Seizure.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Extensive swelling of vaccinated limb, Feeling hot, Injection site rash, Pain, Pruritus
Clinical narrative: A rash that resembled a sunburn covered the entire upper arm that was injected with the 5th dose of DTap vaccine. This was the only vaccine administered.  The arm has extensive swelling that is more than double the normal size. There is pain, heat, and itchiness.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Nausea, Pyrexia, Vomiting
Clinical narrative: STARTED FEELING NAUSEA, PAIN ON THE RT SIDE OF ABDOMEN THE DAY VOMITED STARTED A LOW GRADE TEMP. OF 99.5, TEMPERATURE 98.6 ON 6/22/13 CONTINUES WITH NAUSEA NO PAIN ON RT SIDE AT THIS TIME.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Incorrect drug dosage form administered
Clinical narrative: None- Patient received only liquid component of Menveo vaccination.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Abscess, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, erythema and some pain to arm where vaccines were administered. Started on Keflex for cellulitis and early abscess.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Burning sensation, Constipation, Headache, Nausea
Clinical narrative: Constipation, head soreness, weakness, nausea, and pelvic area burning.
Age: 1.48
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting, fever of 104.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Local swelling
Clinical narrative: Local swelling with redness, redness continued after the swelling subsided after few weeks. No other sighs or symptoms reported.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Local swelling
Clinical narrative: Local swelling and redness after receiving vaccine, redness improved the next day while swelling decrease slightly. No other signs or symptoms reported.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Administration site pain, Injected limb mobility decreased, Injection site erythema, Injection site warmth
Clinical narrative: Pt. experienced pain on administration site, that she could not move arm. Area was red and warm. Dr. gave her an antibiotic and a pain medication. Pt. experienced side effects next day of vaccination.
Age: 37.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: This spontaneous report was received from a registered nurse refers to a 37 year old female patient. On 10-JUN-2013, the patient was vaccinated with a dose of PROQUAD (Merck), (lot number, expiry date and route was not reported) instead of MMR II. Concomitant medications were not reported. No adverse symptoms were reported. This is one of the two reports received from the same reporter. Additional information has been requested.
Age: 44.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: This spontaneous report was received from a registered nurse refers to a 44 year old male patient. On 10-JUN-2013, the patient was vaccinated with a dose of PROQUAD (Merck), (lot number, expiry date and route was not reported) instead of MMR II. Concomitant medications were not reported. No adverse symptoms were reported. This is one of the two reports received from the same reporter. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Dizziness, Influenza like illness
Clinical narrative: This spontaneous report as received from a registered nurse (R.N.) refers to a 24 year old female patient. The patient was allergic to banana. The patient's medical history included migraines. On 24-JAN-2013 the patient was vaccinated with GARDASIL (lot # not reported) (dose 1, strength and total daily dose not reported). On 10-APR-2013 the patient was vaccinated with GARDASIL (lot # H020901, expiry date 05-JUL-2015) (dose 2, strength and total daily dose not reported). Concomitant therapies included NORDETTE. It was reported that no adverse event was reported with the first dose of GARDASIL. And the patient developed a stabbing abdominal pain, flu like symptoms and dizziness following the second dose of GARDASIL. The nurse reported that the stabbing abdominal pain, started on 10-APR-2013 and lasted for 3 days (the patient could not eat due to the stabbing abdominal pain), and recovered on approximately 13-APR-2013. The flu like symptoms and dizziness started on 10-APR-2013 and lasted for 9 days, and recovered on approximately 19-APR-2013. The patient did not seek medical attention, but reported the stabbing abdominal pain, flu like symptoms and dizziness to the nurse on 18-JUN-2013 during a routine office visit. No treatment was given. Lab diagnostics studies performed were reported as none. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from an unknown source refers to a patient of unknown age. On 13-JUN-2013, the patient was vaccinated with an expired dose of ZOSTAVAX, (lot number and route was not reported, expiry date 03-APR-2013). Concomitant medications were not reported. No adverse event was reported. Additional information is not expected.
Age: 1.08
Sex: F
Vaccine: MMRV
Symptoms: Varicella
Clinical narrative: This spontaneous report was received from office medical assistant refers to a 14 month old female patient. There was no pertinent medical history or drug reactions reported. On 28-MAY-2013, the patient was vaccinated with a dose of PROQUAD (Merck), (lot number J000140, expiry date 04-JUL-2013, route was not reported). No concomitant medications were reported. on 11-JUN-2013, the patient was diagnosed with varicella virus. The patient was given ibuprofen and tyelon. There were no laboratory diagnostics performed. The outcome of varicella virus was unknown. The patient sought medical attention. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red, itchy rash near injection site.
Age: 0.22
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying, Pyrexia, Screaming, Vomiting
Clinical narrative: High pitched screaming for 8 hours. Infant would not sleep, just cried. Unable to calm infant. High fever for 3 days that was not helped by Tylenol. Vomiting.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chest X-ray, Chest pain, Cough, Ear pain, Neck pain
Clinical narrative: Began with stabbing left earache, followed w/chest & neck pains. Rash 1st appeared as insect bite.  Then fully involved across l/side of chest, into armpit & down arm to elbow.  Also had spread across back to spine.  Had accompanying unproductive deep cough.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Began with stabbing left earache, followed w/chest & neck pains. Rash 1st appeared as insect bite.  Then fully involved across l/side of chest, into armpit & down arm to elbow.  Also had spread across back to spine.  Had accompanying unproductive deep cough.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Began with stabbing left earache, followed w/chest & neck pains. Rash 1st appeared as insect bite.  Then fully involved across l/side of chest, into armpit & down arm to elbow.  Also had spread across back to spine.  Had accompanying unproductive deep cough.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Muscular weakness, Musculoskeletal pain, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Severe, excruciating left shoulder, arm pain. Went to orthopedist for cortisone injection d/t pain. Inability to move arm. Currently, STILL have frozen shoulder (6/23/13) aching arm. 2nd cortisone shot given in June. Arm feels like it did after shot. Unresolved, to date.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Periarthritis, X-ray
Clinical narrative: Severe, excruciating left shoulder, arm pain. Went to orthopedist for cortisone injection d/t pain. Inability to move arm. Currently, STILL have frozen shoulder (6/23/13) aching arm. 2nd cortisone shot given in June. Arm feels like it did after shot. Unresolved, to date.
Age: 1.54
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Electroencephalogram normal, Gaze palsy, Nuclear magnetic resonance imaging normal, Unresponsive to stimuli
Clinical narrative: We first noticed her eyes moving outward, one or the other, never both at same time, and thought we should take her to an Ophthalmologist. Dr. suggested patching. That didn't work. Then we noticed she would become non-responsive for about 1-11 seconds at a time. This happens multiple times a day. Me and her dad took her back to pediatrician who referred us to ophthalmologist when we though it was just an eye issue. He referred us to another Dr. when he thought she was having Absence Seizures slightly complex. All MRIs and EEGs came back normal, but still no answers.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Tenderness, Urticaria
Clinical narrative: Soreness in arm; then welts the size of silver dollars across the upper arm.  Very sore/tender to the touch two days later.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Activities of daily living impaired, Aphthous stomatitis, Asthenia, Blood test
Clinical narrative: 5/19/13 Rash on upper lip and body twitching in arms and legs began. Severe canker sores in mouth began 5/28/13. On 5/31/13 body aches all over and mild fever of 99.3, nausea, weak. 6/1/13 cold and shivering all day, temp outside 90 degrees. Nausea, dizzy. 6/2/13 dizzy, hot and cold, shivering, un-responsive when talking to her. 6/3/13 so weak couldn't attend school. 6/4/13 admitted into the hospital, unable to walk.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Cheilitis, Chills, Dizziness, Feeling of body temperature change, Lumbar puncture
Clinical narrative: 5/19/13 Rash on upper lip and body twitching in arms and legs began. Severe canker sores in mouth began 5/28/13. On 5/31/13 body aches all over and mild fever of 99.3, nausea, weak. 6/1/13 cold and shivering all day, temp outside 90 degrees. Nausea, dizzy. 6/2/13 dizzy, hot and cold, shivering, un-responsive when talking to her. 6/3/13 so weak couldn't attend school. 6/4/13 admitted into the hospital, unable to walk.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle twitching, Muscular weakness, Nausea, Nuclear magnetic resonance imaging, Pain
Clinical narrative: 5/19/13 Rash on upper lip and body twitching in arms and legs began. Severe canker sores in mouth began 5/28/13. On 5/31/13 body aches all over and mild fever of 99.3, nausea, weak. 6/1/13 cold and shivering all day, temp outside 90 degrees. Nausea, dizzy. 6/2/13 dizzy, hot and cold, shivering, un-responsive when talking to her. 6/3/13 so weak couldn't attend school. 6/4/13 admitted into the hospital, unable to walk.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Spinal meningeal cyst, Syringomyelia, Unresponsive to stimuli, Walking aid user
Clinical narrative: 5/19/13 Rash on upper lip and body twitching in arms and legs began. Severe canker sores in mouth began 5/28/13. On 5/31/13 body aches all over and mild fever of 99.3, nausea, weak. 6/1/13 cold and shivering all day, temp outside 90 degrees. Nausea, dizzy. 6/2/13 dizzy, hot and cold, shivering, un-responsive when talking to her. 6/3/13 so weak couldn't attend school. 6/4/13 admitted into the hospital, unable to walk.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Wheelchair user
Clinical narrative: 5/19/13 Rash on upper lip and body twitching in arms and legs began. Severe canker sores in mouth began 5/28/13. On 5/31/13 body aches all over and mild fever of 99.3, nausea, weak. 6/1/13 cold and shivering all day, temp outside 90 degrees. Nausea, dizzy. 6/2/13 dizzy, hot and cold, shivering, un-responsive when talking to her. 6/3/13 so weak couldn't attend school. 6/4/13 admitted into the hospital, unable to walk.
Age: 12.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Asthenia, Lymph gland infection, Oedema peripheral, Pain in extremity
Clinical narrative: Pain in the arm swollen under the arm weakness.
Sex: U
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age. On 17-JUN-2013 the patient was vaccinated with ZOSTAVAX (lot # not reported) (strength and total daily dose not reported). It was reported that the patient received an expired dose of ZOSTAVAX on 17-JUN-2013. No adverse effect was reported. It was unspecified whether the patient sought for medical attention. The outcome was unknown. Additional information has been requested.
Sex: U
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age. On 17-JUN-2013 the patient was vaccinated with ZOSTAVAX (lot # not reported) (strength and total daily dose not reported). It was reported that the patient received an expired dose of ZOSTAVAX on 17-JUN-2013. No adverse effect was reported. It was unspecified whether the patient sought for medical attention. The outcome was unknown. Additional information has been requested.
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to an infant patient of unknown age. It was reported that on an unknown dates the patient was vaccinated with VAQTA (dose and lot# not reported), VARIVAX (Merck) (dose and lot# not reported) and MMR II (dose and lot# not reported) before the age of 12 months. No adverse effect reported. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: YF, YF
Symptoms: Pain in extremity
Clinical narrative: 6/7 Developed gum pain and mouth and lips pain. Stated it burns to eat and is very sore. 6/14 called doctor's office to come in to be checked for these symptoms. 6/14 checked by physician. No further communication with patient after 6/14/13.
Age: 67.0
Sex: M
Vaccine: YF, YF
Symptoms: Gingival pain, Lip pain, Oral discomfort, Oral pain
Clinical narrative: 6/7 Developed gum pain and mouth and lips pain. Stated it burns to eat and is very sore. 6/14 called doctor's office to come in to be checked for these symptoms. 6/14 checked by physician. No further communication with patient after 6/14/13.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Asthenia, Injection site erythema, Injection site swelling, Injection site warmth, Skin tightness
Clinical narrative: Red swollen puffy very hot area around the injection.  Patient is very sluggish and low energy.  Skin feels tight and hot over the injection sight.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Sluggishness
Clinical narrative: Red swollen puffy very hot area around the injection.  Patient is very sluggish and low energy.  Skin feels tight and hot over the injection sight.
Age: 47.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt described red raised erythematous patch on arm inferior to site/area of injection. Pt has no fever or pain. But left arm has patch of raised skin - this appeared about 24 hrs after injection given at pharmacy. Pt will wait and see, if area gets more swollen or pt has temperature his primary MD instructed him to seek further medical attention.
Age: 8.0
Sex: F
Vaccine: DTAPIPV, HEPA
Symptoms: Erythema, Feeling hot, Injection site pain, Joint range of motion decreased, Swelling
Clinical narrative: S/S: redness, swelling, warmth, LROM of arm, tenderness around injection site 6-19-13 to. TX: AUGMENTIN 400mg/5ml 2/2 tsp BID x 10d start 6-21-13 due to cost issues. BENADRYL Q 6-8h. TYLENOL/MOTRIN Q 4-6h.
Age: 25.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Sl myalgia and sl stiffness. (R) ring and little fingers.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Lumbar puncture, Myelitis transverse, Nuclear magnetic resonance imaging, Pain
Clinical narrative: 2 wks after vaccination, child developed upper body weakness and pain. He was diagnosed with Transverse myelitis. He has received rehabilitation therapy but has not fully recovered.
Age: 1.02
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Rash erythematous, Rash pustular, White blood cell count increased
Clinical narrative: Febrile seizure, high T 102. Vesiculopustular erythematous rash on face, oropharynx, trunk and extremities.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR
Symptoms: Blood culture negative, CSF culture negative, Computerised tomogram normal, Electroencephalogram abnormal, Grand mal convulsion
Clinical narrative: Tonic clonic seizures within 48 hour vaccine administration. Taken to hospital ER. Admitted to PICU at hospital. Required antiepileptics to stop seizures.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR
Symptoms: Intensive care, Nuclear magnetic resonance imaging brain abnormal, Pineal gland cyst, White matter lesion
Clinical narrative: Tonic clonic seizures within 48 hour vaccine administration. Taken to hospital ER. Admitted to PICU at hospital. Required antiepileptics to stop seizures.
Age: 0.63
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Agitation, Pyrexia, Stool analysis
Clinical narrative: Fever and agitation.
Age: 52.0
Sex: M
Vaccine: YF
Symptoms: Abnormal sensation in eye, Cough, Dizziness, Fatigue, Full blood count normal
Clinical narrative: Fatgue, dizziness, cough, general malaise, aches in legs, pressure behind eyes, hypersensitive skin lasting for 3 days.
Age: 52.0
Sex: M
Vaccine: YF
Symptoms: Hyperaesthesia, Liver function test normal, Malaise, Pain in extremity, Red blood cell sedimentation rate normal
Clinical narrative: Fatgue, dizziness, cough, general malaise, aches in legs, pressure behind eyes, hypersensitive skin lasting for 3 days.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Paraesthesia, Pruritus generalised, Sensory disturbance
Clinical narrative: Bad itching over entire body. No rash or redness noticed. Burning, pin pricking feeling. Nerves jumping.
Age: 49.0
Sex: F
Vaccine: DTOX
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Severe pain in arm where injected, swelling. On 23 Jun AM jaw began to hurt, severe pain in arm, tingling and pain throughout hands and fingers of injected arm/ left arm, difficult to lift arm, severe pain with contact of injection site, still swollen.  On 24 Jun still unable to lift arm completely--loss of range of motion.  Unable to hold things, or lift even small objects with left hand/arm without significant pain. Still swollen, injection site is hot.
Age: 49.0
Sex: F
Vaccine: DTOX
Symptoms: Pain in jaw, Paraesthesia
Clinical narrative: Severe pain in arm where injected, swelling. On 23 Jun AM jaw began to hurt, severe pain in arm, tingling and pain throughout hands and fingers of injected arm/ left arm, difficult to lift arm, severe pain with contact of injection site, still swollen.  On 24 Jun still unable to lift arm completely--loss of range of motion.  Unable to hold things, or lift even small objects with left hand/arm without significant pain. Still swollen, injection site is hot.
Age: 3.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Blood test, Dyspnoea, Lip swelling, Oedema peripheral, Swelling face
Clinical narrative: Swollen lips, face, hands, and difficulty breathing. Taken to ER-IV Benadryl, steroid, and possibly other medications.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Benign intracranial hypertension, CSF pressure increased, Cerebrospinal fluid drainage, Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: My son began to have crossed eyes for no apparent reason. No vomiting, no headaches, no gait issues. The eyes would cross and uncross.  We saw the pediatrician where the vaccines were done and they advised us to see ophthalmologist if "it kept reoccurring in a few weeks". I did not feel like this was right as my son's eyes were continued to be crossed. I made an appt at the ophthalmologist the next day (Friday 6/21).  During exam he noticed increased pressure on the optic nerve. He advised us to go to hospital.   At hospital, after MRI & MRIV the determined it necessary to do an LP where they determined opening pressure was 34.5mm Hg. They drained off the excess spinal fluid. His eyes were better after that. Diagnosis was pseudotumor cerebri. We were given Diamox to be taken twice a day for a month with reg followups with the ophthalmologist.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Optic nerve disorder, Strabismus
Clinical narrative: My son began to have crossed eyes for no apparent reason. No vomiting, no headaches, no gait issues. The eyes would cross and uncross.  We saw the pediatrician where the vaccines were done and they advised us to see ophthalmologist if "it kept reoccurring in a few weeks". I did not feel like this was right as my son's eyes were continued to be crossed. I made an appt at the ophthalmologist the next day (Friday 6/21).  During exam he noticed increased pressure on the optic nerve. He advised us to go to hospital.   At hospital, after MRI & MRIV the determined it necessary to do an LP where they determined opening pressure was 34.5mm Hg. They drained off the excess spinal fluid. His eyes were better after that. Diagnosis was pseudotumor cerebri. We were given Diamox to be taken twice a day for a month with reg followups with the ophthalmologist.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Demyelinating polyneuropathy, Electromyogram abnormal, Gait disturbance, Headache, Myalgia
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Nuclear magnetic resonance imaging spinal abnormal, Pain in extremity, Paraesthesia, Photophobia, Rash
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Toe walking, Vomiting
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Areflexia, Back pain, Blood test, Computerised tomogram head, Electromyogram abnormal
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Feeling abnormal, Gait disturbance, Guillain-Barre syndrome, Headache, Neck pain
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal abnormal, Pain in extremity, Photophobia
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Urine analysis, Vomiting, Walking aid user, Wheelchair user
Clinical narrative: Hep A vaccine in the afternoon Day 0.  That evening head ache and photophobia.  Day 1 general myalgias and parathesias. Day 2 vomiting and worsening HA. Day 3 HA improving but left leg pain.  Day 5 bilateral leg pain, toe walking, difficulty walking, rash.  No fevers throughout.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Myalgia, Pain
Clinical narrative: Erythema and warmth at injection site from PNEUMOVAX 1 day after injection. 2 days later c/o muscle soreness, achy, no fever. Treated with KEFLEX 500mg TID. Developed cellulitis and 1 day later given ROCEPHIN IM - 1gm. No fever but cont pain and redness. Resolved completely by day 9.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Injection site cellulitis, Injection site discolouration, Injection site erythema, Injection site pruritus
Clinical narrative: Seen in ER 6-10-13 and treated with KEFLEX for cellulitis at immunization site; redness started day before. Today 6-21-13 seen with red-purplish spot at site. Not raised; 4cm circular purpuric lesion (L) thigh; not acutely infected, no warmth, no erythema, no induration.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site reaction, Purpura
Clinical narrative: Seen in ER 6-10-13 and treated with KEFLEX for cellulitis at immunization site; redness started day before. Today 6-21-13 seen with red-purplish spot at site. Not raised; 4cm circular purpuric lesion (L) thigh; not acutely infected, no warmth, no erythema, no induration.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash and urticaria pruritus. Diphenhydramine 25 mg PRN, prednisone 5mg.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Pt got a ZOSTAVAX shot and experienced a rash and itchiness after administration. Advised follow up with doctor.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Pt came into office stated had shingles vaccine at the pharmacy yesterday. She had reddened area 120cm long 80cm wide on outer left arm c/o itching. No fever, no breathing problems.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pt ran a fever 20 hours after Tdap injection. Fever lasted about 12 hours. Injection site redness, heat, swelling, "knotted muscle". Sx 5 days. Resolved on it's own.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Headache, Staring
Clinical narrative: About 5 min after vaccine, after laying down walked to waiting room and sat in a chair, said he felt faint, was staring, walked him back to a room to lay down, elevated his feet, cold cloth on forehead, laid for 30-40 min, sat for 30-40 min felt better did have slight HA which improved, left with mom.
Age: 43.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Dizziness, Influenza like illness, Nausea
Clinical narrative: About 30 min after receiving flu and Tdap started feeling nauseated. Ate some food and felt somewhat better. Then started feeling dizzy with flu-like symptoms.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Malaise, Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: Tdap RD in afternoon. During leveling arm became sore. Went to work 6/14/13 symptoms of arm pain, swelling, fever 103.5, sore throat "flu-like" symptoms, that progressed during day. Felt ill for several days. Just beginning to feel better today (6/17/13)".
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Tdap RD in afternoon. During leveling arm became sore. Went to work 6/14/13 symptoms of arm pain, swelling, fever 103.5, sore throat "flu-like" symptoms, that progressed during day. Felt ill for several days. Just beginning to feel better today (6/17/13)".
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Flushing, Pallor, Tension
Clinical narrative: About one minute after receiving PNEUMOVAX vaccine. Patients face was plushed, she started coughing and looked tense, cough continued for a few minutes, then subsided. She looked pale and when asked how she felt she said she "was wheezy". There was no wheezing, facial or upswelling. She denied having a itchy throat. Epipen was (0.3mg) administered, prednisolone 30g PO. She was transported by EMS in hospital. See attached for "time records".
Age: 0.34
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV5
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Fever (T =?), irritability, some loss of appetite x 24 hours or less.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site rash, Injection site urticaria, Pain
Clinical narrative: Patient developed a raised, red welt 2 x 3 inches in diameter at injection site. Also, patient had small nodule at site. Described as mild pain. Patient has history of reacting to mosquito bites.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dysphagia, Oropharyngeal pain, Pharyngeal oedema
Clinical narrative: 10 min after receiving ZOSTAVAX the pt said his throat felt sore and swollen. Didn't want epipen yet. Called 911, EMS came. Pt said throat was getting worse but no prob breathing. Just difficulty swallowing. Kept saying throat was getting worse so gave epipen about 40 min after shot and went with EMS. Came back after ER and said was better.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Vaccination complication
Clinical narrative: 10 min after receiving ZOSTAVAX the pt said his throat felt sore and swollen. Didn't want epipen yet. Called 911, EMS came. Pt said throat was getting worse but no prob breathing. Just difficulty swallowing. Kept saying throat was getting worse so gave epipen about 40 min after shot and went with EMS. Came back after ER and said was better.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Rash
Clinical narrative: Local rash, redness, swelling x 4 days since administration to (L) leg where DTaP and Varicella given.
Age: 1.19
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Varicella given 6/5/13 and varicella-like rash, with low grade fever appeared approx 6/11 - 12/13.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC13, VARCEL
Symptoms: Rash generalised
Clinical narrative: Pt. had been given for immunizations on 5/13/2013. On 5/15/2013 pt. broke out in a head to toe rash. Pt. was also given PREVNAR - Wyeth, Lot # G68911 Exp. 10/31/2014 and Hepatitis A - Merck - Lot #H010659 Exp. 03/01/2015.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC13, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Pt. had been given for immunizations on 5/13/2013. On 5/15/2013 pt. broke out in a head to toe rash. Pt. was also given PREVNAR - Wyeth, Lot # G68911 Exp. 10/31/2014 and Hepatitis A - Merck - Lot #H010659 Exp. 03/01/2015.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: None.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: None.
Sex: U
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient of unknown age and gender. On 17-JUN-2013, the patient was vaccinated with an expired dose of ZOSTAVAX (Lot number was reported as 0069AE, expiry date: 03-APR-2013, route and dose were not reported). No symptoms reported. Additional information has been requested.
Sex: U
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient of unknown age and gender. On 17-JUN-2013, the patient was vaccinated with an expired dose of ZOSTAVAX (Lot number was reported as 0069AE, expiry date: 03-APR-2013, route and dose were not reported). No symptoms reported. Additional information has been requested.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Asthenia, Dysarthria, Hypoaesthesia, Oropharyngeal pain
Clinical narrative: Initial report received from a consumer who is the patient on 11 June 2013. A 31-year-old female with no concurrent illnesses and allergies to sulfa, bee stings, pollen and ragweed, had received an intramuscular injection of ADACEL (lot number C4344AB) on 07 June 2013 and by that evening developed overall body weakness, slurring of her speech, arms became numb (would come and go). By 08 June 2013, the numbness of arms stopped, but she had pins and needles feeling in her arms and legs that was worse in the arms than the legs. She also complained of sore throat and sinus congestion. She was unable to perform her usual activities due to the weakness and at the time of this report had been resting for 5 days. The patient was seen in urgent care clinic and advised to monitor symptoms and follow-up with a neurologist if symptoms persisted. Patient is afebrile and per the urgent care clinic her vital signs were within normal limits. Recovery status was reported a not recovered. Documents held by sender: None.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia, Sinus congestion
Clinical narrative: Initial report received from a consumer who is the patient on 11 June 2013. A 31-year-old female with no concurrent illnesses and allergies to sulfa, bee stings, pollen and ragweed, had received an intramuscular injection of ADACEL (lot number C4344AB) on 07 June 2013 and by that evening developed overall body weakness, slurring of her speech, arms became numb (would come and go). By 08 June 2013, the numbness of arms stopped, but she had pins and needles feeling in her arms and legs that was worse in the arms than the legs. She also complained of sore throat and sinus congestion. She was unable to perform her usual activities due to the weakness and at the time of this report had been resting for 5 days. The patient was seen in urgent care clinic and advised to monitor symptoms and follow-up with a neurologist if symptoms persisted. Patient is afebrile and per the urgent care clinic her vital signs were within normal limits. Recovery status was reported a not recovered. Documents held by sender: None.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Blindness, Laboratory test, Swelling, X-ray
Clinical narrative: Extreme swelling of left shoulder, pain 5 hrs after injection. Swelling and loss of vision left eye. Heat and antibiotics.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Left arm swelling 1 day after vaccines 4" x 8" warm pink swollen left upper arm. Patient recovered spontaneously.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Infection, Inflammation, Injection site warmth, Pyrexia
Clinical narrative: Fever. Injection area hot. Inflammation and redness moved down the arm. Dr. prescribed 1 week worth of cephalexin, beginning 6/7/13. As of 6/13/13, patient feels fine and infection has cleared.
Age: 1.51
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: Child received vaccines on 6/12/13. Mother called back after office had closed -stating child had "seizure-like activity" and called EMS. Did not take child to ED. Only had eval by EMS. Pt was unresponsive 10-15 min, when activity happened. Eval by FNP 6d later. Awaiting peds neurology referral for further eval.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Abscess, Burning sensation, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received vaccine Mon 6/3 states arm started swelling but no pain until Tuesday morning. Swelling is the same but it has become more painful. Whole arm hurts, burns down to wrist when she moves it. Dr looked at her arm and said it did not look like abscess - no drainage. Warm and tender to touch to take 800mg Ibuprofen every 6-8 hrs for 5 days and put cold compresses on and off. In health dept 6/5/13 3pm.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Received vaccine Mon 6/3 states arm started swelling but no pain until Tuesday morning. Swelling is the same but it has become more painful. Whole arm hurts, burns down to wrist when she moves it. Dr looked at her arm and said it did not look like abscess - no drainage. Warm and tender to touch to take 800mg Ibuprofen every 6-8 hrs for 5 days and put cold compresses on and off. In health dept 6/5/13 3pm.
Age: 0.24
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient had a fever every day for the 1st week after the immunizations, then a fever every 2 to 3 days. Today: T-102.4. Slight intermittent congestion and cough but otherwise asymptomatic. Eating and not fussy thou normal.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: (L) upper outer arm with mild erythema and edema.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient was given PNEUMOVAX on 6/17/2013. Had reaction next day. Redness and swelling below left deltoid. 6-18-2013 physician saw patient. Return to clinic for spreading of redness, increasing pain or swelling, fever. Recommend ice and elevation of arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, hardness at site 2 3/4" diameter swollen, swelling started next day after vaccination on left thigh. Patient monitored, recovered spontaneously.
Age: 0.52
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Glassy eyes, Hypophagia, Lethargy, Posture abnormal
Clinical narrative: Pt lethargic, not eating, could not hold head up, glassy eyed, very still and not smiling. Seen 8/20/12 pt had normal neurologic and physical exam.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Asthenia, Blood pressure decreased, Dizziness, Presyncope
Clinical narrative: Felt dizzy and weak after the vaccine. Decreased blood pressure to 85 with near syncope.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, MNQ, VARCEL
Symptoms: Erythema, Generalised erythema, Hypersensitivity, Nausea, Nodule
Clinical narrative: After vaccinating Pt. within 2 hrs. her (R) outer side of her arm became extremely sore and had symptoms of fever and nausea. The following morning upon rising pt.'s (R) outer arm had swollen to a fist sized hard, red, hot and sore knot. The surrounding area of the (R) upper arm had generalized erythemia when she reported H.D. On 6-14-13. Pt. C/O pruritus.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, MNQ, VARCEL
Symptoms: Oedema peripheral, Pain in extremity, Pruritus, Pyrexia, Skin warm
Clinical narrative: After vaccinating Pt. within 2 hrs. her (R) outer side of her arm became extremely sore and had symptoms of fever and nausea. The following morning upon rising pt.'s (R) outer arm had swollen to a fist sized hard, red, hot and sore knot. The surrounding area of the (R) upper arm had generalized erythemia when she reported H.D. On 6-14-13. Pt. C/O pruritus.
Age: 0.71
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: 3 days later (R) thigh (injection site) w/ hives, whelps, itching. (+) scratching/itching.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Full blood count normal, Streptococcus test negative, Throat tightness, X-ray normal
Clinical narrative: 30 minutes after HPV #1, developed tightness to throat, and SOB. No stridor, vocie OK. Seen in ER given .3cc 1:1000 IM adrenaline, IV BENADRYL 50 mg, ZANTAC 50 mg IV and SOLUMEDROL 125 mg IV felt better PT. seen at hospital.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: Redness, swelling, heat and induration of area where vaccine was administered. Small hive-looking blotches appeared 7 days after vaccination some 2-3 inches from vaccination site.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 7x7 cm circular area of swelling, redness, upper left lateral arm: mildly warm, tender to touch no induration.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Malaise
Clinical narrative: Day of vaccine did not feel well afterward. Next day - red lump at shot site. Following day - red bump the size of quarter and redness size of tennis ball.
Age: 1.62
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Vomiting
Clinical narrative: Red, raised firm area on right thigh. Father reports intermittent vomiting. No fever. Vaccines administered 5/31/13, office visit 6/11/13. Treatment: Comfort measures including TYLENOL.
Age: 86.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Insomnia, Pain
Clinical narrative: Ached that I could not get a good nights sleep.
Age: 86.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Malaise, Musculoskeletal pain, Nerve compression, Pain in extremity
Clinical narrative: Ached that I could not get a good nights sleep.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Convulsion, Endotracheal intubation, Pyrexia, Respiratory distress
Clinical narrative: 8 dys after 12 month imms. pt experienced high fever (104 degrees) and seizure, with respiratory distress. Due to respiratory distress pt. intubated and hospitalized.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 81 year old female patient. On 03-JUN-2013 the patient was vaccinated with a dose of ZOSTAVAX (lot # J000853 exp date 23-FEB-2014,also reported as 20-FEB-2014) (0.65 ml, subcutaneous route). Concomitant therapy was not reported. It was reported that on 17-JUN-2013 the pharmacist received two prescriptions for the patient, LEVAQUIN and prednisone (30 mg daily) from a walk-in clinic for an unspecified diagnosis. The outcome of the patient was unknown. Additional information has been requested.
Sex: M
Vaccine: DTAPIPVHIB, MMRV, PNC13
Symptoms: Body temperature increased, Febrile convulsion, Rash generalised, Rash papular
Clinical narrative: 6/14 Dr ofc - Rash all over papular no fever. 6/15 - 0430 ED hospital. 6/14 - 100 degrees R - febrile seizure. Dosed with TYLENOL and MOTRIN.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis contact, Injection site erythema, Rash erythematous, Rash pruritic
Clinical narrative: Local 4-5 inch redness area injection site rash red, itchy on the nuchal area.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient stated that there was redness around the site of injection and it has heat to it.  It is a little bigger today than it was yesterday.  No pain, but some tenderness.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated that there was redness around the site of injection and it has heat to it.  It is a little bigger today than it was yesterday.  No pain, but some tenderness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient had fever and noticed right upper arm was swollen and red.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red, warm to touch, tender, painful to left deltoid IM. Dx with cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain/redness/warmth/swelling to the injection site, approx 6cm in diameter.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug administration error, No adverse event
Clinical narrative: Wrong needle length used on SQ injection.  A 25 gauge 1" needle was accidentally mixed in with 25 gauge 5/8" needles. Injection given at 45 degree angle in outside, upper right arm but needle went in and came out other side of fatty tissue and leaked out on arm.  Child was upset and being held by parent.  Patient's arm was being held but still moving slightly, which made administration more difficult.  Vaccine readministered using correct 7 Rights of Medication Administration.  Pt. comforted by parent and tolerated well with no adverse effects.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Per mom noticed redness at site of vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Pain, Swelling, Tenderness
Clinical narrative: Quite tender swollen right armpit. Uncomfortable to have clothing against it, hurt to touch. Hurt even when not touched. Took aspirin for pain relief.