chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Varicella post vaccine
Clinical narrative: Information has been received from a healthcare worker concerning a 76 year old female who on 22-MAR-2007 was vaccinated with a dose of Zostavax (lot # 656394/0162U). On 30-MAR-2007 the patient experienced shingles on her back. Unspecified medical attention was sought. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information was available. The patient's shingles were considered disabling. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: VARZOS
Symptoms: Diabetes mellitus inadequate control, Drug exposure during pregnancy, Inappropriate schedule of drug administration, Pregnancy test positive
Clinical narrative: Information has been received from a nurse practitioner concerning a 39 year old female with no known allergies, type 2 diabetes mellitus, uncontrolled blood sugars and obesity and a history of shingles 2 or 3 times who on 29-MAR-2007, at her request, was vaccinated IM with a 0.65 "mg" dose of Zostavax. Concomitant therapy included LANTUS, NOVOLOG, BYETTA and lisinopril (manufacturer unknown). On 05-APR-2007 the patient had a positive pregnancy test. It was reported that the patient has had uncontrolled blood sugars "for the past few months" with sugars to 366. The "past few days" (since approximately 01-APR-2007) her blood sugars had been in the 180's. On 05-APR-2007 she was hospitalized for stabilization and monitoring of her blood sugars with pregnancy. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information was available. The patient's events were considered serious for hospitalization. The reporter considered the patient's uncontrolled blood sugars to be an other important medical event. Additional information has been requested.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Cerebellar ataxia, Lumbar puncture normal, Nuclear magnetic resonance imaging brain abnormal, Scan brain
Clinical narrative: Ataxia (cerebellar ataxia) - hospitalized on 3/3/07 and discharged 3/5/07, slightly improved.  04/19/2007 D/C Summary received from PCP.  Onset of acute ataxia began 3/3/07.  It improved throughout the day, but worsened in the afternoon.  Child was afebrile, no h/o head trauma, nomal mental status.  No UOP for ~24 hrs.  Cathed then began voiding spontaneously.   Neuro consult gave a DX of "likely post-infectious cerebellitis".    05/14/2007 MR received for 2 night hospital stay 3/3-5/07 for c/o difficulty walking including bumping into walls.  Had no UO for ~24 hours.  Cathed with spontaneous voiding after. No worsening during hospitalization so D/c home.  PE: (+) for wide-based ataxic gait.  Otherwise WNL.  DX: Probable post-infectious/vaccine cerebellitis.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia haemolytic autoimmune, Drug exposure during pregnancy, Haematology test
Clinical narrative: Pt developed autoimmune hemolytic anemia and states she started to feel her symptoms shortly after flu vaccine (24-48 hrs after).  04/24/2007 MR received from OBGYN which includes several hospital records as well. Pt initially presented to the hospital on 11/23/2007 with a drop in the patient's Hct and Hgb noted on 11/22/2007. This hemolytic anemia followed on the heels of passing tea colored urine, nausea, vomiting, icterus  and elevated LFTs which pt. was being f/u for. Txd with steroids and discharged on PO prednisone. Final DX:  IUP at 21 weeks with hemolytic anemia of uncertain etiology. F/U with Heme/Onc MD 11/29/06. Doing well on steroid tx.  Hct increasing. DX: Autoimmune Hemolytic Anemia.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Abnormal faeces, Barium double contrast, Explorative laparotomy, Intussusception
Clinical narrative: Patient developed abd pain, current jelly stools and diagnosed with intussusception. Not able to reduce via gastrografin enema. Brought to OR for ex-lap. Ileo-cecal intussusception reduced manually. Records received 4/26/07-DC Summary for DOS 4/8-4/10/07 DX:Intussusception. HX of vomiting and bloody stool.  Exploratory laparotomy and appendectomy
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Surgery
Clinical narrative: Patient developed abd pain, current jelly stools and diagnosed with intussusception. Not able to reduce via gastrografin enema. Brought to OR for ex-lap. Ileo-cecal intussusception reduced manually. Records received 4/26/07-DC Summary for DOS 4/8-4/10/07 DX:Intussusception. HX of vomiting and bloody stool.  Exploratory laparotomy and appendectomy
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Patient developed abd pain, current jelly stools and diagnosed with intussusception. Not able to reduce via gastrografin enema. Brought to OR for ex-lap. Ileo-cecal intussusception reduced manually. Records received 4/26/07-DC Summary for DOS 4/8-4/10/07 DX:Intussusception. HX of vomiting and bloody stool.  Exploratory laparotomy and appendectomy
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Abnormal faeces, Intussusception, Laparoscopy, Surgery
Clinical narrative: Patient developed abd pain, current jelly stools and diagnosed with intussusception. Not able to reduce via gastrografin enema. Brought to OR for ex-lap. Ileo-cecal intussusception reduced manually. Records received 4/26/07-DC Summary for DOS 4/8-4/10/07 DX:Intussusception. HX of vomiting and bloody stool.  Exploratory laparotomy and appendectomy
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Blood culture negative, C-reactive protein increased, Chest X-ray normal, Culture urine negative
Clinical narrative: Severe myalgias starting 3/27/07 to the point of being unable to sit up or walk. Fever stated 4/4/07 PM. With in 1 hr of onset of fever, pt became hypotensive and had a flushing rash. She was admitted to the PICU and supported with pressors. As of 4/6/07, she is improving. No source had been identified. CK <7, BCXs neg. 04/19/07-records received from facility-DOS 4/4-4/10/07-DC DX: Hypotension. Rash. Presented with 2 week history not feeling well with significant myalgias. C/O sore throat, throat culture negative. Nausea, diarrhea. Developed progressive muscle pain. RX with dopamine. Source of infection may have been area of inflammation on back of earlobe at earring hole site.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Flushing, Hypokinesia, Hypotension, Myalgia, Pyrexia
Clinical narrative: Severe myalgias starting 3/27/07 to the point of being unable to sit up or walk. Fever stated 4/4/07 PM. With in 1 hr of onset of fever, pt became hypotensive and had a flushing rash. She was admitted to the PICU and supported with pressors. As of 4/6/07, she is improving. No source had been identified. CK <7, BCXs neg. 04/19/07-records received from facility-DOS 4/4-4/10/07-DC DX: Hypotension. Rash. Presented with 2 week history not feeling well with significant myalgias. C/O sore throat, throat culture negative. Nausea, diarrhea. Developed progressive muscle pain. RX with dopamine. Source of infection may have been area of inflammation on back of earlobe at earring hole site.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Red blood cell sedimentation rate increased, Streptococcal identification test, Streptococcal identification test negative, X-ray of pelvis and hip normal
Clinical narrative: Severe myalgias starting 3/27/07 to the point of being unable to sit up or walk. Fever stated 4/4/07 PM. With in 1 hr of onset of fever, pt became hypotensive and had a flushing rash. She was admitted to the PICU and supported with pressors. As of 4/6/07, she is improving. No source had been identified. CK <7, BCXs neg. 04/19/07-records received from facility-DOS 4/4-4/10/07-DC DX: Hypotension. Rash. Presented with 2 week history not feeling well with significant myalgias. C/O sore throat, throat culture negative. Nausea, diarrhea. Developed progressive muscle pain. RX with dopamine. Source of infection may have been area of inflammation on back of earlobe at earring hole site.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Chest X-ray, Computerised tomogram, Echocardiogram, Electrocardiogram, Electroencephalogram
Clinical narrative: patient collapsed 15 to 20 minutes after receiving MCV4 and Gardasil vaccines. 06/20/07-records received from facility for DOS 3/29-3/30/07-DC DX: Syncope. Head Trauma. After injection positive loss of consciousness for about 2-3 minutes. No nausea, vomiting fever or chills but headache for about 2 days. No visual changes.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Full blood count, Pregnancy test
Clinical narrative: patient collapsed 15 to 20 minutes after receiving MCV4 and Gardasil vaccines. 06/20/07-records received from facility for DOS 3/29-3/30/07-DC DX: Syncope. Head Trauma. After injection positive loss of consciousness for about 2-3 minutes. No nausea, vomiting fever or chills but headache for about 2 days. No visual changes.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Chest X-ray, Circulatory collapse, Computerised tomogram, Echocardiogram, Electrocardiogram
Clinical narrative: patient collapsed 15 to 20 minutes after receiving MCV4 and Gardasil vaccines. 06/20/07-records received from facility for DOS 3/29-3/30/07-DC DX: Syncope. Head Trauma. After injection positive loss of consciousness for about 2-3 minutes. No nausea, vomiting fever or chills but headache for about 2 days. No visual changes.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Electroencephalogram, Full blood count, Pregnancy test, Syncope, White blood cell count
Clinical narrative: patient collapsed 15 to 20 minutes after receiving MCV4 and Gardasil vaccines. 06/20/07-records received from facility for DOS 3/29-3/30/07-DC DX: Syncope. Head Trauma. After injection positive loss of consciousness for about 2-3 minutes. No nausea, vomiting fever or chills but headache for about 2 days. No visual changes.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Cardiac enzymes normal, Chest pain, Electrocardiogram abnormal, Palpitations
Clinical narrative: Pt c/o joint pain x 10 days and palpitations then 2 days worsening chest pain.  04/18/2007 VAERS report received with MRs enclosed. Record of ER visit 3/27/2007 for 10 day c/o intermittent fatigue and joint pains, palpitations with chest pain and pressure assoc. with SOB.  (+) nausea. Clinical Impression: Chest Pain.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Pyrexia, Rash, Sinusitis
Clinical narrative: Patient reported fever, chills, headache and rash two weeks after dose of Tdap, was also receiving avalox for sinusitis PCP believed symptoms due to the vaccine and not the Avalox
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Tdap given 4-6-07 (Friday) Sunday night 4/8/07 T=101, redness noted distal to injection site, swelling, warmth. Monday-no fever until Monday night T=100. 4/11/07 1130 Redness, warmth, swelling, persistent-distral to injection site 3-4 cm. Redness measures 10x 11 cm. Ice/heat, elevation of arm.
Age: 51.0
Sex: F
Vaccine: MNQ
Symptoms: Activated partial thromboplastin time, Headache, Liver function test normal, Muscular weakness, Neck pain
Clinical narrative: Extreme weakness in legs for 3 wks starting 1 week after Menactra severe head and neck pain for 13 days starting 1 week after Menactra-Elevated PTT (6.8) (normal PT and normal LFT's) 05/02/07-records received from physician for DOS 3/5 and 3/8/07. C/O 9 days headache, body ache, arthralgia. Questionable myositis. 05/02/07-records received from rheumatologist. PMH: Several years with aches pains Raynaud's phenomenon. Osteoarthritis of right thumb. December fell from a truck or car and her left foot was bothering her attributed to that injury. Several years with low platelet counts recently at 140,000.  Right epicondylitis. Problems appear to be early connective tissue disease with arthritis, thrombocytopenia, leukopenia and Raynaud's phenomenon which has been symptomatic.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site reaction, Injection site vesicles
Clinical narrative: DTaP given (L) IM and Proquad given (L) sub 4/9/07. Pt came in 4/11/07 w/local reaction, red hot and hard, no itching, no fever. Dr said do warm compresses mother did. Pt came back 4/12/07 and reaction was bigger, harder, same redness w/blisters and itches now. Dr pres. Atarax and Prednisolone
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Injection site warmth
Clinical narrative: DTaP given (L) IM and Proquad given (L) sub 4/9/07. Pt came in 4/11/07 w/local reaction, red hot and hard, no itching, no fever. Dr said do warm compresses mother did. Pt came back 4/12/07 and reaction was bigger, harder, same redness w/blisters and itches now. Dr pres. Atarax and Prednisolone
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Oedema peripheral
Clinical narrative: Swollen arm-went to Dr.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Approximately 5 min. after vaccine administration child developed "red spots"/hives on legs and trunk. Was examined by physician, and given a single dose of oral Benadryl (6.25 mg).
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMRV
Symptoms: Eye swelling, Ocular hyperaemia
Clinical narrative: Vaccines given 3-26 (am). 3-27 (am) awakens with redness and swelling around eyes. No discharge, sclero white. comes to office-benadryl given (3-28) (3-29) returns to office-swelling increased along with redness-given prednisone script (never filled) continues with benadryl 3-31 (looks normal)
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash maculo-papular, Screaming
Clinical narrative: Awakened at night for 2 nights after immunizations with "blood curdling screams" but was consolable. Has had rash since 2 days after vaccines, fine maculopapular rash on trunk.
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: On 4/10/07; declined through 24 hours fever; body aches; headache; nausea Tx'd by parent with Acetaminophen/Ibuprofen alternately
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Urticaria
Clinical narrative: 10 days after vaccination-extensive urticaria
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Pallor
Clinical narrative: Dizziness following HPV injection, clamy, pale blood pressure went from 110/68 decreased to 80/52
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Local reaction
Clinical narrative: Given DTaP and patient had a localized reaction, now has that plus some cellulitis
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Gait disturbance, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Leg pain began 4/2/07. Fever also occurred on that date. Limping on 4/3/07 swelling of leg on 4/3/07 with redness. Swelling at redness continue today but no longer limping.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pityriasis rosea, Urticaria
Clinical narrative: Received vaccines 3/22/07, developed hives on stomach and back 3/25/07. On 4-3-07 saw a dermatologist and was diagnosed with pityriasis rosea.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Full blood count, Injection site erythema, Injection site induration, Injection site warmth, Neutrophil count
Clinical narrative: Local erythema induration and warmth. 7" x 8" oral around site of injection. no fever still increasing in size.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: White blood cell count increased
Clinical narrative: Local erythema induration and warmth. 7" x 8" oral around site of injection. no fever still increasing in size.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Pt vaccinated with Zostavax 4-5-07, waited x 30 min post vaccine; noted 3 mm wheal at injection site no respiratory sx or rash, given Zyrtec 10 mg now 4-9-07. Pt contacted provider, reported that she developed large red tender warm area surrounding injection site measuring 3"x6" took benadryl, erythema area now size of quarters
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt vaccinated with Zostavax 4-5-07, waited x 30 min post vaccine; noted 3 mm wheal at injection site no respiratory sx or rash, given Zyrtec 10 mg now 4-9-07. Pt contacted provider, reported that she developed large red tender warm area surrounding injection site measuring 3"x6" took benadryl, erythema area now size of quarters
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Erythema, Injection site urticaria, Swelling
Clinical narrative: Pt vaccinated with Zostavax 4-5-07, waited x 30 min post vaccine; noted 3 mm wheal at injection site no respiratory sx or rash, given Zyrtec 10 mg now 4-9-07. Pt contacted provider, reported that she developed large red tender warm area surrounding injection site measuring 3"x6" took benadryl, erythema area now size of quarters
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site rash, Injection site reaction, Injection site swelling
Clinical narrative: Received Zostavax on 3/26/07. Pt called back c/o red swollen arm. 3/28 pt examined lg area of erythema swelling, warmth spreading distally from L posterior upperarm, tiny vesicular lesions centrally approx 3 cm from injection site Diag: robust reaction vs cellulitis
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site warmth, Rash vesicular
Clinical narrative: Received Zostavax on 3/26/07. Pt called back c/o red swollen arm. 3/28 pt examined lg area of erythema swelling, warmth spreading distally from L posterior upperarm, tiny vesicular lesions centrally approx 3 cm from injection site Diag: robust reaction vs cellulitis
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Erythema, Injection site reaction, Injection site vesicles, Skin warm
Clinical narrative: Received Zostavax on 3/26/07. Pt called back c/o red swollen arm. 3/28 pt examined lg area of erythema swelling, warmth spreading distally from L posterior upperarm, tiny vesicular lesions centrally approx 3 cm from injection site Diag: robust reaction vs cellulitis
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Swelling, Tenderness
Clinical narrative: Received Zostavax on 3/26/07. Pt called back c/o red swollen arm. 3/28 pt examined lg area of erythema swelling, warmth spreading distally from L posterior upperarm, tiny vesicular lesions centrally approx 3 cm from injection site Diag: robust reaction vs cellulitis
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Pruritus, Rash generalised
Clinical narrative: Thursday 04/05/07 noticed a rash on my arms Friday went to ER and was prescribed Benadryl Saturday arms and legs were completely covered by rash as well as ears and neck, Sunday 11pm I was prescribed Prednisone since the rash has stopped itching and started to go away
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever x 10 hrs, starting about 24 hrs after receiving vaccine, only other symptom: nausea. No redness, swelling or tenderness at immunization site. No other concurrent illness.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dysfunctional uterine bleeding
Clinical narrative: Dysfunctional uterine bleeding, without prior history of said WT = 100 lb.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: 2 inch x 2.5 inch reddened area on L deltoid area. Rash nonelevated, no temperature change to area. Denies pain. States "it itches if you touch it".
Age: 0.9
Sex: F
Vaccine: FLUX, HIBV, PNC
Symptoms: Convulsion, Pyrexia, Respiratory arrest
Clinical narrative: Pt had a high fever early in the afternoon. After her nap the fever dropped to about 100. After about an hour of normal activity, she slumped over in her chair and started convulsing. and stopped breathing. After mouth to mouth was given she began breathing on her own. The paramedic took her to the hospital.  05/01/2007 MR received for ER visit of 11/25/2006 for c/o fever and seizure activity x1.  Infant became stiff, turned blue and was not breathing x 30 sec. per parents. PE: (+) for rhinorrhea, pharyngeal erythema, and tonsillar exudate.  Temp in ER was 104'F rectally.  Otherwise WNL. DX: Febrile Seizure. Viral Syndrome. 05/17/2007 Vax record received.  Vax for 11/21/2006  Prevnar- Wyeth-BO8691F Hib-Aventis-UE054AA Flu-unknown. Info updated in VAERS database and submitted for scanning.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Diet refusal, Rotavirus test, Vomiting
Clinical narrative: Began spitting up the day vaccine was administered and feeding patterns changed and stools became loose and has persisted 7 days.
Age: 11.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Rash all over, disseminated lesions on red base most excoriated and crusted, had been 4 days at times of visit - will use Benadryl PO for itching.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Infection
Clinical narrative: (L) leg local injection.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: A 2cm erythematous nodule on (L) thigh
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: fever, tender swelling of thigh (L) Motrin (sites DTaP given)
Age: 1.17
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Rash papular, Vomiting
Clinical narrative: A week or less later patient got red bumps all over his body he had a fever throwing up and diarrhea.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: Local swelling approx 5 cm at site of DTaP injected-started within hours of shot lasted 48-72 hr
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Varivax given SQ LA. MD reports low grade fever and swelling to left arm with pain. 7 1/2 cm x 6cm are of redness/induration
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site cellulitis, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: (L) thigh 5cm Diameter, Red, Raised NT/warm skin. (L) thigh cellulitis
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site pruritus, Urticaria
Clinical narrative: Child presented to clinic on 4-9-07, 4 days following vaccination with redness, itching & welting at site of injection
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Electroencephalogram, Grand mal convulsion, Postictal state
Clinical narrative: 48 hours after vaccine was administered patient developed a 3-4 minute tonic seizure (generalized), followed by post-ictal stage. EEG nl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Food allergy, Oxygen saturation decreased, Pruritus, Wheezing
Clinical narrative: Pt with h/o class 5 egg allergy developed itching, cough, wheezing within 20 mins of MMR vaccine. Sats decreased to 93%. Pt given Benadryl and Decadron. Sat improved, swelling decreased no Epi given.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Cough, Headache, Hot flush, Night sweats
Clinical narrative: The onset started on Friday, 23 Mar 07 at approx. 1730 with a slight rash on both arms. The symptoms progressed to a sore throat, headache, congestion, fever, night sweats, hot and cold flashes and an unproductive cough on Saturday, 24 Mar 07 at approx. 2230. I was seen by a provider 26 Mar 07 and was given Sudafed and Robitussin and placed on quarters for 48 hours. The symptoms continued without relief and I was again seen by a  provider on 28 Mar 07. At that time I was given another cough medicine and Zithromax and placed on another 48 hours of quarters. On 30 Mar 07, I was back at work and felt slightly better but still had a cough, congestion, and a headache. The symptoms finally resolved on 5 April 07 even though I still have a dry hacking cough.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Pharyngolaryngeal pain, Pyrexia, Rash, Sinus congestion
Clinical narrative: The onset started on Friday, 23 Mar 07 at approx. 1730 with a slight rash on both arms. The symptoms progressed to a sore throat, headache, congestion, fever, night sweats, hot and cold flashes and an unproductive cough on Saturday, 24 Mar 07 at approx. 2230. I was seen by a provider 26 Mar 07 and was given Sudafed and Robitussin and placed on quarters for 48 hours. The symptoms continued without relief and I was again seen by a  provider on 28 Mar 07. At that time I was given another cough medicine and Zithromax and placed on another 48 hours of quarters. On 30 Mar 07, I was back at work and felt slightly better but still had a cough, congestion, and a headache. The symptoms finally resolved on 5 April 07 even though I still have a dry hacking cough.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Hypokinesia, Injection site reaction, Pain, Pruritus, Skin warm
Clinical narrative: Received shot Sunday - symptoms visible by Monday PM; pain began Monday AM. Pain/physical charac. subsided Friday time frame. Physical charac. were: itching, swelling down to elbow - pass elbow (looked deformed), skin very hot to touch. Small welt still evident at injection site, decreased movement. Treatment: Ibuprofen (800 mg) and instant cold compresses.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling, Urticaria
Clinical narrative: Received shot Sunday - symptoms visible by Monday PM; pain began Monday AM. Pain/physical charac. subsided Friday time frame. Physical charac. were: itching, swelling down to elbow - pass elbow (looked deformed), skin very hot to touch. Small welt still evident at injection site, decreased movement. Treatment: Ibuprofen (800 mg) and instant cold compresses.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Chills, Limb discomfort, Pyrexia, Vomiting
Clinical narrative: Child developed fever and vomiting about 20 min after vaccination. 03/29/07 night he was clicking her teeth on and off and had tightness of arms and legs, (failed follow up to reach parents failed.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: After the shot my arm was very sore and then later that evening became more sensitive. When I woke up the next day left arm was swollen upon about 1/3 larger than normal it was like a huge lump soar and swollen it seemed to swell larger and was very hard as the day went on. It remained like that for about 1 1/2 weeks then slowly went down. The arm is still slightly different to the other.
Age: 1.91
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt mom brought pt to HD. She said pt has had an allergic reaction to one of the immunizations she received Wed. Pt L thigh is red, slightly swollen, and slightly time. Inst mom to give pt Tylenol 2-4-6 HR AD, and Benadryl PO AD on Box and apply cool compresses.
Age: 0.19
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Injection site erythema
Clinical narrative: Crying inconsolable for 2 1/2 hrs after injection area at injections site red, both right and left thigh no lump noticed.
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Injection site nodule, Injection site vesicles
Clinical narrative: Small vesicular lumps at injection site and 2-. on lower legs.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Malaise
Clinical narrative: patient presents with pain and erythema at injections site, general malaise with chills. No fever at time of evaluation. Pt sent to ER.
Age: 12.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Administered varicella in R deltoid at 1626 immediately pt states "itching at 1630, pt deltoid muscle swollen and redness around site.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Varicella #2 given 4-4-07. 4-5-07 pt with swelling and redness at site. Painful. On 4-6-07 in office to have site evaluated. Redness, swelling, pain and warm to touch. Measurements 7.5 cm x 7.0 cm induration 10x9 cm redness. No streaks.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Swelling, erythema, cellulitis around injection site 10 cm >48 hrs later. TX with Keflex.
Age: 1.01
Sex: F
Vaccine: HIBV
Symptoms: Acne, Body temperature increased, Rash
Clinical narrative: Pimple rash behind L ear - rectal temp of 103.2
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema
Clinical narrative: Local erythema approximately 3 cm at injection site, not painful. 24 hours after no treatment required.
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA, IPV, PNC
Symptoms: Chest X-ray, Febrile convulsion, Full blood count, Urine analysis
Clinical narrative: Febrile seizure
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: Breakthrough Varicella disease in a previously vaccinated 11 yo male. Afebrile: 10 lesions on right upper arm, 2 on neck and upper back.
Age: 23.0
Sex: F
Vaccine: MMR, TD
Symptoms: Unevaluable event
Clinical narrative: MMR #2 given 3/23/2007 patient denied pregnancy, steroids or prednisone. Had MMR #1 and TD #1 on 1/23/2007. TD #2 also given 3/23/2007.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Warm, redness and swollen left deltoid, small bruises at the site of IPV injection.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain upper, Back pain, Injection site rash, Injection site urticaria, Pyrexia
Clinical narrative: rash and welt at site (immediate reaction and still there) fever that lasted 2 days (began April 10, 2007) back aches (began April 10, 2007-continue) stomach pains (began April 10, 2007 and continue)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Body temperature, Erythema, Joint range of motion decreased, Oedema peripheral, Pain
Clinical narrative: Patient noted on awakening right arm swollen, red and with decreased range of motion and pain, tender - day after injection. Patient is noted to have a temperature today.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Tenderness
Clinical narrative: Patient noted on awakening right arm swollen, red and with decreased range of motion and pain, tender - day after injection. Patient is noted to have a temperature today.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Lethargy, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Day of vaccination - arm very painful. Next day - arm very sore, warm to touch, swollen, erythema, fever 103 - lethargic. Urgent Care dx with infection of arm, put on Cefelexin. Pain, redness, swelling from shoulder to elbow continued returned to PCP office - put on different antibiotic, reported to our clinic 4/11/07.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Day of vaccination - arm very painful. Next day - arm very sore, warm to touch, swollen, erythema, fever 103 - lethargic. Urgent Care dx with infection of arm, put on Cefelexin. Pain, redness, swelling from shoulder to elbow continued returned to PCP office - put on different antibiotic, reported to our clinic 4/11/07.
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Lip swelling, Swelling face
Clinical narrative: Received MMR #1 on 3/16/07 reported few hours after receiving shot had "difficulty breathing, facial and lips swelling. Did not go to emergency room - was afraid.' Per MD MMR titers done to check immunisations.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HPV4, DTAP, HEPA, HPV4, MNQ
Symptoms: Gaze palsy, Loss of consciousness, Muscle rigidity, Pallor, Staring
Clinical narrative: 5 minutes after HPV vaccine was given patient became pale, her eyes rolled back in her head, and she became rigid, she lost conscious 30 seconds. When she came to she had postical s/s of a blank stare for about 5-10 seconds. She did become A x O x S. BP 116/ 78 P 64, Pulse O2 97%. Before vaccine BP 115/65
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HPV4, DTAP, HEPA, HPV4, MNQ
Symptoms: Condition aggravated, Convulsion
Clinical narrative: 5 minutes after HPV vaccine was given patient became pale, her eyes rolled back in her head, and she became rigid, she lost conscious 30 seconds. When she came to she had postical s/s of a blank stare for about 5-10 seconds. She did become A x O x S. BP 116/ 78 P 64, Pulse O2 97%. Before vaccine BP 115/65
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HPV4, DTAP, HEPA, HPV4, MNQ
Symptoms: Blood pressure normal, Convulsion, Eye rolling, Heart rate normal, Immediate post-injection reaction
Clinical narrative: 5 minutes after HPV vaccine was given patient became pale, her eyes rolled back in her head, and she became rigid, she lost conscious 30 seconds. When she came to she had postical s/s of a blank stare for about 5-10 seconds. She did become A x O x S. BP 116/ 78 P 64, Pulse O2 97%. Before vaccine BP 115/65
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HPV4, DTAP, HEPA, HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration, Loss of consciousness, Medication error, Muscle rigidity, Musculoskeletal stiffness
Clinical narrative: 5 minutes after HPV vaccine was given patient became pale, her eyes rolled back in her head, and she became rigid, she lost conscious 30 seconds. When she came to she had postical s/s of a blank stare for about 5-10 seconds. She did become A x O x S. BP 116/ 78 P 64, Pulse O2 97%. Before vaccine BP 115/65
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HPV4, DTAP, HEPA, HPV4, MNQ
Symptoms: Oxygen saturation, Oxygen saturation normal, Postictal state, Staring
Clinical narrative: 5 minutes after HPV vaccine was given patient became pale, her eyes rolled back in her head, and she became rigid, she lost conscious 30 seconds. When she came to she had postical s/s of a blank stare for about 5-10 seconds. She did become A x O x S. BP 116/ 78 P 64, Pulse O2 97%. Before vaccine BP 115/65
Age: 18.0
Sex: F
Vaccine: HBHEPB
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Spots formed on her torso approximately 2 weeks after immunization later the same day lesions to the entire torso, not itchy, just red and swollen.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Malaise, Neck pain, Swelling
Clinical narrative: The employee C/O right neck pain,swelling, feeling ill and H/A. These S/S last apprx 48hrs.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Ear, nose and throat examination, Feeling hot and cold, Injection site pain, Local reaction, Sudden hearing loss
Clinical narrative: local reaction: local tender (w/o rubor/tumor/calor); hot/cold; Several days later reported awoke w/ noise in ear.  Patient seen socially other day and tells me developed acute hear loss: c/o ENT ; 55% hear loss AD.  In retrospect (but not documented in chart) he says hearing loss was abrupt and immediate.  5/18/07 Received medical records from ENT which reveal patient experienced patient seen 7/31/06 w/abnormal hearing exam but stable.  Next visit on 1/29/07 for acute decreased hearing left ear approx 12 hours s/p pnemo vax.  Handwritten notes are difficult to read but patient was started on IM prednisone, prednisone ear gtts & valtrex.  Audiogram done 2/8/07 revealed unchanged hearing loss left ear, normal hearing right ear.  Consulted another MD for possible intralynganis steroids.  Was to have repeat MRI.  DX: possible AIED.  Referred to opth & neuro & was advised to undergo intra typanic steroid trial which was done 4/2/07.  Repeat audiogram done 4/23/07 revealed left hearing decreased from prior studies.  Seen again on 4/24/07 but unable to read most of note.  Noted severe sensorineural hearing loss of left ear, mild sensorineural hearing loss of right ear.  LABS: MRI done 3/2/07 revealed left parietal hyperintensity c/w vasculitis or microvascular disease; normal cochlear vestibular complexes bilteral w/o evidence of acoustic neuroma; & retention cyst in right max sinus.  FINAL DX: severe sensorineural hearing loss left ear; mild sensorineural hearing loss right ear.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Acoustic stimulation tests abnormal, Deafness, Hearing impaired
Clinical narrative: local reaction: local tender (w/o rubor/tumor/calor); hot/cold; Several days later reported awoke w/ noise in ear.  Patient seen socially other day and tells me developed acute hear loss: c/o ENT ; 55% hear loss AD.  In retrospect (but not documented in chart) he says hearing loss was abrupt and immediate.  5/18/07 Received medical records from ENT which reveal patient experienced patient seen 7/31/06 w/abnormal hearing exam but stable.  Next visit on 1/29/07 for acute decreased hearing left ear approx 12 hours s/p pnemo vax.  Handwritten notes are difficult to read but patient was started on IM prednisone, prednisone ear gtts & valtrex.  Audiogram done 2/8/07 revealed unchanged hearing loss left ear, normal hearing right ear.  Consulted another MD for possible intralynganis steroids.  Was to have repeat MRI.  DX: possible AIED.  Referred to opth & neuro & was advised to undergo intra typanic steroid trial which was done 4/2/07.  Repeat audiogram done 4/23/07 revealed left hearing decreased from prior studies.  Seen again on 4/24/07 but unable to read most of note.  Noted severe sensorineural hearing loss of left ear, mild sensorineural hearing loss of right ear.  LABS: MRI done 3/2/07 revealed left parietal hyperintensity c/w vasculitis or microvascular disease; normal cochlear vestibular complexes bilteral w/o evidence of acoustic neuroma; & retention cyst in right max sinus.  FINAL DX: severe sensorineural hearing loss left ear; mild sensorineural hearing loss right ear.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Eye irritation, Muscle spasms, Ocular hyperaemia
Clinical narrative: Initially w/burning, red, irritated eyes.  Later in day had leg cramps.  On 4/14/07 neck began to pull backwards and could hardly move legs and arms.  Employee did not seek treatment, nor notify IC & EH until 4/17/07
Age: 40.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Cold compress therapy, Oedema peripheral, Pain, Pharyngolaryngeal pain, Skin warm
Clinical narrative: 2days after vaccine administration, left arm hot to touch, swollen, the size of an orange, sore throat, and achy all over. Instructed to place cool compresses periodically and contact PCP and to call after sees her PCP
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Blood pressure ambulatory decreased, Blood pressure decreased, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: I gave patient the injection and right after he stated he felt faint. I layed him back on the wxam table and waited 5-7 mins. He tried to sit up and felt faint. I noticed that he was pale and diaphoretic. I layed him back down for another 5-7 mins. Sat him up and gave him some water. After sitting for 5 min. he tried to walk out with his dad. He got to the wiating room and sat sown again. He was pale and diaphoretic again. I called Dr from the PICU and explained the situation. She and two other nurses came to the clinic. I took patient's BP and it was 58/24. We placed him in the wheelchair and took him to the ER. Report given to the ER nurses and DR.
Age: 0.42
Sex: M
Vaccine: HBHEPB, IPV, PNC
Symptoms: Injection site bruising, Injection site rash
Clinical narrative: Right leg has bruising and rash around vaccine site.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Patient rc'd DTAP vaccine #5 the next day left arm was swollen & red .She had full use of her arm. Next day mom called & said arm was more reddened & she took child to M. D. & he prescribed antibiotics for 10 days .
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Oedema peripheral, Staphylococcal infection, Swelling
Clinical narrative: Mother stated childs arm started swelling in the evening - the next morning it was trippled in size and spreading to her chest and neck.  Went to the Hospital and was admitted on 4/12/07.  She was told patient had a staff infection from receiving the shot.  She was put on antibiotics and discharged on 4/15/2007.  04/23/2007 MR received for an ER visit for c/o Left arm swelling s/p immunizations. PMH:  none.  NKDA. PE: Swelling and tenderness of LUE. Pain 6/10. DX:  Cellulitis S/P immunizations. Transfered to Pediatric facility for IV antibiotics.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: I developed a red, slightly burning rash within 24 hours.  Ocassional itching.  Right arm.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: 12 April 07 (PM) developed fever 102 self tx with tylenol and had to take leave from work on 13 April 07
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Granuloma annulare, Injection site streaking, Nausea, Skin lesion
Clinical narrative: Experienced nausea for 3+ days, red streaking from vaccination site to just below the elbow, a lesion appeared in the area where the streaking stopped 6 to 8 weeks later.  Later diagnosed as granuloma anulare.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram normal, Hypoaesthesia, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient developed numbness in her hand and later moved up to her arm. 04/19/07-records received from PCP-for DOS 4/4/07-Numbness of right side of body, noticed right index finger numb and swollen, hands felt dry. Numbness later on same day in the right side of face and right upper and lower extremities. Numbness fairly continuous.  Subjective sense of numbness in right side of her body including face. Neuro exam WNL but subjectively she was perceiving reduced sensations of light touch, temperature and vibration on right side of body. Sensation was splitting right in the middle of her forehead. Differential DX: demyelinating disease or other CNS abnormalities with CT negative. Slight possibility of anxiety somatization disorder also exists. To return to neuro clinic in 2 weeks 04/25/07-subsequent visit notes received from neuro with DX of hemianesthesia. blurred vision NOS. Subjective hemianesthesia and neurological examination is now unremarkable. Normal symmetrical reflexes, no pronator drift. Possibility of organic disorder less likely.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Paraesthesia, Thyroid function test normal
Clinical narrative: Patient developed numbness in her hand and later moved up to her arm. 04/19/07-records received from PCP-for DOS 4/4/07-Numbness of right side of body, noticed right index finger numb and swollen, hands felt dry. Numbness later on same day in the right side of face and right upper and lower extremities. Numbness fairly continuous.  Subjective sense of numbness in right side of her body including face. Neuro exam WNL but subjectively she was perceiving reduced sensations of light touch, temperature and vibration on right side of body. Sensation was splitting right in the middle of her forehead. Differential DX: demyelinating disease or other CNS abnormalities with CT negative. Slight possibility of anxiety somatization disorder also exists. To return to neuro clinic in 2 weeks 04/25/07-subsequent visit notes received from neuro with DX of hemianesthesia. blurred vision NOS. Subjective hemianesthesia and neurological examination is now unremarkable. Normal symmetrical reflexes, no pronator drift. Possibility of organic disorder less likely.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Immunisation reaction, Injection site cellulitis, Pain, Swelling
Clinical narrative: Mother reported redness/pain and swelling 4/14/07 10am; went to Night Lite Pediatrics - diagnosed with local immunization reaction with cellulitis - treated with Rocephin 750mg IM/Benadryl po/Motrin po and sent home with Omnicef po bid/Benadryl po bid; parents returned 4/15 with c/o worsening - treated with Rocephin 1gm IV/Solumedrol IV/ Benadryl IV and admitted to hospital. 5/17/07-DC Summary for DOS 4/15-4/17/07-DC DX:Left thigh cellulitis. treated with IV Clindamycin.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Varicella post vaccine
Clinical narrative: Patient called stated that she had a shingles break-out several days after injection give but just called us today.  Patient could not remember exactly what day.  She states that her left arm (injection site) had shingles outbreak. She has a history of having shingles.
Age: 1.33
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC
Symptoms: Incorrect dose administered
Clinical narrative: 2 doses of prevnar given from the same lot number
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abasia, Asthenia, Back pain, Chills, Delirium
Clinical narrative: Mother reports:  patient started feeling sick the morning after the shot. She started out with a mild headache, neck, and back pain. She originally attributed it to being tired. By 9:00 pm on 4-11-07 she was running a high fever, hurting everywhere, had back pain, and a severe headache. She left work early because she was so ill. She did not sleep well that night. Her fever was high enough that you could feel the heat rising from her from a foot away. She was delirious, saying strange things throughout the night. I gave her tylenol and kept cold rags on her head. During her high fever time she had chills and severe headache. The shot sight was approximately four inches in diameter. Patient was unable to walk without assistance because she was dizzy and lightheaded. She was in bed with someone watching her for two days. She was still very week on the third day and slept most of the time. The shot was given on 4-10-07. She missed school Thursday (4-12) and Friday (4-13). She returned today 4-16-07. She still has a headache and neck pain. She is taking tylenol every four hours so that she can function. Patient has asthma and is allergic to septra and ceclor. She also had seizures from the pertussis in DPT shots and was never able to finish the series. She is still tired and has no color in her face but continues to do what she has to because she needs to be at school due to graduation being only 24 days away. If she had been the only one to get sick we would have said she must have had something else but we know of three other students to have reactions, that is why we were concerned.