chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Anaphylactic reaction, Convulsion
Clinical narrative: 3rd in the series of Guardasil on 7/24/2008.  On 9/10/2008, patient went to emergency room in ambulance due to rash and difficulty breathing, assumed allergic reaction to something.  On 9/20/2008, patient had 2nd reaction with severe hives, shaking, jerking spasms and dehydration, assumed allergic reaction.  Both times treatment was IV benedryl and prednazone pack.  Allergist consultation visit the following day resulting in his prescribing use of over the counter allergy meds; Claritin in the AM, Pepsid mid day, Zyrtec at bedtime, benedryl as needed.  9/25/2008 patient was asleep and woke up choking with extreme breathing difficulties, resulting in another ambulance ride and a 3rd emergency room visit.  Treatment was IV benedryl and Prednazone pack.  Over the next 5 months several (5-7) cases of mild to moderate hives during which patient took over the counter benedryl and hives went away.  On 2/09/2008, patient had severe abdominal pain, began having difficulty breathing and noted hives.  This resulted in 3rd ambulance ride to emergency room.           For 5 months, patient has taken over the counter allergy meds regularly as described above.  Up to this point in her life she has had no known allergies, no anaphylaxis and has been in very good health, active in sports.   During this 5 months, she has been to the emergency room 4 times, 3 of those with severe breathing difficulties.              Symptoms include hives, abdominal pain, swelling of hands and fingers, difficulty breathing all occurring rapidly.  This is considered to be a life threatening situation.  It appears that this response could have been caused by Guardasil injection from 7/24/2008. 3/17/09-received office records for date of vaccine. Well visit. krk 4/6/09-records received-ED visit 9/O itching and diffuse swelling, facel feels swollen. PE:eyelids slightly swollen. DX:acute allergic reacion. acute allergic rash. ED visit 9/20/08-C/O allergic reaction, ithcy urticarial rash suddenly with some shortness of breath. Previous episodes of urticaria a week ago. DX:allergic reaction. allergic dermatitis. ED visit 2/9/09-C/O allergic reaction. Onset acute. Pain pruritus. DX:allergic reaction,  anxiety and urticaria.  4/13/09-records received for DOS 10/2/08-C/O hives. History of chronic hives began on 9/10/08 after lying on a rug, pruritic welts with some throat tightness. Repeat reaction week later.Assessment:idiopathic urticaria probable viral in nature. Allergic versus non-allergic rhinitis. Chronic nasal congestion. Mild angioedema.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL, HEPA, PNC, VARCEL
Symptoms: Rash, Swelling
Clinical narrative: Pt was seen 11/16/09 & given VARIVAX #1, PREVNAR #4 & HEP A #1.  1/17/2009 Developed a rash on legs, face & arms.  @ 8 pm 1/17/09 developed swelling of face, hands & ankles.  Taken by parents to ER - BENADRY & steroids give symptoms resolved completely by 1/19/09.  Add: 10 day course of amox completed on 1/16/09.  Poly-vi-sol given 1/16/09.  No doses given since incident reported to both Merck & GlaxoSmithKlein.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL, HEPA, PNC, VARCEL
Symptoms: Joint swelling, Oedema peripheral, Rash vesicular, Swelling face
Clinical narrative: Pt was seen 11/16/09 & given VARIVAX #1, PREVNAR #4 & HEP A #1.  1/17/2009 Developed a rash on legs, face & arms.  @ 8 pm 1/17/09 developed swelling of face, hands & ankles.  Taken by parents to ER - BENADRY & steroids give symptoms resolved completely by 1/19/09.  Add: 10 day course of amox completed on 1/16/09.  Poly-vi-sol given 1/16/09.  No doses given since incident reported to both Merck & GlaxoSmithKlein.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Asthenia, Chills, Dysphonia, Fatigue, Gait disturbance
Clinical narrative: Received Tdap, influenza and PNEUMOVAX vaccines 01/06/09. Pt called clinic 01/13/09 to report that on 01/07/09, she had experienced onset "severe chills" - requiring VALIUM to relive after one hour. In addition - reports weakness, inability to ambulate by self without walker X several days. Other sx: Voice hoarseness, blurred vision, increased fatigue and somnolence. By 01/13/09 - Ambulating with walker unassisted. Vision WNL; fatigue ongoing.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Somnolence, Vision blurred, Walking aid user
Clinical narrative: Received Tdap, influenza and PNEUMOVAX vaccines 01/06/09. Pt called clinic 01/13/09 to report that on 01/07/09, she had experienced onset "severe chills" - requiring VALIUM to relive after one hour. In addition - reports weakness, inability to ambulate by self without walker X several days. Other sx: Voice hoarseness, blurred vision, increased fatigue and somnolence. By 01/13/09 - Ambulating with walker unassisted. Vision WNL; fatigue ongoing.
Age: 0.19
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Frequent bowel movements, Occult blood negative
Clinical narrative: Patient developed severe diarrhea after 1st ROTATEQ >10 stools per day x2 weeks. Resolved - needed Pregestemol.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Pt. received Varicella vaccine 1/12/09. RTC today 20 to reddened area 11X10 CM @ site of vaccine.
Age: 1.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Erythema multiforme, Inflammation, Pruritus, Rash
Clinical narrative: Patient was vaccinated on 1/22/09 (fluid was noted in both ears at the time). His ears became inflamed and he was given amoxicillin (has previously had with no adverse reactions) on 1/26/09. He woke up (7am) with spots on 2/3/09. Went to see Dr. on 2/5/09 and was given the diagnosis of erythema multiforme minor. Started giving him ZYRTEC before bedtime to control itching. Spots are currently clearing up, with no new ones developing since 2/7/09.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Rash papular
Clinical narrative: Rash-12-16 scattered red pin point papules w/ pin point scab
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Local swelling, Measles antibody positive, Mumps antibody test negative, Musculoskeletal pain
Clinical narrative: Received MMR#2 2/2/09 woke 2/3/09 with L shoulder, neck, upper arm pain/swelling ? and headache.  Self treated with IBUPROFEN 800 mg and TYLENOL 1000mg every 8 hours on Tues, Wed & Thurs.  Symptoms Improved Headache remains but is improved.  All reported to both clinics Thurs. 2/5/09.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Neck pain, Oedema peripheral, Pain in extremity, Rubella antibody positive
Clinical narrative: Received MMR#2 2/2/09 woke 2/3/09 with L shoulder, neck, upper arm pain/swelling ? and headache.  Self treated with IBUPROFEN 800 mg and TYLENOL 1000mg every 8 hours on Tues, Wed & Thurs.  Symptoms Improved Headache remains but is improved.  All reported to both clinics Thurs. 2/5/09.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: 4 hours after having 3 vaccines (VARIVAX, MMR & PREVNAR), had hives on face - no other exposures in interim Given (4mg) 1cc decadron Benadryl & Zyrtec.
Age: 35.0
Sex: F
Vaccine: TYP
Symptoms: Depressed level of consciousness, Pallor
Clinical narrative: Pt's husband called for help Pt found sitting pale semi responsive. Very pale wiffed ammonia inhalate help arrive. Pt taken to urgent care for observation.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis, Decreased appetite, Diarrhoea, Insomnia, Irritability
Clinical narrative: Pt had imm around 4:30PM. Went home, seemed X 2hrs. Around 8pm became very fussy temp 100.6.  Didn't sleep well that nite. Next day was somewhat lethargic. Fever 101.6  1 Diarrhea stool - pt was sleepy, cranky. Acted same on 2/1/08 appetite down also. Lips blue AM x 2 hrs.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Lethargy, Pyrexia
Clinical narrative: Pt had imm around 4:30PM. Went home, seemed X 2hrs. Around 8pm became very fussy temp 100.6.  Didn't sleep well that nite. Next day was somewhat lethargic. Fever 101.6  1 Diarrhea stool - pt was sleepy, cranky. Acted same on 2/1/08 appetite down also. Lips blue AM x 2 hrs.
Age: 1.5
Sex: F
Vaccine: IPV
Symptoms: Febrile convulsion, Full blood count normal, Laboratory test normal, Platelet count normal
Clinical narrative: Febrile seizure.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, VARCEL
Symptoms: Rash erythematous, Urticaria, Vomiting
Clinical narrative: None stated
Age: 1.5
Sex: M
Vaccine: UNK
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: RT. arm red swollen - Hot to touch
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Fever of 104 and higher for seven days straight.  Within 48 hours after vaccine
Age: 24.0
Sex: F
Vaccine: DT
Symptoms: Fatigue, Injection site pain, Malaise
Clinical narrative: Left deltoid pain at injection general malaise, fatigue "out of it" Pt observed with no subsequent sx's.
Age: 32.0
Sex: M
Vaccine: HEP, YF
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Pt waited 10 min after receiving YF-VAX + ENGERIX-B. Pt had reaction of SOB and urticaria app. 15min after he left FLAS. Pt was treated with 50mg IM right diphenhydramine.
Age: 3.0
Sex: F
Vaccine: JEV
Symptoms: Blood glucose, Full blood count, Hallucination, tactile, Laboratory test, Toxicologic test
Clinical narrative: Dose #1 J-VAX given 2/10/09 (1cc given right deltoid subQ) @ 1300-1400. On 2/13/09, while at daycare, the patient had hallucinations (tactile of bugs). Extensive w/u in ER showed nothing metabolic as causative. Episodes continued x 7-8 last one @ 0400 2/16/09.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Anti-thyroid antibody negative, Antibody test negative, Blood thyroid stimulating hormone normal, Goitre, Neck mass
Clinical narrative: Given 1st GARDASIL 1/7/09 at routine health assessment Patient seen in the office on 2/5/09. Developed lump in her neck on 2/2/09. Diagnosed with goiter. Thyroid testing - T4, T3, TSH normal. Thyroglobulin Ab - negative Has euthyroid goiter.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroxine free normal, Tri-iodothyronine free normal
Clinical narrative: Given 1st GARDASIL 1/7/09 at routine health assessment Patient seen in the office on 2/5/09. Developed lump in her neck on 2/2/09. Diagnosed with goiter. Thyroid testing - T4, T3, TSH normal. Thyroglobulin Ab - negative Has euthyroid goiter.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Arthralgia, CSF pressure increased, Peroneal nerve palsy
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Areflexia, Arthralgia, Asthenia, Axonal neuropathy, Blood immunoglobulin A decreased
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Blood product transfusion, Bone densitometry, CSF protein increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Disability
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Dysstasia, Electromyogram abnormal, Gait disturbance, Gene mutation identification test negative, Headache
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Movement disorder, Muscle atrophy, Nerve conduction studies abnormal, Osteopenia, Osteoporosis
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, FLU3, MNQ
Symptoms: Peroneal nerve palsy, Tremor
Clinical narrative: Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy.  3/3/09  MR received for DOS 7/21-24/2008 with D/C DX:  Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT.  EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy.  Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08.  Devloped some H/A with tx. D/C for outpt f/u on prednisone.  Later with DX:  CIDP.  Wearing ankle/foot braces to assist with ambulation.  Muscle wasting noted 10/6/08  and hand tremor 12/24/08. Some improvement in strength noted.  8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Irritability
Clinical narrative: 4 hours post administration infant very fussy and immunization site with erythema & mild edema, tender at 7-8cm.
Age: 0.34
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC, RV5
Symptoms: Electroencephalogram, Staring
Clinical narrative: Maternal grandmother described staring spells which lasted 2 weeks after visit.  She states they were "just like patient's mother's absence seizures caused by her DTP vaccine that she grew out of"  No report to us of these.  Spells until 1-13-09.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Rash, Vomiting
Clinical narrative: Vaccine given 1/2/09 symptoms began 01/03/09 included: dizziness, lasted 2 hrs. rash lasted 2 days n with vomiting 1 X.  Per the patient mother BENADRYL was given.  No other side effects post 2' days.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Crying, Dyskinesia, Staring
Clinical narrative: Infant began staring & jerking involuntarily.  (Woke up crying at 12:15) We took her to the ER and by 1:30 a.m.. she was fine.) No other reactions.  (No temp)
Age: 25.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Myalgia, Pyrexia, Vomiting
Clinical narrative: The evening after receiving the vaccine, c/o fever 102 degrees F, vomiting x1 and muscle aches, joint pain-
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Oedema peripheral
Clinical narrative: Left thigh swollen upper thigh to medial thigh.
Age: 1.2
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Epstein-Barr virus antibody negative, Full blood count normal, Human herpes virus 6 serology negative, Measles antibody, Pyrexia
Clinical narrative: Patient received vaccines on 01/23/09; developed low grade fever + x 3 days 01/28 - 01/30; given Amoxil for purvulent rhinitis. Rash noted on 01/30/09 02/01 - on the trunk & back initially, then spreading to face & extremities; morbilliform like; rashes persisted x 2 weeks; no fever, no other s/s
Age: 1.2
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash, Rash morbilliform, Red blood cell sedimentation rate normal, Rhinitis
Clinical narrative: Patient received vaccines on 01/23/09; developed low grade fever + x 3 days 01/28 - 01/30; given Amoxil for purvulent rhinitis. Rash noted on 01/30/09 02/01 - on the trunk & back initially, then spreading to face & extremities; morbilliform like; rashes persisted x 2 weeks; no fever, no other s/s
Age: 34.0
Sex: U
Vaccine: MMR
Symptoms: Headache, Nausea, Rash
Clinical narrative: Phone call received from family member reporting that vaccine recipient has rash & severe nausea. No mention of fever. Vaccine was given 1-13-09 in afternoon. Symptoms began @2am. 1-14-09 - No tx except OTC Benadryl went to Collage Class 1-14-09 also reported headache of reported no fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Pruritus generalised, Urticaria
Clinical narrative: Vaccines 1/5/9 no problems. 1/6/9 - Circular welts with blisters- itching back, legs, arms, buttocks - worse on 1/7/9. Went to ER 1/7/9 - placed on BENADRYL and medicine to control react.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP
Symptoms: Crying, Injection site swelling, Injection site warmth
Clinical narrative: Patient received PENTACEL injection by itself (IM) in right lateral thigh.  5 hours later mom called stating his right leg was swollen and warm to touch.  Also that he was crying.
Age: 1.56
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: MMR given R upper arm - minutes later 5 cm diameter welt with raised erythematous center painful.  Used ice, TYLENOL, educated pt's mom on bringing child back if increased size, increased temp, cellulitis etc
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Epistaxis, Haemoptysis, Mass, Thrombosis
Clinical narrative: Patient received HEP B3 vaccine on 7/20/06.  A few days later she had a severe nose bleed, blood pouring out of nose and mass coughing up blood with clots.  After 20 minutes of holding pressure bleeding stopped.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Epistaxis, Haemoptysis, Haemorrhage
Clinical narrative: Patient received HEP B vaccine on 4/28/06 A few days later she had a severe nose bleed, blood pouring out of nose and mouth.  Coughing up blood with clots we got the bleeding to stop at home.  Held pressure.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Irritability, Rash generalised
Clinical narrative: 1) Rash within 24 hrs.  Started on legs-became generalized in 48 hrs.  2) Low temperature elevation (38-38.4) > 48 hrs.  3)  Periods of extreme irritability lasting 10 minutes to 3 hours > 72 hours.
Age: 8.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Skin lesion
Clinical narrative: Generalized lesions head to toe-not palms or soles. On dorsum of hands and feet though.
Age: 0.3
Sex: M
Vaccine: HIBV, PNC
Symptoms: Erythema, Induration
Clinical narrative: Induration and redness over (L) leg (thigh) 30 x 30.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling of right upper arm x 2d, treated w/KEFLEX
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Body temperature, Body temperature increased, Crying, Oedema peripheral, Pain in extremity
Clinical narrative: PENTECEL given right thigh in am 1/15/07 - Parents came back in due to pt crying non-stop 11:30 2:00, vomiting X 2, not nursing pt calm at times, repeatedly screamed with movement right leg X 3.  No redness, swelling or ecchymosis @ site.  11/6/09 called mom stated leg still sore, little swelling, T-100-using warm & cold compresses & TYLENOL.  Notified mom we would report
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Screaming, Vomiting
Clinical narrative: PENTECEL given right thigh in am 1/15/07 - Parents came back in due to pt crying non-stop 11:30 2:00, vomiting X 2, not nursing pt calm at times, repeatedly screamed with movement right leg X 3.  No redness, swelling or ecchymosis @ site.  11/6/09 called mom stated leg still sore, little swelling, T-100-using warm & cold compresses & TYLENOL.  Notified mom we would report
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving vaccines- Menactra, Tdap, Hep A#2
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyskinesia, Gaze palsy
Clinical narrative: Patient was given vaccine. Approximately 5-7 minutes after patient's eyes rolled back. Upper body began to jerk. Called 911.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion
Clinical narrative: Patient was given vaccine. Approximately 5-7 minutes after patient's eyes rolled back. Upper body began to jerk. Called 911.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Severe right deltoid pain and swelling with vomiting x 1 and low grade fever. After 48 hours patient felt much better.
Age: 1.2
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Intermittent fever and maculopapular rash of trunk.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Rash, Skin warm
Clinical narrative: Pt received a PNEUMOVAX on 2/17/09 and noted a reaction on 2/18/09 arm swollen (raised) 7x7 red area with a small fine rash, Hot to touch and painful.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Asthenia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt received a PNEUMOVAX on 2/17/09 and noted a reaction on 2/18/09 arm swollen (raised) 7x7 red area with a small fine rash, Hot to touch and painful.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Pt received a PNEUMOVAX on 2/17/09 and noted a reaction on 2/18/09 arm swollen (raised) 7x7 red area with a small fine rash, Hot to touch and painful.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Pain, swelling, itching, rash, warmth at site.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varicella vaccine breakthrough. Diagnosed with varicella on 1-19-09.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site cellulitis
Clinical narrative: At 48 hours had 3" diameter cellulitis. Patient has a history of IgG2 deficiency. Treated with KEFLEX BACTROBAN. Cellulitis at site of DPAT.
Age: 9.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Lip swelling, Wheezing
Clinical narrative: Wheezing started within 10-15 min after MMR and VARIVAX injection. Slight puffy lips and stable visual signs. POS decreased 95% - CTA afterwards 99 % within 30 minutes.
Age: 1.9
Sex: F
Vaccine: DTAP, PNC
Symptoms: Local swelling, Oedema peripheral, Pruritus
Clinical narrative: Pt is brought by Mom, had vaccination on 1/20/09. Mom noticed swelling right thigh yesterday. No fever. Groin - right thigh - mild swelling and erythema and mild itching.
Age: 22.0
Sex: F
Vaccine: ANTH, FLU3, SMALL, TYP
Symptoms: Lymph node pain, Lymphadenopathy, Pruritus, Urticaria
Clinical narrative: R cervical lymph swelling/tenderness with palpation (Jan 15 2009). Hives and itching on neck and extremities 12 Jan 2009. Seen and treated with PREDNISONE.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: 12 x 10 cm lesion R thigh around shot sight. Red, hot, indurated, tender. Began around 1 day after shot. 1/21/09 decreased to 2 1/2 x 2 1/2 cm.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Skin lesion
Clinical narrative: 12 x 10 cm lesion R thigh around shot sight. Red, hot, indurated, tender. Began around 1 day after shot. 1/21/09 decreased to 2 1/2 x 2 1/2 cm.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pt has dime size swelling and tenderness at DTaP site.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Hives at injection site, gave BENADRYL advised mom to give in 6 hours if hives came back or go to ER, call 911 if any trouble breathing.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt c/o shock like sensations in his (L) UE that radiate to his hand. At the time of onset, approximately 2 weeks after the injection, the pt said he did not experience any numbness or pain. Coincidentally, he saw a physician re an unrelated matter. The dates of visit (12/5/08) the physician told the pt the sensation would stop.
Age: 31.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Large redness area (4 1/2 inches x 4 inches) on left arm with swelling and soreness.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Full blood count normal, Haematochezia, Muscle spasms, Parasite blood test
Clinical narrative: At 2 months old patient received vaccines (routine) PEDIARIX, Hib, PREVNAR, Rotavirus - 4/21/08. On 4/22/08 mom noted bloody stools and cramping. Since that time, although less, continues to have hematochezia.4/28/09-records received-office visit 4/23/08-C/O blood in stool, day prior stool green. Fussy. Feeding well on breast milk. Assessment:hematochezia. 5/16/08-diarrhea times 10 days. Assessment:diarrhea. 6/5/08-rash over body in different areas. Assessment: eczema/seb. 6/14/08-bloody mucous stools for past month.  6/14/08-blood streaked stools since age 2 months, gets fussy due to gas. Assessment: food induced enterocolitis syndrome.
Age: 9.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Blister, Rash erythematous, Skin warm, Torticollis
Clinical narrative: 2 day history of rash prior to presentation. On exam, 12cm x 15 cm around erythematous rash lat/post. (L) arm warm to touch, multiple bullae laterally -> given prednisone, KEFLEX pt also presented with torticollis 2 weeks later -> given MOTRIN, BENADRYL
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Nausea
Clinical narrative: Had immunization at 12:15 pm on Thurs 10-9-08 c/o headache starting at 11 pm that night; woke up w/headache - severe at 4:30 - headache described as back of head behind eyes. C/o nausea this AM V/S-T-100 AP -92- R-22 BP-112/70 at 9AM on 10/10/08
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Fall, Stomach discomfort
Clinical narrative: weakness-fell to the ground stomach upset on Dec 6, 2008 and on Dec 7, 2008
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Noted 2" diameter, slightly elevated, red, irregular skin area where injection given.  Denies itching or pain.  Instructed to notify primary physician.
Age: 0.69
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypotonia, Unresponsive to stimuli
Clinical narrative: Child became limp and unresponsive x 5 minutes.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Colitis ulcerative, Diarrhoea, Fatigue, Malaise
Clinical narrative: Developed Ulcerative Colitis after ANTHRAX 1-4, sxs started 2 years after #4, diagnosis made 1 year after # 4. Diagnosed with narcolepsy in 2008, but had fatigue prior. Symptoms : Diarrhea, Abdominal pain, Day-time somulence, Fatigue, Malaise > 60 days, Weight loss, unexpected. Diagnoses: Ulcerative colitis, narcolepsy
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Narcolepsy, Somnolence, Weight decreased
Clinical narrative: Developed Ulcerative Colitis after ANTHRAX 1-4, sxs started 2 years after #4, diagnosis made 1 year after # 4. Diagnosed with narcolepsy in 2008, but had fatigue prior. Symptoms : Diarrhea, Abdominal pain, Day-time somulence, Fatigue, Malaise > 60 days, Weight loss, unexpected. Diagnoses: Ulcerative colitis, narcolepsy
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain, Arthralgia, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: She states she was well at the time and took no medications.  Approx 24 hours later SM reports she awakened with papular pruritic rash on bilateral antecubital spaces and axillae.  She also experienced pain and swelling in the rt deltoid where shot was given, myalgias, arthralgias, malaise, fatigue and abdominal cramps with no diarrhea or vomiting.  Systemic sxs and rash continued and additionally developed on the neck and under the eyes.  She took OTC BENADRYL and HC 1% cream with only temporary relief of sxs.  Rash after MMR  Lesions, papule, Pruritus.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Malaise, Myalgia, Rash papular, Rash pruritic
Clinical narrative: She states she was well at the time and took no medications.  Approx 24 hours later SM reports she awakened with papular pruritic rash on bilateral antecubital spaces and axillae.  She also experienced pain and swelling in the rt deltoid where shot was given, myalgias, arthralgias, malaise, fatigue and abdominal cramps with no diarrhea or vomiting.  Systemic sxs and rash continued and additionally developed on the neck and under the eyes.  She took OTC BENADRYL and HC 1% cream with only temporary relief of sxs.  Rash after MMR  Lesions, papule, Pruritus.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Induration, Pain
Clinical narrative: 6 X 4 induration, pain on LT arm cold compress, OTC Benadryl
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Pain, Pyrexia, Skin warm, Swelling
Clinical narrative: Vaccine administered on 1/23/09 - On 1/23/09 leg was hot, red, swollen, from hip to knee, painful to touch, fever and hives on neck-chest - Pt instructed to take BENADRYL, Ibuprophen, cool compress and rest
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Vaccine administered on 1/23/09 - On 1/23/09 leg was hot, red, swollen, from hip to knee, painful to touch, fever and hives on neck-chest - Pt instructed to take BENADRYL, Ibuprophen, cool compress and rest
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Vaccine given 1-12-09.  Pt complained of severe pain at injection site on 01-16-09.  It was not relieved by ice or EXCEDRIN.  ADVIL provided minimal relief.  No redness swelling or drainage or numbness at site.
Age: 28.0
Sex: M
Vaccine: FLU3, HEP, PPV
Symptoms: Chest discomfort, Headache, Injection site swelling, Pain, Pyrexia
Clinical narrative: Rash on (R) deltoid, fever, swelling at injection site, body aches, chest tightness, headache. Pt seen by PA at Medical Clinic on 1/22/09. Recommended Ibuprofen and Benadryl prn.
Age: 28.0
Sex: M
Vaccine: FLU3, HEP, PPV
Symptoms: Rash
Clinical narrative: Rash on (R) deltoid, fever, swelling at injection site, body aches, chest tightness, headache. Pt seen by PA at Medical Clinic on 1/22/09. Recommended Ibuprofen and Benadryl prn.
Age: 1.7
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Skin swelling
Clinical narrative: Red DTG bump on L legs. Shot 2 days ago.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash generalised, Urticaria
Clinical narrative: Urticarial rash - generalized RX - BENADRYL & PREDNISONE
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: No reaction on previous exposure to drug, Rash
Clinical narrative: Urticarial rash - generalized RX - BENADRYL & PREDNISONE
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash generalised, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning a 12 year old female patient who on 11-OCT-2008 was vaccinated with the first dose of GARDASIL (Lot # 660393/0067X) and on 19-JAN-2009 received the second dose of GARDASIL (Lot # 661046/0381X).  After receiving her second dose of GARDASIL the patient developed a rash on her chest.  She was prescribed BENADRYL for the treatment of her symptoms.  It was reported that there was no adverse event after the first dose of GARDASIL.  Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: No reaction on previous exposure to drug, Rash
Clinical narrative: Information has been received from a registered nurse concerning a 12 year old female patient who on 11-OCT-2008 was vaccinated with the first dose of GARDASIL (Lot # 660393/0067X) and on 19-JAN-2009 received the second dose of GARDASIL (Lot # 661046/0381X).  After receiving her second dose of GARDASIL the patient developed a rash on her chest.  She was prescribed BENADRYL for the treatment of her symptoms.  It was reported that there was no adverse event after the first dose of GARDASIL.  Additional information has been requested.
Age: 12.9
Sex: F
Vaccine: HPV4
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: Approx 5 hours after injection, pt c/o extreme muscle pain in legs arms, back and abdomen. -No local reaction noted @ injection site. Pt also c/o H/A and nausea no V/D no fever. Symptoms lasted until 1-16-09 @ noon. : per mom report.
Age: 58.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: According to pt several hrs after injection, the site became red, raised and warm to touch. Area was the size of a 50c piece. Ice applied to area since 11/20/09 area becomes itchy sporadically. Pt scratches area-scabs over heals and then becomes itchy
Age: 58.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site scab, Injection site swelling, Injection site warmth
Clinical narrative: According to pt several hrs after injection, the site became red, raised and warm to touch. Area was the size of a 50c piece. Ice applied to area since 11/20/09 area becomes itchy sporadically. Pt scratches area-scabs over heals and then becomes itchy
Age: 58.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: No reaction on previous exposure to drug
Clinical narrative: According to pt several hrs after injection, the site became red, raised and warm to touch. Area was the size of a 50c piece. Ice applied to area since 11/20/09 area becomes itchy sporadically. Pt scratches area-scabs over heals and then becomes itchy
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Increasing redness, itching + swelling at shot site L upper arm starting approximately 24 hours after shot has  8x5cm are erythema + swelling + tenderness P OTC antihistamine hydrocortisone cream
Age: 0.8
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Wrong drug administered
Clinical narrative: HEP A vaccine given to a patient under 1 year of life by mistake.  HEP B ordered and HEP A given.  Discovered after injection.
Age: 0.8
Sex: F
Vaccine: HEPA, HEPA
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: HEP A vaccine given to a patient under 1 year of life by mistake.  HEP B ordered and HEP A given.  Discovered after injection.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Right arm became very painful, unable to lift.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Influenza like illness, Injection site erythema, Injection site urticaria
Clinical narrative: Felt like touch of flu- woke up with headache took ALEVE.  Feels extra tired.  This happens some years when gets flu vaccine also.  Arm is sore.  Injection site warm, red, welt 1 1/2 cm.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pain in extremity
Clinical narrative: Felt like touch of flu- woke up with headache took ALEVE.  Feels extra tired.  This happens some years when gets flu vaccine also.  Arm is sore.  Injection site warm, red, welt 1 1/2 cm.
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain
Clinical narrative: 3 days after receiving tetanus shot- Had severe pain & aching (deep) in right upper arm - It has been 4 months & although the pain is less, is still very much present
Age: 1.1
Sex: F
Vaccine: FLU3, HEPA, HIBV, MMR, VARCEL
Symptoms: Cough, Rash, Rhinorrhoea, Swelling face, Wheezing
Clinical narrative: Dev'd rash that spread over body and face swelling 1 d after vaccines, followed by rhinorrhea and cough. On 1/12/09 child was wheezing. Also taking amoxicillin simultaneously.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local swelling, Oedema peripheral
Clinical narrative: Pt reports redness and swelling. It ran base of neck on right down to right elbow. TYLENOL/BENADRYL
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, IPV, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: None stated
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Antinuclear antibody, Arthralgia, Chest X-ray, Differential white blood cell count
Clinical narrative: Developed Rheumatoid Arthritis-- Pain began within 5 days of last dose of GARDASIL vaccination.  Severe joint pain--unable to walk.  2/26/09 Received PCP vaccine records & medical records of 1/2-8/29/2008. FINAL DX: Rheumatoid arthritis Records reveal patient had known right knee, left hip & low back pain.  By 2/08 had diffuse joint swelling while at college & seen in student health where CRP & RA factor both (+).  Referred to Rheum.  Tx w/steroids, plaquenil, methotrexate & humira.  Right knee synovial fluid drained 6/08.  RTC 7/08 w/right heel pain x 1 mo.  Dx w/right Achilles tendonitis.  Referred to ortho but did not go.  RTC 8/08 w/probably genital herpes & oral cold sores.  Tx w/antivirals.  Symptoms did not resolve, seen in student health & dx w/impetigo.  3/4/09 Received Rheum medical records of 2/08-12/08. FINAL DX: intensely inflammatory additive symmetrical polyarthritis w/flagrant synovitis while on steroids Records reveal patient experienced joint pain, swelling & stiffness beginning 12/07. Exam revealed multiple sites of synovitis, right knee warmth & effusion.  Tx w/additional meds of hydroxychloroquine & methotrexate.  Humira added later as s/s persisted.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count, Rheumatoid arthritis, Serum ferritin
Clinical narrative: Developed Rheumatoid Arthritis-- Pain began within 5 days of last dose of GARDASIL vaccination.  Severe joint pain--unable to walk.  2/26/09 Received PCP vaccine records & medical records of 1/2-8/29/2008. FINAL DX: Rheumatoid arthritis Records reveal patient had known right knee, left hip & low back pain.  By 2/08 had diffuse joint swelling while at college & seen in student health where CRP & RA factor both (+).  Referred to Rheum.  Tx w/steroids, plaquenil, methotrexate & humira.  Right knee synovial fluid drained 6/08.  RTC 7/08 w/right heel pain x 1 mo.  Dx w/right Achilles tendonitis.  Referred to ortho but did not go.  RTC 8/08 w/probably genital herpes & oral cold sores.  Tx w/antivirals.  Symptoms did not resolve, seen in student health & dx w/impetigo.  3/4/09 Received Rheum medical records of 2/08-12/08. FINAL DX: intensely inflammatory additive symmetrical polyarthritis w/flagrant synovitis while on steroids Records reveal patient experienced joint pain, swelling & stiffness beginning 12/07. Exam revealed multiple sites of synovitis, right knee warmth & effusion.  Tx w/additional meds of hydroxychloroquine & methotrexate.  Humira added later as s/s persisted.
Age: 11.0
Sex: F
Vaccine: IPV, MNQ, TDAP
Symptoms: Headache, Immediate post-injection reaction, Syncope
Clinical narrative: Client fainted approximately 5 min after vaccinations given. She reported feeling fine just after vaccines. During check out she fainted. Blood pressure 80/50 immediately following and within 10 minutes was 98/60. Mother advised client to be transported to ER for neuro inspection. Client reported pain on back of head.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash generalised, Urticaria
Clinical narrative: Woke up with a full body rash and fever - pt taken to hosp. for urticaria. Also has with peanut butter.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Headache, Nasal congestion, Pain
Clinical narrative: Had flu shot 1/12/09. Also, exposed to many children with URI symptoms 1/12. On 1/13/09, had syncope related to quick changed in position. Also nasal congestion /sneezing /rhinorrhea /chills and aches with T to 100 deg. Also headache
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Sneezing, Syncope
Clinical narrative: Had flu shot 1/12/09. Also, exposed to many children with URI symptoms 1/12. On 1/13/09, had syncope related to quick changed in position. Also nasal congestion /sneezing /rhinorrhea /chills and aches with T to 100 deg. Also headache
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Low grade fever, symmetric erythema, induration, slight increased warmth right upper thigh beginning about 20-24 hours after injection 10 1/2 cm diameter
Age: 10.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Migraine
Clinical narrative: Chronic Headache (Migraine)
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Induration, Rash erythematous, Urticaria
Clinical narrative: 1/21/09 woke in AM with redness size of baseball then increased to size of softball per dad. 1/23/09 seen in office induration centrally with 16x11 erythematous urticarial Rx.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: VARIVAX administered 1/21/2009 Rt arm. Redness and swelling next morning 1/22/09. School nurse measured redness - 9 cm.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Mobility decreased, Pain, Radiculitis brachial
Clinical narrative: C/O pain, redness, inability to perform R.O.M. with affected arm.  Diagnosis Brachial Neuritis post TD for adults 2 days.  Treatment per pcp Ibuprofen & Vicodin.
Age: 8.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Abnormal behaviour, Disturbance in attention, Oppositional defiant disorder
Clinical narrative: Patient is on STRATTERA. Mother reports changes on behavior. Child more opositional and inattentive after receiving vaccine
Age: 8.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Attention deficit/hyperactivity disorder, Condition aggravated, Personality change
Clinical narrative: Patient is on STRATTERA. Mother reports changes on behavior. Child more opositional and inattentive after receiving vaccine
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Rash
Clinical narrative: The phone call from Pt's mother stating Pt has little red bumps/rash on chest and both arms. Instructed mother to take her to MD for diagnosis. Mother stated she would probably just wait for them to go away.
Age: 69.0
Sex: F
Vaccine: HEPA, PPV, VARZOS
Symptoms: Facial palsy
Clinical narrative: Bell's palsy 4/08 and 12/08 (Not certain vaccine related - Pt concerned and asked for it to be reported
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Developed hives (urticaria) in underarms, waist and legs. Prescribed MEDROL DOSEPAK 4 mg and ZYRTEC.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Antibody test normal, Antinuclear antibody, Arthralgia, Blood creatine phosphokinase normal, Borrelia burgdorferi serology negative
Clinical narrative: Onset severe bilateral knee pain, spreading to proximal lower leg and distal anterior thighs. No benefit from TORADOL 30 mg IM. Excellent relief with oral Prednisone. Exam remarkable for mild effusion in knees bilaterally only
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: C-reactive protein normal, Culture throat negative, Full blood count normal, Herpes simplex serology negative, Joint effusion
Clinical narrative: Onset severe bilateral knee pain, spreading to proximal lower leg and distal anterior thighs. No benefit from TORADOL 30 mg IM. Excellent relief with oral Prednisone. Exam remarkable for mild effusion in knees bilaterally only
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Metabolic function test normal, Mononucleosis heterophile test negative, Pain in extremity, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Onset severe bilateral knee pain, spreading to proximal lower leg and distal anterior thighs. No benefit from TORADOL 30 mg IM. Excellent relief with oral Prednisone. Exam remarkable for mild effusion in knees bilaterally only