chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Respiratory rate
Clinical narrative: Information has been received from a physician concerning a 17 year old female with a positive family history of seizure within the family and who was vaccinated with Gardasil on her right arm. There was no concomitant medication. After being vaccinated with Gardasil, the patient was dizzy, passed out and had a tonic clonic seizure. The seizure lasted 2-3 minutes long and had urinary continence afterward. Unspecified medical attention was sought and the patient's blood pressure was 100/70, her pulse was 120 and the physician did a respiratory rate, which was 25. The patient was also sent for an electroencephalography (EEG) (results not provided). As of 22-AUG-2007, the patient was recovering from dizziness, increased heart rate, passing out and her tonic clonic seizure. Product Quality Complaints (PQC) were not involved. Upon internal review, tonic clonic seizure was determined to be an other important medical event. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Anaemia, Bacterial infection, Body temperature increased, Dehydration, Dermatitis
Clinical narrative: Information has been received from a physician concerning his mother, a 76-year-old female with sulfonamide allergy who was vaccinated on an unspecified date with a dose of Zostavax. Subsequently, on an unspecified date, about 5 days post vaccination, the patient developed shingles on her lower right flank. The area was about 16"x8" in size. She also had a temperature of 102 degrees fahrenheit, malaise and myalgia. She went to her physician, and fainted in his office. she was hospitalized and diagnosed with shingles, impetigo and fungal super infection. It is also reported that the vaccination caused overwhelming sepsis and bacterial super infection. She was treated with anti-virals, anti-biotics, and anti-fungals. She was released from the hospital after 5 days. It is reported that she is still recovering. No product quality complaint was involved. Shingles, fungal super infection, and impetigo were considered to be disabling, immediately life-threatening and were thought to be other important medical events. Additional information has been requested.  10/26/07 Reviewed hospital nedical records which reveal patient experienced right sided back & shoulder pain followed by rash eruption c/w shingles.  Seen by pcp when developed increased pain & cellulitis secondary to bacterial infection.  Admitted 8/7-8/12/2007.  Tx w/IV antibiotics & antivirals.  ID consult done.  Neuro consult done for near syncopal episode.  Cardiology consult done.  Improved & was d/c to home on continued oral antivirals & antibiotics. FINAL DX: shingles; secondary bacterial infection; electrolyte imbalance; HTN; near-syncope; GERD; fever. READMITTED: 9/14-9/16/2007 as direct admit from pcp offfice s/p labs revealed elevated creatinine. TX w/IVF.  Diuretic d/c'd.    FINAL DX: dehydration, resolved; hypokalemia, resolved; renal insufficiency secondary to dehydration, resolved; anemia, stable; GERD, hyperlipidemia; contact dermatitis (laundry detergent). 11/2/07 Received vax info from pcp & VAERS database updated w/same. Per 60 day follow up: I still have pain in my back where I had the outbreak of shingles. The discoloration on my back is getting a lighter color, but is not completely gone. Please advise me how I might recover the $200.00 I paid form y vaccines-my medical bills and medication was ver expensive.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Fungal infection, Herpes zoster, Hyperlipidaemia, Hypokalaemia, Impetigo
Clinical narrative: Information has been received from a physician concerning his mother, a 76-year-old female with sulfonamide allergy who was vaccinated on an unspecified date with a dose of Zostavax. Subsequently, on an unspecified date, about 5 days post vaccination, the patient developed shingles on her lower right flank. The area was about 16"x8" in size. She also had a temperature of 102 degrees fahrenheit, malaise and myalgia. She went to her physician, and fainted in his office. she was hospitalized and diagnosed with shingles, impetigo and fungal super infection. It is also reported that the vaccination caused overwhelming sepsis and bacterial super infection. She was treated with anti-virals, anti-biotics, and anti-fungals. She was released from the hospital after 5 days. It is reported that she is still recovering. No product quality complaint was involved. Shingles, fungal super infection, and impetigo were considered to be disabling, immediately life-threatening and were thought to be other important medical events. Additional information has been requested.  10/26/07 Reviewed hospital nedical records which reveal patient experienced right sided back & shoulder pain followed by rash eruption c/w shingles.  Seen by pcp when developed increased pain & cellulitis secondary to bacterial infection.  Admitted 8/7-8/12/2007.  Tx w/IV antibiotics & antivirals.  ID consult done.  Neuro consult done for near syncopal episode.  Cardiology consult done.  Improved & was d/c to home on continued oral antivirals & antibiotics. FINAL DX: shingles; secondary bacterial infection; electrolyte imbalance; HTN; near-syncope; GERD; fever. READMITTED: 9/14-9/16/2007 as direct admit from pcp offfice s/p labs revealed elevated creatinine. TX w/IVF.  Diuretic d/c'd.    FINAL DX: dehydration, resolved; hypokalemia, resolved; renal insufficiency secondary to dehydration, resolved; anemia, stable; GERD, hyperlipidemia; contact dermatitis (laundry detergent). 11/2/07 Received vax info from pcp & VAERS database updated w/same. Per 60 day follow up: I still have pain in my back where I had the outbreak of shingles. The discoloration on my back is getting a lighter color, but is not completely gone. Please advise me how I might recover the $200.00 I paid form y vaccines-my medical bills and medication was ver expensive.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Malaise, Myalgia, Red blood cell sedimentation rate increased, Renal failure, Sepsis
Clinical narrative: Information has been received from a physician concerning his mother, a 76-year-old female with sulfonamide allergy who was vaccinated on an unspecified date with a dose of Zostavax. Subsequently, on an unspecified date, about 5 days post vaccination, the patient developed shingles on her lower right flank. The area was about 16"x8" in size. She also had a temperature of 102 degrees fahrenheit, malaise and myalgia. She went to her physician, and fainted in his office. she was hospitalized and diagnosed with shingles, impetigo and fungal super infection. It is also reported that the vaccination caused overwhelming sepsis and bacterial super infection. She was treated with anti-virals, anti-biotics, and anti-fungals. She was released from the hospital after 5 days. It is reported that she is still recovering. No product quality complaint was involved. Shingles, fungal super infection, and impetigo were considered to be disabling, immediately life-threatening and were thought to be other important medical events. Additional information has been requested.  10/26/07 Reviewed hospital nedical records which reveal patient experienced right sided back & shoulder pain followed by rash eruption c/w shingles.  Seen by pcp when developed increased pain & cellulitis secondary to bacterial infection.  Admitted 8/7-8/12/2007.  Tx w/IV antibiotics & antivirals.  ID consult done.  Neuro consult done for near syncopal episode.  Cardiology consult done.  Improved & was d/c to home on continued oral antivirals & antibiotics. FINAL DX: shingles; secondary bacterial infection; electrolyte imbalance; HTN; near-syncope; GERD; fever. READMITTED: 9/14-9/16/2007 as direct admit from pcp offfice s/p labs revealed elevated creatinine. TX w/IVF.  Diuretic d/c'd.    FINAL DX: dehydration, resolved; hypokalemia, resolved; renal insufficiency secondary to dehydration, resolved; anemia, stable; GERD, hyperlipidemia; contact dermatitis (laundry detergent). 11/2/07 Received vax info from pcp & VAERS database updated w/same. Per 60 day follow up: I still have pain in my back where I had the outbreak of shingles. The discoloration on my back is getting a lighter color, but is not completely gone. Please advise me how I might recover the $200.00 I paid form y vaccines-my medical bills and medication was ver expensive.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Superinfection, Syncope
Clinical narrative: Information has been received from a physician concerning his mother, a 76-year-old female with sulfonamide allergy who was vaccinated on an unspecified date with a dose of Zostavax. Subsequently, on an unspecified date, about 5 days post vaccination, the patient developed shingles on her lower right flank. The area was about 16"x8" in size. She also had a temperature of 102 degrees fahrenheit, malaise and myalgia. She went to her physician, and fainted in his office. she was hospitalized and diagnosed with shingles, impetigo and fungal super infection. It is also reported that the vaccination caused overwhelming sepsis and bacterial super infection. She was treated with anti-virals, anti-biotics, and anti-fungals. She was released from the hospital after 5 days. It is reported that she is still recovering. No product quality complaint was involved. Shingles, fungal super infection, and impetigo were considered to be disabling, immediately life-threatening and were thought to be other important medical events. Additional information has been requested.  10/26/07 Reviewed hospital nedical records which reveal patient experienced right sided back & shoulder pain followed by rash eruption c/w shingles.  Seen by pcp when developed increased pain & cellulitis secondary to bacterial infection.  Admitted 8/7-8/12/2007.  Tx w/IV antibiotics & antivirals.  ID consult done.  Neuro consult done for near syncopal episode.  Cardiology consult done.  Improved & was d/c to home on continued oral antivirals & antibiotics. FINAL DX: shingles; secondary bacterial infection; electrolyte imbalance; HTN; near-syncope; GERD; fever. READMITTED: 9/14-9/16/2007 as direct admit from pcp offfice s/p labs revealed elevated creatinine. TX w/IVF.  Diuretic d/c'd.    FINAL DX: dehydration, resolved; hypokalemia, resolved; renal insufficiency secondary to dehydration, resolved; anemia, stable; GERD, hyperlipidemia; contact dermatitis (laundry detergent). 11/2/07 Received vax info from pcp & VAERS database updated w/same. Per 60 day follow up: I still have pain in my back where I had the outbreak of shingles. The discoloration on my back is getting a lighter color, but is not completely gone. Please advise me how I might recover the $200.00 I paid form y vaccines-my medical bills and medication was ver expensive.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Infection, Skin infection
Clinical narrative: Information has been received from a physician concerning his mother, a 76-year-old female with sulfonamide allergy who was vaccinated on an unspecified date with a dose of Zostavax. Subsequently, on an unspecified date, about 5 days post vaccination, the patient developed shingles on her lower right flank. The area was about 16"x8" in size. She also had a temperature of 102 degrees fahrenheit, malaise and myalgia. She went to her physician, and fainted in his office. she was hospitalized and diagnosed with shingles, impetigo and fungal super infection. It is also reported that the vaccination caused overwhelming sepsis and bacterial super infection. She was treated with anti-virals, anti-biotics, and anti-fungals. She was released from the hospital after 5 days. It is reported that she is still recovering. No product quality complaint was involved. Shingles, fungal super infection, and impetigo were considered to be disabling, immediately life-threatening and were thought to be other important medical events. Additional information has been requested.  10/26/07 Reviewed hospital nedical records which reveal patient experienced right sided back & shoulder pain followed by rash eruption c/w shingles.  Seen by pcp when developed increased pain & cellulitis secondary to bacterial infection.  Admitted 8/7-8/12/2007.  Tx w/IV antibiotics & antivirals.  ID consult done.  Neuro consult done for near syncopal episode.  Cardiology consult done.  Improved & was d/c to home on continued oral antivirals & antibiotics. FINAL DX: shingles; secondary bacterial infection; electrolyte imbalance; HTN; near-syncope; GERD; fever. READMITTED: 9/14-9/16/2007 as direct admit from pcp offfice s/p labs revealed elevated creatinine. TX w/IVF.  Diuretic d/c'd.    FINAL DX: dehydration, resolved; hypokalemia, resolved; renal insufficiency secondary to dehydration, resolved; anemia, stable; GERD, hyperlipidemia; contact dermatitis (laundry detergent). 11/2/07 Received vax info from pcp & VAERS database updated w/same. Per 60 day follow up: I still have pain in my back where I had the outbreak of shingles. The discoloration on my back is getting a lighter color, but is not completely gone. Please advise me how I might recover the $200.00 I paid form y vaccines-my medical bills and medication was ver expensive.
Age: 0.5
Sex: F
Vaccine: PNC
Symptoms: Autism, Blood heavy metal increased, Blood test abnormal, Metal poisoning
Clinical narrative: This case was considered medically important for the event of autism. Information regarding Prevnar was received from a consumer regarding an female patient who received the third dose on 16-Aug-2005 at the age of 6 months and was diagnosed with autism and heavy metals including mercury in the patient's system at the age of 29 months. In Aug-2007, the patient was diagnosed with heavy metals including mercury in the patient's system and autism. Treatment included amino acid powder and DMSA. The patient had not recovered from the events. No additional information was available at the time of this report.
Age: 1.3
Sex: F
Vaccine: PNC
Symptoms: Antibody test abnormal, Body temperature increased, Chest X-ray abnormal, Pneumonia, Serology test
Clinical narrative: This case was considered medically important. Information regarding Prevnar was received from a healthcare professional regarding a 6-year-old female patient who experienced low titer levels and really bad pneumonia despite receiving all four doses of Prevnar. The patient received the fourth dose on 19-Jul-2002. In Jul-2007, the patient was taking "omnicef for a strep infection" when her condition worsened. On 27-Jul-2007, the patient spiked a temperature and a chest x-ray was performed. On 28-Jul-2007, lab titers were drawn. Levels were above 0.15 for all serotypes, a few were very close, which the physician considered low. A culture was not taken at this time as the patient was undergoing antibiotic therapy. The doctor stated the chest x-ray was indicative of pneumonia. The physician noted the patient experienced really bad pneumonia despite receiving all four doses of Prevnar. The patient had scheduled a follow-up appointment for Sep-2007. Treatment for the patient was unknown. At the time of the report, it was unknown if the patient had recovered. Follow-up information has been requested.
Age: 1.3
Sex: F
Vaccine: PNC
Symptoms: Streptococcal infection
Clinical narrative: This case was considered medically important. Information regarding Prevnar was received from a healthcare professional regarding a 6-year-old female patient who experienced low titer levels and really bad pneumonia despite receiving all four doses of Prevnar. The patient received the fourth dose on 19-Jul-2002. In Jul-2007, the patient was taking "omnicef for a strep infection" when her condition worsened. On 27-Jul-2007, the patient spiked a temperature and a chest x-ray was performed. On 28-Jul-2007, lab titers were drawn. Levels were above 0.15 for all serotypes, a few were very close, which the physician considered low. A culture was not taken at this time as the patient was undergoing antibiotic therapy. The doctor stated the chest x-ray was indicative of pneumonia. The physician noted the patient experienced really bad pneumonia despite receiving all four doses of Prevnar. The patient had scheduled a follow-up appointment for Sep-2007. Treatment for the patient was unknown. At the time of the report, it was unknown if the patient had recovered. Follow-up information has been requested.
Age: 26.0
Sex: M
Vaccine: TYP
Symptoms: Dehydration, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: Approximately 8 hrs after taking my 2nd oral dose of the Typhoid vaccination, I began vomiting and experienced diarrhea and severe aches all over my body. I became severe dehydrated came down with a fever. I experienced these symptoms along w/ prolonged nausea, for 3-4 days.  9/14/07 Reviewed ER medical records which reveal patient experienced fever, vomiting/diarrhea, malaise, fatigue, myalgias, chills.  Temp 101.2 in ER.  Tx w/IVF & antinausea/antipyretic/pain meds w/significant improvement & was d/c to home.   FINAL DX: acute AE reaction to typhoid vax.
Age: 26.0
Sex: M
Vaccine: TYP
Symptoms: Vomiting
Clinical narrative: Approximately 8 hrs after taking my 2nd oral dose of the Typhoid vaccination, I began vomiting and experienced diarrhea and severe aches all over my body. I became severe dehydrated came down with a fever. I experienced these symptoms along w/ prolonged nausea, for 3-4 days.  9/14/07 Reviewed ER medical records which reveal patient experienced fever, vomiting/diarrhea, malaise, fatigue, myalgias, chills.  Temp 101.2 in ER.  Tx w/IVF & antinausea/antipyretic/pain meds w/significant improvement & was d/c to home.   FINAL DX: acute AE reaction to typhoid vax.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Diarrhoea, Electroencephalogram normal, Headache, Lumbar puncture abnormal, Meningitis
Clinical narrative: Patient reported headache, nausea, vomiting, diarrhea starting Tuesday, 8/22/07 in the afternoon. Wednesday, 8/23/07 awoke w/ petechial rash on palms, arms, soles of feet and legs and increasing severe headache. Seen in our office at 8:40am. Referred to hospital for admission and evaluation w/ diagnosis of probable meningitis. Lumbar Puncture done - spinal fluid showed gram negative diplococci on gram stain. At 12:00pm started Rocephin 2grams IV. Decreased mental status throughout the am. Last coherent verbal communication from patient was at 12:00pm. Due to worsening status pt. was admitted to ICU after LP. As of today pt. is still non-verbal. EEG was WNL. Continues w/ IV antibiotic therapy. Currently prognosis is guarded. 11/19/07-records received for DOS 8/22-9/4/07-DC DX: Acute meningococcal meningitis. Seizures. Headaches. Debility. Encephalopathy. Elevated liver function tests. Presented with acute febrile illness associated with rash, nuasea, vomiting, diarrhea, fever and was not feeling well. Recent travel. PE: Skin warm dry with flat pinpoint petechial and purpuric rash on palms of hands. Agitated. Focal seizures. Opted not to talk to anyone in the middle of her hospitalization. Positive pain sensation with any neck motion. Back Pain. Positive straight leg raising test. Per 60 day follow up: See attached note from neurologist.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Mental status changes, Nausea, Petechiae, Vomiting
Clinical narrative: Patient reported headache, nausea, vomiting, diarrhea starting Tuesday, 8/22/07 in the afternoon. Wednesday, 8/23/07 awoke w/ petechial rash on palms, arms, soles of feet and legs and increasing severe headache. Seen in our office at 8:40am. Referred to hospital for admission and evaluation w/ diagnosis of probable meningitis. Lumbar Puncture done - spinal fluid showed gram negative diplococci on gram stain. At 12:00pm started Rocephin 2grams IV. Decreased mental status throughout the am. Last coherent verbal communication from patient was at 12:00pm. Due to worsening status pt. was admitted to ICU after LP. As of today pt. is still non-verbal. EEG was WNL. Continues w/ IV antibiotic therapy. Currently prognosis is guarded. 11/19/07-records received for DOS 8/22-9/4/07-DC DX: Acute meningococcal meningitis. Seizures. Headaches. Debility. Encephalopathy. Elevated liver function tests. Presented with acute febrile illness associated with rash, nuasea, vomiting, diarrhea, fever and was not feeling well. Recent travel. PE: Skin warm dry with flat pinpoint petechial and purpuric rash on palms of hands. Agitated. Focal seizures. Opted not to talk to anyone in the middle of her hospitalization. Positive pain sensation with any neck motion. Back Pain. Positive straight leg raising test. Per 60 day follow up: See attached note from neurologist.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Meningitis
Clinical narrative: Patient reported headache, nausea, vomiting, diarrhea starting Tuesday, 8/22/07 in the afternoon. Wednesday, 8/23/07 awoke w/ petechial rash on palms, arms, soles of feet and legs and increasing severe headache. Seen in our office at 8:40am. Referred to hospital for admission and evaluation w/ diagnosis of probable meningitis. Lumbar Puncture done - spinal fluid showed gram negative diplococci on gram stain. At 12:00pm started Rocephin 2grams IV. Decreased mental status throughout the am. Last coherent verbal communication from patient was at 12:00pm. Due to worsening status pt. was admitted to ICU after LP. As of today pt. is still non-verbal. EEG was WNL. Continues w/ IV antibiotic therapy. Currently prognosis is guarded. 11/19/07-records received for DOS 8/22-9/4/07-DC DX: Acute meningococcal meningitis. Seizures. Headaches. Debility. Encephalopathy. Elevated liver function tests. Presented with acute febrile illness associated with rash, nuasea, vomiting, diarrhea, fever and was not feeling well. Recent travel. PE: Skin warm dry with flat pinpoint petechial and purpuric rash on palms of hands. Agitated. Focal seizures. Opted not to talk to anyone in the middle of her hospitalization. Positive pain sensation with any neck motion. Back Pain. Positive straight leg raising test. Per 60 day follow up: See attached note from neurologist.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Very large red indurated area 7.5 x 10.5 cm painful, itchy around vaccine site. Rx with Benadryl and ice packs.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Influenza like illness, Lethargy, Pain
Clinical narrative: Employee reports at 5 pm on day of Tdap vaccine she felt localized soreness. Next day 8/22/07 she felt flu like symptoms lethargy, achy with redness traveling in 1" streak down to elbow
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Drug hypersensitivity, Oedema, Oedema peripheral
Clinical narrative: Localized edema to area directly below injection site, right arm with edema also noted to right forearm. No other S/SYS.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: L arm swollen from shoulder to elbow, itchy, hot to the touch, red and hard
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Hypokinesia, Muscle swelling, Musculoskeletal stiffness, Skin warm
Clinical narrative: Pt mom called Friday 8/24/07 stating patient's left shoulder and arm at shoulder muscle is red, raised and hot, size of shoulder muscle and pt. arm is stiff and hard to move. PHN advised mom to call pt. pediatrician for follow up and PHN will call back to complete VAERS. 8/27/07 PHN called to pt mom and pt seen at doctor's office 8/24/07. Pt placed on Keflex 1tsp x 2 daily (250 mg/5 preparation). Pt has another reddened area above shots. Today pt. to follow up with doctor today. Antibiotics completed x 3 days. Area on left shoulder reddened, swelling has decreased.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Broke out 7 poxs on back upper arm (rash) saw doctor on Monday 8-20-07. Prescribed Valtrex for a week.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain, Decreased appetite, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Developed aching, fever, nausea, abd. pain, dizziness, decreased appetite, excessive sweating within 1 st 12 hrs. after vaccine. Next am., P.E. WNL. Reevaluated after 48 hrs, pt. asymptomatic. P/E normal
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: Developed aching, fever, nausea, abd. pain, dizziness, decreased appetite, excessive sweating within 1 st 12 hrs. after vaccine. Next am., P.E. WNL. Reevaluated after 48 hrs, pt. asymptomatic. P/E normal
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia, Irritability, Occult blood
Clinical narrative: Approximately 3 hours after vaccines patient was fussy. Diarrhea began 13 hours after vaccines, blood streaks were observed in diarrhea. Patient was seen in MD office on 8/8/07. Stool was (+) blood in stool. Patient well appearing, no distress, abdomen soft, non-tender. On 8/20/07 patient had blood in stool again dairy d/c's from diet on 8/23/07 blood still in stool. Patient seen 8/27/07 and MD ordered stool cs, KUB and start Florastor.  9/25/07 Reviewed pcp medical records which confirm RO dose & lot # as reported & reveal patient experienced good health on day of vax w/rash noted on head.  Became fussy, w/diarrhea, blood streaked stool & reduced oral intake next day & seen by pcp that day.  Exam at that time normal & felt to be probable milk protein allergy.  Continued to have intermittent loose, mucousy, blood streaked stools as of 8/20.  Referred for GI consult.  FINAL DX: colitis.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Accidental overdose, Incorrect dose administered, Injection site discomfort
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of inadvertent overdose in a 17-year-old male subject who was vaccinated with Boostrix, GlaxoSmithKline for prophylaxis. The subject had no known relevant medical history. The subject had no known concurrent medications, but the reporter was uncertain. Previous and/or concurrent vaccination included Vaqta given on 29 March 2007; Menactra; Sanofi Pasteur MSD given  29 March 2007; Boostrix, adsorbed given on 29 March 2007. On 29 March 2007 at 10:30 the subject experienced mild discomfort at the injection site of both Boostrix injections. The event resolved in three days on 01 April 2007. She considered that the events were related to the use Boostrix.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy, Upper respiratory tract infection
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of pregnancy in a 26-year-old female subject who was vaccinated with Boostrix for prophylaxis. Previous vaccination included Boostrix given in 1997. Concurrent medications included Prenatal vitamins. ON 15 May 2007 at 16:00, the subject received 2nd dose of Boostrix (unknown, left deltoid). The nurse practitioner reported the subject received Boostrix dose while pregnant. The subject, who was 26-years-old at the time of the vaccination, experienced drug maladministration. The last menstrual period and estimated delivery date were unspecified. The immunization series with Boostrix was delayed. Follow-up information received via the nurse indicated that the subject's physician did not realize that Boostrix was a category C for pregnancy. It was reported that the subject developed a upper respiratory infection on 14 June 2007. No outcomes were provided regarding the pregnancy or the upper respiratory infection. Further follow-up pending. Follow-up information was received on 03 April 2008 from a nurse. The pregnancy was a normal conception. Estimated date of delivery was 23 September 2007. On 23 September 2007, approximately four months after receiving BOOSTRIX, the subject gave birth to a full-term female at 37 weeks of gestation. The baby weighed 3142 grams, was 18 inches in length, and hada head circumference of 23 inches. Apgar score at one minute was 8. Apgar score at five minutes was 9. It was not reported if ther were any birth defects noted or not. Follow-up details received on 08 April 2008 indicated that the infant was healthy and that the delivery was spontaneous vaginal. No further details provided.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of arm soreness in a 15-year-old female subject who was vaccinated with (Boostrix, GlaxoSmithKline) for prophylaxis. Concurrent vaccination included Menactra (.5ml) given intramuscularly in the right deltoid on 3 April 2007. On 3 April 2007 the subject received booster dose of Boostrix (.5ml, unknown) in the left deltoid. At an unspecified time after vaccination with Boostrix, the subject experienced arm soreness and inappropriate schedule of drug administration as Boostrix was given "nine months apart." At the time of reporting the outcome of the events were unspecified. Follow-up information received on 03 August 2007 indicated that the event onset was 04 April 2007. The day following vaccination with Boostrix. The arm soreness did not last more than a week. Soreness resolved and no other symptoms were reported as of 08 June 2007. The subject reportedly received Tdap vaccine at the doctor's office in July 2006. In the reporter's opinion, the event was possibly related to treatment with Boostrix.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of hives in a 11-year-old female subject who was vaccinated with Boostrix, GlaxoSmithKline for prophylaxis. On 6 June 2007 the subject received unspecified dose of Boostrix in the left arm. On 8 June 2007, following vaccination with Boostrix, the subject experienced hives. At the time of reporting the event was unresolved.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Developed full blown case of varicella on 7/4/07.
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Arthralgia, Asthenia, Fatigue, Inflammation
Clinical narrative: 11/30/2006 Itchy skin. 12/12/06 Full onset of disease (Rubella) fever, rash from head to tow (moderate rash) severe joint pain and inflammation (hands, feet, hips, feet, spine) weakness, fatigue, loss appetite pain with walking, standing, light sensitivity.
Sex: F
Vaccine: MMR
Symptoms: Laboratory test, Photophobia, Pruritus, Pyrexia, Rash generalised
Clinical narrative: 11/30/2006 Itchy skin. 12/12/06 Full onset of disease (Rubella) fever, rash from head to tow (moderate rash) severe joint pain and inflammation (hands, feet, hips, feet, spine) weakness, fatigue, loss appetite pain with walking, standing, light sensitivity.
Sex: F
Vaccine: MMR
Symptoms: Rubella
Clinical narrative: 11/30/2006 Itchy skin. 12/12/06 Full onset of disease (Rubella) fever, rash from head to tow (moderate rash) severe joint pain and inflammation (hands, feet, hips, feet, spine) weakness, fatigue, loss appetite pain with walking, standing, light sensitivity.
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: DTaP given off label mistakenly when Tdap was indicated.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Vomiting x 1 after 4 mo vaccines. Now vomiting x 24 hours following 6 mo vaccines.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Rash erythematous
Clinical narrative: Confluent erythematous rash about 36 hours after MMR vaccine. Hx of completing 10 day course of Septra for skin infection 08/18/07. No previous Sulfa allergy.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Swelling
Clinical narrative: Vaccines given in am of 8/21/07 Swelling and redness within 2 hrs of receiving DTaP and HIB in (L) thigh.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Swelling, redness 2 days. Cellulitis at 2 days.
Age: 45.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Lip swelling
Clinical narrative: Pt called several hours after receiving vaccines c/o "swollen lips". No c/o SOB, throat problems, etc. Advised to contact MD - go to ER if symptoms worsen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Received DTaP #5 for kindergarten physical. The next day parents noticed injection site with 5 1/4" x 4" erythematous patch, warm to touch. No nodule, no pain.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Blood culture, Cellulitis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: RECEIVED VACCINES ON 8/27/07. APPROXIMATELY 24 HOURS LATER DEVELOPED SOME SWELLING, REDNESS AND TENDERNESS IN THE LEFT UPPER ARM AT THE SITE OF THE DTAP.  WAS SEEN AT THE ER ON 8/29/07.  TREATED WITH CLINDAMYCIN AND KEFLEX FOR "CELLULITIS".  WAS SEEN BY DR ON 8/30/07 DIAGNOSED WITH REACTION TO DTAP VACCINE. LEFT UPPER ARM FOUND TO BE SLIGHTLY SWOLLEN AND NON-TENDER.  THE RESOLVING ERYTHEMATOUS AREA WAS APPROX. 30 x 20 CM WITH SLIGHT INDURATION.  THERE WERE NO DRAINING GLANDS.  WAS REASSURED AND ADVISED TO COMPLETE 5 DAYS OF THE ANTIBIOTIC AND TO FOLLOW-UP PRN.  VIS ON DTAP WAS GIVEN AGAIN.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: RECEIVED VACCINES ON 8/27/07. APPROXIMATELY 24 HOURS LATER DEVELOPED SOME SWELLING, REDNESS AND TENDERNESS IN THE LEFT UPPER ARM AT THE SITE OF THE DTAP.  WAS SEEN AT THE ER ON 8/29/07.  TREATED WITH CLINDAMYCIN AND KEFLEX FOR "CELLULITIS".  WAS SEEN BY DR ON 8/30/07 DIAGNOSED WITH REACTION TO DTAP VACCINE. LEFT UPPER ARM FOUND TO BE SLIGHTLY SWOLLEN AND NON-TENDER.  THE RESOLVING ERYTHEMATOUS AREA WAS APPROX. 30 x 20 CM WITH SLIGHT INDURATION.  THERE WERE NO DRAINING GLANDS.  WAS REASSURED AND ADVISED TO COMPLETE 5 DAYS OF THE ANTIBIOTIC AND TO FOLLOW-UP PRN.  VIS ON DTAP WAS GIVEN AGAIN.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Heat therapy, Induration, Pruritus, Rash erythematous, Skin warm
Clinical narrative: 7/10 - around 8 pm client noticed itching; 7/11 - large raised erythematous area (3" x 3.5"), firm & warm to touch.  Warm compress & Benadryl 7-11 pm;  7/12 - am- less red, less warm; 7/13 - statess a little better
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Approximately 24 hours after receiving the second dose of varivax, patient developed pain, tenderness and rash on upper left arm
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Anaphylactic reaction
Clinical narrative: Vaccinated on Aug 13 and had a systemic body reaction starting Aug 20 and continuing through today. Seen by Internal Medicine on Aug 30. He was on medication at the time of vaccination - Zyrtec 10mg, Vistaril 25mg, Ranitidine 150mg.
Age: 10.0
Sex: M
Vaccine: IPV, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: no adverse events, reporting due to vaccine administered at age 10 y 10 months when adacel is indicated for age 11yrs
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: 4 mo with intussusception.  9/14/07 Reviewed ER medical records which reveal patient experienced vomiting, lethargy & bloody stools x 3 on 8/13/07.  DX w/acute GI bleed & transferred to higher level of care.  10/5/07 Received vax record from community health center which confirms lot # but reveals 7/13 dose was 1st dose.  VAERS database updated w/same.  Vax record faxed to CDC. 10/5/07 Received hospital medical records which reveal patient experienced bloody stools, bilious vomiting, abdominal distention & reduced oral intake x 1 day.  Seen in outlying ER & transferred to higher level of care.  Admitted 8/13-8/15/2007 for peds surgery. Proximal bowel noted to be significntly dilated & NGT placed for decompression.  Able to d/c NGT next day & tolerated oral feeds.  Progressed well & d/c to home. FINAL DX: Intussusception w/obstructive symptoms, s/p difficult air enema reduction.  Records faxed to CDC.
Age: 13.0
Sex: F
Vaccine: DTAP, MNQ, TDAP
Symptoms: Hirsutism, Oedema peripheral, Wrong drug administered
Clinical narrative: Right arm mildly swollen. Seen yesterday measure 33cm diameter. Left arm 32 cm Menactra given and in the same arm DTaP. aware d/emor stole let know.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Headache, Nausea
Clinical narrative: 5 days after Menactra developed severe headache, backache and nausea.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Headache, Myalgia, Pyrexia, White blood cell count
Clinical narrative: Had fever, cephalgia and myalgias 24 hrs after vaccines.
Age: 22.0
Sex: F
Vaccine: HEP, HEPA, IPV, TYP, YF
Symptoms: Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Took 1st oral Typhoid capsule approximately 1030pm. The next afternoon became dizzy, nauseated, chills, felt fever later worsened to 103.2 called doctor approximately 11:00pm advised more Tylenol. One hour later temp still 103, but this fell asleep. 8/31 am - 100.  9/18/07 Received medical records from CDC which reveal patient experienced fever day after vaccines for travel.  Vax record included which confirm vax as reported.  Patient became dizzy, nauseated & had fever/chills following initial dose of oral typhoid.  Patient d/c vax then developed inflammation of lower eyelid.  Seen in ER where dx w/ocular herpes vx viral conjunctivitis.  Developed blurred vision & seen in ER by opthamologist who felt conjunctivitis.  Seen by private opthamologist out of state who dx w/herpes & PMD who felt viral.  Tx w/acyclovir.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Pain in extremity
Clinical narrative: Left deltoid region began burning (by patient history I did not witness) and hurting went to ED by car at 11:55 PM.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chorioretinitis, Halo vision, Pyrexia, Rash, Vision blurred
Clinical narrative: 1. Flu vaccine 10/2/06. Developed fever 10/10/06, rash 10/12/06. C/O blurred vision, spots, halo effect 10/22/06. To ER with eye complaint 12/2/06.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Pyrexia, Rash maculo-papular, Urticaria
Clinical narrative: Day 1 - Fever, chills, rash; day 2 "hives" - seen day 2 and treated with Diphenhydramine 25mg q 6 hours, Ranitidine 75mg q 12 hours. Patient had fine maculo-papular rash over trunk and proximal limbs and erythematous patches, irregular and up to 6-8 cm diameter. Day 3 Patient reported Benadryl ineffective prescribed hydroxyzine in past was effected - patient switched to Hydroxyzine 25mg q 6 and day 4 almost completely resolved.
Age: 13.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Tenderness
Clinical narrative: Right arm red swollen slightly tender and small area and induration. Erythema 6" x 4"
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Agitation, Diarrhoea, Irritability, Laboratory test normal, Vomiting
Clinical narrative: Developed vomiting and fussiness. Later developed diarrhea (not bloody). Went to ED on 8/30 not dehydrated.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Marked swelling over right deltoid, fever and pain.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cold sweat, Dizziness, Listless, Pallor
Clinical narrative: Approximately 5 minutes after receiving Gardasil #2, patient was lightheaded, very pale, clammy skin, listless. Given cold water, reclined with legs increased and felt better after 10 minutes.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Large red, slightly raised area 4" x 5".  A second area 1" x 1" beside it. Patient denies itching or pain. Notice last night. Given 25mg PO x 2.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Patient came for WCV 8/23/07 AM - had immunizations, on 8/28/07 - Mother called to report (L) leg with redness and swelling was treated by on call MD. Patient came for f/u visit 8/27/07 - sxs improving.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Induration, Injection site erythema, Oedema peripheral
Clinical narrative: Redness around shot area, a little hardness/ swelling on left arm.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Induration, Injection site erythema, Oedema peripheral
Clinical narrative: Redness around shot area, a little hardness/swelling on left arm.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Blood culture negative, Culture urine negative, Eating disorder, Feeling drunk
Clinical narrative: 6/13/07 Received Hib and Rotateq orally ---> GERD sx exacerbated. Refusing to eat, increase fussy. 8/13/07 Received Pediarix, Hib, PCV7, no Rotateq given ----> increase fever, excessive fussiness, seemed lethargic, poor eye contact "drunken appearance."
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Full blood count normal, Lethargy, Pyrexia, White blood cell count increased
Clinical narrative: 6/13/07 Received Hib and Rotateq orally ---> GERD sx exacerbated. Refusing to eat, increase fussy. 8/13/07 Received Pediarix, Hib, PCV7, no Rotateq given ----> increase fever, excessive fussiness, seemed lethargic, poor eye contact "drunken appearance."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythematous swelling at site of injection.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness upper arm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Urticaria generalised, Wheezing
Clinical narrative: Within 15 - to 20 minutes, generalized urticaria and wheezing. Treated with Epinephrine 0.2ml of 1:100U and 50mg Benadryl IM.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: Red band-like rash around right arm, warm to touch, itching last night.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Erythema, Oedema peripheral, Urticaria
Clinical narrative: Arm red and swollen above vaccine with hive on chest, three more hives on back same side. Right arm.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Fever 101 F 1st day, swelling over right thigh with redness > ample hours after shots.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Developed redness, induration, swelling - hot at site of injection.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: Redness, swollen and induration or right arm 6cm x 4cm in size.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Induration, Oedema peripheral
Clinical narrative: Area on right arm swollen, indurated 6 to 4cm in size.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 102 - 103. Recommended to take Tylenol 1.2mls and if not better in 24 hours to be seen.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypertension, Pruritus, Rash
Clinical narrative: Skin rash, itching, and high blood pressure lasting for one week.  Treated with medrol dose pack for one week.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Fatigue, Hyperhidrosis, Influenza like illness, Nausea
Clinical narrative: Pt experienced flu like symptoms starting the evening of the vaccination--fatigue, sweats, body aches, nausea, vomiting, diarrhea.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Vomiting
Clinical narrative: Pt experienced flu like symptoms starting the evening of the vaccination--fatigue, sweats, body aches, nausea, vomiting, diarrhea.
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Injected limb mobility decreased, Injection site pain, Myalgia, Nausea
Clinical narrative: evening that got imm nausea, vomiting, fever, all over muslcu pain. couldnt move arm for 1week after imm, then muscle pain whole arm, gradually moving to injection site.
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: evening that got imm nausea, vomiting, fever, all over muslcu pain. couldnt move arm for 1week after imm, then muscle pain whole arm, gradually moving to injection site.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood pressure decreased, Fatigue, Gaze palsy, Heart rate normal, Lethargy
Clinical narrative: 1319 Tdap & Menactra given L deltoid. After 2-3 seconds, patient's eyes rolled up, she was incontinent of urine, arms & legs stiffened, and had a brief moment of decerebrate posturing. Mom denies history of seizures.  1320 Opened eyes and mumbled. B/P 120/60 Pulse 80 Respirations 20. Very lethargic. Aroused to answer questions appropriately.  1323 Able to hold up fingers on each hand appropriately. States very tired. Feet elevated. 1326 Called EMS and spoke with FNP with Dr's office.  1327 Pupils equal and reactive to light. Grips equal. B/P 90/60. Pulse 84. Respirations 20. Answers questions appropriately. Remains lethargic.   1335 B/P 90/60. Pulse 84. Respirations 20.  1337 EMS here. O2 sat 99% room air.  1342  Transported by EMS
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Musculoskeletal stiffness, Oxygen saturation normal, Posturing, Respiratory rate, Urinary incontinence
Clinical narrative: 1319 Tdap & Menactra given L deltoid. After 2-3 seconds, patient's eyes rolled up, she was incontinent of urine, arms & legs stiffened, and had a brief moment of decerebrate posturing. Mom denies history of seizures.  1320 Opened eyes and mumbled. B/P 120/60 Pulse 80 Respirations 20. Very lethargic. Aroused to answer questions appropriately.  1323 Able to hold up fingers on each hand appropriately. States very tired. Feet elevated. 1326 Called EMS and spoke with FNP with Dr's office.  1327 Pupils equal and reactive to light. Grips equal. B/P 90/60. Pulse 84. Respirations 20. Answers questions appropriately. Remains lethargic.   1335 B/P 90/60. Pulse 84. Respirations 20.  1337 EMS here. O2 sat 99% room air.  1342  Transported by EMS
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Tenderness, Vomiting
Clinical narrative: MOC reports that child's left arm is swollen, red and tender to touch.  Child has vomited twice today.  Denies elevated temperature.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: RECEIVED VACCINES LATE AFTERNOON 8/22, REDNESS, SWELLING AND WARM TO TOUCH WITH DISCOMFORT REPORTED 8/23 6 PM.  RECEIVED MOTRIN ONE DOSE PM 8/23 AND 2ND DOSE 8/24 AM.  REFERRED TO MD FOR EVALUATION
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Patient received vaccines on Monday. Mom noticed rash on Tuesday. Went to ED on Tuesday, area marked and instructed to come to PCP if area went outside marks.  Area measured here in clinic today 5 in x 7 in. Patient denis any discomfort. Full ROM. Tx--from ED--benadryl and warm compresses. Tx --from clinic Bactrim began.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Convulsion, Hypoventilation, Loss of consciousness, Respiratory rate decreased
Clinical narrative: Vaccine given at a health fair at the community school large multi-purpose room.  After rec'd immunization nurse reports "slight seizure activity,breathing shallow and decreased."  In and out of consciousness for ? minutes.  Fire Department paramedics called.  Mother of child states child revived in ambulance.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Erythema
Clinical narrative: Patient received Tdap vaccine in right arm on 8/29/07.  He developed redness on 08/31/2007. Patient was diagnosised with cellulitis and treated with Keflex.
Age: 41.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Pt had cellulitis at injection site of pneumovax (left arm).  Redness and swelling began one day after injection.  Was seen in the office 2 days later and given dicloxicillin for 10 days