chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.39
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives all over 24 hours after immunizations. Received prior immunizations out of state and mother did not have shot record on her. She is to get us that information.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: About 6cm erythematous, warm, swelling to (R) thigh, mom states came up about 4-5 hrs after vaccine, was improved per mom at office visit about 48hrs later - treated with warm compress & monitor.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: C/o pain, swelling & redness at site of starting 6/24/11. I viewed her left arm 6/27/11 & noted a large red & swollen area at least 3" x 3" at the injection site. She c/o chills, fatigue, & general malaise 6/25/11-6/26/11.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: C/o pain, swelling & redness at site of starting 6/24/11. I viewed her left arm 6/27/11 & noted a large red & swollen area at least 3" x 3" at the injection site. She c/o chills, fatigue, & general malaise 6/25/11-6/26/11.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood glucose normal, Crying, Electroencephalogram, Full blood count normal, Mobility decreased
Clinical narrative: Patient in crib at 7:30A. Typically awakens at 6AM. Weak cry noted. Video monitor with pt on stomach & no movement. Parents to room. Blinking eyes. Tears to face. No movement below neck. Bed wet. Father picked up. Moved hands & slowly extremities. Put in tub & sits, but weak cry & "staring". Milk given with good swallows. No choke/cough. Patient walking with normal activity after 30min. Seen at office at 2:30P with normal neuro exam.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Neurological examination normal, Staring
Clinical narrative: Patient in crib at 7:30A. Typically awakens at 6AM. Weak cry noted. Video monitor with pt on stomach & no movement. Parents to room. Blinking eyes. Tears to face. No movement below neck. Bed wet. Father picked up. Moved hands & slowly extremities. Put in tub & sits, but weak cry & "staring". Milk given with good swallows. No choke/cough. Patient walking with normal activity after 30min. Seen at office at 2:30P with normal neuro exam.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Incorrect dose administered
Clinical narrative: PT REC'D VACCINE X2- ONCE ON 7/13/11 AND THE 2ND TIME ON 7/14/11 BY THIS NURSE. IT WAS ORDERED FOR 7/14 AND IT WAS GIVEN THE DAY BEFORE.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Loss of consciousness
Clinical narrative: Pt had received immunizations and was standing at check out desk with mother when he passed out.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Injection site became red, swollen and hot to touch, tender to touch, approx 5 cm x 5 cm in diameter.  Some lymph node swelling under the arm.
Age: 18.0
Sex: M
Vaccine: HEPA, HPV4, IPV, MNQ, VARCEL
Symptoms: Dizziness, Pain in extremity
Clinical narrative: Pt received vaccines and reported feeling light headed.  He was placed in a reclining position. BP was taken; 156/98. Pt was left with family to rest. Family agreed to watch him to prevent any falls from table.  His blood pressure was again checked in 5 minutes and found to have gone down to 140/86.  He was given a cool drink of water and rested approximately 10 more minutes.  At that time, pt reported he was feeling better. He was assisted to a standing position and again reported feeling better.  He left the office in the company of his mother and sister.  A call was made to him this morning and aside from soreness in his arms, he reports feeling fine.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: PATIENT NOTICED AREA ON ARM WHERE VACCINE WAS ADMINISTERED "A HUGE AREA THAT WAS TENDER, HOT, AND BUBBLY." THE PATIENT WENT TO THE DOCTOR THE NEXT DAY AND WAS DIAGNOSED WITH SHINGLES.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Asthenia, Chills, Decreased appetite, Gaze palsy, Irritability
Clinical narrative: Fever, chills, weakness, rolling and staring eyes, irritable, fussy and loss of appetite. Gave childrens Tylenol, luke warm bath, and rest.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Pyrexia, Staring
Clinical narrative: Fever, chills, weakness, rolling and staring eyes, irritable, fussy and loss of appetite. Gave childrens Tylenol, luke warm bath, and rest.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Body temperature increased, Chills, Dermatitis diaper
Clinical narrative: Fever, chills, weakness, rolling and staring eyes, irritable, fussy and loss of appetite. Gave childrens Tylenol, luke warm bath, and rest.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Disorientation, Dizziness, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient complained of sore arm first.  Then almost immediately passed out for about 45 seconds.  Woke with severe headache, dizziness, sweating, disorientation. Arm still sore after leaving office.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Pain in extremity
Clinical narrative: Patient complained of sore arm first.  Then almost immediately passed out for about 45 seconds.  Woke with severe headache, dizziness, sweating, disorientation. Arm still sore after leaving office.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large red area around injection site- warm to touch
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warm to touch on the vaccination location L Deltoid aproximately 6IN in diameter.
Age: 12.0
Sex: F
Vaccine: HPVX, TDAP
Symptoms: Increased upper airway secretion, Muscle twitching, Syncope, Tremor
Clinical narrative: Fainting gurgling from throat and twitching and shaking like a seizure.  Happened shortly after completing immunizations.  Dr. called into exam room immediately.
Age: 20.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Anxiety, Mood swings, Psychiatric evaluation
Clinical narrative: 20 yo with h/o bipolar disorder & sz. disorder given immunization Tdap, meningitis, & Hep A. Mother reports anxiety & mood swings requiring psychiatric evaluation & initiation of INDERAL.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Cyanosis
Clinical narrative: On 7-6-11 - child had 6 wk vac and received PENTACEL, PREVNAR 13, ROTATEQ and Hep B given at approx. 9 AM. At 13:16 Mom called office and described child as "pool/blue" - instructed to call 9-1-1. Transported and admitted to hospital.
Age: 1.07
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site nodule, Skin lesion
Clinical narrative: At site of injection 7 cm nodule with erythema (target lesion) - mult pox like lesions. Back, arms, legs. (No fever, cough, or coryza). Injection 2 wks ago.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Brachial plexopathy, Hypoaesthesia, Musculoskeletal pain, Neuritis, Pain in extremity
Clinical narrative: Brachial plexus neuritis - severe shoulder & upper arm pain in the not-injected limb, progressing to tingling & intermittent numbness in left hand in June/July.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: Brachial plexus neuritis - severe shoulder & upper arm pain in the not-injected limb, progressing to tingling & intermittent numbness in left hand in June/July.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Appendicitis, Laboratory test abnormal, Pathology test
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act, concerning a 13 year old female patient with no preexisting illness and no medical history who on 05-MAY-2011 was vaccinated IM in left arm with the first dose of GARDASIL (lot # 666597/0768Z). Hospital records received for DOS 06-MAY-2011/07-MAY-2011: On 06-MAY-2011 the patient was diagnosed with acute appendicitis. The patient complained of abdominal pain (for 10 hours), vomiting and diarrhea. Physical Examination: right lower quadrant (RLQ) tenderness, McBurney's point tenderness, (+) obturator sign. The pathology was consistent with appendicitis. Lab/diagnostic records received for DOS 06-MAY-2011. Blood: white blood cell count 18.8 k/mcl (high), neutrophils 89% (high), lymphocyte 4.3% (low), glucose 165mg/dl (high). Urinary: ketones 150mg/dl (high), protein 20 mg/dl (high). The patient was admitted to the hospital for laparoscopic appendectomy. Surgeon post-op record received for DOS 17-MAY-2011: The patient was diagnosed with acute appendicitis and appendectomy. The patient was seen for follow-up to surgery. No complaints. She was released from care. The patient was discharged and went home in good condition. These above adverse events were considered to be immediately life-threatening. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. The original reporting source was not provided. No further information is available.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Appendicitis, Blood glucose normal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act, concerning a 13 year old female patient with no preexisting illness and no medical history who on 05-MAY-2011 was vaccinated IM in left arm with the first dose of GARDASIL (lot # 666597/0768Z). Hospital records received for DOS 06-MAY-2011/07-MAY-2011: On 06-MAY-2011 the patient was diagnosed with acute appendicitis. The patient complained of abdominal pain (for 10 hours), vomiting and diarrhea. Physical Examination: right lower quadrant (RLQ) tenderness, McBurney's point tenderness, (+) obturator sign. The pathology was consistent with appendicitis. Lab/diagnostic records received for DOS 06-MAY-2011. Blood: white blood cell count 18.8 k/mcl (high), neutrophils 89% (high), lymphocyte 4.3% (low), glucose 165mg/dl (high). Urinary: ketones 150mg/dl (high), protein 20 mg/dl (high). The patient was admitted to the hospital for laparoscopic appendectomy. Surgeon post-op record received for DOS 17-MAY-2011: The patient was diagnosed with acute appendicitis and appendectomy. The patient was seen for follow-up to surgery. No complaints. She was released from care. The patient was discharged and went home in good condition. These above adverse events were considered to be immediately life-threatening. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. The original reporting source was not provided. No further information is available.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Diarrhoea, Laparoscopic surgery, Lymphocyte percentage decreased, Neutrophil percentage increased, Pathology test
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act, concerning a 13 year old female patient with no preexisting illness and no medical history who on 05-MAY-2011 was vaccinated IM in left arm with the first dose of GARDASIL (lot # 666597/0768Z). Hospital records received for DOS 06-MAY-2011/07-MAY-2011: On 06-MAY-2011 the patient was diagnosed with acute appendicitis. The patient complained of abdominal pain (for 10 hours), vomiting and diarrhea. Physical Examination: right lower quadrant (RLQ) tenderness, McBurney's point tenderness, (+) obturator sign. The pathology was consistent with appendicitis. Lab/diagnostic records received for DOS 06-MAY-2011. Blood: white blood cell count 18.8 k/mcl (high), neutrophils 89% (high), lymphocyte 4.3% (low), glucose 165mg/dl (high). Urinary: ketones 150mg/dl (high), protein 20 mg/dl (high). The patient was admitted to the hospital for laparoscopic appendectomy. Surgeon post-op record received for DOS 17-MAY-2011: The patient was diagnosed with acute appendicitis and appendectomy. The patient was seen for follow-up to surgery. No complaints. She was released from care. The patient was discharged and went home in good condition. These above adverse events were considered to be immediately life-threatening. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. The original reporting source was not provided. No further information is available.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Protein urine present, Psoas sign, Urine ketone body present, Vomiting, White blood cell count
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act, concerning a 13 year old female patient with no preexisting illness and no medical history who on 05-MAY-2011 was vaccinated IM in left arm with the first dose of GARDASIL (lot # 666597/0768Z). Hospital records received for DOS 06-MAY-2011/07-MAY-2011: On 06-MAY-2011 the patient was diagnosed with acute appendicitis. The patient complained of abdominal pain (for 10 hours), vomiting and diarrhea. Physical Examination: right lower quadrant (RLQ) tenderness, McBurney's point tenderness, (+) obturator sign. The pathology was consistent with appendicitis. Lab/diagnostic records received for DOS 06-MAY-2011. Blood: white blood cell count 18.8 k/mcl (high), neutrophils 89% (high), lymphocyte 4.3% (low), glucose 165mg/dl (high). Urinary: ketones 150mg/dl (high), protein 20 mg/dl (high). The patient was admitted to the hospital for laparoscopic appendectomy. Surgeon post-op record received for DOS 17-MAY-2011: The patient was diagnosed with acute appendicitis and appendectomy. The patient was seen for follow-up to surgery. No complaints. She was released from care. The patient was discharged and went home in good condition. These above adverse events were considered to be immediately life-threatening. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. The original reporting source was not provided. No further information is available.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Asthenia, Chills, Decreased appetite, Gaze palsy, Irritability
Clinical narrative: temp 101.8 diaper rash shivering/shaking
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Pyrexia, Staring
Clinical narrative: temp 101.8 diaper rash shivering/shaking
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PPV, HEPA, MMR, PNC13
Symptoms: Body temperature increased, Chills, Dermatitis diaper
Clinical narrative: temp 101.8 diaper rash shivering/shaking
Age: 11.0
Sex: F
Vaccine: HEPA
Symptoms: Auricular swelling, Erythema, Local reaction, Pruritus
Clinical narrative: 6/28 - Received MCV & varicella in (R) arm - localized reaction - Bright red raised 2-3 inches diameter. 7/12 Hep A (thimerosal free) (L) arm - (L) ear swelling, redness, itching.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Irritability, Oedema, Pruritus, Pyrexia, Rash
Clinical narrative: low grade fever, rash, itching, slightly edematous, irritable
Age: 22.0
Sex: F
Vaccine: TYP
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Pt called to state that she was having difficulty breathing and her heart rate was racing.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Administration site pain, Injection site erythema
Clinical narrative: Soreness at site of administration noted next day.  However, the site is on the back of the left arm, so patient didn't note redness until 7/15.  Fairly well circumscribed oval approx 1 1/2 x 2 1/2" at site of injection.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying
Clinical narrative: CRYING FOR 9 HOURS
Age: 2.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site warmth, Pyrexia, Scarlet fever
Clinical narrative: Around 1:00pm shortly after his shot we noticed he had a red hot patch around where the shot was given, the redness began to get larger, he was laid to nap when he woke up he was head to toe hives. He was taken to the Hospital where they agreed he was having an allergic reaction to the vaccine, he was given Benadryl, the next morning his hives were worse, he had a fever of 103, he was taken to another hospital where he was re-evaluated and started on Prednisone. The hives lasted 3 days, the fever lasted nearly a week, when we learned that the allergic reaction and medication wiped out his immune system allowing him to contract Scarlet Fever.
Age: 2.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Urticaria
Clinical narrative: Around 1:00pm shortly after his shot we noticed he had a red hot patch around where the shot was given, the redness began to get larger, he was laid to nap when he woke up he was head to toe hives. He was taken to the Hospital where they agreed he was having an allergic reaction to the vaccine, he was given Benadryl, the next morning his hives were worse, he had a fever of 103, he was taken to another hospital where he was re-evaluated and started on Prednisone. The hives lasted 3 days, the fever lasted nearly a week, when we learned that the allergic reaction and medication wiped out his immune system allowing him to contract Scarlet Fever.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pallor, Respiratory rate increased, Somnolence
Clinical narrative: Received MMR & Varicella vaccine at 1-2 pm - went home. At approx 8pm - mom states infant very sleepy, pale, rapid breathing. Took to ER. ER doctor thinks possible reaction to vaccines no rash or swelling noted. Saw private physician yesterday et mom sent to HD to fill out VAERS report.
Sex: U
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling & warmth at injection site.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 9.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Administration error.  Gave DTaP to 9 year old male child. No adverse effects on child.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right leg redness, swelling 3 1/2 cm x 3 1/2 cm. Tender, mildly painful.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Erythema (L) arm at varicella injection site.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: High fever (temp not taken), chills, headache, myalgias.  Lasted 18 hours.  Ibuprofen given.  Resolved after 18 hours and presently well.
Age: 0.22
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Vomiting
Clinical narrative: FATHER STATES THAT BABY HAS BEEN VOMITING "A LOT" AFTER EACH FEEDING,  MAYBE ALL OF FEEDING (BOTTLE FED).  NO CRYING, STILL HAS WET DIAPERS, STOOLS SOFT, NO TEMPERATURE.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site macule, Injection site warmth
Clinical narrative: 6cm x 6cm area of macular erythema (R) shoulder, warm to touch, no pain or pus.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient reports pain, erythema, swelling and warmth at site. Treated with clindamycin 300mg 3 times a day for 10 days.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Rash pruritic
Clinical narrative: Pruritic rash - face & neck.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Rash pruritic, Swelling face
Clinical narrative: Pruritic rash, facial swelling, erythema.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Muscle swelling, Muscle tightness
Clinical narrative: 7/4/2011 got vaccine 7/6/2011 woke up and left calf muscle was tight and looked a little swollen 7/7/2011 left calf muscle felt tight, but didn't look or feel tight, I had a cold sensation in the front of my lower leg, sometimes am getting it in my left upper leg, the muscles on the left side of my spine, and occassionally in my left arm as well. The muscles on the left side of my spine are tense and also have the cold sensation at times. I am not in pain, nothing is swollen or stiff, I am still exercising daily, but the cold sensation is not going away and my calf still feels tight even thought its not.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Nausea, Pruritus, Swelling, Urine analysis normal
Clinical narrative: Redness, Swelling, Itching and vomiting. Went to ER for vomiting unable to stop.  Was given a IV and medication for this. I still remain nauseated.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Redness, Swelling, Itching and vomiting. Went to ER for vomiting unable to stop.  Was given a IV and medication for this. I still remain nauseated.
Age: 1.09
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Feeling abnormal, Pyrexia, Vomiting
Clinical narrative: Recieved MMR, Varicella, Hepatitis vaccine on July 5, 2011 and on July 11 developed Fever of 101, vomiting x 1 episode, diarrhea, decrease in appetite, fuzziness.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient received the ZOSTAVAX injection on Mon, 7/11/11, and called on Thurs, 7/14 saying she got shingles.
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, abdominal cramping
Age: 51.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Erythema, Headache, Local reaction, Pyrexia, Swelling
Clinical narrative: high fever 101.0 to 103.2 and headache local reaction w swelling minimal redness
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Diarrhoea, Diet refusal, Emotional distress, Irritability, Pyrexia
Clinical narrative: Exactly 3 hours after receiving shot, he became inconsolable, had a fever, diarrhea (his rear was like a faucet), he didn't nurse for 9 hours and normally he cluster feeds and nurses every hour in the evening, he was extremely fussy, and seemed to have a tender leg.  This lasted for about 24 hours.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Tenderness
Clinical narrative: Exactly 3 hours after receiving shot, he became inconsolable, had a fever, diarrhea (his rear was like a faucet), he didn't nurse for 9 hours and normally he cluster feeds and nurses every hour in the evening, he was extremely fussy, and seemed to have a tender leg.  This lasted for about 24 hours.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site papule, Papule
Clinical narrative: 5-6 small flesh colored papules at and around injection sites.
Age: 39.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Drug exposure during pregnancy, Neonatal disorder
Clinical narrative: Mother was pregnant, during first trimester (10-11 weeks) and received vaccination. Born with birth defects.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt got Tdap & 3 days later got redness & pain & swelling & F/C at injection site & redness spreading, tx'd with BACTRIM 7/13/11.
Age: 1.03
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: Rash on face, hands/arms, legs and trunk. Fever noted. Noted that patient was placed on cetirizine HCl 1mg/ml 1/4 tsp po daily. Also suggested AVEENO baths.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Urticaria
Clinical narrative: Redness, swelling at injection site, hives all over body - local reaction. No issue.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site only no SOB or systemic reaction.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Rash at injection site & fever that occurred shortly after getting injections on 7-13-11.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Head injury, Hunger, Nausea, Oropharyngeal pain, Pallor
Clinical narrative: About 15 minutes after shots (TDAP, VARIVAX & Hep A) were given, pt fainted. Mom & I helped him to the chair. He did hit his head on the wall while going to the chair. Came to as he laid down on the chairs. As pt awoke he c/o not being able to see at first & c/o very sore throat. No SOB present & no other s/s present. After just 2-3 seconds he was able to see again & said his throat was fine. Asked for a drink. Got him a drink but only took one sip. C/o nausea at that point but never vomited. Pt was very pale but pulse & respirations were good. Pt wanted to leave but mom & I walked him to the next room where there was a bed to lay him down. As we got to the bed, he fainted again. Came to as we laid him on the bed. Awoke with no c/o throat soreness this time. He gradually over the next few seconds was feeling fine and wanted to go home. After waiting 15 minutes & pt c/o being hungry, he left walking on his own without no help with mom. Instructed mom to take to MD if any s/s returns.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Syncope, Visual acuity reduced
Clinical narrative: About 15 minutes after shots (TDAP, VARIVAX & Hep A) were given, pt fainted. Mom & I helped him to the chair. He did hit his head on the wall while going to the chair. Came to as he laid down on the chairs. As pt awoke he c/o not being able to see at first & c/o very sore throat. No SOB present & no other s/s present. After just 2-3 seconds he was able to see again & said his throat was fine. Asked for a drink. Got him a drink but only took one sip. C/o nausea at that point but never vomited. Pt was very pale but pulse & respirations were good. Pt wanted to leave but mom & I walked him to the next room where there was a bed to lay him down. As we got to the bed, he fainted again. Came to as we laid him on the bed. Awoke with no c/o throat soreness this time. He gradually over the next few seconds was feeling fine and wanted to go home. After waiting 15 minutes & pt c/o being hungry, he left walking on his own without no help with mom. Instructed mom to take to MD if any s/s returns.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pruritus, Oedema peripheral, Pain in extremity
Clinical narrative: A one inch by 1 and 1 and 1/2 inch red spot appeared.  The arm was swollen and sore to the touch and the red area expanded to the size of a baseball within 24 hours.  This vaccine was a varicella booster.  While the redness began to dissipate within 48 hours the arm remained swollen and the injection site was extremely itchy for the next 48 hours.
Age: 11.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Anger, Asperger's disorder, Condition aggravated, Disturbance in attention, Erythema
Clinical narrative: Noticed arm injections were both given in (used same arm for both DTAP and Meningiococcal) Arm was hard, swollen, red, painful, & warm. Noticed worsening of attention, more angry. Seemed Aspergers symptoms were worse, and continue today. Reported to MD. Was told to use compresses. Not to worry about it. Did have 2 follow up visits to make sure condition resolved.
Age: 11.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Induration, Oedema peripheral, Skin warm
Clinical narrative: Noticed arm injections were both given in (used same arm for both DTAP and Meningiococcal) Arm was hard, swollen, red, painful, & warm. Noticed worsening of attention, more angry. Seemed Aspergers symptoms were worse, and continue today. Reported to MD. Was told to use compresses. Not to worry about it. Did have 2 follow up visits to make sure condition resolved.
Age: 19.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Mass, Pruritus, Swelling
Clinical narrative: Swelling, itching, redness. Bump about 2 1/2 inches long, 2 inches wide. Noticed when I woke up.
Age: 68.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Dysphonia, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Extreme hoarseness, sore throat, headache, fever 102.4, slight cough, congestion. 2 days later fever is 99.8, hoarse, no sore throat, cough and congestion.
Age: 68.0
Sex: M
Vaccine: TDAP
Symptoms: Respiratory tract congestion
Clinical narrative: Extreme hoarseness, sore throat, headache, fever 102.4, slight cough, congestion. 2 days later fever is 99.8, hoarse, no sore throat, cough and congestion.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Angina pectoris, Chills, Dizziness, Feeling abnormal
Clinical narrative: Strong and sharp pain in esophagus and stomach, although felt like it was in heart. Area under chin, near jawbone felt very dense. Lightheaded feeling. Chills would last 10 minutes then body would sweat and alternate back and forth. Lasted 2-3 hours, pain resurfaced every other day for about 1 week. Vomited once in early morning towards end of week of occurrence, fluid was mainly clear with some cloudiness and bits of food eaten night before.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Hyperhidrosis, Oesophageal pain, Vomiting
Clinical narrative: Strong and sharp pain in esophagus and stomach, although felt like it was in heart. Area under chin, near jawbone felt very dense. Lightheaded feeling. Chills would last 10 minutes then body would sweat and alternate back and forth. Lasted 2-3 hours, pain resurfaced every other day for about 1 week. Vomited once in early morning towards end of week of occurrence, fluid was mainly clear with some cloudiness and bits of food eaten night before.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hot flush, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: HEADACHE, PAIN SCALE 4; PAIN RADIATING DOWN LEFT ARM, FINGERS TINGLING AND NUMB, HOT FLASHES
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: HEADACHE, PAIN SCALE 4; PAIN RADIATING DOWN LEFT ARM, FINGERS TINGLING AND NUMB, HOT FLASHES
Age: 0.18
Sex: M
Vaccine: DTAP
Symptoms: Cold sweat, Depressed level of consciousness, Hypotonia, Listless, Mobility decreased
Clinical narrative: MY SON JUST SLEPT DID NOT MOVE WAS LISTLESS COULD NOT AROUSE OR WAKEN TO FEED WAS LIMP AND UNRESPONSIVE. PALE HYPOTONIC STATE SOMNOLENCE IS WHAT THE DOCTOR CALLED IT SHE SAID HE COULD HAVE BEEN IN SHOCK I SHOULD HAVE TAKEN HIM TO EMERGENCY ROOM A 2 MONTH OLD BABY SLEPT FOR 8 HOURS STRAIGHT AND NOT AWAKEN OR COULD AWAKEN HIM IT WAS TOO LATE SINCE I DID NOT KNOW TO TAKE HIM TO EMERGENCY ROOM I TOOK HIM TO DO DOCTOR THE NEXT DAY TO BE EVALUATED TO SEE IF HE WAS OKAY ALERT AND SHE SAID HE LOOKED OKAY TO NOT GIVE SHOTS AND HOLD OFF UNTIL HE WAS BIGGER SINCE HE HAD HYPOTONIC STATE SOMNOLENCE PATIENT WAS DROWSY WAS NOT ALERT JUST SLEEPY AND UNAWARE I WAS TRYING TO WAKE HIM TO FEED OR ANYTHING VERY SCARY WILL NOT DO SHOTS AGAIN BECAUSE OF THIS I COULD HAVE LOST MY BABY AS SHE SAID HE COULD HAVE BEEN IN SHOCK HYPOTENSIVE SINCE HIS SKIN WAS PALE LIPS WERE PALE AND HE WAS CLAMMY COLD TO TOUCH AND LIMP AND UNRESPONSIVE
Age: 0.18
Sex: M
Vaccine: DTAP
Symptoms: Pallor, Shock, Somnolence, Unresponsive to stimuli
Clinical narrative: MY SON JUST SLEPT DID NOT MOVE WAS LISTLESS COULD NOT AROUSE OR WAKEN TO FEED WAS LIMP AND UNRESPONSIVE. PALE HYPOTONIC STATE SOMNOLENCE IS WHAT THE DOCTOR CALLED IT SHE SAID HE COULD HAVE BEEN IN SHOCK I SHOULD HAVE TAKEN HIM TO EMERGENCY ROOM A 2 MONTH OLD BABY SLEPT FOR 8 HOURS STRAIGHT AND NOT AWAKEN OR COULD AWAKEN HIM IT WAS TOO LATE SINCE I DID NOT KNOW TO TAKE HIM TO EMERGENCY ROOM I TOOK HIM TO DO DOCTOR THE NEXT DAY TO BE EVALUATED TO SEE IF HE WAS OKAY ALERT AND SHE SAID HE LOOKED OKAY TO NOT GIVE SHOTS AND HOLD OFF UNTIL HE WAS BIGGER SINCE HE HAD HYPOTONIC STATE SOMNOLENCE PATIENT WAS DROWSY WAS NOT ALERT JUST SLEEPY AND UNAWARE I WAS TRYING TO WAKE HIM TO FEED OR ANYTHING VERY SCARY WILL NOT DO SHOTS AGAIN BECAUSE OF THIS I COULD HAVE LOST MY BABY AS SHE SAID HE COULD HAVE BEEN IN SHOCK HYPOTENSIVE SINCE HIS SKIN WAS PALE LIPS WERE PALE AND HE WAS CLAMMY COLD TO TOUCH AND LIMP AND UNRESPONSIVE
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Blood test normal, Crying, Depression, Electroencephalogram
Clinical narrative: The panic attacks began the very next day.  She had never experienced anything like this before. Then came the suicidal thoughts, depression, stomach pains, weight loss, menstrual period disruption.  Patient went from an involved and happy child to one that was withdrawn and cried constantly.  She went from 107 lbs to 96 lbs in about 1 month.  She couldn't eat cause she stomach hurt so much.  She talked about how she kept getting thoughts that she should kill herself but she didn't want to...so she had to constantly fight the thoughts.  Her periods went from 30 some days to 60 days apart. She would lay in her room and cry for no reason.  I had to sit with her in the bathroom when she took showers because she would have panic attacks in the shower.  She was seen by the Pediatrician and all blood work tests were normal.  Checked for liver or pancreas issues to explain pain.  Seen by her neurologist multiple times to help her with the panic attacks and suicidal thoughts.  She still to this day has some irrational thoughts but she has learned to control them now and has returned to the happy, involved girl she was back then.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Menstrual disorder, Menstruation irregular, Panic attack, Suicidal ideation, Thinking abnormal
Clinical narrative: The panic attacks began the very next day.  She had never experienced anything like this before. Then came the suicidal thoughts, depression, stomach pains, weight loss, menstrual period disruption.  Patient went from an involved and happy child to one that was withdrawn and cried constantly.  She went from 107 lbs to 96 lbs in about 1 month.  She couldn't eat cause she stomach hurt so much.  She talked about how she kept getting thoughts that she should kill herself but she didn't want to...so she had to constantly fight the thoughts.  Her periods went from 30 some days to 60 days apart. She would lay in her room and cry for no reason.  I had to sit with her in the bathroom when she took showers because she would have panic attacks in the shower.  She was seen by the Pediatrician and all blood work tests were normal.  Checked for liver or pancreas issues to explain pain.  Seen by her neurologist multiple times to help her with the panic attacks and suicidal thoughts.  She still to this day has some irrational thoughts but she has learned to control them now and has returned to the happy, involved girl she was back then.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Weight decreased
Clinical narrative: The panic attacks began the very next day.  She had never experienced anything like this before. Then came the suicidal thoughts, depression, stomach pains, weight loss, menstrual period disruption.  Patient went from an involved and happy child to one that was withdrawn and cried constantly.  She went from 107 lbs to 96 lbs in about 1 month.  She couldn't eat cause she stomach hurt so much.  She talked about how she kept getting thoughts that she should kill herself but she didn't want to...so she had to constantly fight the thoughts.  Her periods went from 30 some days to 60 days apart. She would lay in her room and cry for no reason.  I had to sit with her in the bathroom when she took showers because she would have panic attacks in the shower.  She was seen by the Pediatrician and all blood work tests were normal.  Checked for liver or pancreas issues to explain pain.  Seen by her neurologist multiple times to help her with the panic attacks and suicidal thoughts.  She still to this day has some irrational thoughts but she has learned to control them now and has returned to the happy, involved girl she was back then.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood immunoglobulin M normal, Body temperature increased, Brain natriuretic peptide increased
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: C-reactive protein increased, Chest X-ray normal, Chest pain, Chills, Computerised tomogram abnormal
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram normal, Fatigue, Flavivirus test positive
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Hyperhidrosis, Hypersomnia, Malaise, Myocarditis, Painful respiration
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Prothrombin time prolonged, Troponin I increased, Troponin increased, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Echocardiogram abnormal, Electrocardiogram normal, Myocardial infarction, Myocarditis, Troponin I increased
Clinical narrative: A Phase IV Enhanced Safety Surveillance Study of ACAM2000 in Military Personnel. This study case was received from the investigator on 07 July 2011. A 21-year-old male subject received on 08 March 2011 the following vaccination: an injection of a smallpox (vaccinia) vaccine, ACAM2000 (lot number not reported). The subject has no significant medical history. His electrocardiogram (ECG) on 18 March 2011 was normal. On 20 March 2011, the subject had an abnormal troponin I of 14.00. On 30 March 2011, the patient had an echocardiogram which was abnormal. On 18 March 2011, the subject was diagnosed with subendocardial infarction. On 20 March 2011, the subject was diagnosed with non-specific myocarditis. On 30 March 2011, the subject was diagnosed with "Other" with an ICD-9 code that codes to acute myocarditis. The outcome was not reported. Additional information will be requested from the investigator. Documents held by sender: None.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Abdominal pain, Arthralgia, Asthenia, Blood pressure increased, Fatigue
Clinical narrative: By patient report: swelling at injection site in right deltoid, neck and generalized joint pain. Rx with steroids.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Hypersensitivity, Local reaction, Mass, Neck mass, Pyrexia
Clinical narrative: By patient report: swelling at injection site in right deltoid, neck and generalized joint pain. Rx with steroids.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Tremor, Vaccination complication
Clinical narrative: By patient report: swelling at injection site in right deltoid, neck and generalized joint pain. Rx with steroids.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Arthralgia, Injection site swelling, Neck pain
Clinical narrative: By patient report: swelling at injection site in right deltoid, neck and generalized joint pain. Rx with steroids.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL, MMR
Symptoms: Abdominal discomfort, Body temperature increased, Feeling abnormal, Feeling hot, Rash
Clinical narrative: Received 1st MMR on 6-27-11 on 6-29 back to Dr. with fever of 101.6 fine rash over all of body and sore throat saw another Dr. on 6-29 who stated it was a reaction from the MMR and not measles.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL, MMR
Symptoms: Oropharyngeal pain, Pyrexia, Rash generalised
Clinical narrative: Received 1st MMR on 6-27-11 on 6-29 back to Dr. with fever of 101.6 fine rash over all of body and sore throat saw another Dr. on 6-29 who stated it was a reaction from the MMR and not measles.
Age: 1.37
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Crying, Dehydration, Diet refusal, Poor quality sleep, Pyrexia
Clinical narrative: Fever started Thursday evening, followed by refusal to drink/eat, inconsolable crying at times, inability to sleep well, dehydration. Continues 3 days later. Currently still not sleeping/drinking/eating much at all. Only urinating 2x per day, being monitored with daily physician's office visits. Carefully monitoring and providing care at home to avoid need for IV fluids. Axillary Temp 103.1 morning of 7/16, 101.5 7/17, afebrile at present.
Age: 1.37
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Urine output decreased
Clinical narrative: Fever started Thursday evening, followed by refusal to drink/eat, inconsolable crying at times, inability to sleep well, dehydration. Continues 3 days later. Currently still not sleeping/drinking/eating much at all. Only urinating 2x per day, being monitored with daily physician's office visits. Carefully monitoring and providing care at home to avoid need for IV fluids. Axillary Temp 103.1 morning of 7/16, 101.5 7/17, afebrile at present.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site haematoma, Oedema peripheral, Pyrexia
Clinical narrative: On 6/27/11, RN received call from mother. On PM 6/20/11 fevers, (L) arm swelling; red & bruised from (L) shoulder to (L) elbow. To ER 6/21/11 - ibuprofen ordered. To ER 6/22/11 antibiotics ordered, to pediatrician 6/22/11, antibiotics changed & prednisone ordered. By 6/27/11, child better, without fevers, without swelling.