chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MER
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Arm swelling began the day after administration. Family applied local cold. By day 2 swelling had increased to entire upper arm and shoulder warm to the touch and firm, mild erythema. Had an office visit 9/17. Possible early cellulitis. Cephalexin prescribed. They will be following up with us.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Lymphadenopathy, Pharyngolaryngeal pain, Rash papular
Clinical narrative: I received a call from pt 9/17/03. On 9/10 she noted swollen lymph glands left neck area and mild sore throat. 9/13 noted red rash left neck area, papular (fine) and it spread to upper back and anterior chest. 9/17 awoke with right wrist and knee pain, no swelling, no redness and no warmth. Will see PMD.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Asthenia, Ear disorder, Lacrimation increased, Lung disorder, Paraesthesia
Clinical narrative: Pt returned approx 2 1/2 hours after appointment complaining of ear pressure, "lung pressure", arms and legs tingling, weakness, whole body feeling heavy, eyes watering. Possible reaction to pneumovax which lists potential adverse side effects - malaise, arthralgia, paresthesia.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Sensation of heaviness
Clinical narrative: Pt returned approx 2 1/2 hours after appointment complaining of ear pressure, "lung pressure", arms and legs tingling, weakness, whole body feeling heavy, eyes watering. Possible reaction to pneumovax which lists potential adverse side effects - malaise, arthralgia, paresthesia.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt c/o 3" x 4" red, hot, swollen area to left deltoid at DTaP site. All noted today 9/15/03.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rash. Tylenol, Benadryl if pruritis from rash
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: DTaP IM and MMR SW in left upper arm on 9/10/03; 2 days later redness, heat, swelling and pain in deltoid area. Dx cellulitis and Rx Cefzil 250mm/5ml - 1 1/2 tsp PO BID for 10 days.`
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left upper arm, shoulder area with swelling/warmth/erythema.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash papular
Clinical narrative: Pt with elevated papules on dorsal and plantar surface of hand and feet with some vesicles and bulla. Severely prurutic. Prednisone.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Agitation, Crying, Irritability, Rash
Clinical narrative: Irritable for one week. 3 spots on face (mom thought insect bite). Cries nonstop when putting down. No local reaction.
Age: 28.0
Sex: F
Vaccine: MMR, TD
Symptoms: Eyelid oedema, Nasal congestion, Pain, Pharyngolaryngeal pain, Pruritus
Clinical narrative: Td and MMR given on 9/10/03 for EMT class requirement. Reports that on 9/11/03 AM developed "scratchy throat, nasal congestion, sinus pressure and pain, eyelids swollen" which has subsequently improved. On 9/16/03 PM developed "2-3" hives on breast, "a few" hives on thigh and "one" on arm, all itch.
Age: 28.0
Sex: F
Vaccine: MMR, TD
Symptoms: Sinusitis, Urticaria
Clinical narrative: Td and MMR given on 9/10/03 for EMT class requirement. Reports that on 9/11/03 AM developed "scratchy throat, nasal congestion, sinus pressure and pain, eyelids swollen" which has subsequently improved. On 9/16/03 PM developed "2-3" hives on breast, "a few" hives on thigh and "one" on arm, all itch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Redness, swollen. Left arm 7 1/2 x 6; right arm 1 1/2 x 1.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Pt c/o erythema and inflammation at site that started on 9/10/03. Site is tender to palpation and erythema was approx 3 inches in diameter below injection site. Pt's mother reports the swelling and redness are starting to resolve.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Increased erythema, warmth and induration of right thigh, no fever, slight pain in thigh to touch. Treated 2 days after immunization given as erythema was spreading. Treated with Keflex 500mg QID for 10 days.
Age: 46.0
Sex: M
Vaccine: TYP
Symptoms: Insomnia, Pruritus, Rash
Clinical narrative: 8/31/03: rash bilateral groin/itchy. 9/2/03: Trouble sleeping/rash to back. Received med, took only 3 dosages out of 4 required.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Erythema, Infection, Rash maculo-papular
Clinical narrative: Rash - chicken pox type on legs, trunk, underarm, ear, blister type and red splotch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: Mother states received shots 2 days ago. Now child c/o pain to left arm. Right deltoid with redness and swelling 50 x 60mm, warm to touch.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Discomfort, Dyspnoea, Pain, Pyrexia, Tremor
Clinical narrative: Mom states he c/o side discomfort upon awakening that AM. Received Hep B #3 about 9 AM. By lunchtime c/o side pain, achiness, problems with breathing concerns. Given Advil, felt better. Went to soccer practice. By evening, temp 102.7, shaking, c/o aches and pains and problems breathing. Seen in ER.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash
Clinical narrative: Red rash with induration (10cm x 11cm) on left lat upper arm.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Right arm swollen, red and hard.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Nausea, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever, sore throat, myalgia, nausea.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pruritus
Clinical narrative: Swollen, indurated area with erythema and warmth about 10" across anterior aspect right thigh, itching. No pain/tenderness. Rx: warm compress, Prelone (1mg/kg) 25 mg bid for 30 days. Benadryl.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Pt suffered a modified case of varicella.
Age: 1.25
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: (for 4 days) left anterior thigh with 2 1/2" x 3 1/2" of hard/indurated erythema and swelling of soft tissues (almost 90% of anterior thigh).
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis at site of injection, 8 cm diameter.
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site hypersensitivity, Pruritus, Rash
Clinical narrative: Bumpy rash with itching to injection sites reported on 9/10/03. Tx'd with cutivate cream without relief. Continues with generalized red, bumpy rash to thighs and torso.
Age: 31.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Swelling, warmth, erythema right deltoid. Fever 9/18-9/22.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: Vaccine administered left deltoid. Left arm aching, tingling, felt warm to touch. Began several hours after receiving injection. Continued to worsen and arm began swelling from upper arm down to elbow. Reported to health dept 9/16/03 2:00 PM. Symptoms resolving now.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation
Clinical narrative: Inconsolable crying for 1-2 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 09/09/03- patient RECIEVED 2nd MMR , 5th DTAP AND 4th IPV.   09/18/03- COMPLAINED OF INCREASED TEMPERATURE (TO 101.5 F) WHICH CONTINUED FOR ABOUT 2 DAYS. 09/19/03- COMPLAINED OF FEVER, HEADACHE, SORE THROAT AND SWOLLEN GLANDS. 09/20/03-  DEV A RASH WHICH SPREAD CEPHALOCAUDALLY. 09/22/03- PRESENTS FOR EVALUATION. PER MOTHER RASH IS IMPROVING.NO FUTHER C/O HEADACHE OR SORE THROAT. THROAT C&S OBTAINED TODAY BY MD.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Headache, Lymphadenopathy, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 09/09/03- patient RECIEVED 2nd MMR , 5th DTAP AND 4th IPV.   09/18/03- COMPLAINED OF INCREASED TEMPERATURE (TO 101.5 F) WHICH CONTINUED FOR ABOUT 2 DAYS. 09/19/03- COMPLAINED OF FEVER, HEADACHE, SORE THROAT AND SWOLLEN GLANDS. 09/20/03-  DEV A RASH WHICH SPREAD CEPHALOCAUDALLY. 09/22/03- PRESENTS FOR EVALUATION. PER MOTHER RASH IS IMPROVING.NO FUTHER C/O HEADACHE OR SORE THROAT. THROAT C&S OBTAINED TODAY BY MD.
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Muscular weakness, Nervous system disorder, Syncope, Vertigo
Clinical narrative: On 6/25/03 patient developed neurological symptoms of vertigo, syncope, and fatigue. She complains of dropping objects and has right hand weakness. These symptoms have continued for 3 months.
Age: 25.0
Sex: F
Vaccine: ANTH, HEP, SMALL
Symptoms: Fatigue, Headache, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 11 Sept 03 Smallpox (Primary)-Left arm Hep B #1-Right arm Anthrax #1-Right arm  Service member received the smallpox and anthrax briefings and tri-fold brochures.  She reports no contraindications to the vaccinations.  She also reports no complaints on this date.  13 Sept 03 Noted a golf-ball sized knot on right arm-deltoid area at site of anthrax vaccination.  Reports area was red and tender.  Did not seek medical attention as she remembered from her briefing that local reactions were common.  She describes peak redness and swelling on 14 Sept and reports that it started to resolve by 15 Sept.  Denies any drainage or odor from site.  No weakness, numbness, or tingling reported.  15 Sept 03 Began to experience some tenderness under her left arm.  No mass palpable at that time.  No other complaints except felt a little more tired.  16 Sept 03 Noted left axillary lymph node swelling and increased tenderness.  19 Sept 03 Presented with chief complaint of left axillary lymph node swelling and pain.  "Hurts to move my arm."  Otherwise feels fine except a little more tired. Smallpox vaccination site progressing as expected.    Denies any other lesions.  No chest pain or shortness of breath.  No headaches today but states she had a mild headache the day before.  No vision changes.  No neck pain.  Denies any weakness in extremities.    Does recall 1 episode of brief tingling in her left arm on 18 Sept and 1 episode this morning.  She describes it as a tingling sensation that started under her arm and traveled to her fingertips.  She estimates that it lasted several seconds to a minute.  She was lying in bed both times when this happened but has not noticed it since that time.  Denies any other numbness or tingling in other extremities.  No weakness in any extremity.States that she had experienced numbness, weakness, and tingling in both extremities over two years ago after an adverse reaction to Benadryl (taking for allergic rhinitis/sinusitis) and Prednisone (taking for a rash she experienced after taking a sulfa drug).  She describes the tingling she experienced today as nothing compared to her symptoms 2 years ago.  She developed those symptoms within 4 hours of taking the medications and states that the symptoms lasted 2 weeks.  She was evaluated by her family doctor (records unavailable) but states that no testing was done at that time.  Symptoms resolved on their own with no recurrence.  22 Sept 03 Service member reports L axilla area still tender.  Has full ROM in LUE but experiences discomfort in axilla area with movement.  Reports that she had 2 additional brief episodes of tingling that ran from L axilla area to finger tips and then back to L forearm area (19 Sept pm and 21 Sept am).  During both episodes, she was lying on her back and had raised her arms to a 90-degree angle.  The tingling sensation lasted several seconds.  No weakness noted in extremities.  No tingling in lower extremities or R upper extremity.
Age: 25.0
Sex: F
Vaccine: ANTH, HEP, SMALL
Symptoms: Injection site pain, Lymphadenopathy, Pain, Paraesthesia
Clinical narrative: 11 Sept 03 Smallpox (Primary)-Left arm Hep B #1-Right arm Anthrax #1-Right arm  Service member received the smallpox and anthrax briefings and tri-fold brochures.  She reports no contraindications to the vaccinations.  She also reports no complaints on this date.  13 Sept 03 Noted a golf-ball sized knot on right arm-deltoid area at site of anthrax vaccination.  Reports area was red and tender.  Did not seek medical attention as she remembered from her briefing that local reactions were common.  She describes peak redness and swelling on 14 Sept and reports that it started to resolve by 15 Sept.  Denies any drainage or odor from site.  No weakness, numbness, or tingling reported.  15 Sept 03 Began to experience some tenderness under her left arm.  No mass palpable at that time.  No other complaints except felt a little more tired.  16 Sept 03 Noted left axillary lymph node swelling and increased tenderness.  19 Sept 03 Presented with chief complaint of left axillary lymph node swelling and pain.  "Hurts to move my arm."  Otherwise feels fine except a little more tired. Smallpox vaccination site progressing as expected.    Denies any other lesions.  No chest pain or shortness of breath.  No headaches today but states she had a mild headache the day before.  No vision changes.  No neck pain.  Denies any weakness in extremities.    Does recall 1 episode of brief tingling in her left arm on 18 Sept and 1 episode this morning.  She describes it as a tingling sensation that started under her arm and traveled to her fingertips.  She estimates that it lasted several seconds to a minute.  She was lying in bed both times when this happened but has not noticed it since that time.  Denies any other numbness or tingling in other extremities.  No weakness in any extremity.States that she had experienced numbness, weakness, and tingling in both extremities over two years ago after an adverse reaction to Benadryl (taking for allergic rhinitis/sinusitis) and Prednisone (taking for a rash she experienced after taking a sulfa drug).  She describes the tingling she experienced today as nothing compared to her symptoms 2 years ago.  She developed those symptoms within 4 hours of taking the medications and states that the symptoms lasted 2 weeks.  She was evaluated by her family doctor (records unavailable) but states that no testing was done at that time.  Symptoms resolved on their own with no recurrence.  22 Sept 03 Service member reports L axilla area still tender.  Has full ROM in LUE but experiences discomfort in axilla area with movement.  Reports that she had 2 additional brief episodes of tingling that ran from L axilla area to finger tips and then back to L forearm area (19 Sept pm and 21 Sept am).  During both episodes, she was lying on her back and had raised her arms to a 90-degree angle.  The tingling sensation lasted several seconds.  No weakness noted in extremities.  No tingling in lower extremities or R upper extremity.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: 9/10/03 4 PM Mom brought child into clinic.Pain to left upper arm with swelling.  Hot, red color.  Left upper arm hot,distended to touch. Distal CSM WNL.  Cap refill less than 2 seconds. ROM of arm WNL. Denies fatigue, lethargy or any other symptoms. C/O local upper arm pain. Advises cool compresses and tylenol or children's motrin.  Will TC PMD if symptoms worsen. 9/11/03 10 AM Mom back into PHD. Has used cool compresses and given motrin.  Also has kept child home from school.  Child states that his arm does not hurt as much.  No redness at this time. Still some swelling.  Mom will TC if does not continue to abate.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Convulsion, Demyelination, Electroencephalogram abnormal, Encephalitis, Laboratory test abnormal
Clinical narrative: 1 day after getting the shot she began coughing which continued until seizure.  There was no runny nose or anything.  I gave her tylenol the first 2 days after getting the shot.  Other than the cough she seemed fine.  19 days after getting the shot she had a seizure for 1 hour and a temperature of 103.7 which is very unusual.  My child has never been sick.  She went to the hospital by ambulance and was admitted.  Chest x-ray indicated slight pneumonia on right side of body.  They did a spinal tap for meninjidus but it came up negative.  A Cat scan showed nothing.  Did and EEG and MRI which showed some swelling on the brain.  Looked like encephalitis and did another spinal tap.  This came up negative for several things.  They did another chest x-ray to check on the pneumonia a few days later and that came out fine.  It took a few days for her to recover from all meds and seizure but seemed fine.  They sent her home on anti-seizure medication and a steroid to help the swelling of the brain but will see her for another MRI.  Neurologist can't explain what happened.  Could be from the vaccine or could be ADEM but have nothing to prove the ADEM theory yet.  She did get a rash of small red bumps on her skin mainly on the right side of her body.  The right side of her body is also the side that jerked during the seizure.  Jerking involved the cheek, arm and leg.  Cheek did droop for a couple days.  Was sent home with no diagnosis.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pneumonia, Pyrexia
Clinical narrative: 1 day after getting the shot she began coughing which continued until seizure.  There was no runny nose or anything.  I gave her tylenol the first 2 days after getting the shot.  Other than the cough she seemed fine.  19 days after getting the shot she had a seizure for 1 hour and a temperature of 103.7 which is very unusual.  My child has never been sick.  She went to the hospital by ambulance and was admitted.  Chest x-ray indicated slight pneumonia on right side of body.  They did a spinal tap for meninjidus but it came up negative.  A Cat scan showed nothing.  Did and EEG and MRI which showed some swelling on the brain.  Looked like encephalitis and did another spinal tap.  This came up negative for several things.  They did another chest x-ray to check on the pneumonia a few days later and that came out fine.  It took a few days for her to recover from all meds and seizure but seemed fine.  They sent her home on anti-seizure medication and a steroid to help the swelling of the brain but will see her for another MRI.  Neurologist can't explain what happened.  Could be from the vaccine or could be ADEM but have nothing to prove the ADEM theory yet.  She did get a rash of small red bumps on her skin mainly on the right side of her body.  The right side of her body is also the side that jerked during the seizure.  Jerking involved the cheek, arm and leg.  Cheek did droop for a couple days.  Was sent home with no diagnosis.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Brain oedema, Convulsion, Cough, Encephalitis, Pyrexia
Clinical narrative: 1 day after getting the shot she began coughing which continued until seizure.  There was no runny nose or anything.  I gave her tylenol the first 2 days after getting the shot.  Other than the cough she seemed fine.  19 days after getting the shot she had a seizure for 1 hour and a temperature of 103.7 which is very unusual.  My child has never been sick.  She went to the hospital by ambulance and was admitted.  Chest x-ray indicated slight pneumonia on right side of body.  They did a spinal tap for meninjidus but it came up negative.  A Cat scan showed nothing.  Did and EEG and MRI which showed some swelling on the brain.  Looked like encephalitis and did another spinal tap.  This came up negative for several things.  They did another chest x-ray to check on the pneumonia a few days later and that came out fine.  It took a few days for her to recover from all meds and seizure but seemed fine.  They sent her home on anti-seizure medication and a steroid to help the swelling of the brain but will see her for another MRI.  Neurologist can't explain what happened.  Could be from the vaccine or could be ADEM but have nothing to prove the ADEM theory yet.  She did get a rash of small red bumps on her skin mainly on the right side of her body.  The right side of her body is also the side that jerked during the seizure.  Jerking involved the cheek, arm and leg.  Cheek did droop for a couple days.  Was sent home with no diagnosis.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Rash erythematous
Clinical narrative: 1 day after getting the shot she began coughing which continued until seizure.  There was no runny nose or anything.  I gave her tylenol the first 2 days after getting the shot.  Other than the cough she seemed fine.  19 days after getting the shot she had a seizure for 1 hour and a temperature of 103.7 which is very unusual.  My child has never been sick.  She went to the hospital by ambulance and was admitted.  Chest x-ray indicated slight pneumonia on right side of body.  They did a spinal tap for meninjidus but it came up negative.  A Cat scan showed nothing.  Did and EEG and MRI which showed some swelling on the brain.  Looked like encephalitis and did another spinal tap.  This came up negative for several things.  They did another chest x-ray to check on the pneumonia a few days later and that came out fine.  It took a few days for her to recover from all meds and seizure but seemed fine.  They sent her home on anti-seizure medication and a steroid to help the swelling of the brain but will see her for another MRI.  Neurologist can't explain what happened.  Could be from the vaccine or could be ADEM but have nothing to prove the ADEM theory yet.  She did get a rash of small red bumps on her skin mainly on the right side of her body.  The right side of her body is also the side that jerked during the seizure.  Jerking involved the cheek, arm and leg.  Cheek did droop for a couple days.  Was sent home with no diagnosis.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Coma, Sudden infant death syndrome
Clinical narrative: Call received on 911 at about 6:50 AM 9/18/03. CPR attempted by ambulance personnel. Per mother, child well and without fever when she put child down for evening. Found lying on stomach without response and without breathing at about 6:50 AM by mother. The autopsy report received on 12/17/03 states SIDS.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Chicken pox more than 25.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Td booster given in left arm on 09/20/2003.  Patient reaction 09/22/2003-said Td site became red, hot, hard and swollen yesterday.  Patient also feels like she has the flu/upset stomach.  Temperature has been ok.  No treatment given for Td site.  Patient on Cefzil for sliver wound through.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Stomach discomfort
Clinical narrative: Td booster given in left arm on 09/20/2003.  Patient reaction 09/22/2003-said Td site became red, hot, hard and swollen yesterday.  Patient also feels like she has the flu/upset stomach.  Temperature has been ok.  No treatment given for Td site.  Patient on Cefzil for sliver wound through.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Erythema, edema and pain at DTAP site left thigh.  Treatment with Rophatexin 25 mg 1 tsp three times daily for 7 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 09/09/03- Pt received 2nd MMR, 5th DTaP and 4th IPV. 09/18/03- Complained of increased temperature (today 101.5 F) which continued for about 2 days. 09/19/03- Complained of fever, headache, sore throat and swollen glands. 09/20/03- Dev a rash which spread cephalocaudally. 09/22/03- Presents for evaluation. Per mother rash is improving on face and pt is no longer complaining of fever, sore throat or headache.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Headache, Lymphadenopathy, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 09/09/03- Pt received 2nd MMR, 5th DTaP and 4th IPV. 09/18/03- Complained of increased temperature (today 101.5 F) which continued for about 2 days. 09/19/03- Complained of fever, headache, sore throat and swollen glands. 09/20/03- Dev a rash which spread cephalocaudally. 09/22/03- Presents for evaluation. Per mother rash is improving on face and pt is no longer complaining of fever, sore throat or headache.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Diplopia, Dizziness, Headache, Hydrocephalus, Meningitis
Clinical narrative: 9/12/03 8:30 am - received a phone call from husband of the patient.  He stated  wife received a MMR from the health department a few weeks ago.  he took her to the ER on 9/10/03 for headache, dizziness, fever, nausea,  and red bumps on body.  Stated MD tx'd her with iv fluids and phenegren.  She has now been  in bed  for four days with no improvement.  He was instructed  to take wife back to ER for further evaluation.  Also informed husband of side effects of MMR vaccine. The follow up received on 10/22/03 states add symptoms of stiff neck and double vision (diplopia). Final diagnosis: aseptic meningitis. The hospital discharge summary recieved on 1/5/04 states hydrocephalus.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Musculoskeletal stiffness, Nausea, Pyrexia, Rash erythematous
Clinical narrative: 9/12/03 8:30 am - received a phone call from husband of the patient.  He stated  wife received a MMR from the health department a few weeks ago.  he took her to the ER on 9/10/03 for headache, dizziness, fever, nausea,  and red bumps on body.  Stated MD tx'd her with iv fluids and phenegren.  She has now been  in bed  for four days with no improvement.  He was instructed  to take wife back to ER for further evaluation.  Also informed husband of side effects of MMR vaccine. The follow up received on 10/22/03 states add symptoms of stiff neck and double vision (diplopia). Final diagnosis: aseptic meningitis. The hospital discharge summary recieved on 1/5/04 states hydrocephalus.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Blister, Dermatitis bullous
Clinical narrative: 9/11 12:40 pm mother called and reported that left thigh had 7-8 blisters filled with clear liquid where shots were given.  Some of the blisters burst.  Denies fever, redness, warmth to touch. Instructed mom to monitor  thigh and if drainage turns yellow or green  take child to ER.
Age: 18.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Dyskinesia, Hyperhidrosis, Nausea, Pain, Tremor
Clinical narrative: day after immunization patient stated felt nausea joint acheness everything then tensed up  and caused shaking and jerkiness all over laste 3-5 minutes also had cold sweats and skin got hot!
Age: 40.0
Sex: F
Vaccine: HIBV, MEN, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Evening of vaccination, pt developed swelling and erythema with tenderness at vaccine site, described as "size of hand".  Slight pruritis.  No significant systemic signs.  Pt did not seek medical care.  By one week later swelling down to size of "egg yolk".  Pt reported event by phone to physician.  Received HiB at same time, same arm.
Age: 42.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Pain
Clinical narrative: TWO DAYS AFTER IMMUNIZATOIN LEFT SHOULDER (MUSCULAR) PAIN AGGRAVATES PT. WHEN HE TURNS HIS HEAD AND IT RESTRICTS MOTION WHEN TRING TO LOOK LEFT.  PT. RECEIVED IMMUNIZATION IN HIS LEFT ARM.  PAIN PRESISTS HAS NOT SUBSIDED.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Muscle atrophy, Necrosis
Clinical narrative: subcutaneous fat/tissue ?necrosis with large (about 4x6 cm) area on left thigh that has no subcutaneous tissue. There seems to be no muscle atrophy or involvement, no pain, just this "divot" in the leg of pretty significant size. It wasn't this large initially, just a dimple in the weeks following the vaccination, but now, almost 6 months later, it is the size described and has stayed that size for a couple of months. No treatment. No symptoms of illness. This was his 4th DTAP and he had no unusual reactions to any before this.
Age: 40.0
Sex: M
Vaccine: HEP, PPV
Symptoms: Erythema, Herpes zoster, Pain, Restlessness, Viral infection
Clinical narrative: 2 Vaccines received (pneumococcal polysaccharide in left upper arm and 3rd of Hepatitis B in right upper arm) on Friday 9/19 @ 4P.  Both arms were sore at point of injection.  Pain increased throughout evening, particularly left arm.  Extremely restless sleep.  Sat 9/20 awoke with more pain in left arm, a little decrease in right arm.  Right arm pain almost completely gone by Tues 9/23.  Sat 9/20 evening discovered enflamed area on inner side of upper left arm.  Morning of Sun 9/21 confirmed were slight case of shingles.  Pain in arm decreased by Mon 9/22 evening, still slightly present Tues 9/23 morning.  Redness has decreased to slight pink, sensitive to touch.
Age: 57.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP, YF
Symptoms: Myalgia, Pyrexia
Clinical narrative: Pt called and reported she had experienced fever (T max 100.6), myalgias, and sensation of "electric shocks" after vaccinations; pt reported symptoms were relieved by taking ASA and are now resolving.
Age: 11.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Erythema, Pallor
Clinical narrative: 1530 Large amount of redness noted on Rt. arm decending to elbow.  Child A&0x3. Denies any SOB or difficulty breathing.  No hives noted. No other redness noted.  Ice pack given.  1535 Redness continues to increase. Benadry 25mg one po given. 1545 Redness on arm continues to increase. Hives noted on trunk of child. Child continues to deny SOB, itching, cough, rhinitis, or difficulty breathing.  Called Dr.and updated.  Orders received to administer 0.3ml of epi sq. 1547 0.3ml of epi administered as ordered. 1550 Bp 118/60 p.80 R.20 easy and non labored. Child continues to deny and SOB or difficulty breathing. Breath sounds clear bilt. all lung fields upon auscultation. 1555 P.88 Child a&ox3. color pale. Skin dry. Continues to deny and no SOB or difficulty breathing noted. 1558 Bp 98/50 P.104. Color improving. 1609 P. 104 Bp90/48. Redness decreasing. 1635 Bp 116/50 P. 102 Child talking without difficulty. Continues to deny and difficulties breathing. Skin w/d and pink. Hives fading. Redness on arm decreasing. 1636 Released.
Age: 37.0
Sex: F
Vaccine: TD, TD
Symptoms: Coma, Convulsion, Eye movement disorder, Genital discharge, Hypotension
Clinical narrative: Received TD immunization.  within 2-3 minutes, head rolled back, eyes dilated, became unresponsive.  Had tonic/clonic seizure.  No wheezing, no rash.  Spontaneous respirations. The discharge summary received on 2/19/04 states hypotension, tachycardia and tremor.
Age: 37.0
Sex: F
Vaccine: TD, TD
Symptoms: Tachycardia, Tremor
Clinical narrative: Received TD immunization.  within 2-3 minutes, head rolled back, eyes dilated, became unresponsive.  Had tonic/clonic seizure.  No wheezing, no rash.  Spontaneous respirations. The discharge summary received on 2/19/04 states hypotension, tachycardia and tremor.
Age: 37.0
Sex: F
Vaccine: TD, TD
Symptoms: Convulsion, Loss of consciousness, Muscle spasms, Mydriasis
Clinical narrative: Received TD immunization.  within 2-3 minutes, head rolled back, eyes dilated, became unresponsive.  Had tonic/clonic seizure.  No wheezing, no rash.  Spontaneous respirations. The discharge summary received on 2/19/04 states hypotension, tachycardia and tremor.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC, DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Anorexia, Insomnia, Sudden infant death syndrome
Clinical narrative: Information has been received from an investigator concerning a 14 week old male who entered a Comparative post marketing safety study of DAPTACEL administered with other recommended vaccines according to the US standard of care. This report was part of a post-marketing surveillance program. On 8/25/03, at 14:00, the child was vaccinated with a second dose in the right thigh of hepatitis B virus vaccine (lot 634142/1736J). Suspect therapy the same time included a first dose in the right thigh of HIB conjugate vaccine (lot UA841AC/W1254-2), a first dose in the right thigh of diphtheria toxoid (+) hepatitis B virus vaccine (+) pertussis acellular 3-component vaccine (+) poliovirus vaccine inactivated (+) tetanus toxoid (PEDIARIX) and a dose in the right thigh of pneumococcal conjugate vaccine  (lot 492410). It was reported that the child died two days after vaccination. The parents completed their first interview approximately 2 hours prior to the time of death and reported only some restless sleep on the day of vaccination and the next day and loss of appetite on the day of vaccination and the next day. Otherwise the parents reported no symptoms. This was discovered with attempts to complete the second interview. The coroner's office findings as of yet are inconclusive and not suggestive of an obvious cause of death. The toxicology results, autopsy and other labs are still pending. Cause of death is unknown. At this time, relationship of restless sleep and loss of appetite to study therapy is unknown. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC, DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Anorexia, Insomnia
Clinical narrative: Information has been received from an investigator concerning a 14 week old male who entered a Comparative post marketing safety study of DAPTACEL administered with other recommended vaccines according to the US standard of care. This report was part of a post-marketing surveillance program. On 8/25/03, at 14:00, the child was vaccinated with a second dose in the right thigh of hepatitis B virus vaccine (lot 634142/1736J). Suspect therapy the same time included a first dose in the right thigh of HIB conjugate vaccine (lot UA841AC/W1254-2), a first dose in the right thigh of diphtheria toxoid (+) hepatitis B virus vaccine (+) pertussis acellular 3-component vaccine (+) poliovirus vaccine inactivated (+) tetanus toxoid (PEDIARIX) and a dose in the right thigh of pneumococcal conjugate vaccine  (lot 492410). It was reported that the child died two days after vaccination. The parents completed their first interview approximately 2 hours prior to the time of death and reported only some restless sleep on the day of vaccination and the next day and loss of appetite on the day of vaccination and the next day. Otherwise the parents reported no symptoms. This was discovered with attempts to complete the second interview. The coroner's office findings as of yet are inconclusive and not suggestive of an obvious cause of death. The toxicology results, autopsy and other labs are still pending. Cause of death is unknown. At this time, relationship of restless sleep and loss of appetite to study therapy is unknown. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Fatigue, Myocarditis
Clinical narrative: This 40 year old lady has a history of mitral valve prolapse since her teen years and hyperlipidermia.  She reported that over the past several months to a year, she had progressively increasing fatigue.  In the past 6-8 months she reported  progressive increase in dyspnea on exertion and palpitations associated with light headedness.  Based on the stress echocardiography and LV angiography, the attending cardiologist suspects the patient has focal myocarditis.  Patient was treated with Altace (5mg q.d.) and continued on previously prescribed medications: Lipitor (5mg q.d.), Lo-Ovral (1 tablet q.d.) and Atenolol (25mg q.d.),
Age: 39.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Dizziness, Dyspnoea, Hypokinesia, Laboratory test abnormal, Myocarditis
Clinical narrative: This 40 year old lady has a history of mitral valve prolapse since her teen years and hyperlipidermia.  She reported that over the past several months to a year, she had progressively increasing fatigue.  In the past 6-8 months she reported  progressive increase in dyspnea on exertion and palpitations associated with light headedness.  Based on the stress echocardiography and LV angiography, the attending cardiologist suspects the patient has focal myocarditis.  Patient was treated with Altace (5mg q.d.) and continued on previously prescribed medications: Lipitor (5mg q.d.), Lo-Ovral (1 tablet q.d.) and Atenolol (25mg q.d.),
Age: 39.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Palpitations
Clinical narrative: This 40 year old lady has a history of mitral valve prolapse since her teen years and hyperlipidermia.  She reported that over the past several months to a year, she had progressively increasing fatigue.  In the past 6-8 months she reported  progressive increase in dyspnea on exertion and palpitations associated with light headedness.  Based on the stress echocardiography and LV angiography, the attending cardiologist suspects the patient has focal myocarditis.  Patient was treated with Altace (5mg q.d.) and continued on previously prescribed medications: Lipitor (5mg q.d.), Lo-Ovral (1 tablet q.d.) and Atenolol (25mg q.d.),
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Abnormal sleep-related event, Cyanosis
Clinical narrative: Infant was found cyanotic, lifeless by mother morning of 9/12/03. Mother attempted CPR then called EMS. Patient transported to hospital. By mothers report, infant was in twin bed where sleeping with mother and another adult overnight.
Sex: U
Vaccine: VARCEL
Symptoms: Coordination abnormal, Rash erythematous, Rash vesicular
Clinical narrative: Information has been received from a pharmacist and physician concerning a child who on 8/11/03 was vaccinated SC with a dose of varicella virus vaccine live. On 9/4/03, the patient developed a non-specific erythematous rash with chickenpox sized pustules. The rash was described as 4 erythematous papules on the chest, 2-3 of the same on the lower extremity and one on the face. Three days later on 9/7/03 the child developed non-severe ataxia and was hospitalized. The CSF was normal and the child recovered from the ataxia within 24 hours. The patient had CSF, skin lesion swab and rectal swabs sent for culture and all results are pending. On 9/8/03, the patient was discharged from the hospital and the rash was healing. The physician reported that the child was a normal host by history and did not have a history of recent illness or viral infection. There was no product quality complaint involved. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Respiratory arrest, Respiratory distress
Clinical narrative: Respiratory arrest immediately following 4th immunization (Prevnar). Rescue breathing; hospitalized in PICU overnight. The hospital record states breath holding.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Choking, Cyanosis, Gastrooesophageal reflux disease
Clinical narrative: 4 hours after immunization mom stated patient tongue turned blue and face. This responded to tactile stimulation. A second episode occurred where the face and tongue were blue. Mom thought patient was choking on tongue. Neither events were witnessed except by mom.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Cyanosis, Pallor, Wheezing
Clinical narrative: 5-10 minutes after immunizations, wheeze; bilateral wheeze with poor air entry. Nebulizer treatment with Xoponex 1.25mg. Patient deterioration, perioral cyanosis, pallor, seb q. Epi 0.1mg given 2 times with mild improvement. EMS to ER. Admitted for 1 day. Diagnosis: anaphylaxis. Follow up on 9/16/03 in PMD office; sent to allergist for testing. Per review of hospital records, anaphylaxis is confirmed as the diagnosis.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Urticaria, Wheezing
Clinical narrative: Within a few minutes after receiving vaccines listed below, patient began to break out in hives and minutes later started to complain of difficulty breathing. On exam, widespread hives and wheezing. Epinephrine 1:1000, 1.5ml given SC. Neb albuterol 0.5ml in 3cc NS, Benadryl (half tsp) PRN. Patient improved rapidly and was observed in clinic for 4-6 hours with no further problems. Discharged with albuterol and Pictone. Medical records states anzphylaxis. msv
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood pressure decreased, Coma, Convulsion, Drooling, Headache
Clinical narrative: Tonic Seizure, drooling, unresponsive, headache.  Treatment: Tylenol 1000 mg, Dilantin 300 mg.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Heart rate decreased, Respiratory rate decreased
Clinical narrative: Tonic Seizure, drooling, unresponsive, headache.  Treatment: Tylenol 1000 mg, Dilantin 300 mg.
Age: 35.0
Sex: F
Vaccine: ANTH, HEP, MMR, SMALL, TYP
Symptoms: Dyspnoea, Throat tightness, Urticaria
Clinical narrative: One hour post-vaccination: Throat tightening, hive-like rash, difficulty breathing.  Zyrtec 15 mg stat, then 10 mg every day. Follow up on 10/22/2003: "Lot #'s and Manufacturer's must be obtained from post."
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left inner upper arm and forearm, redness, swelling and constant pain for 2 days.  Received 3rd shot 3 days ago.  Previous 2 shots-local swelling.  Last shot-bigger local swelling.
Sex: U
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Swollen from injection site to elbow, red in color, hot and hard, itchy.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperaemia, Injection site induration
Clinical narrative: The pt developed an exaggerated localized reaction with hyperemia and induration incompassing over area of 8.5 x 8cm to Lt brachium (shoulder).
Age: 1.1
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Patient developed a red rash small red dots on arms and body-developed into large sores on body/arms-see pictures enclosed.  Prescriptions given for Bactroban ointment three times per day, Emycin 200/5 1 tsp twice daily for 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Oedema peripheral, Serum sickness, Urticaria
Clinical narrative: Generalized hives, swollen feet and hands-serum sickness: appeared 09/05/2003.  Prescribed Prednisolone for 3 days, diphenhydramine.
Age: 1.01
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Developed mild case varicella in August 2003.
Age: 8.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Developed mild case varicella in August 2003
Sex: U
Vaccine: DTP, IPV, MMR
Symptoms: Oedema, Pain
Clinical narrative: Erythema, edema to deltoid, I saw this patient in ER and an unable to answer many questions such as 13,21.  This is a healthy 4.5 year old little girl.  She had her routine immunizations yesterday at the Clinic included polio, tetanus, and MMR.  Tetanus and MMR were given in the left deltoid and she has developed some pain and swelling to that area.  She has not had a fever.  No vomiting, no diarrhea, no shortness of breath, no cough, and no other symptoms.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site induration, Injection site swelling, Oedema, Pyrexia, Rash
Clinical narrative: Induration of thigh with slight raised, patchy urticaria rash.  Entire upper leg swollen 3-4 inch high diameter.  Fever @ home.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Induration of thigh with slight raised, patchy urticaria rash.  Entire upper leg swollen 3-4 inch high diameter.  Fever @ home.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: Immunizations given.  Mom brought child back to clinic within 5 minutes with pruritic skin, welts on back and shoulders.  No breathing difficulties.  Hydrocortisone cream applicant and 5mL of Benadryl Elixer given per mouth.  Child left and 10 min and appeared and said he was "fine."
Age: 18.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Dyskinesia, Fall, Pain
Clinical narrative: Patient received Td and varicella vaccines and within 1-2 minutes he fell to the floor in the waiting room, jerk a little, and was then aroused within 30-45 seconds.  Patient bumped head on chair base, no injury noted; no complaint of pain stated.
Age: 63.0
Sex: U
Vaccine: TD
Symptoms: Erythema, Injection site oedema, Injection site warmth, Pruritus, Rash erythematous
Clinical narrative: Received Td right deltoid on 09/09/2003.  States that on 09/15/2003, noticed small round swelling at site of injection on 09/17/2003 in late afternoon it had grown was hot, raised, red, itchy.  Today 09/18/2003, erythematous area measuring 100 mm diameter and radiates down arm, upper arm only.  No fever reported.  Referred to community health center.
Age: 4.2
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm redness with swelling and tenderness morning after DTAP.
Age: 0.08
Sex: M
Vaccine: DTAP, DTAPHEPBIP, PNC
Symptoms: Hypotonia, Sleep disorder
Clinical narrative: On 06/17 of receiving vaccines patient fell asleep.  Mother noted he didn't awaken when expected.  He was very difficult to arouse and limp.  Mother called 911.  It took about 45 minutes before he was "back to himself".
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Red hot swollen arm Rt.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Feeling hot, Oedema peripheral, Tenderness
Clinical narrative: Returned to clinic 2 days post vaccination with L arm tenderness and swelling, shoulder to elbow. Area warm to touch. Benadryl and cool compresses ordered.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion, Erythema, Oedema, Pyrexia
Clinical narrative: Redness and swollen on Keflex. Hardness redness fever seizures-event to ER placed on Keflex.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: L leg red and swollen and hot to touch.
Age: 34.0
Sex: M
Vaccine: TTOX
Symptoms: Drug administration error, Injection site erythema, Injection site induration
Clinical narrative: Pt was given tetanus instead of TB for a TB shot. Area measured induration on 6/19/03. Vaccine ? Td. (+) skin rxn to SQ ? of Td. Area of erythema/induration (-) abscess.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever of 101.9 rectally resulted in R/O sepsis w/u and IM Ceftriaxone QD x 2 days.
Age: 1.3
Sex: F
Vaccine: HBHEPB, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pallor, Pyrexia
Clinical narrative: 9/16/03-afternoon, temp 103 R. R leg red, swollen, seemed painful at injection site. 9/17/03 sleeping more than usual. Temp 102.8 R pale, eyes droopy w/ dark circles, leg swell less.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Arm swelled to twice its normal size from shoulder to elbow, red, itchy.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Pyrexia, Skin ulcer
Clinical narrative: Pt received vaccine 3/2000 in other office. Varicella - illness with >100 lesions and fever to 102. Mother and uncle with varicella at same time.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Irritability, Pyrexia, Rash maculo-papular, Screaming
Clinical narrative: All within 24 hours. Rash-maculopapular. Not involving mucous membrane. No petechaie. Excessive crying 3 hours, high pitched. Started in PM. Irritability. Fever 100 (subjectively was higher).
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema, Pain, Urticaria
Clinical narrative: Left leg swollen with hives, pain