chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Heart rate decreased, Hypoaesthesia, Paraesthesia
Clinical narrative: This case was reported by a nurse and described the occurrence of chest pain with radiation to the left arm in a 23 year old female patient who received hepatitis B vaccine recombinant (Engerix B). The patient's medical history included foreign travel in June 2004 and a blow to the head with a baseball (date not provided). On 9/23/03, the patient received the first dose of Engerix B in the left arm (lot ENG5447B6). On 11/4/03, the patient received the second dose of Engerix B in the right arm (lot ENG5338B6). Approximately nine months after the second dose, on 8/4/04, the patient received the third dose of Engerix B in the left arm (lot ENG5595B6). [The recommended interval between the second and third doses of Engerix B is five months.] Approximately three days after the administration of the third dose of Engerix B, on 8/7/04, the patient experienced numbness and tingling of herleft arm and left leg, numbness in her face, chest pain which radiated down her left arm and back, difficulty swallowing, chills, severe fatigue, and headache. The patient was seen by her physician. Examination by the physician on 8/7/04 revealed a decreased pulse from 80 beats per minute on 8/4/04 to 60 beats per minute on 8/7/04, and a decreased blood pressure from 120/80 on 8/4/04 to 100/60 on 8/7/04. On unspecified dates in either August or September 2004, the patient tested negative for unspecified tests for West Nile virus and Lyme disease. In addition, unspecified X-rays, a spinal tap, and MRI of brain, neck, and spine were reportedly inconclusive. The events were ongoing at the time of initial reporting. Comment: Chest pain with radiation to the left arm was assessed as medically serious (OMIC).
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Crying, Cyanosis, Gastrooesophageal reflux disease, Hypotonia, Pallor
Clinical narrative: This case was reported by a consumer and described the occurrence of blueness of the body in a 2 month old female pt who received diphtheria and tetanus toxoids and acellular pertussis adsorbed, Hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix).  The reporter is the mother of the pt. A physician or other health care professional has not verified this report. The pt has a family history of seizures. The pt's mother stated that, "A 16-year old sibling had a seizure at 19 days of age and a 2 year old sibling had in-utero seizures."  On either 22 or 29 07/04, the pt received the first dose of Pediarix (Lot #21919B9).  On the same day, the pt received an injection of Haemophilus influenzae type B conjugate vaccine (unknown manufacturer). The mother reported that, "Within a couple of days of receiving" Pediarix, on an unspecified date in either August or July 2004, the pt experienced "uncontrollable crying spells that would last three to six hours," pale skin, blue lips in the morning upon awakening and the "blue color would spread to under her eyes within 30 minutes and then her whole body would turn blue." The mother also reported that the pt's "fingernail beds and toenail beds would remain blue for two days and that the pt goes limp after the episodes." The pt was seen at a physician's office and was hospitalized from 09/02/04 to 09/09/04. During the hospitalization, the pt was diagnosed with gastroesophageal reflux disease and was treated with lansoprazole (Prevacid). An echocardiogram reportedly was inconclusive because the pt had a "crying episode during the test." The events were ongoing at the time of initial reporting. Follow up report received 03/21/2005:  As per Mother of patient improved, but contiues to have episodes 1-2 time per week.  No diagnosis or resolution yet. Follow up received states uncontrollable crying spelss have resolved. Fussiness, poor feeding, poor sleep, arching as if in pain persist. No definite diagnosis.
Age: 0.21
Sex: M
Vaccine: HIBV
Symptoms: Cerebral palsy, Cerebrovascular accident, Crying, Encephalopathy, Hemiparesis
Clinical narrative: Vaccine administered by myself in AM (09/23/02) when child awoke from nap about 15:00 that day, entire left thigh was swollen, red and baby crying inconsolable. Red/swelling noted within 24 hours but not progressive. Left sided weakness arm and leg within 2-4 weeks. Currently: Left hemiplegic cerebral palsy. Follow up: PCP states neurologist believes vaccine led to infant's encephalopathy, brain atrophy and stroke. The child's head is flattened on one side as a result of the atrophy. Hib was te only vaccine received on 9/23/02.  Nurse follow up on 10/20/04 states: "Case is complete."
Age: 0.21
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Vaccine administered by myself in AM (09/23/02) when child awoke from nap about 15:00 that day, entire left thigh was swollen, red and baby crying inconsolable. Red/swelling noted within 24 hours but not progressive. Left sided weakness arm and leg within 2-4 weeks. Currently: Left hemiplegic cerebral palsy. Follow up: PCP states neurologist believes vaccine led to infant's encephalopathy, brain atrophy and stroke. The child's head is flattened on one side as a result of the atrophy. Hib was te only vaccine received on 9/23/02.  Nurse follow up on 10/20/04 states: "Case is complete."
Age: 0.38
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cerebrovascular accident, Convulsion, Cyanosis, Electroencephalogram abnormal, Encephalitis
Clinical narrative: Patient with sustained seizure about 72 hours post vaccination. Follow up 01/25/05: Patient on phenobarbital to control seizures. Discharge summary states viral encephalitis. msv Medical records state Fever, cyanosis. msv
Age: 0.38
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Herpes simplex, Laboratory test abnormal, Pyrexia, Viral infection, White blood cell count increased
Clinical narrative: Patient with sustained seizure about 72 hours post vaccination. Follow up 01/25/05: Patient on phenobarbital to control seizures. Discharge summary states viral encephalitis. msv Medical records state Fever, cyanosis. msv
Age: 0.68
Sex: F
Vaccine: DTP
Symptoms: Abasia, Dehydration, Encephalitis, Otitis media, Viral infection
Clinical narrative: She was 9 months old, sitting up, walking around holding onto bed walking. She slowly, not able to sit up, or walk, or pull herself up to hold on. 09/1971 till 01/1972: She would only lay, no rolling. I kept taking her back to MD, he said she had a virus.  I took her to hospital, they said she was dehydrated, ear infection and encephalitis.
Age: 33.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Arthralgia, Injection site mass, Vaccine positive rechallenge
Clinical narrative: Anthrax shot 4 received 26Oct03. Had joint pain in elbow and shoulder for 2 to 3 months. Had knot in left arm for 2 weeks. Anthrax shot 5 received 2May04. Have had joint pain in elbow and shoulder since the shot. Had knot in left arm for 2 months.
Age: 53.0
Sex: F
Vaccine: ANTH, HEPA, TYP
Symptoms: Bacterial infection, Pain, Pharyngolaryngeal pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: 3-4 days after the second and third Anthrax injection. I ended up with strep throat. Each time I was treated with an antibiotic successfully. I ached all over and had a temp of 102-103.6.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Parkinsonism, Tremor
Clinical narrative: Parkinsons Disease diagnosed Jun03. Tremor began Jul99, 4 mo after AVA #3.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abdominal pain, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Redness, swelling, pain from elbow to shoulder after pneumonia shot. Also fever, aching and inability to hold food in stomach.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Redness, swelling, pain from elbow to shoulder after pneumonia shot. Also fever, aching and inability to hold food in stomach.
Age: 14.0
Sex: M
Vaccine: FLU3, HEP, HEPA, VARCEL
Symptoms: Pyrexia, Viral infection
Clinical narrative: Modified pox preceded by mild temp elevation at onset.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Convulsion
Clinical narrative: Pt received Fluzone .5ml 10/29/2003 and had a 1st time afebrile seizure 11/8/03. Developed fever 11/9/03. CT neg, EEG neg. Received DTaP/ MMR 5/27/04 and had 2nd afebrile seizure 6/10/04. MRI neg. Started on Depallete. No further seizures. Follow Up: Seizure, No fever at time of event. Now on Depakote.
Age: 1.36
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Blister, Rash maculo-papular
Clinical narrative: Macular papular rash-generalized x2 days. Today x4 vesicles (x2back; x1 chest; x1 right neck, Left elbow/lower forearm)
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Shot given left deltoid on 9/1/04. Pt came on 9/1/04 with left deltoid showing redness and swelling 32cm. No systemic firm only localized reaction noted. Reported on start, swelling and was sore since 9/2/04.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Anaemia, Oedema
Clinical narrative: Swelling left upper arm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Started with some itching, nickel size area of redness eve of 9/29/04. This AM 50 cent size redness, very itchy, no fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Vaccine positive rechallenge
Clinical narrative: 8cm red area surrounding DTaP site, swollen, warm. (Pt had 6cm red after last Dtap 12/21/00).
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Myalgia, Pain
Clinical narrative: 2 hrs after injection pt called with chills, body aches, and feeling bad. Pt went to hospital ER. Treated 9/27/04 with Darvocet and Motrin. Pt went back to ER 9/28/04 cause feeling bad and was treated with 2 pack Rocephin. Pt called 9/29/04. She feels much better and went to work.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Pallor, Paraesthesia
Clinical narrative: Tingling in arms and hands of right arm, dizziness, pale, feeling faint, symptoms began approx 10 minutes after being vaccinated. Symptoms got progressively worse until she took Benadryl about 1 hour later. She began to feel better after the Benadryl.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Eye swelling, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Employee received MMR 8/19/04 around 15:45 . She started to feel like her mouth and throat were swelling; her eyes were very puffy and watery. She had some dyspnea and a pruritic papular rash on her face. She went to the urgent care clinic and received Benadryl injeciton. Also complained of pain, swelling and redness around injection site and weak, heavy feeeling in that arm.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Muscular weakness, Rash papular, Rash pruritic, Sensation of heaviness, Swelling
Clinical narrative: Employee received MMR 8/19/04 around 15:45 . She started to feel like her mouth and throat were swelling; her eyes were very puffy and watery. She had some dyspnea and a pruritic papular rash on her face. She went to the urgent care clinic and received Benadryl injeciton. Also complained of pain, swelling and redness around injection site and weak, heavy feeeling in that arm.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Swelling face, Throat tightness
Clinical narrative: Employee received MMR 8/19/04 around 15:45 . She started to feel like her mouth and throat were swelling; her eyes were very puffy and watery. She had some dyspnea and a pruritic papular rash on her face. She went to the urgent care clinic and received Benadryl injeciton. Also complained of pain, swelling and redness around injection site and weak, heavy feeeling in that arm.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema
Clinical narrative: Pt complained of redness and swelling began few hours after Pneumovax given. The area of redness and swelling is at injection site and with inferiority on right upper arm. Area of erythema/ edema/ center approximately 11cm length by 17 cm width.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Pt began crying unconsolably about 2 hours after vaccines given. Cried almost nonstop for 12-14 hours.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Tenderness
Clinical narrative: Pt had DTaP given on 9/27/04. This was her 5th DTaP on 9/30. She presented with erythema,  tenderness at shot site. Almost the entire circumference of the arm. Treated for cellulitis.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Lymphoedema, Pyrexia, Tenderness
Clinical narrative: 3 red streaks: 2 anterior and 1 posterior running from administration site around arm. Lymph node in axilla swollen and tender. Low fever.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain upper, Anxiety, Drooling, Dysphagia, Flushing
Clinical narrative: 9/16/04: child complained of pain in throat, difficulty swallowing. "Belly ache" while at receptionist desk. Very anxious appearance. Drooling: holding throat. Vomited lunch particles after approximately 10 min. BP 80/42 HR 120 Given 2 mg Duodrin, 1.5 tbs Benadryl. Child flushed in face. BP 76/40 HR 116. Child feels better. Flushed face/ extremities. No cough complaint of pain in throat or belly ache. Sent home with instruction/ epi pen JR script/ Benadryl . Orapred. Gave Benadryl 4 hours later. Orapred x 2 days
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain, Vomiting
Clinical narrative: 9/16/04: child complained of pain in throat, difficulty swallowing. "Belly ache" while at receptionist desk. Very anxious appearance. Drooling: holding throat. Vomited lunch particles after approximately 10 min. BP 80/42 HR 120 Given 2 mg Duodrin, 1.5 tbs Benadryl. Child flushed in face. BP 76/40 HR 116. Child feels better. Flushed face/ extremities. No cough complaint of pain in throat or belly ache. Sent home with instruction/ epi pen JR script/ Benadryl . Orapred. Gave Benadryl 4 hours later. Orapred x 2 days
Age: 1.26
Sex: F
Vaccine: DTAP, PNC
Symptoms: Pyrexia
Clinical narrative: Patient experienced 103 fever, no other signs or symptoms
Age: 0.22
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Decreased appetite, Eye movement disorder, Irritability, Musculoskeletal stiffness
Clinical narrative: On day of vaccinations, pt had slightly increased temperature. Two days after vaccine, pt became fussy and exhibited screaming/ crying/ decreased appetite/ stiffening / eye rolling.
Age: 0.22
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: On day of vaccinations, pt had slightly increased temperature. Two days after vaccine, pt became fussy and exhibited screaming/ crying/ decreased appetite/ stiffening / eye rolling.
Age: 0.22
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Insomnia, Screaming
Clinical narrative: Began with inconsolable crying on 9/14/04 and continued for 48 hours. Had trouble sleeping. Was treated with Tylenol.
Age: 1.26
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Feeling hot, Swelling
Clinical narrative: Left thigh localized swelling, warm to touch, No fever.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash appeared Sunday: Monday AM , Mom took child to ER to have confirmed. Doctor not in. Benadryl given with instructions on skin care. Appontment MD 9/24, 9/27, 9/28
Age: 22.0
Sex: M
Vaccine: RAB
Symptoms: Dysgeusia
Clinical narrative: 8/21/04: pt bit by bat on tip of left index finger. Started rabies vaccine 8/25/04 as well as givenn rabies Immunoglobulin. Given subsequent rabies vaccines on 8/27, 9/1, 9/14, 9/24. On 9/24/04, pt reports bad taste in mouth since starting vaccines.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Mother reported "hives"on buttocks and back of thighs. Telephoned primary care provider. Advised to give Children's Benadryl and OTC Hydrocortisone cream.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: 8  x 7 cm area of redness. Slight warmth to touch.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chickenpox 9/23/04
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: fever 104, ill appearing,
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Influenza like illness, Pneumonia, Upper respiratory tract infection, Vaccine positive rechallenge
Clinical narrative: 1-2 weeks after HBV injection began experienceing "flu-like sxs" including total body aching especially neck and shoulders. Has URI sxs. States developed pneumonia 2-3 weeks after second HBV in 8/03.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Ear pain, Infection, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: With all three doses of HBV , child complained of sore throat, sinus infection and drainage, soreness to ear right, SOB about 1-2 weeks after injection. With 8/03 injection , child was given 2-3 different courses of abx therapy.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Sinusitis, Vaccine positive rechallenge
Clinical narrative: With all three doses of HBV , child complained of sore throat, sinus infection and drainage, soreness to ear right, SOB about 1-2 weeks after injection. With 8/03 injection , child was given 2-3 different courses of abx therapy.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Myalgia, Pain, Skin burning sensation
Clinical narrative: 7/14-7/17: Had dull ache in muscle, which went away. Approximately 1 week later, the entire upper arm had a burning pain that got worse when the muscle was used. Took Alee and used both cold/warm compresses to decrease pain. Early sym until now: can still pinpoint exact area where vaccine was given: which was about 6" below the shoulder, below the of the deltoid muscle, burning pain continues and radiates out from the center. Raising arm above shoulder to left makes pain worse. Has called MD but has not see a doctor yet. Was advised to see a doctor for further assessment and treatmetn.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: hives, itching and fever. Parent treated fever at home on 8/25/04. Parent brought child to ER on 8/26/04. Physician prescribed Prednisone (1 tsp every day for 5 days).
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Left deltoid red/ swollen (DTaP) use wax in compress and take Motrin.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Rash on 9/23/04 generalized. Pt was seen 9/25/04. Diagnosed with Varicella.
Age: 9.0
Sex: M
Vaccine: DTAPH, VARCEL
Symptoms: Blister, Pruritus, Rash
Clinical narrative: Rash on stomach, arm , hairline since 9/26 fluid filled, itchy
Age: 0.61
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Local reaction at injection site: induration, redness and swelling at injection site. 3.5x3 cm induration on left thigh anteriorly blanches with prounce
Age: 1.46
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site swelling
Clinical narrative: Swelling at injection stie, warmth and redness. Noticed induration on left thigh 5.5cm x 5.5 cm, redness 5.5x7.5cm : anterior aspect of left thigh.
Age: 58.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: Pt took pill no. 1 one hour before dinner on empty stomach. Complained of abdominal cramping two hours after dinner. Took pill #2 on 9/5 with no sxs. Tool pill no. 3 on 9/7 one hour before dinner on empty stomach. Developed abdominal cramping two hours after dinner with nausea and vomiting throughout the night. Pt did not take pill no. 4.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Cerebral infarction, Cerebral ischaemia, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Soon after vaccine, my arm that injection given became uncomfortable, like there was a tournaquet around my arm, then my arm became heavy and sore, I had tingling in my right arm and my right leg, I went to the emergency room that night, I had a CVA.  I reported this to the nurses at Occupational medicine, but I'm not sure that an adverse event form was filed. Follow UP: Pt states left arm and leg affected.  Nurse follow up on 10/30/04 states: "cerebellar infarct; Subcortical ischemic change." Follow up 01/26/05: I continue to have numbness and tlingling along with imtermittent "heavey feeling" in left arm and leg. My balance is also affected, I loose my balance very easily.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paraesthesia, Sensation of heaviness
Clinical narrative: Soon after vaccine, my arm that injection given became uncomfortable, like there was a tournaquet around my arm, then my arm became heavy and sore, I had tingling in my right arm and my right leg, I went to the emergency room that night, I had a CVA.  I reported this to the nurses at Occupational medicine, but I'm not sure that an adverse event form was filed. Follow UP: Pt states left arm and leg affected.  Nurse follow up on 10/30/04 states: "cerebellar infarct; Subcortical ischemic change." Follow up 01/26/05: I continue to have numbness and tlingling along with imtermittent "heavey feeling" in left arm and leg. My balance is also affected, I loose my balance very easily.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: About 32 hours after receiving the vaccine, I started to itch severely all over my body.
Age: 20.0
Sex: F
Vaccine: MEN
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Received Meningitis shot on 09/29/04 and came to Health Services on 10/01/04 with complaint of tender, reddened arm at site of injection. No fever. NP saw student and recorded 6 cm diameter inflamed site, Right upper arm. No induration. Recommended cool compresses, Ibuprofen q 6 hours prn. To return to center if fever, pain, increase firmness to site.
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Cardiac arrest, Coma, Convulsion, Encephalopathy, Pneumonia
Clinical narrative: Vaccine administered on 09/27/2004.  Pt. experienced seizures on morning of 09/29/2004.  Ambulance was called and pt. was shocked by paramedics and taken to hospital. Nurse follow up on 10/05/04 states: "cardiac arrest; encephalopathy; unresponsive; renal failure; fever." Discharge Summary received on 12/15/2004 states pt experienced coma and pnuemonia.
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Pyrexia, Renal failure, Stupor
Clinical narrative: Vaccine administered on 09/27/2004.  Pt. experienced seizures on morning of 09/29/2004.  Ambulance was called and pt. was shocked by paramedics and taken to hospital. Nurse follow up on 10/05/04 states: "cardiac arrest; encephalopathy; unresponsive; renal failure; fever." Discharge Summary received on 12/15/2004 states pt experienced coma and pnuemonia.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiac failure, Cardiomyopathy, Fatigue, Upper respiratory tract infection
Clinical narrative: On 10Feb2004 pt report 1 month h/o chest congestion/discomfort diagnosed with upper resp infection- treated with Tequin-recovered. On 27Feb04-received 4th dose Anthrax vaccine. Pt reports feeling tired 1Mar04 progressive. On 02Mar04 admit to hosp. Dx'd CHF/ Dilated Cardiomyopathy. Transferred-further w/u- need heart transplant.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP
Symptoms: Oedema
Clinical narrative: After 24 hours developed sever swelling of right arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP
Symptoms: Swelling
Clinical narrative: After 24 hours developed sever swelling of right arm.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Presented to office with left thigh red, swollen and firm at injection site.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Presented to office with left thigh red, swollen and firm at injection site.
Age: 31.0
Sex: F
Vaccine: HEPA, TD, TYP
Symptoms: Fatigue, Jaundice, Myalgia, Pyrexia
Clinical narrative: There was no seriousness criteria reported. In accordance with the manufacturer, jaundice was assessed as medically serious (OMIC). From initial information received on 9/27/04 from another manufacturer, initially reported by a health care professional, regarding an adverse event occurring in the USA, it was reported that a 31 year old female patient received her first dose of Hepatitis A vaccine - Havrix, on 9/1/04. The patient also received a dose of Typhim Vi and TD Adult vaccines. Information regarding lot number, route and sites of administration were not reported. Approximately six days post immunization, the patient experienced jaundice, fever, myalgia and fatigue. The outcome of these events were unresolved. The physician considered the events to possibly be related to the Havrix vaccination.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Hepatitis
Clinical narrative: This case was reported by a newspaper reporter to a manufacturer employee and described the occurrence of hepatitis in a 2 year old female patient who received hepatitis A vaccine inactivated. This report has not been confirmed by a health care professional. On an unspecified date, the patient received the first dose of Havrix (lot VHA745C9). At an unspecified time following the administration of Havrix, on an unspecified date, the patient reportedly developed general hepatitis. The reporter stated that the hepatitis was some form of hepatitis other than hepatitis A. The child was said not to be enrolled in daycare and no other family members had contracted hepatitis. The patient was hospitalized and a liver transplantation was required. No further information was provided. Comment: Due to the severity of this event, the manufacturer has elected to submit this report as an expedited report. On 22Sep04 a manufacturer employee was contacted by a reporter. I asked the employee that if she had any further contact with the reporter, the reporter should be encouraged to ask the pt's mother or pt's physician to contact the company. On 03Oct04, Manufacturer sent a letter to the reporter via email (the only address we could obtain) asking that the reporter either give us her own mailing address or the pt's mailing address. The email explained that we would like to obtain written authorization from the mother to contact the child's physician and listed our Customer Response Center phone number for the mother or physician to call directly. If ther is no response to this email, a second email will be sent on 03Nov04. Any additional details we received will, of course, be forwarded to the agency as soon as possible. Follow up states no response to requests for additional information. Missing data from GlaxoSmithKline (October 1, 2004 to October 21, 2004). Reporter was newspaper journalist no follow-up available.
Age: 81.0
Sex: M
Vaccine: FLUX
Symptoms: Apnoea, Asthenia, Constipation, Coordination abnormal, Dyspnoea
Clinical narrative: I got GBS on 8/29/02. Diagnosed as GBS in hospital. Now in a rental assisted living home. Hope to be walking soon. Follow up 01/20/05: Still under on going medical care, has not recovered. I' good as I can be. I fell good, no aches or pains. The only thing to complain about I gues is that I can't make the right knee do what its supposed to do. I can't get either leg to pull up like their supposed to do. Neith leg hurts, I just can't lift both of them as far or as high as I should. The left one is nealy normal but not so for the right. I can't get either leg to lift up as far as it should in a single step. On I can get the left on up pretty good but the right one is hard. Also, I can't get them up on the second step very easily. I guess I could get it up a second step but boy what a task. My back is ok, arms ok, breathing ok and talking seems to be ok. I am having soem trouble with my eyes. My right eye might as well be blind as I can only see everything as a blear. Stuff just wont focus in the right eye. The left eye is pretty much ok. I need my old glasses to make out stuff, but I can read the newspaper with my glasses in the left eye if I'm careful and try hard. In the right eye I'm having troube, it just doesn't focus good. Rougly speaking however it's functioning pretty well. I have to have drops in bother eyes to see fairly well. When I look at airplanes in the sky, there are two airplaines separated by a bit of space. I guess that's double vision. I can make a airplane disappear however by blocking the vision to the right eye!!! Lets see you do that!! I am walking down and back 150 foot corridor with my walker all by myself. I can get in and out of the car without any help, but I'm not sure how much more I can do. Information from Discharge summary states respiratory failure, ataxia, infection, dyspnea, weak, eye disorder and venous thrombophlebitis. Medical records state sepsis, constipation, bells palsy, abnormal thinking, pneumonia.  msv
Age: 81.0
Sex: M
Vaccine: FLUX
Symptoms: Electrocardiogram abnormal, Eye disorder, Facial palsy, Guillain-Barre syndrome, Infection
Clinical narrative: I got GBS on 8/29/02. Diagnosed as GBS in hospital. Now in a rental assisted living home. Hope to be walking soon. Follow up 01/20/05: Still under on going medical care, has not recovered. I' good as I can be. I fell good, no aches or pains. The only thing to complain about I gues is that I can't make the right knee do what its supposed to do. I can't get either leg to pull up like their supposed to do. Neith leg hurts, I just can't lift both of them as far or as high as I should. The left one is nealy normal but not so for the right. I can't get either leg to lift up as far as it should in a single step. On I can get the left on up pretty good but the right one is hard. Also, I can't get them up on the second step very easily. I guess I could get it up a second step but boy what a task. My back is ok, arms ok, breathing ok and talking seems to be ok. I am having soem trouble with my eyes. My right eye might as well be blind as I can only see everything as a blear. Stuff just wont focus in the right eye. The left eye is pretty much ok. I need my old glasses to make out stuff, but I can read the newspaper with my glasses in the left eye if I'm careful and try hard. In the right eye I'm having troube, it just doesn't focus good. Rougly speaking however it's functioning pretty well. I have to have drops in bother eyes to see fairly well. When I look at airplanes in the sky, there are two airplaines separated by a bit of space. I guess that's double vision. I can make a airplane disappear however by blocking the vision to the right eye!!! Lets see you do that!! I am walking down and back 150 foot corridor with my walker all by myself. I can get in and out of the car without any help, but I'm not sure how much more I can do. Information from Discharge summary states respiratory failure, ataxia, infection, dyspnea, weak, eye disorder and venous thrombophlebitis. Medical records state sepsis, constipation, bells palsy, abnormal thinking, pneumonia.  msv
Age: 81.0
Sex: M
Vaccine: FLUX
Symptoms: Laboratory test abnormal, Pneumonia, Sepsis, Thinking abnormal, Venous thrombosis
Clinical narrative: I got GBS on 8/29/02. Diagnosed as GBS in hospital. Now in a rental assisted living home. Hope to be walking soon. Follow up 01/20/05: Still under on going medical care, has not recovered. I' good as I can be. I fell good, no aches or pains. The only thing to complain about I gues is that I can't make the right knee do what its supposed to do. I can't get either leg to pull up like their supposed to do. Neith leg hurts, I just can't lift both of them as far or as high as I should. The left one is nealy normal but not so for the right. I can't get either leg to lift up as far as it should in a single step. On I can get the left on up pretty good but the right one is hard. Also, I can't get them up on the second step very easily. I guess I could get it up a second step but boy what a task. My back is ok, arms ok, breathing ok and talking seems to be ok. I am having soem trouble with my eyes. My right eye might as well be blind as I can only see everything as a blear. Stuff just wont focus in the right eye. The left eye is pretty much ok. I need my old glasses to make out stuff, but I can read the newspaper with my glasses in the left eye if I'm careful and try hard. In the right eye I'm having troube, it just doesn't focus good. Rougly speaking however it's functioning pretty well. I have to have drops in bother eyes to see fairly well. When I look at airplanes in the sky, there are two airplaines separated by a bit of space. I guess that's double vision. I can make a airplane disappear however by blocking the vision to the right eye!!! Lets see you do that!! I am walking down and back 150 foot corridor with my walker all by myself. I can get in and out of the car without any help, but I'm not sure how much more I can do. Information from Discharge summary states respiratory failure, ataxia, infection, dyspnea, weak, eye disorder and venous thrombophlebitis. Medical records state sepsis, constipation, bells palsy, abnormal thinking, pneumonia.  msv
Age: 49.0
Sex: F
Vaccine: PPV, TD
Symptoms: Blood pressure increased, Cardiac failure congestive, Chest pain, Pain
Clinical narrative: Chest pains, pain down arm on left side. Blood pressure increased. Patient states was given 3 NTG and monitored.
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Screaming, Vaccine positive rechallenge
Clinical narrative: Screaming with back pain x 5-10 minutes. Same reaction following last years flu shot. Child recovered without any additional s/s.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Influenza injection administered at 09:20 on 10/01/2004 immediate reaction arm devloped redness at site and bump or knot developed measuring about 2.5cm.
Age: 35.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Erythema 3.5 in right deltoid. Erythema 3.5 x 2 in , induration 2.25x2.25 cm above the area of erythema . Warm to touch.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Systemic cutaneous reaction with erythema and urticaria. No wheezing. No upper respiratory distress.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness/ swelling/ pain surrounding vaccine site. Developed overnight. 10x12cm.
Age: 1.62
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site reaction, Pruritus, Rash vesicular
Clinical narrative: Rash (vesicular) at the site of Varicella vaccine with itching x 4 days.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Redness and swelling six inches from injection site on right arm toward elbow. Very warm to touch. Complained of pain, although able to move.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Mom took infant to local ER due to excessive crying : given Tylenol in ER. Calmed down and discharged.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Pt with redness, swelling and mild induration extending from upper shoulder to elbow region. Onset of swelling 9/16 in the evening. injection occurred 9/15. Left arm.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Inconsolable crying for more than three hours.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: redness, warmth and induration right lateral thigh; mild swelling of thigh.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Blister, Erythema, Swelling
Clinical narrative: Left arm red and swollen and blistered the day after immunization. Seen in ER.
Age: 5.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Pruritus, Urticaria, Vomiting
Clinical narrative: Pt developed urticaria and pruritus after vaccine of IPV and MMR. No Resp Distress. Did vomit multiple times.
Age: 1.09
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Decreased appetite, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: MMR received 9/17/04. 9/25/04 lethargy, decreased appetite, fussiness. 9/26/04 fever, vomiting. 9/27/04 rash.
Age: 1.09
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Vomiting
Clinical narrative: MMR received 9/17/04. 9/25/04 lethargy, decreased appetite, fussiness. 9/26/04 fever, vomiting. 9/27/04 rash.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Feeling hot, Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Fri: Arm swelled and red and hot, where shot given (left arm). Sat Morn: moved down arm. I am hot then cold and sick and we have a hurricane. I put ice and took 2 Tylenol. I seep 2 hrs and none better. Sun: I go to ER and they give me a shot and Benadryl. Mon evening: start to feel better.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Fri: Arm swelled and red and hot, where shot given (left arm). Sat Morn: moved down arm. I am hot then cold and sick and we have a hurricane. I put ice and took 2 Tylenol. I seep 2 hrs and none better. Sun: I go to ER and they give me a shot and Benadryl. Mon evening: start to feel better.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Skin ulcer, Tenderness
Clinical narrative: 5.5cm x 7.5cm indurated erythematous warm and tender lesion area right lateral thigh at site of vaccine injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Pt received Dtap, IPV, MMR in office 9/16/04. Pt seen back 9/17/04. Red swollen thigh at injection site. Swelling in ant. thigh down to knee cap. Erythema, warmth to touch. Sl indurated right leg. Started on Keflex 250mg/5ml T tsp PO TID x 10 d. Pt saw in office 9/20/04, no erythema of right leg. Swelling decreased, but still sl. No warmth. Instructed to cont ABX.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Tenderness
Clinical narrative: Woke up 9/23/04 at 4AM complaining of headache and tenderness in occipital region. Tylenol relieved discomfort. Exam at public health office at 10AM 9/23/04 occipital region slightly enlarged. Pt referred to MD. 9/24/04 MD did not feel symptoms were related to vaccines.
Age: 3.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Pyrexia
Clinical narrative: Induration 5" in diameter with 5" of erythema (left thigh). Will follow. Pt instructed to take children's Tylenol/Motrin for fever and pain. RTC if symptoms worsen
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Muscle spasms, Mydriasis
Clinical narrative: c/o muscle tighting, cramping like spasms that you can see muscles popping out on her arms and shoulders. She also c/o one pupil dilated and dizziness. Took to Dr, had CT scan. 9/17/04: spoke to pt's mother. Pt returned to school today and appears to be recovered. CT scan normal.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Chicken pox watery bumps on stomach and chest
Age: 1.06
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Chicken pop watery bumps all over body.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: 6/2/04 site of Dtap vaccine-left upper thigh became erythematous (4"x4") a few hours after injection medications prescribed: 6/4/04. Cephalexin 250mg/5ml, Diphenhydramine
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Abnormal behaviour, Tremor, Vaccine positive rechallenge
Clinical narrative: 9/22 5AM while nursing noticed body tremors x 45 secs- nursing stopped, mom tried to stop- no impact on movement, then continues nursing, then fell asleep. She was not herself the night of shots (9/21). Husband said same thing happened last time she got Dtap.
Age: 1.34
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Had red, swollen left arm Dtap, IPV given, hot to touch, very tender.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Both arms red, swollen, hot to touch, very tender, Dtap, IPV, PCV given.
Age: 1.0
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Medication error, Sepsis
Clinical narrative: Bacteremia (Strep. Pneumo) Vaccine failure (possibly) Vaccinated w/ PCV-7 (3 doses) onset 6/17/04.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Pt's upper left  arm from shoulder to elbow became red, hot and inflamed/swollen following receipt of immunizations. Parent brought child to ER on 9/8/04 around 6PM. ER Dr. administered Benadryl PO.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema
Clinical narrative: Had Dtap and Hep A on 9/22/04 in right arm, redness on right arm starting 9/23/04- no fever or swelling 8x9cm red area on 9/24/04 nontender.
Age: 1.74
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Pt diagnosed with varicella
Age: 1.22
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, VARCEL
Symptoms: Convulsion, Crying, Irritability, Pyrexia
Clinical narrative: Cried all night after getting shots on 9/28/04: Dtap, IPV, Hep B, Hib Prevnar, Varivax. On 9/29/04 at 8AM had 1 min generalized. TC seizure, prompting ER visit. Exam normal x low grade T 100, fussiness. Neck supple.
Age: 32.0
Sex: M
Vaccine: DT
Symptoms: Abscess, Arthralgia, Chills, Erythema, Injection site erythema
Clinical narrative: Pt received 1ml DT vaccine intradermal to outer right forearm, developed induration, erythema, tenderness at site within 24 hrs, progressed to right wrist and elbow arthralgias, increased swelling, and red, streaking to elbow crease also with chills, body aches, nausea with emesis, malaise within 48 hrs, pt sent to ER where MD changed from Biaxin (Biaxin started 10/1 PM for abscess left arm with fever and systemic sx) Scheduled for re-eval later today.
Age: 32.0
Sex: M
Vaccine: DT
Symptoms: Injection site mass, Malaise, Nausea, Oedema, Pain
Clinical narrative: Pt received 1ml DT vaccine intradermal to outer right forearm, developed induration, erythema, tenderness at site within 24 hrs, progressed to right wrist and elbow arthralgias, increased swelling, and red, streaking to elbow crease also with chills, body aches, nausea with emesis, malaise within 48 hrs, pt sent to ER where MD changed from Biaxin (Biaxin started 10/1 PM for abscess left arm with fever and systemic sx) Scheduled for re-eval later today.
Age: 32.0
Sex: M
Vaccine: DT
Symptoms: Tenderness, Vomiting
Clinical narrative: Pt received 1ml DT vaccine intradermal to outer right forearm, developed induration, erythema, tenderness at site within 24 hrs, progressed to right wrist and elbow arthralgias, increased swelling, and red, streaking to elbow crease also with chills, body aches, nausea with emesis, malaise within 48 hrs, pt sent to ER where MD changed from Biaxin (Biaxin started 10/1 PM for abscess left arm with fever and systemic sx) Scheduled for re-eval later today.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Skin discolouration
Clinical narrative: Redness, swelling, discoloration of skin approximatley the size of a half dollar on right and left leg that mother reported started on 8/26/04. Referred to child's pediatrician for follow up ASAP on 8/26/04.
Age: 22.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Hypertonia, Syncope
Clinical narrative: Syncope with 4-5 seconds of increased tone (no clonic movement) following immunizations with hepatitis A and IM Typhoid. Pulse 40 (BP 90/60). No tongue biting, positive incontinence. After Trendelenberg, O2 2l n.p.; no orthostasis. Feels well. Home with father. No post-ictal state. Neurological exam WNL with focal deficits.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Nausea, Vertigo, Vision blurred, Vomiting
Clinical narrative: Nausea, vertigo, weakness, vomiting, blurred vision. Positive OSVS. Sitting - HR 72, BO 104/74. Standing - HR 72, BP 98/75. Transferred to hospital ER.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Injection site vesicles, Skin ulcer
Clinical narrative: Vesicular lesion 1cm in size of site of injection. Noticed morning of day after injection when band aid removed.
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Arm round. Any shenafocus lesion left upper arm.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Fall, Viral infection
Clinical narrative: Herpes zoster post vaccine. Patient hit head on bath tub per mom and it's the only place the herpes zoster appeared.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Dry skin, Eczema, Fatigue, Lymphoedema, Muscular weakness
Clinical narrative: Contacted patient 10/4/04 after receiving her letter. She stated she developed symptoms that concerned her 2 days following Smallpox vaccination. Patient had fatigue, right side lymphedema, entire right arm hurt. She was seen by the doctor who told her it was all in her head. She has also had several appointments with her regular physician who agrees with patient that this is not in her head and he symptoms are concerning. Off work for 3 days. Patient continue to have decreased strength/grip in right arm, lymphedema right arm, dry skin, eczema, itching upper arms and head, skin tags neck/shoulder area and right arm pain. I informed patient that I would file a report today and that I may need to call her again if further information is requested.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus
Clinical narrative: Contacted patient 10/4/04 after receiving her letter. She stated she developed symptoms that concerned her 2 days following Smallpox vaccination. Patient had fatigue, right side lymphedema, entire right arm hurt. She was seen by the doctor who told her it was all in her head. She has also had several appointments with her regular physician who agrees with patient that this is not in her head and he symptoms are concerning. Off work for 3 days. Patient continue to have decreased strength/grip in right arm, lymphedema right arm, dry skin, eczema, itching upper arms and head, skin tags neck/shoulder area and right arm pain. I informed patient that I would file a report today and that I may need to call her again if further information is requested.
Age: 74.0
Sex: F
Vaccine: YF
Symptoms: Asthenia, Balance disorder, Nausea, Vomiting
Clinical narrative: 9/24/04 Loss of equilibrium, nausea and vomiting, weakness. 9/25/04 Went to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Sneezing, Urticaria, Wheezing
Clinical narrative: Sneezing within 15 minutes of vaccines.  Left health center and patient starting coughing and face, neck & ears broke out in hives, then hives belly & back & started wheezing within 1/2 hour of vaccines Went to PMD.  Pediapred topo, Benadryl prn, Epinephrine 0.15ml IM at MD.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: DTaP GIVEN IM RIGHT DELTOID.  IPV GIVEN SUB Q RIGHT ARM.  DEVELOPED APPROXIMATELY 3" AREA OF REDNESS IN RIGHT DELTOID SEVERAL HOURS LATER.  C/O ITCHING, DENIES PAIN,HIVES,WARMTH AT INJECTION SITE.  AREA BEGAN FADING AND DIMINISING IN SIZE AFTER APPROXIMATELY 72 HOURS.