chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, HEP, HPV4
Symptoms: Tenderness, Vomiting
Clinical narrative: See copies of pt's record 7/31/09. 8/20/09 Spoke by phone to mother of patient says that patient received #1 HPV on 9-19-08. On Oct/2008 patient was hospitalized for 2 mos with S/S like the S/S she had on 7/31/09 but much worse. According to mom, patient was seen at ER on 7/31/09 but not admitted. According to mom, they were told that the episode of what happened to pt. were not for sure if it was related to HPV vaccine. 17 y/o presents with c/o headache which started on Monday and increased in severity to a 7 out of 10 on pain scale. Pt. reports no blurry vision with headache. Pt. reports the headache is on the (L) side of her head and is dull in description. Pt had one episode of N/V yesterday. Pt. reports headache is about 1 out of ten now. Pt. reports neck stiffness since Monday and has increased. Pt. reports tenderness to touch of her upper neck and pain when putting chin to chest. Pt. has had similar episode in Oct. 2008 and was hospitalized for about 1 1/2-2 months with IV antibiotics (ROCEPHIN) & Acyclovir for what appeared to be HSV-1 encephalitis. Pt had CT scans & MRIs which showed some edema & focal enlargement of the right media temporal lobe. Herpes encephalitis was a consideration. Pt. also had started taking ORTHO-TRICYCLEN & GARDASIL 2 wks prior to incident. Pt also reports taking both drugs again for about 2 wks. Pt has recently returned from band camp.
Age: 17.0
Sex: F
Vaccine: HPV4, HEP, HPV4
Symptoms: Computerised tomogram normal, Encephalitis, Headache, Similar reaction on previous exposure to drug
Clinical narrative: See copies of pt's record 7/31/09. 8/20/09 Spoke by phone to mother of patient says that patient received #1 HPV on 9-19-08. On Oct/2008 patient was hospitalized for 2 mos with S/S like the S/S she had on 7/31/09 but much worse. According to mom, patient was seen at ER on 7/31/09 but not admitted. According to mom, they were told that the episode of what happened to pt. were not for sure if it was related to HPV vaccine. 17 y/o presents with c/o headache which started on Monday and increased in severity to a 7 out of 10 on pain scale. Pt. reports no blurry vision with headache. Pt. reports the headache is on the (L) side of her head and is dull in description. Pt had one episode of N/V yesterday. Pt. reports headache is about 1 out of ten now. Pt. reports neck stiffness since Monday and has increased. Pt. reports tenderness to touch of her upper neck and pain when putting chin to chest. Pt. has had similar episode in Oct. 2008 and was hospitalized for about 1 1/2-2 months with IV antibiotics (ROCEPHIN) & Acyclovir for what appeared to be HSV-1 encephalitis. Pt had CT scans & MRIs which showed some edema & focal enlargement of the right media temporal lobe. Herpes encephalitis was a consideration. Pt. also had started taking ORTHO-TRICYCLEN & GARDASIL 2 wks prior to incident. Pt also reports taking both drugs again for about 2 wks. Pt has recently returned from band camp.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Headache, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: Local redness & swelling at injection site day after injection, aches.  Day #2 - Dramatic redness & swelling (11 X 12 cm) headache, nausea.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site rash
Clinical narrative: Rash 5 days after shot around site received PO Benadryl then rash to L thigh site injection of VARIVAX went down.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Hyperhidrosis, Night sweats
Clinical narrative: Headache started shortly after injection given - Medium headache persists yet today 8/27/09.  During 1st night after injection, woke up during night perspiring very heavily - some during day also - None since early evening of 8/26/09.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Pt began to swell on (LF) leg.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Musculoskeletal stiffness, Pallor, Syncope
Clinical narrative: Client received MCV4 and TDAP.  Approx. 1-2 minutes after became pale - had client sit down - had syncopal episode that lasted < 1 min.  Client did stiffen up and attempted to stand.  Had to be caught by nurse.  Denies injury.  Observed 20 min. until symptoms resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema multiforme, Injection site rash, Skin lesion
Clinical narrative: TM 101 at 50 + hrs after injection with Erythema multiform (minor) rash primarily within 6 inches from injection sites - anterior thighs & few lesions left abd.
Age: 3.0
Sex: M
Vaccine: MMR, TD
Symptoms: Wrong drug administered
Clinical narrative: Gave client TD by mistake.  Should have given client DTAP.  Client called on 8/28/09 and message left.  Have not heard from client since the family left clinic on 8-18-09.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Nausea, Oropharyngeal pain, Pyrexia, Rash pruritic
Clinical narrative: Developed fever of 100 last night and had left sided abd pain on Wednesday.  8/26/09.  Woke up this AM 8/27/09 with rash on back of legs and waist that itch.  Today has sore throat and some sinus congestion, some nausea.  Strept screen negative.  Given topical cream and XYZAL for itching.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Sinus congestion, Streptococcal identification test negative
Clinical narrative: Developed fever of 100 last night and had left sided abd pain on Wednesday.  8/26/09.  Woke up this AM 8/27/09 with rash on back of legs and waist that itch.  Today has sore throat and some sinus congestion, some nausea.  Strept screen negative.  Given topical cream and XYZAL for itching.
Age: 53.0
Sex: M
Vaccine: JEV1, RAB, TYP
Symptoms: Pruritus, Rash
Clinical narrative: Pt reported "rash on abd and groin area that is itchy".
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Urticaria
Clinical narrative: Urticaria.  Rx BENADRYL 25 mg P.O.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling in R thigh, redness - tenderness. Involves entire thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthenia, Fatigue, Guillain-Barre syndrome, Respiratory disorder
Clinical narrative: Guillan - Barre syndrome.  Respiratory problems.  Weakness and fatigue.  Therapy. 12/7/2009 DC summary and MR for 1/12-1/18/2009, patient with c/o's ataxia, weakness and fever, cardio consult for tachycardia, neuro consult, Tx: IVIG   12/7/09 ER records received for date 9/7/09 to 11/11/09. Multiple ER visits for dental trauma due to accidental hit in the mouth, tooth extraction. ER visit 4/12/09 for fever. DX: viral syndrome. PMH: GBS dx 1/09. 12/7/09 ER records received for date 1/3/09 to 1/5/09. DX: ataxia, muscle weakness. ER visit on 1/3/09 for c/o not walking x2days, back pain. Assessment: mild gait disturbance. DX: muscular weakness. Admitted. ER visit 1/5/09 ER visit for decreased appetite x2wks, unsteady gait, "looks different", incontinent. Parent stated after several diagnostics did not want further testing, did not want pt to stay. DX: ataxia, muscle weakness. Parent signed pt out AMA. Assessment note for 1/5/09. parents state received vax 12/3/08 and for next 3 days pt. had fever which resolved, then pt began c/o weakness and leg pain while walking 12/31/08. parent states decrease appetite, not acting like self, refuses now to walk. Parent signed pt out AMA.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Biopsy skin abnormal, Polymerase chain reaction, Rash papular, Rash pruritic, Tenderness
Clinical narrative: Onset of pruritic and painful papular lesions on hands and fingers 12 days post vaccination followed 2 days later by the appearance of lesions on rt elbow. Felt well at time of immunization. No other symptoms. Symptoms: Lesions, papule, Pruritus, Tenderness.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Virus culture negative
Clinical narrative: Onset of pruritic and painful papular lesions on hands and fingers 12 days post vaccination followed 2 days later by the appearance of lesions on rt elbow. Felt well at time of immunization. No other symptoms. Symptoms: Lesions, papule, Pruritus, Tenderness.
Age: 3.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Large area of erythema and blisters covering thigh Hep A vaccine given.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin normal, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased
Clinical narrative: Patient presented in the office on 8/27/09 three days post-administration of Menactra and her first Gardasil with myalgia. She was brought in after extremities experienced a color change while the patient was swimming on 8/27/09. Patient was sent for lab work on 8/27/09. Based on critically elevated CPK, total and CKMB along with symptoms the provider felt this could be a case of Guillain Barre Syndrome.  9/8/09  PCP records received. In for WCC on 8/24/09. Vax given. Pt returned to office 8/27/09 with R arm pain and swelling of the whole arm, muscle soreness and injection site tenderness as well.  While swimming, pt's arms and toes  turned purple.  PE (+) for edema, muscle fasiculations and weakness (Rarm > Left) of the arms, fingers and toes.  CPK/CKMB indicative of skeletal muscle damage. Dx: Myalgia.  Adverse Reaction. Guillain Barre.  Increased CPK. Tx with steroids.  Pt has not sought any other treatment at this time.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Globulins increased, Guillain-Barre syndrome, Myalgia, Protein total increased, Skin discolouration
Clinical narrative: Patient presented in the office on 8/27/09 three days post-administration of Menactra and her first Gardasil with myalgia. She was brought in after extremities experienced a color change while the patient was swimming on 8/27/09. Patient was sent for lab work on 8/27/09. Based on critically elevated CPK, total and CKMB along with symptoms the provider felt this could be a case of Guillain Barre Syndrome.  9/8/09  PCP records received. In for WCC on 8/24/09. Vax given. Pt returned to office 8/27/09 with R arm pain and swelling of the whole arm, muscle soreness and injection site tenderness as well.  While swimming, pt's arms and toes  turned purple.  PE (+) for edema, muscle fasiculations and weakness (Rarm > Left) of the arms, fingers and toes.  CPK/CKMB indicative of skeletal muscle damage. Dx: Myalgia.  Adverse Reaction. Guillain Barre.  Increased CPK. Tx with steroids.  Pt has not sought any other treatment at this time.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pustule, Rash erythematous, Rash papular
Clinical narrative: Large erythematous edematous patch surrounding the smallpox vaccine site, with slightly pustular plaque representing the vaccine site itself. Multiple other erythematous plaques and papules noted on the Upper extremities and lower extremities, and the trunk. On the hands, multiple erythematous targetoid plaques and papules noted on the dorsal and volar aspect of the hands and wrists.  TX- Tylenol for pain; Benadryl for pruritis.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Syphilis test negative, White blood cell count normal
Clinical narrative: Large erythematous edematous patch surrounding the smallpox vaccine site, with slightly pustular plaque representing the vaccine site itself. Multiple other erythematous plaques and papules noted on the Upper extremities and lower extremities, and the trunk. On the hands, multiple erythematous targetoid plaques and papules noted on the dorsal and volar aspect of the hands and wrists.  TX- Tylenol for pain; Benadryl for pruritis.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Antinuclear antibody, Erythema multiforme, Full blood count, Injection site erythema, Injection site pain
Clinical narrative: Large erythematous edematous patch surrounding the smallpox vaccine site, with slightly pustular plaque representing the vaccine site itself. Multiple other erythematous plaques and papules noted on the Upper extremities and lower extremities, and the trunk. On the hands, multiple erythematous targetoid plaques and papules noted on the dorsal and volar aspect of the hands and wrists.  TX- Tylenol for pain; Benadryl for pruritis.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site warmth, Lymphadenopathy, Musculoskeletal chest pain, Rash macular, Rash pruritic
Clinical narrative: Large erythematous edematous patch surrounding the smallpox vaccine site, with slightly pustular plaque representing the vaccine site itself. Multiple other erythematous plaques and papules noted on the Upper extremities and lower extremities, and the trunk. On the hands, multiple erythematous targetoid plaques and papules noted on the dorsal and volar aspect of the hands and wrists.  TX- Tylenol for pain; Benadryl for pruritis.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Syphilis test
Clinical narrative: Large erythematous edematous patch surrounding the smallpox vaccine site, with slightly pustular plaque representing the vaccine site itself. Multiple other erythematous plaques and papules noted on the Upper extremities and lower extremities, and the trunk. On the hands, multiple erythematous targetoid plaques and papules noted on the dorsal and volar aspect of the hands and wrists.  TX- Tylenol for pain; Benadryl for pruritis.
Age: 74.0
Sex: F
Vaccine: TYP
Symptoms: Complement factor, Full blood count, Haematuria, Headache, Metabolic function test
Clinical narrative: Headache, Fever, Facial Swelling, Hematuria
Age: 74.0
Sex: F
Vaccine: TYP
Symptoms: Pyrexia, Red blood cell sedimentation rate, Swelling face
Clinical narrative: Headache, Fever, Facial Swelling, Hematuria
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Blister, Inflammation, Mass, Pelvic pain
Clinical narrative: Inflammation a few days after vaccination. Diagnosed with vasculitis. Hospitalized for two days with pelvic and joint pain. Blister on abdomen. Bilat. swollen lumps above patellas.  9/3/09 Hospital records received DOS 8/24/09 to 8/26/09 and 9/2/09 to 9/3/09. Assessment: Intractable myalgias and arthralgias. Acute leg nodules. Anthrax (vaccine) reaction. Patient presents with diffuse body aches. Right calf and leg pain. Nodularity to legs. Moderate discomfort. Upper extremity pain. Abdominal pain.  9/30/09 ED records received DOS 8/24/09. Assessment: Intractable myalgias and arthralgias. Patient sent to ED by PCP. Patient presents with diffuse body aches. Right calf and leg pain. Right calf fullness. Admitted for 23 hour observation.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling, Vasculitis
Clinical narrative: Inflammation a few days after vaccination. Diagnosed with vasculitis. Hospitalized for two days with pelvic and joint pain. Blister on abdomen. Bilat. swollen lumps above patellas.  9/3/09 Hospital records received DOS 8/24/09 to 8/26/09 and 9/2/09 to 9/3/09. Assessment: Intractable myalgias and arthralgias. Acute leg nodules. Anthrax (vaccine) reaction. Patient presents with diffuse body aches. Right calf and leg pain. Nodularity to legs. Moderate discomfort. Upper extremity pain. Abdominal pain.  9/30/09 ED records received DOS 8/24/09. Assessment: Intractable myalgias and arthralgias. Patient sent to ED by PCP. Patient presents with diffuse body aches. Right calf and leg pain. Right calf fullness. Admitted for 23 hour observation.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Induration, Injection site erythema, Injection site induration
Clinical narrative: Redness with orange peel texture, swelling, induration >6 inches, itching, pain at site and left extremity. Headache, extreme tiredness, and fever of 102.3F.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Redness with orange peel texture, swelling, induration >6 inches, itching, pain at site and left extremity. Headache, extreme tiredness, and fever of 102.3F.
Age: 4.0
Sex: M
Vaccine: DTPIPV, FLUX, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen red left arm. hot sensation with pain
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Pallor
Clinical narrative: Approx. 10 minutes after receiving Tdap injection, client became pale, and felt like he was going to "pass out" . Client lied down with feet elevated. B/p 110/64 AP 80 Resp. 20. Fan turned on in exam room. Client's father present. Clients father reports that client has a hx of migraines and today was the first day he started his new migraine medication and he had his first dose today this am. Client reports that he did eat earlier today. Father is unsure of name of new medication. Client saw his PCP , Dr. yesterday. Father also reports that client has ADHD and that he stopped his son's ADHD medication earlier this summer and both he and clients PCP agreed yesterday to not restart it. Client's father also report that client has had 3 seperate accidents with concussions and that is why his PCP believes he is having migraines. Offered to call Dr. or to be seen by PMAH and father declined. At 3:10 client reports he is feeling fine with no complications. Instructed client and clients father if client starts to feel worse to contact PCP or take to PMAH.Client allowed to leave with father at 3:10 pm.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Dehydration, Diarrhoea, Drug toxicity, Dyspnoea
Clinical narrative: Toxic Drug reaction; Severe dehydration, vommitting, diarhea, stomach cramps, muscle cramps, difficulty breathing. Symptoms lasted for 4 days.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Muscle spasms, Vomiting
Clinical narrative: Toxic Drug reaction; Severe dehydration, vommitting, diarhea, stomach cramps, muscle cramps, difficulty breathing. Symptoms lasted for 4 days.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Headache, Hypoaesthesia, Oropharyngeal pain, Pain
Clinical narrative: Sore and numbness in arm 8 hours after vaccination, lasting 3 days. Sore throat, body aches, headache and mild fever 24 hours after vaccination lasting 4 days. Strep test performed with negative results. Patient was given Motrin to relieve mild fever, body aches and headache.  Extreme fatigue set in 8 hours after the vaccination and lasted 4 days.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Pyrexia, Streptococcal identification test negative
Clinical narrative: Sore and numbness in arm 8 hours after vaccination, lasting 3 days. Sore throat, body aches, headache and mild fever 24 hours after vaccination lasting 4 days. Strep test performed with negative results. Patient was given Motrin to relieve mild fever, body aches and headache.  Extreme fatigue set in 8 hours after the vaccination and lasted 4 days.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness, Pallor
Clinical narrative: Client became lightheaded, pale and lost consciousness for 30-60 seconds while sitting on the examination table. Client was layed flat for approx 5 minutes, juice was then given and client was told to wait an additional 10 minutes in the waiting room.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature, Burning sensation, Erythema, Heart rate, Induration
Clinical narrative: Patient received vaccination at primary care appt. 7/14/09, was called with lab f/u on 7/15/09 when the patient reported her arm was swollen from about the shoulder to an inch above the elbow and hard and red.  AT ER visit 7/16/09 reported  experienced warm, red, and raised area on L shoulder, L upper arm, and L side of neck; pt. c/o burining pain in all of these areas. No c/o itching.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Oxygen saturation, Skin warm
Clinical narrative: Patient received vaccination at primary care appt. 7/14/09, was called with lab f/u on 7/15/09 when the patient reported her arm was swollen from about the shoulder to an inch above the elbow and hard and red.  AT ER visit 7/16/09 reported  experienced warm, red, and raised area on L shoulder, L upper arm, and L side of neck; pt. c/o burining pain in all of these areas. No c/o itching.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chapped lips, Fatigue, Headache, Hot flush, Hyperhidrosis
Clinical narrative: Adverse reaction to Shingles vaccine-(Zostavax) -10 pk. As soon as injection, started gradually and intensified to feel tingling, burning, itching in right arm, felt fever, and tired. Arm started to swell, got worse on Friday. The swelling, approx the size of a baseball-5 inches in diameter and redness, started getting hot flushes and sweating, and headache, also lips started to get chapped, palpitations that continued off and on-the 2nd and 3rd day. Applied ice packs, tylenol. Still redness, but not swollen in the area, now approx. dime size. We also notified the pharmacy.  The doctors office was closed on the weekend.           Please call me if you have further questions. Thank you (He has also had bad reaction to allergy shots at age 57.-swelling and pain.)
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site irritation, Injection site pruritus, Injection site swelling
Clinical narrative: Adverse reaction to Shingles vaccine-(Zostavax) -10 pk. As soon as injection, started gradually and intensified to feel tingling, burning, itching in right arm, felt fever, and tired. Arm started to swell, got worse on Friday. The swelling, approx the size of a baseball-5 inches in diameter and redness, started getting hot flushes and sweating, and headache, also lips started to get chapped, palpitations that continued off and on-the 2nd and 3rd day. Applied ice packs, tylenol. Still redness, but not swollen in the area, now approx. dime size. We also notified the pharmacy.  The doctors office was closed on the weekend.           Please call me if you have further questions. Thank you (He has also had bad reaction to allergy shots at age 57.-swelling and pain.)
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Palpitations, Paraesthesia, Pyrexia
Clinical narrative: Adverse reaction to Shingles vaccine-(Zostavax) -10 pk. As soon as injection, started gradually and intensified to feel tingling, burning, itching in right arm, felt fever, and tired. Arm started to swell, got worse on Friday. The swelling, approx the size of a baseball-5 inches in diameter and redness, started getting hot flushes and sweating, and headache, also lips started to get chapped, palpitations that continued off and on-the 2nd and 3rd day. Applied ice packs, tylenol. Still redness, but not swollen in the area, now approx. dime size. We also notified the pharmacy.  The doctors office was closed on the weekend.           Please call me if you have further questions. Thank you (He has also had bad reaction to allergy shots at age 57.-swelling and pain.)
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Oropharyngeal pain, Pruritus, Urticaria
Clinical narrative: Reaction started 45 minutes after Tdap given.  Started itching and scratching, broke out in hives, worse on legs and buttocks.  Took Benadryl and cool shower.  Had sore throat but went away stayed home from school 8-25-09.  Returned to school 8-26-09.  Better but still itching some.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Urticaria
Clinical narrative: 24 HOURS AFTER SHOTS SHE BROKE OUT IN HIVES. GAVE BENADRYL EVERY 4 HOURS WITHOUT IMPROVEMENT SO WENT TO ER ON 8-28 AND WAS GIVEN PREDNASONE FOR 3 DAYS AND PEPSID FOR 5 DAYS. ARE STILL DOING BENADRYL EVERY 4 HOURS BECAUSE SHE BREAKS OUT IN HIVES AGAIN WITH OUT IT. EVEN ON BENADRYL HIVES RETURN WHEN SHE GETS COLD OR THE WIND HITS HER SKIN.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 24 hours after vaccination patient developed HA, weakness, body aches which lasted 1-2 days.  Developed redness, swelling, warmth and pain at injection site which is still present on 08/31/2009.  Antibiotic therapy started today.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pain
Clinical narrative: 24 hours after vaccination patient developed HA, weakness, body aches which lasted 1-2 days.  Developed redness, swelling, warmth and pain at injection site which is still present on 08/31/2009.  Antibiotic therapy started today.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Rash
Clinical narrative: Within an hour after receiving immunization child broke out in rash that covered his trunk and extremeties.  Was given benadryl and rash began to clear.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood culture, Body temperature increased, Chest X-ray, Culture urine, Febrile convulsion
Clinical narrative: 6 days after vaccines were given patient had a feverile seizure.  Lasted nearly 5 minutes....temp went extremely high.  Was take by Ambulance to Medical Center to the ER.  ER Dr. came to conclusion after MANY test that this was a reaction more than likely due to patients MMR shot.  DR also called the pediatrician on call who agreed.  Patient was released several hours later.  Was taken for a follow up with the pediatricans the following day where she was cleared - Dr agreed with diagnosis (result of MMR). - ----Patient had several shots at the same time...need to contact Dr. to see what they all were.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Streptococcal identification test
Clinical narrative: 6 days after vaccines were given patient had a feverile seizure.  Lasted nearly 5 minutes....temp went extremely high.  Was take by Ambulance to Medical Center to the ER.  ER Dr. came to conclusion after MANY test that this was a reaction more than likely due to patients MMR shot.  DR also called the pediatrician on call who agreed.  Patient was released several hours later.  Was taken for a follow up with the pediatricans the following day where she was cleared - Dr agreed with diagnosis (result of MMR). - ----Patient had several shots at the same time...need to contact Dr. to see what they all were.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Flu shot received 08/24/09 @ 10:30 a.m. Sore throat developed that evening @ approx. 8:30 p.m. Developed headache, body aches, and low-grade fever (99.4F)on 08/25/09. All symptoms resolved after 3 days.
Age: 32.0
Sex: M
Vaccine: HEPAB, IPV, MMR, TDAP, TYP
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Shortly after receivcing vaccinations, patient went to stand up and states that he felt a "little woozy" and sat back down. Patient then started complaining that his right arm was a little numb. Patient sat with nurse in the room and then states that he was getting a little short of breath. Nurse had the patient lie down and had me come into the room to evaluate the patient. Patient was perspiring significantly and was breathing rapidly, but deeply and had a normal pulse rate. Lungs CTA bilaterally and heart sounds normal. Patient stated that breathing was getting easier, but that both of his arms were going numb. EMS was called. Patient reported no feeling on pinch testing of bilateral upper extremities and arms were flaccid while both hands were in tetany. Patient was unable to grip or extend fingers. Patient had feeling in legs, but began losing motor use. Patient reported having a loose BM as well. Patient was fully responsive through out, able to recall children's names and ages, asked for his wife to be called and he was able to provide her phone numbers . EMS arrived and found patient with a BP of 120/85 and pulse of 91. Patient was moved to stretcher and taken to Emergency Room for further evaluation. I spoke with ED physician 3 hours later and he stated that the patient was feeling better and was being discharged. Patient had been given solumedrol and benadryl, but cause to reaction  was unknown.
Age: 32.0
Sex: M
Vaccine: HEPAB, IPV, MMR, TDAP, TYP
Symptoms: Hypokinesia, Hypotonia, Respiratory rate increased, Tetany
Clinical narrative: Shortly after receivcing vaccinations, patient went to stand up and states that he felt a "little woozy" and sat back down. Patient then started complaining that his right arm was a little numb. Patient sat with nurse in the room and then states that he was getting a little short of breath. Nurse had the patient lie down and had me come into the room to evaluate the patient. Patient was perspiring significantly and was breathing rapidly, but deeply and had a normal pulse rate. Lungs CTA bilaterally and heart sounds normal. Patient stated that breathing was getting easier, but that both of his arms were going numb. EMS was called. Patient reported no feeling on pinch testing of bilateral upper extremities and arms were flaccid while both hands were in tetany. Patient was unable to grip or extend fingers. Patient had feeling in legs, but began losing motor use. Patient reported having a loose BM as well. Patient was fully responsive through out, able to recall children's names and ages, asked for his wife to be called and he was able to provide her phone numbers . EMS arrived and found patient with a BP of 120/85 and pulse of 91. Patient was moved to stretcher and taken to Emergency Room for further evaluation. I spoke with ED physician 3 hours later and he stated that the patient was feeling better and was being discharged. Patient had been given solumedrol and benadryl, but cause to reaction  was unknown.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Lip swelling, Oropharyngeal pain, Pruritus
Clinical narrative: swelling of lower lip, soreness of throat, and itching on Left forearm and left bicep
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Discomfort, Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Redness, heat, swelling and discomfort within 24 hrs.  Severe local reaction.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Rash, Vomiting
Clinical narrative: Patient received vaccine on 8/17/09. According to parent: pt started vomiting on 8/25/09 at school and sent home; developed rash on right side of body.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site cellulitis, Ultrasound scan
Clinical narrative: CELLULITIS RIGHT THIGH. KEFLEX 250 MG
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness at the site of injection. the redness area is 2" X 1". It is also a pink area srounding that which is 4" X 2.5". the area is warm. But no fever at this point.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Pain, Rash maculo-papular
Clinical narrative: Maculopapular rash of trunk and extremities with some vessicles.  Vessicles painful if broken.  Noticed about two weeks after vaccine - clearing by four weeks after vaccine.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: urticarial rash 5 minutes following Prevnar, Rotavirus, Pentacel
Age: 1.01
Sex: M
Vaccine: MMR, PNC
Symptoms: Rash erythematous, Rash papular
Clinical narrative: <20 red papules on trunk, not itchy, otherwise normal exam.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: none
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hypoaesthesia, Migraine, Vision blurred
Clinical narrative: MOTHER REPORTED CHILD HAD ONSET OF MIGRANE HEADACHES, LEFT ARM NUMBNESS AND SOME BLURRED VISION.  ONSET OCCURRED 1-2 DAYS FOLLOWING THE MENACTRA AND GARDASIL VACCINES.  MOTHER STATES THE HEADACHES HAVE CONTINUED.  PLANS TO CONTACT PEDIATRICIAN FOR EVALUATION.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient complains of severe pain in arm the injection was given.  Shootin pain all the way down her arm to fingertips.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Hyperhidrosis, Insomnia, Pain
Clinical narrative: chills, sweats, body ache, difficulty sleeping
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Abdominal pain upper, Amnesia, Arthralgia, Bone pain, Chest X-ray
Clinical narrative: After receiving vaccine daughter c/o pain to injection site for days.  c/o headache, dizziness, "stomache ache", fatigue and general malaise.  Intermittent numbness to hand/ wrist, joint and bone pain.  On August 18, patient woke with swelling to finger, collapsed 15 minutes later with syncopal episode and vomiting with "seizure like activity".  Pt transported to ER. Patient developed swelling to hands and feet with scattered rash.  Discharged with prednisone and Benadryl.  Continued to c/o joint pain and fatigue with dizziness.  August 24, while in school, severe dizziness, tremors with "seizure like activity", memory loss.  Transient numbness to extremities.  Transported to another ER and currently awaiting EEG and neurology appointment.  9/9/09 PCP medical records received DOS 8/25/08 to 8/31/09. Assessment: Medication Rxn to vaccine.  Syncope. Presented at ER with edema, SOB, syncope, slow speech, confused. Ref to neurologist. 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old. 10/26/09 Medical records received for date 9/21/09 Neurology consultation. Presented with c/o acute encephalopathic episodes x2 one month ago and episodes of hand, foot swelling with shoot neuropathic pains in her legs and arms. Confusion, lightheadedness, syncope, joint pains, back pain, numbness in toes/hands. Pt had gardasil one month prior to episodes. Assessment: WNL except bilateral atrophy of intrinsic hand muscles.DX: no evidence of seizure will order labs.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Convulsion, Dizziness, Drug screen, Electrocardiogram, Fatigue
Clinical narrative: After receiving vaccine daughter c/o pain to injection site for days.  c/o headache, dizziness, "stomache ache", fatigue and general malaise.  Intermittent numbness to hand/ wrist, joint and bone pain.  On August 18, patient woke with swelling to finger, collapsed 15 minutes later with syncopal episode and vomiting with "seizure like activity".  Pt transported to ER. Patient developed swelling to hands and feet with scattered rash.  Discharged with prednisone and Benadryl.  Continued to c/o joint pain and fatigue with dizziness.  August 24, while in school, severe dizziness, tremors with "seizure like activity", memory loss.  Transient numbness to extremities.  Transported to another ER and currently awaiting EEG and neurology appointment.  9/9/09 PCP medical records received DOS 8/25/08 to 8/31/09. Assessment: Medication Rxn to vaccine.  Syncope. Presented at ER with edema, SOB, syncope, slow speech, confused. Ref to neurologist. 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old. 10/26/09 Medical records received for date 9/21/09 Neurology consultation. Presented with c/o acute encephalopathic episodes x2 one month ago and episodes of hand, foot swelling with shoot neuropathic pains in her legs and arms. Confusion, lightheadedness, syncope, joint pains, back pain, numbness in toes/hands. Pt had gardasil one month prior to episodes. Assessment: WNL except bilateral atrophy of intrinsic hand muscles.DX: no evidence of seizure will order labs.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Full blood count, Headache, Hypoaesthesia, Injection site pain, Malaise
Clinical narrative: After receiving vaccine daughter c/o pain to injection site for days.  c/o headache, dizziness, "stomache ache", fatigue and general malaise.  Intermittent numbness to hand/ wrist, joint and bone pain.  On August 18, patient woke with swelling to finger, collapsed 15 minutes later with syncopal episode and vomiting with "seizure like activity".  Pt transported to ER. Patient developed swelling to hands and feet with scattered rash.  Discharged with prednisone and Benadryl.  Continued to c/o joint pain and fatigue with dizziness.  August 24, while in school, severe dizziness, tremors with "seizure like activity", memory loss.  Transient numbness to extremities.  Transported to another ER and currently awaiting EEG and neurology appointment.  9/9/09 PCP medical records received DOS 8/25/08 to 8/31/09. Assessment: Medication Rxn to vaccine.  Syncope. Presented at ER with edema, SOB, syncope, slow speech, confused. Ref to neurologist. 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old. 10/26/09 Medical records received for date 9/21/09 Neurology consultation. Presented with c/o acute encephalopathic episodes x2 one month ago and episodes of hand, foot swelling with shoot neuropathic pains in her legs and arms. Confusion, lightheadedness, syncope, joint pains, back pain, numbness in toes/hands. Pt had gardasil one month prior to episodes. Assessment: WNL except bilateral atrophy of intrinsic hand muscles.DX: no evidence of seizure will order labs.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Metabolic function test, Oedema peripheral, Rash, Red blood cell sedimentation rate, Syncope
Clinical narrative: After receiving vaccine daughter c/o pain to injection site for days.  c/o headache, dizziness, "stomache ache", fatigue and general malaise.  Intermittent numbness to hand/ wrist, joint and bone pain.  On August 18, patient woke with swelling to finger, collapsed 15 minutes later with syncopal episode and vomiting with "seizure like activity".  Pt transported to ER. Patient developed swelling to hands and feet with scattered rash.  Discharged with prednisone and Benadryl.  Continued to c/o joint pain and fatigue with dizziness.  August 24, while in school, severe dizziness, tremors with "seizure like activity", memory loss.  Transient numbness to extremities.  Transported to another ER and currently awaiting EEG and neurology appointment.  9/9/09 PCP medical records received DOS 8/25/08 to 8/31/09. Assessment: Medication Rxn to vaccine.  Syncope. Presented at ER with edema, SOB, syncope, slow speech, confused. Ref to neurologist. 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old. 10/26/09 Medical records received for date 9/21/09 Neurology consultation. Presented with c/o acute encephalopathic episodes x2 one month ago and episodes of hand, foot swelling with shoot neuropathic pains in her legs and arms. Confusion, lightheadedness, syncope, joint pains, back pain, numbness in toes/hands. Pt had gardasil one month prior to episodes. Assessment: WNL except bilateral atrophy of intrinsic hand muscles.DX: no evidence of seizure will order labs.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Tremor, Urine analysis, Vomiting
Clinical narrative: After receiving vaccine daughter c/o pain to injection site for days.  c/o headache, dizziness, "stomache ache", fatigue and general malaise.  Intermittent numbness to hand/ wrist, joint and bone pain.  On August 18, patient woke with swelling to finger, collapsed 15 minutes later with syncopal episode and vomiting with "seizure like activity".  Pt transported to ER. Patient developed swelling to hands and feet with scattered rash.  Discharged with prednisone and Benadryl.  Continued to c/o joint pain and fatigue with dizziness.  August 24, while in school, severe dizziness, tremors with "seizure like activity", memory loss.  Transient numbness to extremities.  Transported to another ER and currently awaiting EEG and neurology appointment.  9/9/09 PCP medical records received DOS 8/25/08 to 8/31/09. Assessment: Medication Rxn to vaccine.  Syncope. Presented at ER with edema, SOB, syncope, slow speech, confused. Ref to neurologist. 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old 10/23/09:  EEG Report received for date of service 9/15/09.  Assessment:  Normal awake and asleep EEG for a 15 year-old. 10/26/09 Medical records received for date 9/21/09 Neurology consultation. Presented with c/o acute encephalopathic episodes x2 one month ago and episodes of hand, foot swelling with shoot neuropathic pains in her legs and arms. Confusion, lightheadedness, syncope, joint pains, back pain, numbness in toes/hands. Pt had gardasil one month prior to episodes. Assessment: WNL except bilateral atrophy of intrinsic hand muscles.DX: no evidence of seizure will order labs.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Back pain, Chills, Dizziness, Headache, Nausea
Clinical narrative: N, stomach, dizzy, HA, backache, chills fever 102 degrees, Pt. just started monthly menstruation.  Water, ice one head, ibuprofen.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Pyrexia
Clinical narrative: N, stomach, dizzy, HA, backache, chills fever 102 degrees, Pt. just started monthly menstruation.  Water, ice one head, ibuprofen.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Headache, tiredness, nausea, diarrhea, body aches, joints aching.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Headache, tiredness, nausea, diarrhea, body aches, joints aching.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Area around injection site red & bumpy on R/th where varicella given. BENADRYL prn.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Feeling abnormal, Injection site erythema, Malaise, Pyrexia
Clinical narrative: 8-31-09 mother phoned, client ok evening of 8/27, woke up 8/28 feeling "poorly", high fever. Friday evening with quarter size round  reddened areas location of VZV @ L. LTR (left tricep) -"very ill" until 8-30-09 AM. No thermometer available, MOTRIN given, client's pediatrician referred back to us.
Age: 31.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Chest X-ray normal, Fatigue, Full blood count normal, Myalgia
Clinical narrative: Severe myalgia - fatigue - started 8/22/09.
Age: 31.0
Sex: F
Vaccine: MNQ
Symptoms: Red blood cell sedimentation rate decreased, Urine analysis, White blood cell count normal
Clinical narrative: Severe myalgia - fatigue - started 8/22/09.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt received vaccine on 8-26-09 on 8-27-09 onset redness, edema L upper arm, site of vaccine.
Age: 63.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Erythema, Pyrexia, Skin warm, Tremor
Clinical narrative: Fever to 103 F with shaking chills day after vaccination. Also warmed patch (10cm) anterolateral arm that has not resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 0.45
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Crying, Erythema, Injection site discolouration, Injection site erythema, Injection site oedema
Clinical narrative: Infant developed edema, redness/purple discoloration to lower exts.  As well as a few red patches to back.  No resp. distress.  Clear lung sounds.  Crying lustily.  Benadryl 125 mg IM given X 1 dose only - Edema & erythema area resolved.  Drowsy, no resp. distress.  Color - pink at time pt discharge.
Age: 0.45
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Somnolence
Clinical narrative: Infant developed edema, redness/purple discoloration to lower exts.  As well as a few red patches to back.  No resp. distress.  Clear lung sounds.  Crying lustily.  Benadryl 125 mg IM given X 1 dose only - Edema & erythema area resolved.  Drowsy, no resp. distress.  Color - pink at time pt discharge.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: VARIVAX administered 8/28/09 to Rt arm. Saturday, Pt woke with baseball size redness to vaccine site. C/o small amount of itching and mild redness. Denies pain or fever. Pt has full ROM of arm. Pt was not seen by physician, no lab work. Ice applied.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, swelling & induration at injection site, 14cm long x 9.5cm wide. Questionable secondary cellulitis. No fever or other systemic s/s. Injection site central to lesion. Right arm.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Injection site reaction (redness; about size of a quarter) developed about 48 hours after injection. Patient states it isn't as red or as large as it was.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approximately 36 hours after vax admin, parent noted child to have large, reddened, swollen area at DTaP injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC, VARCEL
Symptoms: Injection site rash
Clinical narrative: Pt began having rash on leg administered. Rash spreading. Pt mom told to give BENADRYL & TYLENOL.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Headache, fatigue. Local swelling, redness, & pain to site of injection.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Abdominal pain, Discomfort, Urticaria, Vomiting
Clinical narrative: Pt. returned to clinic 20 minutes after vaccine with vomiting, abdominal pain, and urticaria. Lung sounds clear. Continuing discomfort & worsening. Advised to go to Emergency Room. Tx and released same day. 8/25/09 TC with mother. Patient fully recovered after tx with "steroids" & "saline" & BENADRYL.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site haematoma, Injection site rash, Injection site swelling
Clinical narrative: See attached
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site warmth, Local reaction, Pyrexia, Viral infection
Clinical narrative: See attached
Age: 20.0
Sex: F
Vaccine: DTP, FLU3
Symptoms: Chills, Headache, Influenza serology negative, Lip swelling, Pain in extremity
Clinical narrative: Fever 100.4, chills, H/A, swollen lips, pains & tingling in arms/legs.  Treated with BENADRYL 25 mg PO and TYLENOL 1000 mg PO.
Age: 20.0
Sex: F
Vaccine: DTP, FLU3
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Fever 100.4, chills, H/A, swollen lips, pains & tingling in arms/legs.  Treated with BENADRYL 25 mg PO and TYLENOL 1000 mg PO.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Post vaccine fever. Temperature elevation began 4-5 h after vaccine administration. Duration approx. 30 h. Tmax 104 F (rectal). Appetite decreased, increased fussiness, but no change in mental status, no lethargy, no N/V/D, no cardiac sxs. TYLENOL was only treatment.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Chills, Fatigue, Haemoglobin normal, Headache
Clinical narrative: Per pts. mother, pt. started experiencing extreme fatigue/weakness and some nausea in morning on 08/21/2009. Pt. was taken to PCP and Hgb check was done as pt. also started menses on 08/21/2009. Pt. felt fine all weekend and then on 8/25/09 started with headache, chills, nausea, and weakness, and was again taken to PCP and was at this time tested for influenza. Per mom, PCP is unsure of course of symptoms.