chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV
Symptoms: Blood electrolytes normal, Full blood count normal, Gaze palsy, Hypotonia, Lethargy
Clinical narrative: 4 mo male with no sig PMH brought into ER for episode of eyes rolling back, limpness and lethargy after receiving vaccines today. Episode lasted about 5-15 min. VSS, PRF upon arrival.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Abdominal pain, Arthralgia, Asthenia, Blood pressure increased, Fatigue
Clinical narrative: Localized immunization reaction; allergic reaction symptoms: lumps on left & right neck & shoulder, joint pain, right abdominal pain, trembles, weakness, fatigue, and fever. Also, elevated blood pressure. Duration for all symptoms, 3 days.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Hypersensitivity, Local reaction, Mass, Neck mass, Pyrexia
Clinical narrative: Localized immunization reaction; allergic reaction symptoms: lumps on left & right neck & shoulder, joint pain, right abdominal pain, trembles, weakness, fatigue, and fever. Also, elevated blood pressure. Duration for all symptoms, 3 days.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Tremor, Vaccination complication
Clinical narrative: Localized immunization reaction; allergic reaction symptoms: lumps on left & right neck & shoulder, joint pain, right abdominal pain, trembles, weakness, fatigue, and fever. Also, elevated blood pressure. Duration for all symptoms, 3 days.
Age: 37.0
Sex: F
Vaccine: HEP, TDAP, HEP, TDAP
Symptoms: Arthralgia, Injection site swelling, Neck pain
Clinical narrative: Localized immunization reaction; allergic reaction symptoms: lumps on left & right neck & shoulder, joint pain, right abdominal pain, trembles, weakness, fatigue, and fever. Also, elevated blood pressure. Duration for all symptoms, 3 days.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Pain
Clinical narrative: (Pt. called and reports no adverse reaction, only mild soreness appropriately.) Tdap given 6-22-11 and pt. not aware Tdap received in 2009.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood immunoglobulin A decreased, CD4 lymphocytes decreased, Combined immunodeficiency, Diarrhoea, Diarrhoea haemorrhagic
Clinical narrative: Diarrhea, failure to thrive since May 2011. Stool rotavirus antigen (+) on 6/11/11. Hospitalized 5/21-5/24/11 with bloody diarrhea. Diarrhea continued on and off for approximately 3-4 weeks.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Failure to thrive, Rotavirus test positive, T-lymphocyte count decreased
Clinical narrative: Diarrhea, failure to thrive since May 2011. Stool rotavirus antigen (+) on 6/11/11. Hospitalized 5/21-5/24/11 with bloody diarrhea. Diarrhea continued on and off for approximately 3-4 weeks.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Injection site reaction with redness and induration 6cm by 4cm and raised 7mm. No fever or other symptoms. No blisters or itching. No wheezing.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash, Rash vesicular, Varicella virus test, Viral test
Clinical narrative: Shingles vaccine administered 5/19/2011. Onset vesicular rash 5/25/2011. Vesicular lesion cultured positive varicella zoster.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash papular, Skin warm
Clinical narrative: 1.75 inch x 1.25 inch erythematous papular patch warm with slight itch x 6 weeks.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Injection site abscess
Clinical narrative: Abscess (L) thigh started tx 6/20/11. I & D 6/20/11.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Myalgia, Tenderness
Clinical narrative: Muscle pain, tender to touch, Limited range of motion x 4 weeks. Treating with Ibuprofen and gentle stretching.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Nausea - dizzy - pale - lightheaded B/P 82/60 - 10 minutes after receiving vaccine. Patient in supine position for 10 minutes - sitting for 10 minutes.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Attacks of very red rash and welts with severe itching.  Treated with cold compresses and Ibruprofen.
Age: 1.62
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Dime-sized lump on (L) deltoid w/2" redness surrounding. Not painful. Using ice pack.
Age: 8.0
Sex: F
Vaccine: IPV, MMR, TD, VARCEL
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Client fainted.  Client had just recieved immunizations and was watching brother get immunizations when mom noticed her start to sway.  Client lost consciousness briefly.  PHN was lowering client to the floor when she regained consciousness.  Client was not injured during loss of consciousness.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Balance disorder, Dizziness, Injection site movement impairment, Myalgia
Clinical narrative: Significant muscle ache/limited ability to move arm at injection site.  Soreness all night.  Weakness and dizziness (keying off p. 2 of PPSV (10/6/09) CDC handout).  I bumped into wall at home twice walking down hall, almost fell once.  Never had a reaction like this.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Significant muscle ache/limited ability to move arm at injection site.  Soreness all night.  Weakness and dizziness (keying off p. 2 of PPSV (10/6/09) CDC handout).  I bumped into wall at home twice walking down hall, almost fell once.  Never had a reaction like this.
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Baby received hep B vaccine on 6/24/11 in the NICU without realization that she had previously received the vaccine on 6/21/11 in the nursery.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Headache, Injection site pain, Malaise, Pyrexia
Clinical narrative: Headache, chills, and high grade fever lasting 5 hours (relieved with acetaminophen). General malaise lasting 30 hours. Site of administration soreness lasting 50 hours.
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Headache, Nausea
Clinical narrative: Pt complain of Headache, Nausea,and chills.  TX: IV fluids, NS 1L bag#1, LR 1L bag#2.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Pyrexia, Vaccination site erythema, Vaccination site pain, Vaccination site warmth
Clinical narrative: PT had fever which lead to 2 days off of work. Left shoulder area vaccination site with erythema and minmal tenderness and slight increase of warth. LT axilla is slightly tender with not evident lymphadenopathy. PT was given cetirizine.
Age: 23.0
Sex: M
Vaccine: FLU3, HEPAB
Symptoms: Loss of consciousness, Nausea, Spinal X-ray
Clinical narrative: 23yo present passing out after getting two Imminization and lying for 5mins after standing up he felt nausea and passed out. TX: pt put on C spine and 4 men lift unto guerney and transported to Xray for Cleared C spine Based and no evidence of fractures and plain film.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARZOS
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: none
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Crying
Clinical narrative: Patient screeched a high pitched, unnerving, almost inhuman cry for hours and hours in a row (3+ hours).  She was absolutely inconsolable.  These episodes of screeching lasted until approximately 3/17/2011.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large erythematous patch & swelling on leg; patch 24.5 cm x 16.5 cm.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Erythema, Local reaction
Clinical narrative: Large local redness reaction.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Induration, Muscle spasms, Pain in extremity, Skin warm
Clinical narrative: 2 days after immunizations - 7 by 3 cm of erythema, slight induration and warmth to touch. Cramping of ventral surface of forearm for 1 -2 minutes, intervals and slight discomfort of middle finger - no skin changes of forearm/fingers. Afebrile - 37.2. Tx - Ibuprofen, elevation, packs warm.
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Chest tube insertion, Pneumothorax, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician concerning a 16 year old male who on unspecified date was vaccinated with the first dose of GARDASIL (lot# and route not provided), within 48 hours of the vaccination child developed a pneumothorax. On unspecified date, the patient was vaccinated with the second dose of GARDASIL (lot# and route not provided), and within 48 hours of the vaccination child developed a pneumothorax again. Patient sought for medical attention by contacted the physician. Follow-up information was received from the physician who confirmed that the patient was hospitalized in an unspecified hospital for an unspecified duration. The patient had a chest tube placed in him while in the hospital. At the reporting time, the outcome of pneumothorax was unknown. The doctor seemed to think the patient would be ok. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Dysarthria, Hypoaesthesia, Mobility decreased, VIIth nerve paralysis
Clinical narrative: Pt left to car after being in office 10 min, returned w/complaints of slurred speech, dizziness, (R) side of body numb. Hard to move (R) side of body, (R) side mouth droopy. Traveling from head to toe not all at same time.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Aphasia, Apraxia, Dizziness, Dysarthria, Hemiparesis
Clinical narrative: Pt left to car after being in office 10 min, returned w/complaints of slurred speech, dizziness, (R) side of body numb. Hard to move (R) side of body, (R) side mouth droopy. Traveling from head to toe not all at same time.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Unresponsive to stimuli, VIIth nerve paralysis
Clinical narrative: Pt left to car after being in office 10 min, returned w/complaints of slurred speech, dizziness, (R) side of body numb. Hard to move (R) side of body, (R) side mouth droopy. Traveling from head to toe not all at same time.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HIBV, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 13.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Dizziness, Dysstasia, Pallor
Clinical narrative: Lightheadedness after administration of the HPV vaccine. Patient was pale, dizzy, nauseated. BP, HR stable lying, sitting. Unable to stand due to dizziness. After lying down x 10 minutes, patient able to get up and leave office unassisted. No loss of consciousness.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pain, Rash
Clinical narrative: Swelling and erythema noted around injection site, approximately 4 cm x 2 cm. No vesicle formation, or discharge noted from site. Pt denied pruritis. Pt denied fevers, chills, n/v/d, lethargy, or rash any where else on body. Pt was started on Clindamycin 300 mg PO 1 tab TID x 7 days. Pt was given Motrin 800 mg PO 1 tab TID PRN for pain. Rash decreased in size over the next few days, and was completely resolved at the end of course of antibiotics.
Age: 1.37
Sex: M
Vaccine: DTAP
Symptoms: Emotional distress, Poor quality sleep, Rash generalised, Urticaria
Clinical narrative: After receiving the vaccine two days ago, my son has been inconsolable off and on and not sleeping well along with a hives like rash that has appeared more and more over his body over the last two days since receiving the vaccine.  The rash is worse on his bottom and back.  He has isolated, small patches of this rash on his legs, feet, stomach, etc.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Crying, Discomfort, Gait disturbance, Mobility decreased, Pyrexia
Clinical narrative: Fever of 103 for 72 hours. Rash (all over body) began 6/24/11 for 48 hours. He was crying inconsolably for much of the time he had the fever. Obviously very uncomfortable. He did not want to walk or crawl during this time.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash generalised
Clinical narrative: Fever of 103 for 72 hours. Rash (all over body) began 6/24/11 for 48 hours. He was crying inconsolably for much of the time he had the fever. Obviously very uncomfortable. He did not want to walk or crawl during this time.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient complains of area of itching and redness with mild swelling (baseball-sized) with smaller interior area that is tender, more red, and firm (quarter-sized) at site where Zostavax was injected 6/21/2011.
Age: 11.0
Sex: F
Vaccine: HPV4, PPV, TDAP, VARCEL
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia, Skin warm, Vomiting
Clinical narrative: Arm hurt. Next day a fever set in. It is now 3 days later, and her arm is still red and swollen. Fever up to 102.4.  Threw up 1 time. Redness area is the size of a softball. The area is hot.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthritis, Herpes zoster, Injection site erythema, Malaise, Pruritus
Clinical narrative: Received vaccine on 6/10/11. Got site injection redness, experienced fever, malaise & arthritic condition in hands prior to outbreak of shingles, & mild itching; eruption started on 6/18 on left  shoulder & scalp. Patient sought diagnosis/treatment at medical clinic & received Acyclovir 200mg 3 p.o 5 x/day for 5 days #105 & ZOVIRAX Ointment. Patient concerned that CDC fact sheet does not give risk of getting shingles as part of vaccine administration. Still has outbreak (6/24/11) saw Dr. for treatment/diagnosis while traveling.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Received vaccine on 6/10/11. Got site injection redness, experienced fever, malaise & arthritic condition in hands prior to outbreak of shingles, & mild itching; eruption started on 6/18 on left  shoulder & scalp. Patient sought diagnosis/treatment at medical clinic & received Acyclovir 200mg 3 p.o 5 x/day for 5 days #105 & ZOVIRAX Ointment. Patient concerned that CDC fact sheet does not give risk of getting shingles as part of vaccine administration. Still has outbreak (6/24/11) saw Dr. for treatment/diagnosis while traveling.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: Received vaccine on 6/10/11. Got site injection redness, experienced fever, malaise & arthritic condition in hands prior to outbreak of shingles, & mild itching; eruption started on 6/18 on left  shoulder & scalp. Patient sought diagnosis/treatment at medical clinic & received Acyclovir 200mg 3 p.o 5 x/day for 5 days #105 & ZOVIRAX Ointment. Patient concerned that CDC fact sheet does not give risk of getting shingles as part of vaccine administration. Still has outbreak (6/24/11) saw Dr. for treatment/diagnosis while traveling.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Abdominal pain upper, Asthenia, Balance disorder, Irritability, Pyrexia
Clinical narrative: high fever for 3 days, rash, stomach pain, weakness, imbalance, unusual fussiness
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: high fever for 3 days, rash, stomach pain, weakness, imbalance, unusual fussiness
Age: 9.0
Sex: M
Vaccine: HEP, IPV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: low fever, rash on face, ears and neck. 2 days later spots on arms and legs - rash still evident  Called doctor several times - who said Chicken Pox vaccine would NOT give this reaction. Prescribed Benadryl and cortisone cream.  (same child got full body measles rash in response to first MMR several years ago)
Age: 3.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Usual large swelling and pain around the injection site and itching.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Local swelling, Pruritus
Clinical narrative: Real red and swelling around area. Then on 6/24/11 called Dr. office. It was itching real bad and real red and swollen around entire area of arm. Was told to put ice packs and take Benadryl.
Age: 1.05
Sex: F
Vaccine: VARCEL
Symptoms: Abnormal behaviour, Dyskinesia, Irritability
Clinical narrative: Involuntary muscle jerking of her neck; happened repeatedly on the right side.  This occurred on the 22 and 23. By March 24, her reaction was more standard (cranky, less like herself).  No treatment given.  Didn't know quite what to do but watch her.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site red 2 x 2 area (dark) arm slightly swollen & red to elbow itching & burning.
Age: 52.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Abasia, Arthralgia, Blood test, Electromyogram normal, Fall
Clinical narrative: 19 days after injection moderate pain in hips & thighs started. 21st day pain become severe and weakness in legs started. On the 23rd post injection was completely unable to walk and fell several times. Admitted to Neurointensive Care unit the next morning and now at present receiving intense physical therapy.
Age: 52.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Intensive care, Lumbar puncture abnormal, Muscular weakness, Pain in extremity, Wheelchair user
Clinical narrative: 19 days after injection moderate pain in hips & thighs started. 21st day pain become severe and weakness in legs started. On the 23rd post injection was completely unable to walk and fell several times. Admitted to Neurointensive Care unit the next morning and now at present receiving intense physical therapy.
Age: 52.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Abasia, Arthralgia, Blood test, Electromyogram, Fall
Clinical narrative: 19 days after injection moderate pain in hips & thighs started. 21st day pain become severe and weakness in legs started. On the 23rd post injection was completely unable to walk and fell several times. Admitted to Neurointensive Care unit the next morning and now at present receiving intense physical therapy.
Age: 52.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Intensive care, Lumbar puncture, Muscular weakness, Pain in extremity
Clinical narrative: 19 days after injection moderate pain in hips & thighs started. 21st day pain become severe and weakness in legs started. On the 23rd post injection was completely unable to walk and fell several times. Admitted to Neurointensive Care unit the next morning and now at present receiving intense physical therapy.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Fatigue, Pain, Pyrexia
Clinical narrative: Pain, mild fever (<101 degrees), Weakness for 24 hours, tiredness for 72 hours.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Red, swollen, around injection site, fever.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Colonoscopy normal, Dehydration, Diarrhoea, Influenza like illness
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning a 24 year old female with no pertinent medical history and no drug reactions or allergies who on 19-APR-2011 was vaccinated with a dose of GARDASIL (lot # 667194/1271Z, exp: 11-DEC-2012). There was no concomitant medication. The reporter stated that on 19-APR-2011 the patient had experienced flu like joint and body aches and/or pain since the injection. No treatment was given for this adverse event. Pap smear was performed with no result provided. At the time of reporting, the patient had not recovered. The patient sought unspecified medical attention. Follow up information has been received from the nurse practitioner (N.P.) concerning a 24 year old female with no pre-existing allergies, birth defects and medical conditions who on 19-APR-2011 at 8:45 AM was vaccinated with the first dose of GARDASIL (lot # 667194/1271Z) into left upper arm. The patient was not sick at the time of injection. On 24-APR-2011 the patient had flu like body aches, diarrhea, vomiting-became dehydrated. The patient was hospitalized for 5 days. The patient needed fluids. The patient had colonoscopy performed which showed nothing found. On around 20-MAY-2011 the patient recovered. Additional information is not expected.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Smear cervix, Vomiting
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning a 24 year old female with no pertinent medical history and no drug reactions or allergies who on 19-APR-2011 was vaccinated with a dose of GARDASIL (lot # 667194/1271Z, exp: 11-DEC-2012). There was no concomitant medication. The reporter stated that on 19-APR-2011 the patient had experienced flu like joint and body aches and/or pain since the injection. No treatment was given for this adverse event. Pap smear was performed with no result provided. At the time of reporting, the patient had not recovered. The patient sought unspecified medical attention. Follow up information has been received from the nurse practitioner (N.P.) concerning a 24 year old female with no pre-existing allergies, birth defects and medical conditions who on 19-APR-2011 at 8:45 AM was vaccinated with the first dose of GARDASIL (lot # 667194/1271Z) into left upper arm. The patient was not sick at the time of injection. On 24-APR-2011 the patient had flu like body aches, diarrhea, vomiting-became dehydrated. The patient was hospitalized for 5 days. The patient needed fluids. The patient had colonoscopy performed which showed nothing found. On around 20-MAY-2011 the patient recovered. Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Anaemia, Arrested labour, Caesarean section, Drug exposure during pregnancy, Ultrasound scan normal
Clinical narrative: Information has been received from a consumer, for GARDASIL, a Pregnancy Registry product, concerning her 15 year old daughter with no medical history and no drug reactions or allergies. On 12-AUG-2010 the patient was vaccinated with the first dose of GARDASIL (lot # not reported). Concomitant therapy included TDAP and meningococcal conj vaccine (MCV4). It was reported that "within the last few weeks" the patient was becoming pregnant after receiving the first dose of GARDASIL (LMP: approximately in May 2010, reported as "was about 5 months ago"). Therapy was reported as discontinued. No lab diagnostics studies were performed. The patient sought unspecified medical attention. Follow up information was received from a registered nurse who reported that the patient's LMP was on 15-MAY-2010 and estimated delivery date is on 10-FEB-2011. The registered nurse noted the LMP did not coincide with the estimated delivery date. There was no infection or illness during pregnancy. The patient had late prenatal care starting at 24 weeks. The patient had anemia and was treated with prenatal vitamins. On 25-OCT-2010 ultrasound was normal. The patient also had arrest of descent and had to have a C-section. On 17-FEB-2011 at 39 weeks from LMP the 15 year old female patient delivered a normal female infant (birth weight 8 pound 13 ounce, live length 21 inch, apgar score 7/9) with no congenital anomalies or other complications or abnormalities. Upon internal review, the patient had arrest of descent and had to have a C-section was considered to be an other important medical event. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphonia, Oropharyngeal pain, Pharyngitis
Clinical narrative: Sore throat and hoarseness (Pharyngitis)
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Blood test normal, Confusional state, Convulsion, Crying, Cyanosis
Clinical narrative: Low-grade fever started in the morning around 11:30. Patient took a 2-hour nap, waking up crying a few times. At approx. 4:30 started convulsing, foaming at mouth, went limp, lips turned blue. We were outside, thankfully right next to an ambulance. They determined it to be a FEBRILE SEIZURE and administered oxygen and applied ice packs to lower temperature. Required ER visit. Patient woke up very confused 2 minutes prior to arriving at hospital. In triage, his temperature was 104.6. Temperature was lowered, blood & urine tests run, all came back negative. He's now fine with no apparent lingering after-effects. ER Dr. determined febrile seizure was a result of the MMR vaccination, whether directly (in 8 out of 10,000 cases) or indirectly (via the escalated fever).
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion, Foaming at mouth, Hypotonia, Immunisation reaction, Pyrexia
Clinical narrative: Low-grade fever started in the morning around 11:30. Patient took a 2-hour nap, waking up crying a few times. At approx. 4:30 started convulsing, foaming at mouth, went limp, lips turned blue. We were outside, thankfully right next to an ambulance. They determined it to be a FEBRILE SEIZURE and administered oxygen and applied ice packs to lower temperature. Required ER visit. Patient woke up very confused 2 minutes prior to arriving at hospital. In triage, his temperature was 104.6. Temperature was lowered, blood & urine tests run, all came back negative. He's now fine with no apparent lingering after-effects. ER Dr. determined febrile seizure was a result of the MMR vaccination, whether directly (in 8 out of 10,000 cases) or indirectly (via the escalated fever).
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Urine analysis normal
Clinical narrative: Low-grade fever started in the morning around 11:30. Patient took a 2-hour nap, waking up crying a few times. At approx. 4:30 started convulsing, foaming at mouth, went limp, lips turned blue. We were outside, thankfully right next to an ambulance. They determined it to be a FEBRILE SEIZURE and administered oxygen and applied ice packs to lower temperature. Required ER visit. Patient woke up very confused 2 minutes prior to arriving at hospital. In triage, his temperature was 104.6. Temperature was lowered, blood & urine tests run, all came back negative. He's now fine with no apparent lingering after-effects. ER Dr. determined febrile seizure was a result of the MMR vaccination, whether directly (in 8 out of 10,000 cases) or indirectly (via the escalated fever).
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain lower, Back pain, C-reactive protein increased, Colitis, Computerised tomogram abdomen abnormal
Clinical narrative: Developed acute onset of back pain which then moved to RLQ, with fever to 103.8, nausea, and inability to tolerate PO intake.  C-reactive protein was 90.7.  CT scan revealed "thickening of the ascending colon, compatibile with inflammation, as in colitis."  Seen by peds GI, felt to be an acute process.  Was NPO for 2 days, CRP normalized by hosp day #4, and was discharged on hosp day #5, still with mild residual RLQ pain but much improved.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Condition aggravated, Hypophagia, Nausea, Pyrexia
Clinical narrative: Developed acute onset of back pain which then moved to RLQ, with fever to 103.8, nausea, and inability to tolerate PO intake.  C-reactive protein was 90.7.  CT scan revealed "thickening of the ascending colon, compatibile with inflammation, as in colitis."  Seen by peds GI, felt to be an acute process.  Was NPO for 2 days, CRP normalized by hosp day #4, and was discharged on hosp day #5, still with mild residual RLQ pain but much improved.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain, Colitis, Computerised tomogram abnormal, Pyrexia
Clinical narrative: Developed acute onset of back pain which then moved to RLQ, with fever to 103.8, nausea, and inability to tolerate PO intake.  C-reactive protein was 90.7.  CT scan revealed "thickening of the ascending colon, compatibile with inflammation, as in colitis."  Seen by peds GI, felt to be an acute process.  Was NPO for 2 days, CRP normalized by hosp day #4, and was discharged on hosp day #5, still with mild residual RLQ pain but much improved.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Aphthous stomatitis, Dental operation, Injection site reaction, Nonspecific reaction, Trismus
Clinical narrative: Dental work. 05/18/2011. Got cankers at inj points, jaw locked up. Still locked. Related to tetanus vac?
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Malaise, Nausea, Pain
Clinical narrative: painful, redness, shaking, chills, nausea, generalized sick feeling
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Tremor
Clinical narrative: painful, redness, shaking, chills, nausea, generalized sick feeling
Age: 1.5
Sex: M
Vaccine: MMR
Symptoms: CSF test normal, Computerised tomogram head, Computerised tomogram normal, Febrile convulsion, Laboratory test normal
Clinical narrative: Complex febrile seizure (2 episodes in less than 24 hours).  Seen in ED, Labs, CSF studies, Head CT all normal.  Admitted and monitored for 3 days?  Discharged home without further incident.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Breath sounds abnormal, Cellulitis, Chills, Cystitis, Dehydration
Clinical narrative: Patient returned to clinic on 6/23/11 and spoke to staff stating that arm hurt after shot and she did not feel well in the afternoon after receiving the shot on 6/21/11.  On 6/22/11 she stayed in bed with chills, arm pain and the arm was warm at the injection site.  Today 6/23/11 arm is swelling, red and hot to touch-used Tylenol and did ice to area.  She also complained of sore throat, funny breathing and not feeling well since receiving the shot.  Patient was seen by NP in our clinic-area of red, swollen in left upper arm is 7cm X14cm and is warm to touch. NP diagnosed cellulitis and gave a RX for Keflex 250mg, one pill 4X/day for 10 days.  Instructions to continue with pain medication and ice for comfort and reviewed s/s to seek emergency care. Patient voiced understanding.  TC on 6/24/11 by NP to patient and patient stated went to ED 6/23/11 after leaving clinic and was diagnosed with bladder infection and dehydration.  Patient stated 6/24/11 doing OK and had multiple infections going on.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Infection, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient returned to clinic on 6/23/11 and spoke to staff stating that arm hurt after shot and she did not feel well in the afternoon after receiving the shot on 6/21/11.  On 6/22/11 she stayed in bed with chills, arm pain and the arm was warm at the injection site.  Today 6/23/11 arm is swelling, red and hot to touch-used Tylenol and did ice to area.  She also complained of sore throat, funny breathing and not feeling well since receiving the shot.  Patient was seen by NP in our clinic-area of red, swollen in left upper arm is 7cm X14cm and is warm to touch. NP diagnosed cellulitis and gave a RX for Keflex 250mg, one pill 4X/day for 10 days.  Instructions to continue with pain medication and ice for comfort and reviewed s/s to seek emergency care. Patient voiced understanding.  TC on 6/24/11 by NP to patient and patient stated went to ED 6/23/11 after leaving clinic and was diagnosed with bladder infection and dehydration.  Patient stated 6/24/11 doing OK and had multiple infections going on.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Oedema peripheral, Oropharyngeal pain, Pain in extremity
Clinical narrative: Patient returned to clinic on 6/23/11 and spoke to staff stating that arm hurt after shot and she did not feel well in the afternoon after receiving the shot on 6/21/11.  On 6/22/11 she stayed in bed with chills, arm pain and the arm was warm at the injection site.  Today 6/23/11 arm is swelling, red and hot to touch-used Tylenol and did ice to area.  She also complained of sore throat, funny breathing and not feeling well since receiving the shot.  Patient was seen by NP in our clinic-area of red, swollen in left upper arm is 7cm X14cm and is warm to touch. NP diagnosed cellulitis and gave a RX for Keflex 250mg, one pill 4X/day for 10 days.  Instructions to continue with pain medication and ice for comfort and reviewed s/s to seek emergency care. Patient voiced understanding.  TC on 6/24/11 by NP to patient and patient stated went to ED 6/23/11 after leaving clinic and was diagnosed with bladder infection and dehydration.  Patient stated 6/24/11 doing OK and had multiple infections going on.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphonia, Pruritus, Rash, Urticaria
Clinical narrative: She had the vaccine on 6/21 & began itching that day. She developed rash & cough & hoarseness & then developed hives. She was taking BENADRYL 75 mg q 5hrs without benefit. She presented to my office on 6/23 & still had hives on her thighs so she was given ARISTOCORT 40mg IM.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Rashes on both arms & legs.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Body temperature increased, Injection site swelling, Nausea, Oedema peripheral, Vomiting
Clinical narrative: Approx. 25 min to 30 min post vaccination. Pt. mom called to report Temp 102.3 F oral, nausea, vomiting, and swelling at pt (L) upper arm. Pt. mom took pt. to PCP/MD office oral BENADRYL, oral ALEVE and ice pack given. RN called to F/U at approx 2hr after pt. no s & s N & V resting and some swelling in (L) arm.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site pain, Injection site swelling
Clinical narrative: He c/o running a temp of 102 - swell & pain at injection site.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Erythema, tenderness, warmth 8cm x 12cm developed 1 inch below Tdap site.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abdominal pain, Abdominal pain lower, Culture stool negative, Guillain-Barre syndrome, Helicobacter test negative
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Muscular weakness
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Abdominal pain lower, Arthralgia, Asthenia, Guillain-Barre syndrome
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Hypoaesthesia, Lumbar puncture, Pain in extremity, Paraesthesia
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Abdominal pain lower, Areflexia, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Lumbar puncture abnormal, White blood cell count increased
Clinical narrative: Severe right lower abdominal pain 2 weeks after vaccination numbness in feet then hands then weakness - diagnosed with Guillain Barre 6/12 treated with immunoglobulin - better not at baseline.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Full blood count normal, Gaze palsy, Laboratory test normal, Movement disorder, Speech disorder
Clinical narrative: Pt received vaccinations and about 15 minutes later fainted and had brief seizure like activity characterized by eye rolling, vocalizations & bladder incontinence. Was observed in clinic for 2-3 hours with complete resolution of symptoms and back to baseline. Bloodwork including CBC & Chem 10 were normal.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Pt received vaccinations and about 15 minutes later fainted and had brief seizure like activity characterized by eye rolling, vocalizations & bladder incontinence. Was observed in clinic for 2-3 hours with complete resolution of symptoms and back to baseline. Bloodwork including CBC & Chem 10 were normal.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Pt. was given GARDASIL vaccine by medical asst. Pt. is 26.5 weeks pregnant. No adverse reaction. Dr aware. Pt. called to return to office.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness
Clinical narrative: Pt. here for 3 shots after I gave Hepatitis A, he said he felt dizzy. His mother and I helped to exam table so he could lay down. No food in last 15 hours. 1 cut H2O this AM. BP 90/60 to 110/70, pulse 45-60. Walked to car.
Age: 1.0
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Rash, Vaccination complication, Viral rash
Clinical narrative: Rash to face and stomach diagnosed with viral exanthema most likely a reaction to the Rubeola vaccine.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Hypersensitivity, Injection site oedema, Oedema, Oedema peripheral, Vaccination complication
Clinical narrative: Allergic reaction to Anthrax vaccination with bilateral elbow edema, ankle & heel edema. Bilateral gluteus maximus edema. No respiratory distress noted.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: Dr called local public health nurse to determine if the pt did have reaction. Pt complained of fever 101.3, body and joint aches all over. No rash, edema, hives or reddened skin was noted by MD. Pt did not have shortness of breath, came to Dr next day after shot to c/o sx.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Malaise
Clinical narrative: Fatigue, malaise, Tx'ed by her PCP.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Pt. states she developed fever approx 10-12 days post MMR vaccination. On Thurs. 6/23/11 - pt developed all over body rash starting at head and spreading down trunk & extremities. Pt. was evaluated & treated at her primary care office for suspected measles.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Injection - site medium size bump. Recommended cold compresses and BENADRYL if necessary.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration, Rash, Skin warm
Clinical narrative: Patient developed large bumps on Right arm (opposite injection site) and on both sides of the neck. She said they were hard and warm to the touch.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Nodule
Clinical narrative: (L) arm persistent nodule.
Age: 33.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site pain, Loss of consciousness, Neck pain, Pain in extremity, Pain in jaw
Clinical narrative: Patient came this morning complaining of pain in left arm, shoulder, neck & jaw. Passed out in exam room 3 times BP 129/80, called EMS to transport patient to ER. Patient currently on pain & nerve pills from Dr's office.
Age: 64.0
Sex: M
Vaccine: YF
Symptoms: Bone pain, Pruritus, Pyrexia, Rash
Clinical narrative: Low grade temp x 2 days. Then rash & itchy x 2 days deep soreness in spine 3 wks to present no treatment need at this time.
Age: 43.0
Sex: F
Vaccine: DTP
Symptoms: Dyspnoea, Injection site pain, Injection site swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: Extreme pain and swelling at injection site as well as lymph nodes in armpit - fever, nausea, shortness of breath
Age: 43.0
Sex: F
Vaccine: DTP
Symptoms: Nausea, Pyrexia
Clinical narrative: Extreme pain and swelling at injection site as well as lymph nodes in armpit - fever, nausea, shortness of breath
Age: 0.41
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Feeling hot, Induration
Clinical narrative: 24 hours after the Dtap/Ipv shot had been give, localized redness, warmth, firmness began to occur after small circle bandaide was removed. Redness began to expand. By 48 hours, redness, warmth, and firmness had progressed to involve most of the child's deltoid region. Today mom reports, subsiding. Is giving Ibuprofen. Area is softer and less red and warm. No generalized fever reported, although mom thought she felt warm the first day.
Age: 45.0
Sex: M
Vaccine: DTAP
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Pressure headache, spiking temperature, followed by warm chills for about an hour then breaking sweat in cycles.  One in the morning and one in the evening for both days 06/26 and 06/27.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Patient complaint of difficulty swallowing and tightness in throat.  Said she had to concentrate to be able to swallow.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Facial paresis, VIIth nerve paralysis
Clinical narrative: Weakness of the left side of the face
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Chills, Dizziness, Heart rate increased, Paraesthesia
Clinical narrative: Dizziness, every few minutes chills and tingling going all the way through my body. My head felt weird like I was going to faint. About half an hour later I got a weird feeling on the left side of my face. It felt a like I had a bruise on my face but it wasn't sore to the touch. My heartbeat was also going very fast. The symptoms were gone by 9 PM that night.
Age: 26.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Asthenia, Blood glucose increased, Chills, Chromaturia, Headache
Clinical narrative: 8hrs after shot myalgias, decreased energy, rigors, dark urine, headache/pressure. Elevated blood sugar to 300 with known Type I DM. Duration of symptoms - waned over 72hrs.
Age: 26.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Myalgia, Urine analysis normal
Clinical narrative: 8hrs after shot myalgias, decreased energy, rigors, dark urine, headache/pressure. Elevated blood sugar to 300 with known Type I DM. Duration of symptoms - waned over 72hrs.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Hot flush, Malaise, Nasal congestion, Oropharyngeal pain
Clinical narrative: Sore throat, runny nose, "stuffy" head, general malaise, cough-productive white/yellow mucus, hot flashes, chills. Noted 1/2 hour after receiving vaccine and ongoing.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Productive cough, Rhinorrhoea
Clinical narrative: Sore throat, runny nose, "stuffy" head, general malaise, cough-productive white/yellow mucus, hot flashes, chills. Noted 1/2 hour after receiving vaccine and ongoing.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: REDNESS TO LEFT ARM, WARM TO TOUCH. PATIENT STATES REDNESS OCCURRED A COUPLE OF MINUTES AFTER RECEIVING VACCINES AND ARES IS HARD AND WARM. PATIENT ADVISED TO PUT COLD COMPRESSES AND COME IN FOR FOLLOW-UP ON 6/25/11. NOTE: ALSO HAD A TUBERSOL-PPD SHOT IN LEFT ARM.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Breath sounds abnormal, Urticaria
Clinical narrative: Hives were noted on neck and trunk along with coarse breath sounds.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Eye pain, Fatigue, Full blood count normal, Headache
Clinical narrative: Chills, then fever, 101 or higher, h/a, nausea, 6/17 eyes aching, tight & sore jaw, h/a worse, fatigue, muscle aches, went to ED 6/16/11= fluids and APAP, off work. 6/18 better, 6/19 normal ADLs
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Laboratory test normal, Muscle tightness, Myalgia, Nausea, Pain in jaw
Clinical narrative: Chills, then fever, 101 or higher, h/a, nausea, 6/17 eyes aching, tight & sore jaw, h/a worse, fatigue, muscle aches, went to ED 6/16/11= fluids and APAP, off work. 6/18 better, 6/19 normal ADLs
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Chills, then fever, 101 or higher, h/a, nausea, 6/17 eyes aching, tight & sore jaw, h/a worse, fatigue, muscle aches, went to ED 6/16/11= fluids and APAP, off work. 6/18 better, 6/19 normal ADLs
Age: 36.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pruritus
Clinical narrative: pruritis without visible rash all over body
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Rash papular, Skin warm, Tenderness
Clinical narrative: Injection site assessed and found to be without redness, swelling or tenderness. On the same arm, below injection site near elbow and tricep there is raised papular type lesions with surrounding erythema and redness in two areas. Slightly warm and tender. Possible insect bite.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration, Injection site erythema, Injection site swelling, Skin warm
Clinical narrative: MOM REPORTED NOTICED REDNESS/SWELLING OF RIGHT UPPER ARM, CONTINUED SYMPTOMATIC WITH INCREASE OVER PAST 24 HOURS. TOOK IBUPROFEN, NO OTHER COMPLAINTS. 6CMX6CM ERYTHEMA AND SLIGHT DURATION, WARM TO TOUCH, DENIES MUCH DISCOMFORT TO AREA.
Age: 39.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Adverse reaction, Electrocardiogram PR interval, Electrocardiogram QRS complex normal, Electrocardiogram QT interval normal, Electrocardiogram ST segment normal
Clinical narrative: Robust take with large vaccine reaction >12cm. No evidence of superimposed bacterial infection. Occurred 10 days postvaccination, worsened over the next few days. He does have some mildly inflamed lymph nodes, but not the fluctuant enlargement that would warrant further evaluation of a secondary bacterial infection. Since upon questioning he did admit to some mild chest pain that is sometimes positional, which he attributed to his GERD, I obtained an EKG which was normal to rule out myopericarditis.
Age: 39.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Electrocardiogram normal, Inflammation
Clinical narrative: Robust take with large vaccine reaction >12cm. No evidence of superimposed bacterial infection. Occurred 10 days postvaccination, worsened over the next few days. He does have some mildly inflamed lymph nodes, but not the fluctuant enlargement that would warrant further evaluation of a secondary bacterial infection. Since upon questioning he did admit to some mild chest pain that is sometimes positional, which he attributed to his GERD, I obtained an EKG which was normal to rule out myopericarditis.
Age: 39.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Electrocardiogram normal, Lymphadenopathy, Robust take following exposure to vaccinia virus
Clinical narrative: Robust take with large vaccine reaction >12cm. No evidence of superimposed bacterial infection. Occurred 10 days postvaccination, worsened over the next few days. He does have some mildly inflamed lymph nodes, but not the fluctuant enlargement that would warrant further evaluation of a secondary bacterial infection. Since upon questioning he did admit to some mild chest pain that is sometimes positional, which he attributed to his GERD, I obtained an EKG which was normal to rule out myopericarditis.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Expired drug administered, No adverse event
Clinical narrative: There was no side effect or adverse events due to expired vaccine given. Patient did not require treatment.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: pruritic papular rash on left arm at site of vaccination
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Skin plaque
Clinical narrative: Erythematous plaque presented 24 hrs after administering Tdap and MCV at Right Deltoid.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Per front office staff child fainted mother caught her.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash pruritic, Varicella
Clinical narrative: Itchy chicken pox rash on both arms & face for 2 days. Treatment = AVEENO bath & BENADRYL.
Age: 0.06
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: No events but student gave wrong shot.
Age: 3.0
Sex: F
Vaccine: RAB
Symptoms: Joint swelling, Serum sickness, Urticaria
Clinical narrative: Serum sickness with hives & joint swelling.