chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Blister, Papule, Pruritus, Skin discolouration, Skin lesion
Clinical narrative: Pt. received Varicella vax on 3/11/2011 and developed suspicious varicella lesions acutely 4.20.2011 - pruritic, pink, papular lesions, few vesicles - clustered pelvic region.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: 2" area of erythema at injection site.
Age: 1.01
Sex: F
Vaccine: HBHEPB
Symptoms: Blister, Erythema, Pallor, Papule, Varicella
Clinical narrative: Scattered pink blanching papules w/ blister like appearance over entire body.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Asthma, Dyspnoea, Influenza like illness, Pyrexia
Clinical narrative: Day of rabies #2 vaccine, experienced flu-like sx progressing to SOB, fever of 100 degrees. Sought emergency medical care for "asthma " event & pt. denies anaphylaxis. Rx'd with prednisone, BENADRYL, Albuterol. Sx lasted 3 days & pt. recovering, working, has not resumed running. Pt. will not receive rabies #3 as relation to sx unclear. Cont to use Albuterol prn & usual medications.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Back pain, Chest pain, Insomnia, Myalgia
Clinical narrative: Later in day - aches, (L) arm unable to sleep, lots of aches and pain in my muscles & joints. Had aches, chest pain thru night to my back. No SOB or trouble swallowing. Tues. severe itching took BENADRYL 25 mg 3/28. 3/29 - 50 mg another BENADRYL. By 4/4/11 full resolution.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Pruritus
Clinical narrative: Later in day - aches, (L) arm unable to sleep, lots of aches and pain in my muscles & joints. Had aches, chest pain thru night to my back. No SOB or trouble swallowing. Tues. severe itching took BENADRYL 25 mg 3/28. 3/29 - 50 mg another BENADRYL. By 4/4/11 full resolution.
Age: 4.0
Sex: F
Vaccine: FLUN3, HEPA, MMRV, PNC13
Symptoms: Blister, Cough, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: C/O fever over w/e. (+) cong & cough for past 2 days with red spots showing up, some look like blisters (+) itchy.
Age: 4.0
Sex: F
Vaccine: FLUN3, HEPA, MMRV, PNC13
Symptoms: Respiratory tract congestion
Clinical narrative: C/O fever over w/e. (+) cong & cough for past 2 days with red spots showing up, some look like blisters (+) itchy.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Received Anthrax vaccine on 11 Apr 11, had itching around the vacc. site, noticed redness around the area 12 Apr 11, which has spread since yesterday. Pt came today for eval. I marked the erythematic area & referred him to his PCM for further eval.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site oedema, Injection site pain, Pain in extremity
Clinical narrative: Pain at injection site. Edema after 1 day below affected arm at elbow with LLE pain.
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Headache, Pain, Pyrexia
Clinical narrative: After immunization by 0800 the next morning I had body aches (joints), fever of 102.0 F and headache. I took 400mg of Ibuprofen at 0800 and symptoms decreased. Symptoms returned at 1200, when I took 600mg Ibuprofen. Symptoms did not return.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: (R) trapezius pain x 2 wks. s/p Tdap (R) deltoid.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Tdap given (L) delt at 2:15 pm. At 6 pm pt noticed dime size redness/swelling. 9am 4/19/11 redness/swelling increased in size, warm to touch. On 4/20/11 redness/swelling 5.5 cm in length and 3 cm width, still warm to touch. Pt has been taking Ibuprofen/BENADRYL and applying cool compress.
Age: 51.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site pain
Clinical narrative: Pt says he continues to have dull pain at the injection site.
Age: 51.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Pt says he continues to have dull pain at the injection site.
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RVX
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Fever 104, diarrhea x 1, vomited x 4.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Varicella
Clinical narrative: Patient broke out on back 4 days later. Looks like shingles or chickenpox bumps.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Croup infectious, Induration, Irritability, Local swelling, Mumps
Clinical narrative: 4.18.11 woke up with congestion, given inhaler at home. Got worse, went to hospital. Dx with croup. Rest of week very fussy & some wheezing. 4.23.11 neck swollen also right cheeks swollen and hard to touch. Seen that day at ER. Per mom dx with mumps. Seen by doctor 4.25.11 dx with Parotitis.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Parotitis, Respiratory tract congestion, Swelling face, Wheezing
Clinical narrative: 4.18.11 woke up with congestion, given inhaler at home. Got worse, went to hospital. Dx with croup. Rest of week very fussy & some wheezing. 4.23.11 neck swollen also right cheeks swollen and hard to touch. Seen that day at ER. Per mom dx with mumps. Seen by doctor 4.25.11 dx with Parotitis.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site induration
Clinical narrative: Duration induration at site of HPV vaccine.
Age: 10.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 1.52
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Area of circular redness, induration 2cm x 1.5cm on (L) upper leg at site of injection, appeared one wk. after injection.
Age: 1.14
Sex: F
Vaccine: DTAP
Symptoms: Crying, Irritability, Pain, Screaming
Clinical narrative: Couple of hrs. after shot, screamed, cried, "unconsolable" "like she was hurting" for 4 1/2 days. Would stop crying/screaming for some time, but would start again. Had to walk & bounce her, but was still "crabby".
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Fever started on 4-27-11, rash appreared on 4-29-11.  Fussy past 2-3 days.
Age: 1.0
Sex: M
Vaccine: MEA
Symptoms: Pyrexia, Rash
Clinical narrative: Patient developed what appeared to be rash on 5/1/11 according to parents, then had fever which responded to acetampinophen.  Rash worsened and parents called for office visit on 5/2/11.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Fainted with HPV vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm, red, swollen, warm to touch 9.5 x 10.5 cm.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 9 am area of erythema & induration at injection site.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Local swelling, Oedema peripheral
Clinical narrative: Swollen arm locally only. Itching at injection site.
Age: 1.54
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Bruxism, Muscle tightness, Rash
Clinical narrative: Patient received a DTAP #4 and a Hepatitis A #1 on 4/13/11. The mother is calling today 4/22/11 stating that within a minute of receiving vaccines his cheeks & side of his neck broke out in a rash. That lasted 3-4 minutes. The nurse was aware at that time. While in the car on their way home he was grinding his teeth & crunching his muscles. Mother reported this reaction to us on 4/22/11. Medical assistant reported to me that she did not see a rash on 4/13/11.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Streptococcus test negative
Clinical narrative: On Thursday 4/21/11 at 4:40 pm pt began seizuring. Mother called squad. Seizure lasted 20-25 minutes. Squad gave ATIVAN. No fever at home, in squad or in Emergency Room. No other complaints. Pt was acting normally, eating cracker at 4:30 pm 4/21/11 before seizure.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Within 24 hrs of administration developed a 10 cm x 6 cm oval pruritic maculopapular dermatitis-like rash around injection site.
Age: 0.58
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pallor, Respiratory disorder, Vomiting
Clinical narrative: Patient received ROTATEQ, PENTACEL, PREVNAR 13 on 4/20/11 10AM. On 4/21/11 patient vomited 4 times, then became pale, resp weak. MOC called ambulance. Paramedics assessed pt. No ER needed.
Age: 1.03
Sex: M
Vaccine: MEA, MU, RUB, VARCEL
Symptoms: Balance disorder, Convulsion, Dyskinesia, Hyperhidrosis, Irritability
Clinical narrative: Loss of balance for 4 or 5 days. Fussy, fix stare, jerking body seizures that last about 5 second, back was sweating.
Age: 1.03
Sex: M
Vaccine: MEA, MU, RUB, VARCEL
Symptoms: Staring
Clinical narrative: Loss of balance for 4 or 5 days. Fussy, fix stare, jerking body seizures that last about 5 second, back was sweating.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Hypersomnia, Pain in extremity
Clinical narrative: Pain in joints, bil. lower legs, bil. arms, chills, slept for 24 hrs, on & off. Started at 11 pm on 4-15-11. Symptoms gone 4-17-11 at 8AM.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Induration, Local reaction, Skin warm, Swelling
Clinical narrative: Patient had local reaction two days after vaccine administration = warmth, redness, & slight swelling with minimal induration. Measurements = redness 6 x 5 1/2 cm, induration 4 x 4 cm. Gave mom symptom treatment directions.
Age: 44.0
Sex: M
Vaccine: ANTH, RAB, SMALL, ANTH, RAB, SMALL
Symptoms: Herpes simplex serology negative, Herpes zoster, Varicella virus test positive, Wound
Clinical narrative: Herpes zoster outbreak on lower left posterior leg after multiple vaccines.
Age: 44.0
Sex: M
Vaccine: ANTH, RAB, SMALL, ANTH, RAB, SMALL
Symptoms: Herpes zoster, Varicella virus test positive
Clinical narrative: Herpes zoster outbreak on lower left posterior leg after multiple vaccines.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: CSF test, Computerised tomogram head, Differential white blood cell count, Diplopia, Full blood count
Clinical narrative: Initial swelling at injection site on 4/20/2011. On 4/21/2011 pt. experienced vomiting, numbness on left side (arm, face, tongue). Vomiting was projectile. Experienced unsteady gait, fine motor issues on left side of body/hand. Weakness in left hand x 7 months re mom. Double vision x 2 months re mom.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Gait disturbance, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral, Injection site swelling
Clinical narrative: Initial swelling at injection site on 4/20/2011. On 4/21/2011 pt. experienced vomiting, numbness on left side (arm, face, tongue). Vomiting was projectile. Experienced unsteady gait, fine motor issues on left side of body/hand. Weakness in left hand x 7 months re mom. Double vision x 2 months re mom.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Laboratory test, Motor dysfunction, Muscular weakness, Nuclear magnetic resonance imaging brain, Psychomotor skills impaired
Clinical narrative: Initial swelling at injection site on 4/20/2011. On 4/21/2011 pt. experienced vomiting, numbness on left side (arm, face, tongue). Vomiting was projectile. Experienced unsteady gait, fine motor issues on left side of body/hand. Weakness in left hand x 7 months re mom. Double vision x 2 months re mom.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting projectile
Clinical narrative: Initial swelling at injection site on 4/20/2011. On 4/21/2011 pt. experienced vomiting, numbness on left side (arm, face, tongue). Vomiting was projectile. Experienced unsteady gait, fine motor issues on left side of body/hand. Weakness in left hand x 7 months re mom. Double vision x 2 months re mom.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Herpes zoster, Pain, Rash
Clinical narrative: Developed full case of Herpes Zoster, 4 yrs after receiving vaccine.  Full rash, painful, burning.
Age: 0.22
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Convulsion, Emotional distress, Gaze palsy, Laboratory test normal, Pyrexia
Clinical narrative: Fever (Tmax 38.9), rash, inconsolable for 3 hrs, seizure for 2-3 min. consisting of shaking of trunk and lips & eyes rolling into the back of his head, events occurred about 1-hr after vaccine was administered.
Age: 0.22
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Rash, Tremor
Clinical narrative: Fever (Tmax 38.9), rash, inconsolable for 3 hrs, seizure for 2-3 min. consisting of shaking of trunk and lips & eyes rolling into the back of his head, events occurred about 1-hr after vaccine was administered.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Rash generalised, Urticaria
Clinical narrative: This case was reported by a physician and described the occurrence of rash all over body in a 1-month-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). On 4 July 1994 the subject received 1st dose of ENGERIX B (unknown route, left arm). The lot number was reported as B59AL. On 4 July 1994, within 8 hours after vaccination with ENGERIX B, the subject experienced rash all over body and hives all over body. The events occurred all over, including corporal, except for palms of hands and soles of feet. The physician considered the events were clinically significant (or requiring intervention). The subject was treated with antihistamine. At the time of reporting the events were unresolved. After the next vaccination with ENGERIX B the events recurred (see case ID A0924086B for more details). The physician considered the events were probably related to vaccination with ENGERIX B. Follow-up Information received on 22 April 2011 confirmed the lot numbers to have been reported as above.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 4/6 Wednesday afternoon (1 day after vaccination), pt noticed redness and swelling and pain to (L) upper arm and axillary area. No fever reported. No medical care sought. Pt. states she took Ibuprofen for pain relief. Presented to health dept Thursday 4/7. Advised to elevate arm, apply warm/cold compress. 4/11/11 still reports pain although swelling decreased. To follow up with MD 4/11/11 at 1:30 pm.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Local swelling
Clinical narrative: 4/6 Wednesday afternoon (1 day after vaccination), pt noticed redness and swelling and pain to (L) upper arm and axillary area. No fever reported. No medical care sought. Pt. states she took Ibuprofen for pain relief. Presented to health dept Thursday 4/7. Advised to elevate arm, apply warm/cold compress. 4/11/11 still reports pain although swelling decreased. To follow up with MD 4/11/11 at 1:30 pm.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Symptoms began during night on 4/28/11. Bad headache, fever 103. 5 degrees, dizziness, vomiting and nausea. Fever responded to MOTRIN. Slept well. On 4/29/11 symptoms returned. Spiked fever of 104 degrees in AM. Took TYLENOL. Fever responded by suppertime 4/29/11 symptoms all resolved except a slight backache. Still experiencing backache on 5/2/11. Was relieved by TYLENOL.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Symptoms began during night on 4/28/11. Bad headache, fever 103. 5 degrees, dizziness, vomiting and nausea. Fever responded to MOTRIN. Slept well. On 4/29/11 symptoms returned. Spiked fever of 104 degrees in AM. Took TYLENOL. Fever responded by suppertime 4/29/11 symptoms all resolved except a slight backache. Still experiencing backache on 5/2/11. Was relieved by TYLENOL.
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Injection site pain, Mass, Nodule, Pain
Clinical narrative: Localized redness & pain, on 04/20/11. Two day of minor pain at injection site, then developed worsening redness and pain with tender lump 2 wks after injection 10 cm x 10 cm erythema with 7 x 5cm nodule.
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Tenderness
Clinical narrative: Localized redness & pain, on 04/20/11. Two day of minor pain at injection site, then developed worsening redness and pain with tender lump 2 wks after injection 10 cm x 10 cm erythema with 7 x 5cm nodule.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Woke up Sat itchy. Sun arm became sore w/area 6" x 1" of redness on arm. Not hot to touch. Face felt slightly tingly, and felt like she had a hair tickling her face all day.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema mouth, Oral pruritus, Pharyngeal oedema, Pruritus, Throat irritation
Clinical narrative: Morning after receiving vaccine awoke to find numerous "hives" in scalp - under arms, stomach/abdomen with itch. Mouth and throat also itched and felt slightly swollen - did not affect breathing. Self administered BENADRYL - condition resolved.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Morning after receiving vaccine awoke to find numerous "hives" in scalp - under arms, stomach/abdomen with itch. Mouth and throat also itched and felt slightly swollen - did not affect breathing. Self administered BENADRYL - condition resolved.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Cough, Fatigue, Headache, Mobility decreased, Nasal congestion
Clinical narrative: Initially:  sore throat, headache, sore arm. Next: Stuffy Nose, only mild fever 99.2, body aches, tiredness - was in bed for a whole day. Followed by:  coughing.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Initially:  sore throat, headache, sore arm. Next: Stuffy Nose, only mild fever 99.2, body aches, tiredness - was in bed for a whole day. Followed by:  coughing.
Age: 58.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Computerised tomogram normal, Dizziness, Headache, Nausea, Vertigo
Clinical narrative: Dizziness and vertigo with movement. Worsened the next morning and developed nausea and headache.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Blood test abnormal, Chest X-ray abnormal, Chills, Hallucination, Lung disorder
Clinical narrative: Mother stated the child began fever, cold chills, uncontrollable shaking and hallucinations at 130 am on 3/19/11. Child was taken to ER where labs and x-ray were taken. Mother stated the x-ray showed PMA in left lobe. Antibiotics and breathing treatments were started. The child was sent home in care of mother (RN). Follow up visit will be Friday 3/25.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Pyrexia, Tremor
Clinical narrative: Mother stated the child began fever, cold chills, uncontrollable shaking and hallucinations at 130 am on 3/19/11. Child was taken to ER where labs and x-ray were taken. Mother stated the x-ray showed PMA in left lobe. Antibiotics and breathing treatments were started. The child was sent home in care of mother (RN). Follow up visit will be Friday 3/25.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Blister, Erythema, Rash
Clinical narrative: She work up with a rash on her face. Face was red, had 4 blister type area on right side of face about the size of a sunflower seed. Not sure if itchy. No other rash to body. Is eating and playing OK.
Age: 1.14
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site urticaria, Local reaction
Clinical narrative: Single localized reaction to area of MMR and Varicella Immunization, Single Hive/Welt redness swelling
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Fatigue, Joint stiffness, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: One wk post Hep B #1 noted bil shoulder and hip stiffness and pain. This was assoc with fatigue. Stated sx persisted for a couple of mths.
Age: 44.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Atrial flutter, Cardiac ablation, Incision site pain, Palpitations
Clinical narrative: The patient is a 44 year old male. He reported: Symptoms follow up on hospitalization for atrial flutter and ablation. Dates from 4-23-11 to 4-27-11. Encounter Background Information: 44 by o mobing soldier who visited the ER for feeling palpitations and was diagnosed with Atrial Flutter. He was hospitalized and was undergone ablation and released from the hospital on 4-27-11 on ASA 325 mg po daily. He was instructed to carry no more than 5 pounds for the next 5 days. He will follow up with Dr on 3 May 2011 at hospital. He feels fine with no complaints now. General/bilateral: Musculoskeletal system: bandages on in both inguinal areas. No bruises. No swelling dressings D/I/C.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood test, Erythema, Mass, Pain
Clinical narrative: Soreness, redness and large lump started near the site of injection
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: C-reactive protein increased, Cellulitis, Injection site erythema, Injection site swelling, Red blood cell sedimentation rate increased
Clinical narrative: Soreness, redness and large lump started near the site of injection
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: White blood cell count increased
Clinical narrative: Soreness, redness and large lump started near the site of injection
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: SHE SAID AREA GOT RED (SIZE OF AN ORANGE) WARM AND ITCHY
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 4 inch area of redness and mild swelling to the right upper arm 2 days after vaccination.  Also headache and subjective fever.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Choking, Computerised tomogram abnormal, Dementia, Fall, Feeling abnormal
Clinical narrative: Immediately "did not feel right", progressive.  "Few days" later developed cold, sinusitis, fell several times.  Went to Dr. with leg weakness, tingling of toes.  Now chokes on saliva.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Immediate post-injection reaction, Muscular weakness, Nasopharyngitis, Paraesthesia, Positron emission tomogram abnormal
Clinical narrative: Immediately "did not feel right", progressive.  "Few days" later developed cold, sinusitis, fell several times.  Went to Dr. with leg weakness, tingling of toes.  Now chokes on saliva.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Sinusitis
Clinical narrative: Immediately "did not feel right", progressive.  "Few days" later developed cold, sinusitis, fell several times.  Went to Dr. with leg weakness, tingling of toes.  Now chokes on saliva.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eosinophil count normal, Full blood count normal, Haemoglobin normal, Injection site swelling, Injection site vesicles
Clinical narrative: swelling, redness, eventually blistering of left arm -> worsening over 24 hrs after 1st noted; eval in ED -> NSAID + elevation
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Lymphocyte count normal, Monocyte count increased, Platelet count normal, White blood cell count normal
Clinical narrative: swelling, redness, eventually blistering of left arm -> worsening over 24 hrs after 1st noted; eval in ED -> NSAID + elevation
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: arm was swollen, red, and hot to the touch
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, PPV
Symptoms: Pyrexia
Clinical narrative: Constant Fever for 3 days as high as 103 degrees
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Physician ordered Pentacel.  The medical assistant gave only the liquid portion which contains the DTaP and polio.  The liquid portion was not combined with the powder.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Chest X-ray abnormal, Death, Lung disorder
Clinical narrative: Death.
Age: 1.23
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Body temperature increased, Convulsion, Laboratory test normal, Neurological examination normal
Clinical narrative: 103 degree temp at approximately 6:30 PM. Seizure around 7 PM which prompted call to 911. Second seizure in squad en route to local hospital. After stabilized in ER, transported via ground squad to another hospital (35 miles away). Tested for meningitis and other neurologic problems - all within normal range. Discharged today on 5/2/11 at 5 PM.
Age: 10.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Rash papular
Clinical narrative: Rash vesicular papular on neck, chest & face & upper extremity.
Age: 1.51
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Dermatitis bullous, Rash erythematous
Clinical narrative: Bullous rash with erythematous base.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Vaccine given on Wed. April 27th approx 10 am. Reaction started Fri. April 29th at 8 am (R) deltoid area, edematous, erythematous warm to touch 10 cm x 10 cm.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Basophil count, Eosinophil count, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Noticed lump approx at site of injection morning after immunization. Area swelled/worsened, became erythematous & firm, warm. At time of exam approx 54 hours from time of injection, approx 2/3 of diameter of (L) upper arm 1/2 of length of (L) upper arm involved. Pt denied systemic signs/symptoms. Treated with Prednisone & SEPTRA (started 4-30-11).
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Lymphocyte count, Monocyte count, Neutrophil count
Clinical narrative: Noticed lump approx at site of injection morning after immunization. Area swelled/worsened, became erythematous & firm, warm. At time of exam approx 54 hours from time of injection, approx 2/3 of diameter of (L) upper arm 1/2 of length of (L) upper arm involved. Pt denied systemic signs/symptoms. Treated with Prednisone & SEPTRA (started 4-30-11).
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Protein urine absent, Red blood cell sedimentation rate, White blood cell count
Clinical narrative: Noticed lump approx at site of injection morning after immunization. Area swelled/worsened, became erythematous & firm, warm. At time of exam approx 54 hours from time of injection, approx 2/3 of diameter of (L) upper arm 1/2 of length of (L) upper arm involved. Pt denied systemic signs/symptoms. Treated with Prednisone & SEPTRA (started 4-30-11).
Age: 11.0
Sex: U
Vaccine: HEP, MMR
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling began where vaccines Hep B & MMR administered and were painful yesterday but not today. LSQ 3-4cm area swollen - D 2cm area swollen.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient called and reported a rash under her breast bone as well as rash on her back - right side.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash pruritic, Rash vesicular
Clinical narrative: Developed mild fever, diarrhea a few days after vaccine. 6 days after vaccines - developed pruritic vesicular rash.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Rash, Rash erythematous
Clinical narrative: Skin rash, red bumps started at legs and spread to trunk. CALADRYL lotion. Oral BENADRYL and TYLENOL.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain, Tenderness
Clinical narrative: Patients arm was very tender around site of injection, injection area was bright red and hot, about an inch diameter. Sore/tender for about 4 days after she noticed it.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Activities of daily living impaired, Hyperhidrosis, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, shaking, nausea. Breaking out in sweats, muscle aches, pt could not function properly.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: Fever, shaking, nausea. Breaking out in sweats, muscle aches, pt could not function properly.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Bloody discharge, Injection site reaction, Injection site vesicles, Malaise, Rash erythematous
Clinical narrative: Pimple like bump on right arm (back of) blistered bloody drainage. Red rash on back of arm between elbow & blister. No fever, sweating didn't feel well. 1 red bump still on arm, very faint rash.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Insomnia
Clinical narrative: Redness & itching in about a 3" circle around injection site. Headaches off & on and body aches. Increased fatigue & napping 3 hrs during day - then can't sleep at night.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Somnolence
Clinical narrative: Redness & itching in about a 3" circle around injection site. Headaches off & on and body aches. Increased fatigue & napping 3 hrs during day - then can't sleep at night.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Progressively inflamed upper arm, warm, red, painful swollen, limited movement, (nausea, vomiting started 5-2-11).
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Nausea, Vomiting
Clinical narrative: Progressively inflamed upper arm, warm, red, painful swollen, limited movement, (nausea, vomiting started 5-2-11).
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Discomfort, Mobility decreased, Paraesthesia
Clinical narrative: Information has been received from a registered pharmacist (R. PH.) concerning a 71 year old female patient with no drug allergies or pertinent medical history who on 15-FEB-2011 was vaccinated subcutaneously with a dose of ZOSTAVAX (Merck) (Lot# 669538/1390Z, expiration: 19-JAN-2012). There was no concomitant medication. On approximately 16-FEB-2011 (a day or two) the patient had some issues with her arm. Shortly after the ZOSTAVAX injection she had some swelling and pain that went away fairly soon. In addition the patient had and continued to have tingling in her arm and difficulty raising it. No labs were performed. The patient sought a chiropractor. As treatment for the adverse events the patient had three chiropractic adjustments. At the time of reporting the patient had not recovered from the tingling and difficulty raising the arm. Follow up information has been received from a registered pharmacist (R. PH.) concerning a 71 year old retired female patient with allergy to bee stings with no declared illness at the time of vaccination and no declared adverse event following prior vaccination, who on 15-FEB-2011 at 15:00 was vaccinated subcutaneously in the left triceps with a first dose of ZOSTAVAX (Merck) (Lot# 669538/1390Z, expiration: 19-JAN-2012). Registered pharmacist reported that in February 2011, the patient reported difficulty raising her arm, tingling and discomfort that started the same week as the vaccination. Despite advice, patient had not seen her doctor; she spoke to physicians nurse via phone. It was reported that the patient had some temporary relief following chiropractic visits. At the time of report the patient had not recovered. The registered pharmacist considered difficulty raising her arm, tingling and discomfort to be disabling. Additional information has been requested.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Discomfort, Mobility decreased, Pain, Paraesthesia, Swelling
Clinical narrative: Information has been received from a registered pharmacist (R. PH.) concerning a 71 year old female patient with no drug allergies or pertinent medical history who on 15-FEB-2011 was vaccinated subcutaneously with a dose of ZOSTAVAX (Merck) (Lot# 669538/1390Z, expiration: 19-JAN-2012). There was no concomitant medication. On approximately 16-FEB-2011 (a day or two) the patient had some issues with her arm. Shortly after the ZOSTAVAX injection she had some swelling and pain that went away fairly soon. In addition the patient had and continued to have tingling in her arm and difficulty raising it. No labs were performed. The patient sought a chiropractor. As treatment for the adverse events the patient had three chiropractic adjustments. At the time of reporting the patient had not recovered from the tingling and difficulty raising the arm. Follow up information has been received from a registered pharmacist (R. PH.) concerning a 71 year old retired female patient with allergy to bee stings with no declared illness at the time of vaccination and no declared adverse event following prior vaccination, who on 15-FEB-2011 at 15:00 was vaccinated subcutaneously in the left triceps with a first dose of ZOSTAVAX (Merck) (Lot# 669538/1390Z, expiration: 19-JAN-2012). Registered pharmacist reported that in February 2011, the patient reported difficulty raising her arm, tingling and discomfort that started the same week as the vaccination. Despite advice, patient had not seen her doctor; she spoke to physicians nurse via phone. It was reported that the patient had some temporary relief following chiropractic visits. At the time of report the patient had not recovered. The registered pharmacist considered difficulty raising her arm, tingling and discomfort to be disabling. Additional information has been requested.
Age: 80.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Myalgia, Pain, Pyrexia, Vaccination complication
Clinical narrative: Patient states he had a reaction on 2/3/11 to ZOSTAVAX received earlier that day. Pt. states symptoms were fever, chills and pain 11/10. Pt. was admitted 2/3/11 to hospital and hospitalized x 7 days. Pt. states currently on prednisone 25mg and titrating. Pt. states was dx with myalgia due to vaccine.
Age: 80.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Patient states he had a reaction on 2/3/11 to ZOSTAVAX received earlier that day. Pt. states symptoms were fever, chills and pain 11/10. Pt. was admitted 2/3/11 to hospital and hospitalized x 7 days. Pt. states currently on prednisone 25mg and titrating. Pt. states was dx with myalgia due to vaccine.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Blood test, Discomfort
Clinical narrative: 3 to 4 months ago, pain in left shoulder. then to right shoulder. Around April 10, severe stiffness all joints, wrists, fingers swollen right hand, sore muscles arms, legs, back, neck
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Musculoskeletal pain, Polymyalgia rheumatica
Clinical narrative: 3 to 4 months ago, pain in left shoulder. then to right shoulder. Around April 10, severe stiffness all joints, wrists, fingers swollen right hand, sore muscles arms, legs, back, neck
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood glucose normal, Blood test abnormal, C-reactive protein normal, Joint stiffness, Musculoskeletal pain
Clinical narrative: 3 to 4 months ago, pain in left shoulder. then to right shoulder. Around April 10, severe stiffness all joints, wrists, fingers swollen right hand, sore muscles arms, legs, back, neck
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Oedema peripheral, Platelet count increased, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: 3 to 4 months ago, pain in left shoulder. then to right shoulder. Around April 10, severe stiffness all joints, wrists, fingers swollen right hand, sore muscles arms, legs, back, neck
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: Red swollen sore right arm warm to touch c/o Headache, no nausea or vomiting. Temperture 102, Mom gave Tylenol and alternated with Ibuprofen, applied cold compresses. Gave oral Benadryl and Benadryl cream this Am applied to site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: redness, bruising warm raised area on Right arm onset 1/16/11
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Per mother, within 24 hrs onset of fever and loose stools.  Fever of 102 noted at home.  Pt brought to ER and assessed.  Parents advised to continue Tylenol and follow up with clinic if needed.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Headache, Pain in extremity
Clinical narrative: chest pain, radiated to L arm, fever, headache
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pyrexia, Troponin
Clinical narrative: chest pain, radiated to L arm, fever, headache
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Headache, Pyrexia
Clinical narrative: chest pain, radiated to L arm, fever, headache
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Troponin
Clinical narrative: chest pain, radiated to L arm, fever, headache
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Asthenia, Body temperature increased, CSF glucose normal, CSF protein normal, CSF white blood cell count
Clinical narrative: Morning after vaccines, temp 102.3 degrees, severe headache, stiff and painful neck, nausea and vomiting and dizziness/weakness with CSF C/W viral meningitis.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Differential white blood cell count normal, Dizziness, Headache, Lymphocyte percentage increased, Meningitis viral
Clinical narrative: Morning after vaccines, temp 102.3 degrees, severe headache, stiff and painful neck, nausea and vomiting and dizziness/weakness with CSF C/W viral meningitis.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Musculoskeletal stiffness, Nausea, Neck pain, Vomiting, White blood cell count normal
Clinical narrative: Morning after vaccines, temp 102.3 degrees, severe headache, stiff and painful neck, nausea and vomiting and dizziness/weakness with CSF C/W viral meningitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Redness, swelling to right arm at injection site.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling to (R) arm at injection site.
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Injection site pain, Pyrexia
Clinical narrative: 103 fever, complaints of achiness in leg joints, pain at injection site.  Treated with ibuprofen and acetaminophen.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: PRESENTS TO HD 4/26/AA @ 4:30 PM WITH 13 CM X 10 CM RED, RAISED AREA. HOT TO TOUCH. HAS BEEN TO URGENT CARE PRIOR TO SEEING US @ HEALTH DEPARTMENT. SAW DR. WHO TOLD HER IT WAS A LOCAL REACTION AND TO GO TO ER IF WORSENS. PUBLIC HEALTH NURSE ENCOURAGED TO APPLY WARM COMPRESSES AND TO TAKE MOTRIN FOR PAIN RELEIF.  VERBALIZED UNDERSTANDING. MARGINS MARKED WITH PEN.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site urticaria, Pallor
Clinical narrative: 4 cm erythemic wheal over injection site. Blanches to pressure, no drainage.
Age: 55.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Asthenia, Gait disturbance, Headache, Hypoaesthesia, Myalgia
Clinical narrative: General weakness - sudden paralysis. Vision problems - headaches. Tingling, numbness - muscle pain. Unsteady gait.
Age: 55.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Paraesthesia, Paralysis, Visual impairment
Clinical narrative: General weakness - sudden paralysis. Vision problems - headaches. Tingling, numbness - muscle pain. Unsteady gait.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: (R) arm swollen. Pt was given ABX & cream for arm.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Given 1st dose HPV. After 5 minutes had syncope for few seconds.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen area about 3" x 4" (L) deltoid.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Pt called c/o soreness, redness & some itching at injection site.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Computerised tomogram head, Computerised tomogram normal, Dyskinesia, Fall, Staring
Clinical narrative: "Patient was walking down the hallway then leaned forward and fell to her knees. She then started jerking in her upper body and seemed dazed" per Dr.
Age: 1.45
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Crying, Eye swelling, Irritability, Lip swelling, Pruritus generalised
Clinical narrative: Mother of child states, after vaccines about 2pm, she noticed child's face swelling to eye & mouth by the time she got home from our office. Child was irritable and itching all over. Came back to clinic about 1650. Presented to clinic with eye swelling, lips swelling, croup sounding cry. Irritable. No red or welt rash noted. Pt give epinephrine 0.1 ml SQ & BENADRYL 2 mg IM then transferred to PER.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Massage
Clinical narrative: 3 x 3 cm painful hard nodule in thigh at injection site. Initially red -> now redness gone. Nodule still present 10 days after vaccination & s/p warm compresses & massage. Fever x 2 days after vaccination as well.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: 3 x 3 cm painful hard nodule in thigh at injection site. Initially red -> now redness gone. Nodule still present 10 days after vaccination & s/p warm compresses & massage. Fever x 2 days after vaccination as well.
Age: 1.05
Sex: F
Vaccine: DTAP, FLU3, HEPA, VARZOS
Symptoms: Chest X-ray, Croup infectious, Dyspnoea, Laboratory test, Nasopharyngitis
Clinical narrative: Cold symptoms started 3/30/11 and increased to difficulty breathing with diagnosis of croup. Hospitalized 1 day for medical treatment then released 3/31/11 improved.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Convulsion, Fatigue, Somnolence
Clinical narrative: Approx. 15-20 minutes after my son received the Menactra vaccine he had a seizure. It lasted about 15 seconds. He has never had a seizure before. He was then taken to the closest Emergency Room. They checked him over and couldn't find anything wrong with him. He was extremely tired and went home and slept the rest of the day.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Swollen Left Lymph node, 100.2 degree fever starting on 05/03/2011
Age: 33.0
Sex: F
Vaccine: TTOX
Symptoms: Fatigue, Headache
Clinical narrative: Severe Headache for 3 hours and Fatigue
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Pt was given an outdated Menactra Vaccine
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Myalgia, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Extreme pain in entire left arm (arm where administered. Low grade fever of 101.  Extreme pain in the muscles of entire body especially neck for three days.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Nasopharyngitis, Pain, Rash, Rash vesicular
Clinical narrative: Painful vesicular rash on Rt mid back, abdomen and flank. Received vaccine 3 days prior to rash. Had cold symptoms prior to rash outbreak.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Dyspnoea, Sensation of pressure, Somnolence, Vaccine positive rechallenge
Clinical narrative: Cl states that approx 15 minutes after she received the HPV vaccine she felt sleepy, and 60 minutes after she received the HPV vaccine she started coughing, felt pressure in her throat and couldn't breathe very well; she did not seek medical treatment, and the symptoms lasted 2 days then resolved.  Cl states this happened after each of the 3 doses of HPV vaccine she received on different dates.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Activities of daily living impaired, Burning sensation, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Client's mother called and states client woke up this morning and found that she had a welt the size of a silver dollar on the side of her Right arm, it itches/burns so much "she wants to rip her skin out," it hurts to move the arm so much that she did not go to school 11/4, felt normal other than arm hurting.  Mother gave client Benadryl and Ibuprofen. F/u tc 11/5 mother stated clients welt was larger, the size of a manderine orange, temp 99.6 11/5. Recommended mother call cl's Dr. both 11/4 and 11/5, which mother states she did.  TC f/u with mother some weeks later (date not recorded), mother states cl recovered w/o problems.
Age: 1.42
Sex: F
Vaccine: DTAPIPV
Symptoms: Agitation, Confusional state, Crying, Pyrexia, Screaming
Clinical narrative: Completely uncharacteristic loud screaming, confused, agitated, inconsolable within hours of getting shot. Low grade fever.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Pain, Pruritus, Rash
Clinical narrative: 4/29/11 pain, redness, burning & itching, little raised bumps. 4/30/11 same as above. 5-1-11 pain not as bad. 5-2-11 - 5-3-11 slight pain, some redness & itching.
Age: 0.21
Sex: M
Vaccine: RV5
Symptoms: Irritability, Moaning
Clinical narrative: Very cranky. Moaning, being very irritable & fussy after ROTATEQ.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Tremor
Clinical narrative: Mom reports episodes of "shaking" after 2 mo & 4 mo IMZ received. Seen by hosp - r/o seizures. No findings.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Auricular swelling, Dyspnoea, Oedema peripheral, Rash, Rash generalised
Clinical narrative: 4/29/11 at 12:30 PM developed rash on chest & one wrist - by about 4PM rash entire body & swelling hands & ears. Saw urgent care - advised take PO BENADRYL. 4/30/11 AM was fine - after starting moving around s/s returned also had "little" breathing problem. Saw ER - given BENADRYL shot & steroid shot. Fine remainder of day & next day. 5/2/11 s/s returned - saw ER again - steroid shot & oral steroid & PEPCID. As of 05/03/11 at 5 PM no s/s.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abnormal faeces, Asthenia, Decreased appetite, Injection site swelling, Lethargy
Clinical narrative: Non responsive to eye contact, weakness, thighs swelling, poor appetite, lethargic, mild fever, vomiting, BM - foul odor.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pyrexia, Unresponsive to stimuli, Vomiting
Clinical narrative: Non responsive to eye contact, weakness, thighs swelling, poor appetite, lethargic, mild fever, vomiting, BM - foul odor.
Age: 0.16
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Swelling, redness, left anterior thigh. Baby extremely fussy. TYLENOL administered as well a cool compress to affected area.
Age: 16.0
Sex: M
Vaccine: FLU3, MMR, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Nausea, Pallor
Clinical narrative: 1005 Client complaining of wanting to throw up, RN helped client position head between legs, and encouraged to breathe. Client noted to become weak and pale. Client repositioned to floor flat on back with head tilt to left. Feet slightly elevated. BP 100/52 P-60 at 1005. Client verbalized understanding of where he was. Client given juice, had some breakfast. Client regained normal color after a few minutes slowly got up and sat on chair. Encouraged to sit and drink juice. Alert oriented x 4. Client d/c home awake/alert and oriented x4 with Mom. BP retaken at 1010 100/64 P-72.