chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Diarrhoea, Injection site pain, Injection site swelling, Vomiting
Clinical narrative: Mother of patient called immunization clinic at 1:15pm today 01/09/2009 asking for nurse who administered vaccination to her daughter. Mother claims daughter came home from high school today (01/09/2009) sick, having vomiting and diarrhea, with pain to the right upper arm and looked swollen. Mother believes child will die from the HPV ("the girls shot") due to information she gathered from her internet search. Mother stated "What should I do?". I expressed concern and needed more data from mother and crossed-check clients immunization consent form from 01/08/2009. It indicates that I was the administrator of the immunizations and that the HPV #1 dose was given on the Left Upper Deltoid (IM) and the Meningococcal Conjugate (MCV) on the Right Upper Deltoid (IM) with the Varicella #2 dose to Right lower arm Tricep (SQ). I strongly recommended Ice Pack or Ice Cubes inside a zip-lock bag as tolerated by client to Right Arm and/or what mother has previously given child for muscle discomfort, like Tylenol or Mortrin. If S/S continued next 24hours, mom would need to take daughter to ER of choice for follow-up. Mom agreed.  1/12/09 T/C to Mom states pt is no longer ill but mentally scared & will not go to school.  Has not seen MD or gone to ER.  Only researched on internet & is now afraid she is going to die.  Not physically ill.  Strongly encouraged Mom to have patient seen by MD or go to ER for reassurance & medical testing.  Refuses.  Gave Mom CDC NIP info phone # for additional info.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Erythema, Oedema peripheral, Pruritus, Rash
Clinical narrative: 1/7/09@1000-Patient calls this office and speaks to this nurse.  States that @ approx. 0630 today she woke up to itchy red bumps all over her (R) arm and (R) arm was swollen, when itched the rash left a greasy residue on her fingers and stated "it felt like my arm was on fire".  Patient states @ this time the (L) arm that she got the gardasil injection in was not bothering her at all.  Patient stated that she took benedryl (1)p.o. at approx 1100 and itching stopped shortly there after, but rash remained.    Patient denies any S.O.B. scratchy throat, or any difficulty breathing.  Instructed patient to take benedryl as directed on box and if symptoms worsened to contact Primary physician or Emergency room if needed.  I requested at this time for her to come to the clinic for evaluation.  1/7/09@1300 Patient states that rash started on (L) forearm and started to itch and spread up to (L)deltoid.  1/7/09@1620 Patient is here at clinic raised red bumps are seen to (R) & (L) arm that cover the forearm and extend to the deltoid.  Patient raised her shirt and no bumps are noted to her back, abdomen, or breast area.  Does state that the back of lower (R) leg is itchy but I did not visually see this part and patient states that it is not bothering her like the arms are.  Encouraged at this time to follow up with a primary care provider and to continue taking the benedryl as directed on the box.  Also encouraged either calamine lotion or over the counter benedryl cream/spray to help with itching. Patient denies anything else new being introduced to her that could cause a reaction at this time.   1/8/09 Was contacted by RN, on this day. Patient states that there is no more itching and the red areas are almost gone.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash macular, Rash vesicular
Clinical narrative: On January 6, 2009, 2.5 weeks after vaccine adminstration, Macular rash on chest neck and back, vesicular lesions on back, number less than 10. Client reports feeling feverish at night... No fever noted when checked by MD.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Allodynia, Erythema, Oedema peripheral, Pain, Tenderness
Clinical narrative: COMPLAINING OF PAIN AND TENDERNESS SINCE INJECTION, PAINFUL TO RAISE ARM OR LAY ON ARM.STATES ARM WAS SWOLLEN AND RED AFTER INJECTION FOR AND CONTINUES OFF AND ON TIL NOW.  USES TOPICAL RUB FOR DISCOMFORT.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Diarrhoea, Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Patient received vaccine on 12/18/08.  Contacted telephone helpline 12/19/08 to report arm is swollen, red, warm to the touch; temp was 98.  Patient presented to ER on 12/20/08 with reports of worsened symptoms in addition to diarrhea, swelling and erythema at site of injection.  Initiated antibiotics for diagnosis of cellulitis.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Patient received vaccine on 12/18/08.  Contacted telephone helpline 12/19/08 to report arm is swollen, red, warm to the touch; temp was 98.  Patient presented to ER on 12/20/08 with reports of worsened symptoms in addition to diarrhea, swelling and erythema at site of injection.  Initiated antibiotics for diagnosis of cellulitis.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Headache, Lymphadenopathy, Lymphangioma
Clinical narrative: Per mom C/O at about 5 - 6 PM started with chills and fever, highest temp 102.9, and headache. In morning noticed both arms red (from top of hands up to elbows). DX by Dr on 1/08/09 in office with Lymphangectasia and referred to Immunologist. Appt pending.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Per mom C/O at about 5 - 6 PM started with chills and fever, highest temp 102.9, and headache. In morning noticed both arms red (from top of hands up to elbows). DX by Dr on 1/08/09 in office with Lymphangectasia and referred to Immunologist. Appt pending.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Fatigue, Feeling cold, Gait disturbance, Headache
Clinical narrative: Woke up that Sunday a.m. feeling very tired.  Complained of arms feeling heavy and a headache.  Later that day complained of numbness and tingling which progressed bilaterally up both her arms throughout that day and into the next several days.  Complained of being cold.  She slept up to 16 hours/day.  Contacted the physician on-call on Monday (Labor Day) who suggested that we wait a week to see what course the symptoms took.  Symptoms continued and progressed to complaints of difficulty walking due to heaviness of legs.  Numbness and tingling progressed above elbows, but no further.  No difficulty breathing.  On Wednesday we went to see her primary care physician who felt she had mono, and that it was not related to the HPV vaccine.  (patient had NO sore throat)  Her doctor ran blood tests, but these returned negative for mono. Patient began to get less tired and less weak beginning on Friday, September 5th, during the day, but then returned to the weakened state on Saturday through Tuesday.  And then rapidly recovered to her usual self by Saturday, September 13th.  She has had no recurrence of the symptoms since.  (NOTE:  Her maternal grandfather was diagnosed with Myasthenia Gravis at age 70, and a cousin on her mother's side has Juvenile Rheumatoid Arthritis that first surfaced after a tetanus vaccine when she was 10 years old).
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypersomnia, Hypoaesthesia, Paraesthesia, Sensation of heaviness
Clinical narrative: Woke up that Sunday a.m. feeling very tired.  Complained of arms feeling heavy and a headache.  Later that day complained of numbness and tingling which progressed bilaterally up both her arms throughout that day and into the next several days.  Complained of being cold.  She slept up to 16 hours/day.  Contacted the physician on-call on Monday (Labor Day) who suggested that we wait a week to see what course the symptoms took.  Symptoms continued and progressed to complaints of difficulty walking due to heaviness of legs.  Numbness and tingling progressed above elbows, but no further.  No difficulty breathing.  On Wednesday we went to see her primary care physician who felt she had mono, and that it was not related to the HPV vaccine.  (patient had NO sore throat)  Her doctor ran blood tests, but these returned negative for mono. Patient began to get less tired and less weak beginning on Friday, September 5th, during the day, but then returned to the weakened state on Saturday through Tuesday.  And then rapidly recovered to her usual self by Saturday, September 13th.  She has had no recurrence of the symptoms since.  (NOTE:  Her maternal grandfather was diagnosed with Myasthenia Gravis at age 70, and a cousin on her mother's side has Juvenile Rheumatoid Arthritis that first surfaced after a tetanus vaccine when she was 10 years old).
Age: 47.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria
Clinical narrative: Got the vaccine at 4 in the afternoon, the pain at site woke me up at 3:30 am. Site was raised red and hive like. Took benadryl and advil. Site size bigger the next morning. Still painful. No improvement. Had cold coming on---worsened with vaccine. I am a celiac and I suspect that there was gluten in the vaccine.
Age: 47.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Chills, Cough, Decreased appetite, Fatigue, Headache
Clinical narrative: Got the vaccine at 4 in the afternoon, the pain at site woke me up at 3:30 am. Site was raised red and hive like. Took benadryl and advil. Site size bigger the next morning. Still painful. No improvement. Had cold coming on---worsened with vaccine. I am a celiac and I suspect that there was gluten in the vaccine.
Age: 47.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Increased upper airway secretion, Injected limb mobility decreased, Injection site mass, Injection site warmth, Nausea
Clinical narrative: Got the vaccine at 4 in the afternoon, the pain at site woke me up at 3:30 am. Site was raised red and hive like. Took benadryl and advil. Site size bigger the next morning. Still painful. No improvement. Had cold coming on---worsened with vaccine. I am a celiac and I suspect that there was gluten in the vaccine.
Age: 47.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Got the vaccine at 4 in the afternoon, the pain at site woke me up at 3:30 am. Site was raised red and hive like. Took benadryl and advil. Site size bigger the next morning. Still painful. No improvement. Had cold coming on---worsened with vaccine. I am a celiac and I suspect that there was gluten in the vaccine.
Sex: F
Vaccine: HEPAB
Symptoms: Injection site pain, Injection site reaction, Muscle atrophy
Clinical narrative: This case was reported by a healthcare professional via sales representative and described the occurrence of muscle wasting in an adult female subject who was vaccinated with TWINRIX, GlaxoSmithKline. Previous and/or concurrent vaccination included TWINRIX; GlaxoSmithKline given on an unspecified date. In July 2008, the subject received 2nd dose of TWINRIX (1 ml, unknown, left arm). At an unspecified time after vaccination with TWINRIX, the subject experienced muscle wasting, indentation at injection site and injection site pain. The subject is a nurse at this office who is experiencing pain and an indentation at the injection site which has been diagnosed by her physician as muscle wasting. She was seen by specialists and a physician in her practice. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Age: 0.2
Sex: U
Vaccine: RV1
Symptoms: Abdominal pain, Malaise, Vomiting
Clinical narrative: This case was reported by a physician via a sales representative and described the occurrence of abdominal pain in a 2-month-old subject of unspecified gender who was vaccinated with ROTARIX (GlaxoSmithKline). The subject concurrently received unspecified vaccines on the same date of receiving ROTARIX. On an unspecified date the subject received 1st dose of ROTARIX at 1.0 ml. Within 12 to 24 hours following ROTARIX administration, the subject developed severe abdominal pain and vomiting. The subject was hospitalised and the physician considered the events were disabling, life threatening and clinically significant (or requiring intervention). At the time of reporting the events were improved, but the subject was still not feeling well and was on a proton pump inhibitor due to continued stomach pain. The physician considered the events were possibly related to vaccination with ROTARIX.
Age: 0.2
Sex: U
Vaccine: RV1, UNK
Symptoms: Abdominal pain, Intensive care, Malaise, Vomiting
Clinical narrative: This case was reported by a physician via a sales representative and described the occurrence of abdominal pain in a 2-month-old subject of unspecified gender who was vaccinated with ROTARIX (GlaxoSmithKline). The subject concurrently received unspecified vaccines on the same date of receiving ROTARIX. On an unspecified date the subject received 1st dose of ROTARIX at 1.0 ml. Within 12 to 24 hours following ROTARIX administration, the subject developed severe abdominal pain and vomiting. The subject was hospitalised and the physician considered the events were disabling, life threatening and clinically significant (or requiring intervention). The subject ended up in the intensive care unit due to vomiting green material. It was first suspected that the subject may have had an obstruction, but the subject started to do better. At the time of reporting the events were improved, but the subject was still not feeling well and was on a proton pump inhibitor due to continued stomach pain. The physician considered the events were possibly related to vaccination with ROTARIX.
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Facial palsy, Swelling face
Clinical narrative: This case was reported by a physician and a sales representative and described the occurrence of Bell's palsy in a 32-year-old female subject who was vaccinated with TWINRIX (GlaxoSmithKline). Previous vaccination included 1st dose of TWINRIX (GlaxoSmithKline) given on 10 December 2008. There were no concurrent medications. On 17 December 2008 the subject received 2nd dose of TWINRIX (TWINRIX was being administered according to the accelerated dosing schedule) at 1.0 ml in the left arm. On 6 January 2009 days after vaccination with TWINRIX, the subject experienced BELL's palsy and swelling of face. The physician considered the events were disabling. The subject was treated with high dose steroid pack of prednisone. At the time of reporting the events were unresolved. The physician considered the events were possibly related to vaccination with TWINRIX.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial palsy, Hypoaesthesia facial, Swollen tongue
Clinical narrative: Pt phoned 1/8/09 stating that he had received the Shingles vaccine the day before and was experiencing facial numbness, swollen tongue and droopy (R) ear. Went to ER 1/9/09 was diagnosed with Bell's Palsy.   2/23/09 MR received for ER visit 1/9/09 with dx:  Bells Palsy. Pt presented with 1 day hx of facial droop and weakness. PE (+) for R facial palsy.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Crying
Clinical narrative: Mother states child developed Temp 103.8 within 24 hours of vaccine administration with prolonged crying.  Did not seen medical TR.  Advised physician prior to next set of vaccines.
Age: 8.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No information Provided
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: Patient reported to facility with 5 1/2 cm x 8cm reddened and indurated area on left deltoid are. Area was warm to touch and patient reported feeling a "knot" in shot arm on 1/8/09. Knot is now dissipated at time of this being filled out.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: 1-2-09 client received MENACTRA about 9:15 AM.  V/S given and reviewed side effects.  After getting home, client states having S.O.B. and tightness in chest.  Client with mother.  Instructed to be driven ASAP to ER at hospital and notify facility of results.  Called client at 1:10pm.  States symptoms resolved after lying down and that he did not go to ER.  Will call if further problems.
Age: 1.1
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Rash over body started 1/8/09, worsened 1/9/09. Fever.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: B/L deltoid area with erythema/ warmth.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Immediate post-injection reaction, Syncope
Clinical narrative: Patient given GARDASIL- fainted after getting it, patient complained of headache prior to fainting.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Dizziness, Mood swings, Muscle spasms, Smear cervix abnormal, Tachycardia
Clinical narrative: Dizzy, lightheaded, tachycardia, intermittent tinnitus. Cramps not related to monthly cycle. Mood swings, abnormal pap smear.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Tinnitus
Clinical narrative: Dizzy, lightheaded, tachycardia, intermittent tinnitus. Cramps not related to monthly cycle. Mood swings, abnormal pap smear.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Dizziness, Tachycardia, Tinnitus
Clinical narrative: Dizzy, lightheaded, tachycardia, intermittent tinnitus. Cramps not related to monthly cycle. Mood swings, abnormal pap smear.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea
Clinical narrative: 15 min after immunization complained of nausea, light headed, dizziness patient monitored. Symptoms resolved. Patient said she was better
Age: 18.0
Sex: M
Vaccine: FLU3, MNQ, FLUX, MNQ
Symptoms: Cerebrovascular accident
Clinical narrative: Mini stroke. 2/18/09 Neurology consult received dated 1/15/09 with no definite dx: Impression:  Transient word finding difficulties (dysphasia) with R hand numbness.  Raises concern for L hemisphere event, most likely vascular. Pt seen for consult for above sx.  Some loss of peripheral vision, a wierd feeling in legs lasting <1hr.  The following morning pt developed vertigo with N/V. PE WNL.  2/20/2009 2 ER records received for 1/8/09 with DX: Paresthesias, dysarthria, now resolved and 1/9/09 with DX:  Acute N&V, now resolved. Pt presented with sudden onset of paresthesias of the R arm and face and speech problems-talking and making no sense.  Resolved in 1 hr. Recent increase in neck pain following past accident. PE WNL. Started on ASA to f/u with neuro as outpt.  Returned the next day with nausea and 4-5 episodes of vomiting w/in 2 minutes which quickly resolved. Some tingling now in L arm. D/C to f/u as above.
Age: 18.0
Sex: M
Vaccine: FLU3, MNQ, FLUX, MNQ
Symptoms: Aphasia, Computerised tomogram, Electrocardiogram, Hypoaesthesia, Laboratory test
Clinical narrative: Mini stroke. 2/18/09 Neurology consult received dated 1/15/09 with no definite dx: Impression:  Transient word finding difficulties (dysphasia) with R hand numbness.  Raises concern for L hemisphere event, most likely vascular. Pt seen for consult for above sx.  Some loss of peripheral vision, a wierd feeling in legs lasting <1hr.  The following morning pt developed vertigo with N/V. PE WNL.  2/20/2009 2 ER records received for 1/8/09 with DX: Paresthesias, dysarthria, now resolved and 1/9/09 with DX:  Acute N&V, now resolved. Pt presented with sudden onset of paresthesias of the R arm and face and speech problems-talking and making no sense.  Resolved in 1 hr. Recent increase in neck pain following past accident. PE WNL. Started on ASA to f/u with neuro as outpt.  Returned the next day with nausea and 4-5 episodes of vomiting w/in 2 minutes which quickly resolved. Some tingling now in L arm. D/C to f/u as above.
Age: 18.0
Sex: M
Vaccine: FLU3, MNQ, FLUX, MNQ
Symptoms: Nuclear magnetic resonance imaging, Paraesthesia, Vomiting
Clinical narrative: Mini stroke. 2/18/09 Neurology consult received dated 1/15/09 with no definite dx: Impression:  Transient word finding difficulties (dysphasia) with R hand numbness.  Raises concern for L hemisphere event, most likely vascular. Pt seen for consult for above sx.  Some loss of peripheral vision, a wierd feeling in legs lasting <1hr.  The following morning pt developed vertigo with N/V. PE WNL.  2/20/2009 2 ER records received for 1/8/09 with DX: Paresthesias, dysarthria, now resolved and 1/9/09 with DX:  Acute N&V, now resolved. Pt presented with sudden onset of paresthesias of the R arm and face and speech problems-talking and making no sense.  Resolved in 1 hr. Recent increase in neck pain following past accident. PE WNL. Started on ASA to f/u with neuro as outpt.  Returned the next day with nausea and 4-5 episodes of vomiting w/in 2 minutes which quickly resolved. Some tingling now in L arm. D/C to f/u as above.
Age: 1.2
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site haematoma
Clinical narrative: DTAP 0.5 cc IM right deltoid. With in 10 min after IM injection mother noted redness and bruise area 50 mm around top of shoulder.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingle along C3 within 1 week of ZOSTAVAX.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Patient developed redness and pain at injection site. Evaluated by provider as cellulitis. Treated with CEPHALEXIN for 7 days. Re- evaluated one week later. Cellulitis resolved.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Screaming, Sleep disorder
Clinical narrative: Within 72 hrs of receiving 4 month vaccine (PEDIARIX; Act HIB; PREVNAR; ROTATEQ) child had sleep disturbance and "high pitched scream-super high pitched scream."
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Vomiting
Clinical narrative: Profuse Vomiting
Age: 1.3
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: 8:51 am onset of 104 degree fever. Parents administered TYLENOL alternating with MOTRIN. At 1:33pm parents called. Child with 106 degree fever. Bought into the office at 2:00 pm.
Age: 1.46
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Swelling face, Vomiting projectile
Clinical narrative: (L) chin swelling. Increase fever of 45° C and with projectile vomiting 15-20 mins. after vaccine given symptoms started.  Pt went to ER 11 pm 1/8/09 until 5AM 1/9/09
Age: 31.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Lymphadenopathy, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Low grade fever, sore throat, swollen neck lymph nodes, runny nose, muscle aches and fatigue.  Taking ibuprofen.
Age: 31.0
Sex: F
Vaccine: HPV4
Symptoms: Rhinorrhoea
Clinical narrative: Low grade fever, sore throat, swollen neck lymph nodes, runny nose, muscle aches and fatigue.  Taking ibuprofen.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient's son (a DMD) is visiting from out of time and noticed that his mother had a raised area on her arm that he found out was the injection site.  It has just become raised, and is warm to the area. Last evening (01/09) it was also itchy.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Fibrous histiocytoma, Injection site reaction, Injection site scab
Clinical narrative: Dermatofibroma at site (subcutaneous tissue on left arm) of Pneumovax injection.  I first noticed a scab had formed on the site and was surprised.  It has never disappeared and now is an obvious (to me) dermatofibroma.  One on my right leg I believe was associated with an insect bite.  No problem, just thought injection might be associated with dermatofibroma at injection site.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Pyrexia, Vomiting
Clinical narrative: Vomiting and fever. Had Vaccine mid-afternoon on the 10th. Had a fever that evening and through the night. Early morning complained of stomach ache and then got up at 8 am and vomited. Still has a fever.
Age: 28.0
Sex: F
Vaccine: FLU3, MNQ, TDAP, TYP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Erroneously received two doses of Meningococcal vaccine
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Nasopharyngitis, Pyrexia
Clinical narrative: Fever (<100dF), which lasted several months.  Cough, which lasted a couple months.  Head cold, too.  (Treatment was with three sequential and different courses of anti-biotics.)
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Limb injury, Pain, Tenderness
Clinical narrative: Wed, 7 Jan afternoon, shut van sliding door on my left hand.  Went to ER due to severe pain, possible broken hand.  Had a tetanus shot during ER treatment.  Left shoulder has been very tender to the touch since second day.  Painful to move since second day.  Ache radiates across to other (right) shoulder.  Active Saturday cleaning house, had bath Sat night which gave some relief, but woke up with severe pain, applied heat for relief.  Took Percocet Wednesday, Lortab Wednesday evening, Tylenol PM Thursday night and Darvocet during the day through Saturday.  (Lortab caused inability to sleep at night).
Age: 29.0
Sex: M
Vaccine: MMR, TD, MMR
Symptoms: Body temperature increased, Laboratory test normal, Rhinorrhoea
Clinical narrative: high temperature, respiratory illness ,flu,running nose. 1/15/09-per vaccine provider phone call-patient presented to office 4 days after vaccine C/O flu-like symtpoms, examined and discharged from office. krk 1/16/2009 ER records received for DOS 1/13/2009 with DX: URI-viral. Presented to ER with c/o fever, sore throat, runny nose, ear pain. Temp 98.2'F. Suspected febrile response from MMR.
Age: 29.0
Sex: M
Vaccine: MMR, TD, MMR
Symptoms: Cough, Influenza, Pain, Rhinorrhoea
Clinical narrative: high temperature, respiratory illness ,flu,running nose. 1/15/09-per vaccine provider phone call-patient presented to office 4 days after vaccine C/O flu-like symtpoms, examined and discharged from office. krk 1/16/2009 ER records received for DOS 1/13/2009 with DX: URI-viral. Presented to ER with c/o fever, sore throat, runny nose, ear pain. Temp 98.2'F. Suspected febrile response from MMR.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Swelling, inflamation, pain at shot site...about 2 1/2 X 3 1/2 inches, lasted over 1 week.  Now, 2 weeks later, site is visibly pink; swelling, inflation and pain gone. I believe the injection was administered into the muscle and not subcutaneous.  My husband and I had the same adverse effect.  We reported the effect to the pharmacist and he said that 4 others had reported the same effects.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV, OPV, PPV, RVX
Symptoms: Abnormal behaviour, Aphasia, Irritability, Staring, Unresponsive to stimuli
Clinical narrative: Behavior changes including fussiness towards bath water, speech regression to none and glossy eyed staring with lack of smiling and responsiveness to cues.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, UNK
Symptoms: Irritability
Clinical narrative: Acted a little bit more fussy than usual.Given Tylenol once,(right after shots were given on 4/17/08.)
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Dyspnoea, Fatigue, Injection site erythema, Injection site irritation
Clinical narrative: Pain redness- burning at injection site chills, fever, nausea and shortness of breath and extreme fatigue- symptoms lasted 4-5 days and arm was painful to touch for about 2 weeks.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Pain redness- burning at injection site chills, fever, nausea and shortness of breath and extreme fatigue- symptoms lasted 4-5 days and arm was painful to touch for about 2 weeks.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MMR, TDAP
Symptoms: Blood pressure decreased, Hypotension, Unresponsive to stimuli, Vaccination complication
Clinical narrative: Information has been received from a registered nurse, for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 24-NOV-2008 was vaccinated with her initial dose of GARDASIL (lot # 661530/0575X) 0.5 mL intramuscularly in deltoid. On unknown date the patient had a severe reaction to the vaccination and went unresponsive. Her blood pressure was recorded at 54/30. The patient was sent to the local Emergency Room via ambulance. She was not admitted to the hospital and recovered from unresponsive. The last menstrual period was 21-OCT-2008 and estimated delivery date was 28-JUL-2009 (reported as "27-JUL-2009"). Upon internal review, went unresponsive was considered to be an important medical event. Additional information has been requested.  2/2/09 ER record received for DOS 11/24/08 with DX: Vasovagal episode. Pt was receiving immunizations when had a single episode of syncope.  PE WNL in ER. D/C to f/u up with PCP.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MMR, TDAP
Symptoms: Gaze palsy, Heart rate decreased, Hypotonia, Oxygen supplementation, Pallor
Clinical narrative: Information has been received from a registered nurse, for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 24-NOV-2008 was vaccinated with her initial dose of GARDASIL (lot # 661530/0575X) 0.5 mL intramuscularly in deltoid. On unknown date the patient had a severe reaction to the vaccination and went unresponsive. Her blood pressure was recorded at 54/30. The patient was sent to the local Emergency Room via ambulance. She was not admitted to the hospital and recovered from unresponsive. The last menstrual period was 21-OCT-2008 and estimated delivery date was 28-JUL-2009 (reported as "27-JUL-2009"). Upon internal review, went unresponsive was considered to be an important medical event. Additional information has been requested.  2/2/09 ER record received for DOS 11/24/08 with DX: Vasovagal episode. Pt was receiving immunizations when had a single episode of syncope.  PE WNL in ER. D/C to f/u up with PCP.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MMR, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Information has been received from a registered nurse, for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 24-NOV-2008 was vaccinated with her initial dose of GARDASIL (lot # 661530/0575X) 0.5 mL intramuscularly in deltoid. On unknown date the patient had a severe reaction to the vaccination and went unresponsive. Her blood pressure was recorded at 54/30. The patient was sent to the local Emergency Room via ambulance. She was not admitted to the hospital and recovered from unresponsive. The last menstrual period was 21-OCT-2008 and estimated delivery date was 28-JUL-2009 (reported as "27-JUL-2009"). Upon internal review, went unresponsive was considered to be an important medical event. Additional information has been requested.  2/2/09 ER record received for DOS 11/24/08 with DX: Vasovagal episode. Pt was receiving immunizations when had a single episode of syncope.  PE WNL in ER. D/C to f/u up with PCP.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Computerised tomogram, Nerve injury, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Information has been received from a physician concerning an 18 year old female who in May 2008 was vaccinated with the third dose of GARDASIL and within 1 week experienced right arm pain (2008). The patient saw an unspecified neurologist who said there of the vaccine was nerve damage. Lab diagnostics performed included MRI and CAT scan. All 3 doses were given in the right arm. Unknown if the patient had any problems with the first or second dose. The patient sought medical attention by visiting the physician's office. Nerve damage was considered to be disabling by the physician because the patient was on the golf team and was unable to participate. Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Body temperature increased, Death, Pyrexia
Clinical narrative: Information has been received from a case in litigation via a case report concerning a baby who on an unspecified date was vaccinated with a dose of HEPTAVAX (manufacturer unknown). The patient had an upper respiratory infection at the time of vaccination. Subsequently, the patient experienced a very high fever and death. A special Master cited that "each of the two factors (the vaccine and the infection) were a substantial factor in causing the patient's very high fever and death and, but for the presence of each of these two factors, the baby would not have had the high fever and would not have died." No further information is available.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Dehydration, Rotavirus test positive, Vomiting
Clinical narrative: Information has been received from a physician concerning a 9 weeks old male, who on 19-DEC-2008, was vaccinated with the "normal dose" of ROTATEQ (Lot # was not available), orally. Concomitant therapy included PREVNAR, IPV, PEDVAXHIB, and DTaP. On 23-DEC-2008, the patient experienced vomiting and dehydration and was hospitalized. Patient was tested for rotavirus and test result came back positive. Physician noted that the patient recovered and was released from the hospital on 28-DEC-2008. "Hospital demographics are unspecified." Additional information has been requested.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Local reaction, Swelling
Clinical narrative: 6-27-02 1st PNEUMOVAX - 0 reachon 1-6-09 2nd PNEUMOVAX - tenderness, redness from site to elbow (Lt), hardness @ site local RXN only - no systemic SX or a injec edema hives etc. Update pt was seen earlier 1-7-09 but returned later evening with increased swelling but no sytemic c/o's. Advised to continue BENADRYL/ice. No further contact after 1/7/09 noted.
Age: 25.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Drug exposure during pregnancy, Injection site cellulitis
Clinical narrative: Cellulitis infection near injection site of upper left arm.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Fatigue, Hot flush, Nausea, Pharyngitis streptococcal, Vomiting
Clinical narrative: Nausea, vomiting, fatigue and hot flashes. Started 20 min after injection. Pt received at work and sent home early
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Breath sounds abnormal, Immediate post-injection reaction, Loss of consciousness, Muscle rigidity, Muscle twitching
Clinical narrative: Loss of consciousness  sonorous breathing  rigid extremities  twitching extremities  lasting approximately 15-20 minutes.
Age: 17.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP
Symptoms: Urticaria
Clinical narrative: Fluctuating total body urticaria.  Treated with antihistamine/steroids.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Rash generalised
Clinical narrative: Client called and reported a rash all over her body on 12/24/08.  Went to ER on 12/29/08 - Urgent care at medical center.  Rx with Methylprednisolone and was told by MD - no further HEP B vaccine.  Client denies any more problems at this time.
Age: 1.2
Sex: M
Vaccine: HEP, HEPA, HIBV, PNC, VARCEL
Symptoms: Rash
Clinical narrative: rash
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 4 Inch redness at injection site that lasted 4 days- 0 raised - some pain with palpation - itching on 3 of 4.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Screaming
Clinical narrative: High pitched  unconsolable crying + Screaming >4hrs following immunizations
Age: 47.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Fatigue, Measles antibody negative, Rash, Varicella zoster serology negative
Clinical narrative: Received MMR + VARIVAX vaccine on 12/22/08 for an employment physical, experienced rash on abdomen + fatigue.  Reaction reported 1/5/09
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Local reaction redness, swelling for > 3days.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, HIBV, PNC
Symptoms: Body temperature increased, Erythema, Rash, Screaming, Urticaria
Clinical narrative: Had temp 102.4 evening following vaccine - mother took him to after hours pediatric clinic who told her to watch him - saw his regular MD on Wednesday - only had small at that time on arm.  Mother states told doctor about visit to after hours ped clinic but he did not really address that issue.  Child started according to mom a high pitched scream day after receiving shots and has been having it off and on since.  She states he starts screaming when he awakens from sleep.  She states he stops when you pick him up and rock him.  She states he started having a rash 12-11-08 - red bumps on his face, chest, stomach, and on back.  She states in A.M. rash is really bad but then goes to just being red areas later on in the day.  Informed mom to make an appt with her pediatrician for evaluation.  She voiced understanding of instructions.  Called mom back today at 2:45 PM.  She states child is doing better, redness in face gone - but still has bumps on both arms and his stomach.  States will schedule appt with pediatrician.
Age: 1.1
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Red bumps all over face, neck, arms and legs
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site rash, Rash
Clinical narrative: 1 by 1 cm redden area to (R) thigh & Rash noted to stomach + legs -, mom stated started with rash to site the next am and rash started 12/19/08.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, TDAP
Symptoms: Erythema, Pruritus, Tenderness
Clinical narrative: Right arm redness 7.5cm x 3.5cm, tender and itchy for 2 days. Rx'd  Benadryl.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Dyspnoea, Rhinorrhoea, Wheezing
Clinical narrative: Temperature unknown. Symptoms include, wheezing, runny nose, difficulty breathing through nostrils, time course - ongoing following administration of FLUMIST. LAN. Symptoms are on a daily bases to this present day, although the runny nose has ended, medications for bacterial infections and allergies given; neither resolved the symptoms.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Female complains of sore right arm, 8 days after shot given.  Sats has limited motion of arm without having full ache in arm muscle.  No swelling or rash present or fever, taking IBUPROFEN for soreness.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain at injection site for 2 months.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: At approx 11:30 am pt developed rash on face, neck, and chest.  Dr checked pt.  Administered 1 teaspoon BENADRYL and 1 teaspoon prednisolone observed pt for 20 minutes.  Dr re-evaluated pt.  Pt. stable, no distress noted.  Pt. released.
Age: 8.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 12/30 Mom noticed swelling at injection site after 5:00PM , 0 fever; spoke with on call triage nurse; applied cool compress; Rx Benadryl, Motrin 12/31 erythema  +  swelling slightly larger than 12/30 at 2in diameter; afebrile; will cont treatment cool compress, Motrin + Benadryl
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Pt received varicella immunization on 7/30/08 He came into the office w/rash for 2 days on 1/6/09 & was diagianosed with chicken pox.  Hx symptoms are being treated.
Age: 12.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Developed diffuse, maculopapular rash fever 108.  Pt previously never vaccinated
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Incisional drainage, Skin warm
Clinical narrative: Pt states about 2-3 days after injection her arm felt red and warm, told to put ice on it & take TYLENOL - 2 days later she went to ER where they lanced it & she had cellulitis & put on ABx- from there she heal well.
Age: 71.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Hard, warm swelling shoulder to elbow, painful.  Painful to raise arm.  Next day red patches same area.  Took AMOXICILLIN 875 MG 2 X a day for five days.  Also took CLARINEX 5 MG 1 X a day for five days.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception.  2/23/09 Received hospital medical records of 1/8-1/9/2009. FINAL DX: Intussusception Records reveal patient experienced  intermittent crying & lethargy x 5 days, periods of inconsolability, abdominal distention & pain, oral intake reduced, c.onstipation  Surgery consult done.  Tx w/water soluble contrast enema successfully.  Admitted overnight for observation.  Progressed well & d/c to home
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Cold sweat, Dizziness, Feeling hot, Paraesthesia, Respiratory rate increased
Clinical narrative: Patient felt hot, dizzy, lightheaded, hands were clammy, tight fisted, tingly and patient was breathing hard and fast
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site oedema
Clinical narrative: Right deltoid developed edema after 2 days.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Elevated swelling with in duration and elevated warmth at site of vaccination treated with ice.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac enzymes normal, Chest X-ray normal, Chest pain, Feeling abnormal, Full blood count normal
Clinical narrative: States she had nausea and chest pain within 30min. Then aching felt bad. Went to bed. Woke and went to toilet 4 hours after vaccine. "Passed out" knocked head. Went to ER. Assessed and sent home.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Head injury, Laboratory test normal, Loss of consciousness, Nausea, Pain
Clinical narrative: States she had nausea and chest pain within 30min. Then aching felt bad. Went to bed. Woke and went to toilet 4 hours after vaccine. "Passed out" knocked head. Went to ER. Assessed and sent home.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis normal
Clinical narrative: States she had nausea and chest pain within 30min. Then aching felt bad. Went to bed. Woke and went to toilet 4 hours after vaccine. "Passed out" knocked head. Went to ER. Assessed and sent home.
Age: 57.0
Sex: M
Vaccine: FLU3, HEPAB, PPV
Symptoms: Body temperature, Full blood count, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received a pneumococcal vaccine (in left thigh), an influenza vaccine (in left arm) and his 3rd hepatis A&B vaccine of the series (in left thigh) on 11/3/08.  Later that night, patient developed warmness, swelling, redniess, and itching involving the whole left anteromedial thigh.  Patient also had fever for 1 day.  Veteran had received his previous 2 doses of hepatitis A&B on 5/14/08 and 6/13/08 without incident.  Had received influenza vaccine in previous years without incident.  Patient was prescribed cephalexin 500 mg qid x 10 days as he also had an elevated white blood cell count.
Age: 57.0
Sex: M
Vaccine: FLU3, HEPAB, PPV
Symptoms: Injection site warmth, Monocyte count normal, Neutrophil count increased, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Patient received a pneumococcal vaccine (in left thigh), an influenza vaccine (in left arm) and his 3rd hepatis A&B vaccine of the series (in left thigh) on 11/3/08.  Later that night, patient developed warmness, swelling, redniess, and itching involving the whole left anteromedial thigh.  Patient also had fever for 1 day.  Veteran had received his previous 2 doses of hepatitis A&B on 5/14/08 and 6/13/08 without incident.  Had received influenza vaccine in previous years without incident.  Patient was prescribed cephalexin 500 mg qid x 10 days as he also had an elevated white blood cell count.
Age: 57.0
Sex: M
Vaccine: FLU3, HEPAB, PPV
Symptoms: White blood cell count increased
Clinical narrative: Patient received a pneumococcal vaccine (in left thigh), an influenza vaccine (in left arm) and his 3rd hepatis A&B vaccine of the series (in left thigh) on 11/3/08.  Later that night, patient developed warmness, swelling, redniess, and itching involving the whole left anteromedial thigh.  Patient also had fever for 1 day.  Veteran had received his previous 2 doses of hepatitis A&B on 5/14/08 and 6/13/08 without incident.  Had received influenza vaccine in previous years without incident.  Patient was prescribed cephalexin 500 mg qid x 10 days as he also had an elevated white blood cell count.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Blood sodium increased, Erythema, Lymphadenopathy, Platelet count increased, Rash
Clinical narrative: "Tender anterior cervical adenoopathy on left and few shotty nodes on right.  Notable scattered faint erythematous papules on the face, trunk, and arms.  Questionable tender axillary node on left, but could not appreciate any other adenopathy."  Supportive treatment only advised by M.D.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Rash papular, White blood cell count decreased
Clinical narrative: "Tender anterior cervical adenoopathy on left and few shotty nodes on right.  Notable scattered faint erythematous papules on the face, trunk, and arms.  Questionable tender axillary node on left, but could not appreciate any other adenopathy."  Supportive treatment only advised by M.D.
Age: 6.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Cough, Erythema, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Parent reported temp of 101.1 on evening of vaccines with swelling, redness, size of fifty cent piece next AM.  Fever that night 103.5 with site red, firm and painful to touch.  No red streak or purulence.  No other symptoms except occasional cough.  (Site of varicella injection)  Child seen in ER on 11/21 with fever of 102 degrees.  Given cephalexin 250 mg tid and warm soaks advised.  PMD wanted to lance site--mom declined.  11/24--temp 99 degrees and swelling decreased.  Redness decreased.  No further treatment.  1/8/09--no fever, redness or edema after 11/24/09.
Age: 6.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Pyrexia, Swelling
Clinical narrative: Parent reported temp of 101.1 on evening of vaccines with swelling, redness, size of fifty cent piece next AM.  Fever that night 103.5 with site red, firm and painful to touch.  No red streak or purulence.  No other symptoms except occasional cough.  (Site of varicella injection)  Child seen in ER on 11/21 with fever of 102 degrees.  Given cephalexin 250 mg tid and warm soaks advised.  PMD wanted to lance site--mom declined.  11/24--temp 99 degrees and swelling decreased.  Redness decreased.  No further treatment.  1/8/09--no fever, redness or edema after 11/24/09.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Received TDAP Vaccine on 1/7/2009.  Came in to employee health on 1/9/2009 with left arm red, warm to touch, and stated the area was larger than it had been and seem to be getting bigger.  States arm is painful on movement. Pt stated she had iced her arm and taken ibuprofen for last two days.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Pain in extremity, Pyrexia, Vision blurred
Clinical narrative: Four hours after vaccination, patient complained of sore arm, then started to complain of wobbly legs, blurred vision, and had high fever, and lasted 24 hours. (as reported by mother)
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP
Symptoms: Joint swelling, Pain in jaw
Clinical narrative: Patient left message on voicemail 01/09/2009 stating she had sore L jaw after receiving immunizations on day prior.  Call returned to client 01/12/2009 - at that time patient indicated that she felt sxs may have been r/t receipt of Tdap.  Reported sore L jaw and "swollen joint" that lasted approximately 2 days.  Sxs now improved.  No treatment reported.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Incorrect route of drug administration, Wrong drug administered
Clinical narrative: Gave pt wrong immunization in wrong area.