chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Hypotrichosis, Lichen planus, Medication error, Pityriasis rosea, Rash
Clinical narrative: Rash on back, sides and arms - Dr incorrectly diagnosed as Pityriasis Rosea on 1-2-07. Diagnosed as Lichen Planus 3-6-07. Recommended treatment drug Soriatan Acitretin which has possible severe side effects not being used at this time. This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 69 year old male with benign prostatic hyperplasia, arteriosclerotic cardiovascular disease, osteoporosis, trigeminal neuralgia, hyperlipidaemia, dyspepsia, hypertension, and allergies to ANTACAND ("problem with is his head"), ACEON (lightheaded), ALTACE (vertigo), MAVIR (vertigo) PRAVACHOL (vertigo), and REMERON (sleep aberration) who on 14-DEC-2006, in the PM, was vaccinated with no improperly stored first dose of ZOSATAVAX (Merck) (lot # 654604/1406F). There was no illness at the time of vaccination. Concomitant therapy included AVODART, aspirin, LIPITOR, AMBIEN, TEGRETOL, SEPTRA DS, VIAGRA and clobetasol propionate. The patient developed a non-vesicular rash on his back 10 days after receiving the vaccination. The patient was referred to a dermatologist who first diagnosed pityriasis rosea and then dermined the diagnosis to be lichen planus. The patient was prescribed SORIATANE. The patient also had a decrease in facial hair. At the time of the report, the patient had not recovered. A product quality complaint was not involved.  Additional information was received from the licensed practical nurse who reported that on 17-DEC-2006, the patient developed a rash on his back, he had facial hair loss, and lichen planus. It was noted that the patient was also recently started on AVODART. The patient saw a dermatologist. The patient was found to have benign nevi (no treatment needed), lentigines/ephelides (not treatment needed), and lichen planus for which he was treated with SORIATANE 29 mg daily. The dermatologist made no comment regarding whether the lichens planus was related to vaccination with ZOSTAVAX (Merck). It was unknown if the patient recovered. No further information is expected.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Rash, Urticaria
Clinical narrative: Developed rash/welts, urticaria
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Culture, Diarrhoea, Erythema, Injection site erythema
Clinical narrative: 3/17/07 Mom took child to Dr. Child had temp of 103, face red, throwing up formula> lumps, diarrhea. Dr sent to ER to get fever down and check infant out. ER ordered-off formula start Pedialyte and flat sprites. Had redness at injection sites. 3/20/07-now again taking formula-reduced amount. Fever dropped on 3/19/07. No fever now.
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: 3/17/07 Mom took child to Dr. Child had temp of 103, face red, throwing up formula> lumps, diarrhea. Dr sent to ER to get fever down and check infant out. ER ordered-off formula start Pedialyte and flat sprites. Had redness at injection sites. 3/20/07-now again taking formula-reduced amount. Fever dropped on 3/19/07. No fever now.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood pH, Crying, Differential white blood cell count normal, Full blood count, Haematocrit decreased
Clinical narrative: Healthy 4 month. 2pm received 4 month vaccinations on 3-20-07. Within 12 hours patient developed high fever 102, cranky, difficult to console, staring spells. Require ER visit 3-21-07 and follow up primary care physician visit 3-23-07.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haemoglobin decreased, Irritability, Pyrexia, Staring
Clinical narrative: Healthy 4 month. 2pm received 4 month vaccinations on 3-20-07. Within 12 hours patient developed high fever 102, cranky, difficult to console, staring spells. Require ER visit 3-21-07 and follow up primary care physician visit 3-23-07.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Chills, Headache, Muscle spasms, Nausea
Clinical narrative: Fever 101F, aching arms and legs, cramping, chills, traphorisis. Abdomen pain, mild nausea, headache. Treated with Ibuprofen, increase fluids
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 101F, aching arms and legs, cramping, chills, traphorisis. Abdomen pain, mild nausea, headache. Treated with Ibuprofen, increase fluids
Age: 0.21
Sex: M
Vaccine: RV5
Symptoms: Breast feeding, Diarrhoea, Vomiting
Clinical narrative: One week after Rotateq 6-8 watery stool 1 time a day for 15 days, vomited 2 times at onset (1 wk after). Breast fed infant, full recovery, no dehydration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Urticaria
Clinical narrative: Dtap, IPV & MMRV given on 3-20-07 in AM. Patient began breaking out with hives in PM. Benadryl given. Hives improved. No other complications.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster of R upper chest & shoulder
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling
Clinical narrative: Site of injection became swollen the size of a large orange. 50 mg Benadryl PO and ice applied
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Patient started with headache immediately after vaccine administered. Headache lasted 1 month & resolved on own. No improvement with Amoxicillin 600 mg BID x 10 D. and Flonase nasal spray
Age: 5.0
Sex: M
Vaccine: HEP, MMR, VARZOS, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No know adverse event per mom. Follow-up: To date, there has been no adverse event.
Age: 5.0
Sex: M
Vaccine: HEP, MMR, VARZOS, VARZOS
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: No know adverse event per mom. Follow-up: To date, there has been no adverse event.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: Pt received #3 Gardasil on 2/22/07. L arm small red dot after shot. On 2/23/07 she started to get larger with raised area on 2/24/07. Size of (2) quarters, itching on/off with minimal pain. On 3/15/07 22mm bump felt under the skin but not raised.
Age: 1.5
Sex: M
Vaccine: FLU3, HEPA, HIBV
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Blister, redness - Lt, Hep A site.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Herpes simplex, Laboratory test, Nausea, Pyrexia
Clinical narrative: Pt felt nauseous after receiving vaccine. Developed temperature >102. Continued with a fever 102 deg -103.5 F x 5 days. Developed "fever blisters" in mouth. Saw a provider at hospital ED. Treated with Doxycycline.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Body temperature increased, Lymphadenopathy, Oral herpes, Pyrexia
Clinical narrative: Pt felt nauseous after receiving vaccine. Developed temperature >102. Continued with a fever 102 deg -103.5 F x 5 days. Developed "fever blisters" in mouth. Saw a provider at hospital ED. Treated with Doxycycline.
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None Menactra given 2 mo early
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: Pt received Gardasil vaccine 1/11/07 at 100PM - Developed c/o chest pain late evening & went to hospital ER. Pt brought this to our attention 3/12/07 when she was scheduled for her second vaccination - dose not given. No intervention other than Advil given in ER.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Pt received Gardasil vaccine 1/11/07 at 100PM - Developed c/o chest pain late evening & went to hospital ER. Pt brought this to our attention 3/12/07 when she was scheduled for her second vaccination - dose not given. No intervention other than Advil given in ER.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fibrin D dimer normal
Clinical narrative: Pt received Gardasil vaccine 1/11/07 at 100PM - Developed c/o chest pain late evening & went to hospital ER. Pt brought this to our attention 3/12/07 when she was scheduled for her second vaccination - dose not given. No intervention other than Advil given in ER.
Age: 33.0
Sex: U
Vaccine: TTOX
Symptoms: Muscle spasms, Myalgia
Clinical narrative: Pt called in on 3/27/07 to inform of muscle pain and intermittent "Charlie horse" in left deltoid where he received her tetanus shot on 3/26/2007.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Chills, Musculoskeletal discomfort, Nausea, Pain in extremity, Sensation of heaviness
Clinical narrative: Pt was vaccinated 3/20/07 in AM, later afternoon noted back heaviness. Symptoms worsened over night. Then experienced chills, nausea, vomited 5x on 3/21/07. Some arm pain. T102 on 3/22/07 - TX'd with APAP, SX TX
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Pt was vaccinated 3/20/07 in AM, later afternoon noted back heaviness. Symptoms worsened over night. Then experienced chills, nausea, vomited 5x on 3/21/07. Some arm pain. T102 on 3/22/07 - TX'd with APAP, SX TX
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Diffuse rash on torso
Sex: M
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: Rash - Hives - urticaria Clonitin given.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: On 20 Mar 07 I woke up with pain and redness. Over the next 24 hrs the redness had spread almost covering my entire upper arm and was hot to the touch and had signs of swelling around tricep and elbow. 21 Mar 07 I was seen in the ER and was given Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
Clinical narrative: Rt arm L40mm W35mm redness - hot touch - nodule L arm 25mm L & 25mm width/red/hot to touch.
Age: 0.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood glucose increased, Computerised tomogram normal, Red blood cell sedimentation rate increased, Somnolence
Clinical narrative: Mother phone clinic 4 days after vaccinations given stating babe was sleepy, eating well however. Instructed to watch and follow-up if no change 1-2 days. Returned to clinic at 6 days - sent for lab work. Was evaluated later that night in emergency department. Returned to clinic 7 day and referred to Primary children's medical center.
Age: 7.5
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Muscle twitching, Pyrexia, Rash
Clinical narrative: Rash, febrile, ST
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Redness, swelling, pain, itching tx with antibiotics
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Hard/firm left Deltoid-pink, tender, itchy.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain upper, Dizziness, Injection site erythema, Injection site induration, Pain
Clinical narrative: Localized erythema and mild induration at vaccine site of left deltoid, pt. c/o fever 100.5 degrees x 1 dy in duration, Also c/o general body ache, stomach ache, and dizziness, sx onset the day after the vaccine and are improved as of 3/22/07
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Localized erythema and mild induration at vaccine site of left deltoid, pt. c/o fever 100.5 degrees x 1 dy in duration, Also c/o general body ache, stomach ache, and dizziness, sx onset the day after the vaccine and are improved as of 3/22/07
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Rt arm-red x swollen- 26 cm left arm-24"2cm
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Body temperature increased, Cough, Sneezing
Clinical narrative: Immunization given 3/19/07, child had slight runny nose at time Now until sneezing, cough and low grade temp.
Age: 22.0
Sex: F
Vaccine: IPV, RAB
Symptoms: Dizziness, Nausea, Pain, Streptococcal serology negative
Clinical narrative: Evening of 3/5/07 began experiencing nausea, light headedness and body aches. 3/6/07 awoke with sore throat and right anterior adenopathy. Temp 98.7
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Induration, Nodule, Pain, Swelling
Clinical narrative: 1-5 cm firm, nodular, mobile swelling with pain to touch, no redness, no fever
Age: 1.09
Sex: M
Vaccine: VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: Patient has chicken pox after receiving vaccine in 9.15.98.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Cough, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Vaccine for DTap given 3/9/07. On 3/11/07 Red swollen Rt arm at injection site. 3/21/07 Came for viral illness and arm still has small amt. redness and swelling. Original area 4" x 4"-Now 1 1/2 x 1 1/2". No other sx until 3/18/07 when fever cough started. Rx: treat symptoms fever and cough not related to immunization
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash papular, Varicella
Clinical narrative: Sparse vesiculopapular rash all over body including scalp. One exanthem in Rt buccal mucosa.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Pt presented to office on 3/21 in a.m. with L arm, red, swollen & warm to touch - temp was 99.9 - per parents pt. had fever & swelling the previous evening.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Swelling
Clinical narrative: Pt presented to office on 3/21 in a.m. with L arm, red, swollen & warm to touch - temp was 99.9 - per parents pt. had fever & swelling the previous evening.
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Discomfort, Oedema peripheral, Pain, Rash
Clinical narrative: Both legs were swollen. Both legs had rash looking bumps all over. Child seem to be very uncomfortable & in pain. Benadryl 2x day for 3 days (It took 6 days for rash to disappear).
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site pruritus
Clinical narrative: Localized erythema, induration 5x6 cms, itching. Child given 12.5 mg Benadryl BID x 2-3 days for itching, instructed to apply cold to site.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Electromyogram normal, Neuropathy, Pain in extremity, Radicular pain
Clinical narrative: Ulnar neuropathy after AVA #3. Radiation constant arm pain x10 mo, occasionally still has twinges of pain. States he received the vaccine in the triceps regions. Did not have a significant local reaction. Radicular pain
Age: 49.0
Sex: F
Vaccine: ANTH, HEPA, TTOX, TYP
Symptoms: Blood pressure increased, Fatigue, Heart rate increased, Myalgia, Pyrexia
Clinical narrative: Symptoms: Low-grade fever (99.2), muscle aches, fatigue, rapid pulse (92 bpm), elevated blood pressure, chest congestion. Treated with antibiotic, cough suppressent, tylenol.
Age: 49.0
Sex: F
Vaccine: ANTH, HEPA, TTOX, TYP
Symptoms: Respiratory tract congestion
Clinical narrative: Symptoms: Low-grade fever (99.2), muscle aches, fatigue, rapid pulse (92 bpm), elevated blood pressure, chest congestion. Treated with antibiotic, cough suppressent, tylenol.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Pyrexia
Clinical narrative: FEVER ONSET 3/23/07 WITH TEMP 104'.  NO OTHER SYMPTOMS, ONLY CUTTING TEETH.  APPETITE GOOD, NO VOMITING OR DIARRHEA.  TREATED WITH MOTRIN AND TYLENOL.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Aggression, Body temperature increased, Disorientation, Feeling abnormal, Vaccination complication
Clinical narrative: Received Menactra vaccine in the AM on 3/26/2007.  Around 7:30PM started to feel 'strange'.  Was brought to school's Health Center and was very disoriented and combative.  Was taken via ambulance to Medical Center ER.  At 0400 on 3/27/2007 he had a temp of 101.  He was discharged back to school around 5AM with diagnosis of viral syndrome with possible adverse reaction to Menactra.  I examined him in the AM of 3/27/2007 and he was afebrile and feeling well and his exam was normal.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Viral infection
Clinical narrative: Received Menactra vaccine in the AM on 3/26/2007.  Around 7:30PM started to feel 'strange'.  Was brought to school's Health Center and was very disoriented and combative.  Was taken via ambulance to Medical Center ER.  At 0400 on 3/27/2007 he had a temp of 101.  He was discharged back to school around 5AM with diagnosis of viral syndrome with possible adverse reaction to Menactra.  I examined him in the AM of 3/27/2007 and he was afebrile and feeling well and his exam was normal.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Conjunctivitis infective, Headache, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Encounter Background Information: Within 12-24 hours following TDaP vaccination to left deltoid on 22 Mar 2007 she began to notice left deltoid swelling, pain at site and pain moving left arm overhead, subjective fever/chills, headache to frontal lobes. She reported her husband noted by 8pm day of vac, her left shoulder looked like she had been lifting wts...area markedly swollen and pushing cloths out. She slept but awoke if touched left arm, took Motrin 400 mg (causes sleepiness) and used warm compress to site as instructed during vac administration. The next day her left axilla was swollen with increased edema to left deltoid.  She denied redness to arm except at injection site. C/o deltoid tenderness, pain, no paresthesia. On 3/23/2007 she was dx with Lt pink eye and sent home.  On 3/24 increased diff moving lt arm from swelling and pain. 3/25 decreased swelling deltoid, but increased to axilla. 3/26 seen by Occupational Health, dx AE TDaP, light duty/wt restriction given, f/u HC.   To continue Motrin use and warm compress, arm exercises reviewed.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site oedema, Injection site pain, Injection site swelling, Oedema peripheral, Pain
Clinical narrative: Encounter Background Information: Within 12-24 hours following TDaP vaccination to left deltoid on 22 Mar 2007 she began to notice left deltoid swelling, pain at site and pain moving left arm overhead, subjective fever/chills, headache to frontal lobes. She reported her husband noted by 8pm day of vac, her left shoulder looked like she had been lifting wts...area markedly swollen and pushing cloths out. She slept but awoke if touched left arm, took Motrin 400 mg (causes sleepiness) and used warm compress to site as instructed during vac administration. The next day her left axilla was swollen with increased edema to left deltoid.  She denied redness to arm except at injection site. C/o deltoid tenderness, pain, no paresthesia. On 3/23/2007 she was dx with Lt pink eye and sent home.  On 3/24 increased diff moving lt arm from swelling and pain. 3/25 decreased swelling deltoid, but increased to axilla. 3/26 seen by Occupational Health, dx AE TDaP, light duty/wt restriction given, f/u HC.   To continue Motrin use and warm compress, arm exercises reviewed.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Encounter Background Information: Within 12-24 hours following TDaP vaccination to left deltoid on 22 Mar 2007 she began to notice left deltoid swelling, pain at site and pain moving left arm overhead, subjective fever/chills, headache to frontal lobes. She reported her husband noted by 8pm day of vac, her left shoulder looked like she had been lifting wts...area markedly swollen and pushing cloths out. She slept but awoke if touched left arm, took Motrin 400 mg (causes sleepiness) and used warm compress to site as instructed during vac administration. The next day her left axilla was swollen with increased edema to left deltoid.  She denied redness to arm except at injection site. C/o deltoid tenderness, pain, no paresthesia. On 3/23/2007 she was dx with Lt pink eye and sent home.  On 3/24 increased diff moving lt arm from swelling and pain. 3/25 decreased swelling deltoid, but increased to axilla. 3/26 seen by Occupational Health, dx AE TDaP, light duty/wt restriction given, f/u HC.   To continue Motrin use and warm compress, arm exercises reviewed.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Colitis, Milk allergy, Mucous stools, Occult blood negative, Rectal haemorrhage
Clinical narrative: On 3/15/07 pt received second dose of Rotateq vaccine LOT # 1365F exp9/08.  On 3/25/07, mother reports bright red blood from rectum mixed with mucus. No fever or pain.  Child acting fine otherwise.  Unclear whether this is due to vaccine or if the baby has developed milk protein alleric colitis.  He had no stool abnormalities with the first dose.
Age: 1.42
Sex: F
Vaccine: DTAPH, FLU3, HEPA, PNC
Symptoms: Injection site atrophy
Clinical narrative: 2-9-07 Mother noticed an indentation on Right leg.  Denies any redness, or warm skin to touch.  No difficulty of walking noted.  3-26-07 Mother brought child to clinic with complaint of quarter size indentation on right upper outer quadrant of thigh.  Denies any difficulty walking or redness or tenderness at site. States she notices this after she received her last set of shots.   Encouraged her to keep child walking and to report any changes in site or condition of child.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Diarrhoea, Erythema, Injection site erythema
Clinical narrative: Localized erythema, induration and pain at injection site.Systemic: body aches, chills, fever 101, nausea, rash(entire body appearing flushed)joint aches, diarrhea starting 24 hours after receiving vaccine. Went to ER and put on Keflex and pain relievers/fever reducer.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Localized erythema, induration and pain at injection site.Systemic: body aches, chills, fever 101, nausea, rash(entire body appearing flushed)joint aches, diarrhea starting 24 hours after receiving vaccine. Went to ER and put on Keflex and pain relievers/fever reducer.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Localized erythema, induration and pain at injection site.Systemic: body aches, chills, fever 101, nausea, rash(entire body appearing flushed)joint aches, diarrhea starting 24 hours after receiving vaccine. Went to ER and put on Keflex and pain relievers/fever reducer.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Swelling
Clinical narrative: Vaccination give on 3/21/07 in deltoid.  Pt with what appears to be shingles Rt buttocks, swelling, erythema.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Drug hypersensitivity, Fatigue, Headache, Hypersensitivity, Injection site erythema
Clinical narrative: Encounter Background Information: Referred by doctor on 3/1/07 with large local reaction to arm following influenza vaccine. Received IM influenza on 2/27/07 (has had several times before w/o AE). Within 4-8 hours post immun her arm developed a red rash at the site, swollen, tender, afebrile w/o "bumps" just redness at site later 6x5inches circular diameter. It did not encircle the arm. Site was pruritic. Also had headache, fatigue and overall body aches which have resolved/eased 24 hours later. Concerned if this was a normal reaction or an adverse event to be concerned with. She wore a bandaid over site all day, possible latex components. Reported history of Latex allergies (skin rash, peeling skin requiring prednisone use), several drug and environmental allergies. She reported allergy to epi (hypertensive crisis and tremors) and steroid creams (peeling skin/rash). Allergy to alcohol. Hx asthma, HTN, GERD, migraines, and bowel disorders. On numerous medications. She contacted office who stated she believed this was a latex reaction but referred for f/u. Skin symptoms swelling, redness to vaccine site 6 hours after vaccinated with red rash. Swelling reported to be 6 in x 4.5 in extending 1/2 way to elbow. was itching w/o bumps. Arm tender. Wearing latex bandaid over vac site until late that night and removed. No otolaryngeal symptoms, No cardiovascular symptoms, No pulmonary symptoms.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Latex allergy
Clinical narrative: Encounter Background Information: Referred by doctor on 3/1/07 with large local reaction to arm following influenza vaccine. Received IM influenza on 2/27/07 (has had several times before w/o AE). Within 4-8 hours post immun her arm developed a red rash at the site, swollen, tender, afebrile w/o "bumps" just redness at site later 6x5inches circular diameter. It did not encircle the arm. Site was pruritic. Also had headache, fatigue and overall body aches which have resolved/eased 24 hours later. Concerned if this was a normal reaction or an adverse event to be concerned with. She wore a bandaid over site all day, possible latex components. Reported history of Latex allergies (skin rash, peeling skin requiring prednisone use), several drug and environmental allergies. She reported allergy to epi (hypertensive crisis and tremors) and steroid creams (peeling skin/rash). Allergy to alcohol. Hx asthma, HTN, GERD, migraines, and bowel disorders. On numerous medications. She contacted office who stated she believed this was a latex reaction but referred for f/u. Skin symptoms swelling, redness to vaccine site 6 hours after vaccinated with red rash. Swelling reported to be 6 in x 4.5 in extending 1/2 way to elbow. was itching w/o bumps. Arm tender. Wearing latex bandaid over vac site until late that night and removed. No otolaryngeal symptoms, No cardiovascular symptoms, No pulmonary symptoms.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: Encounter Background Information: Referred by doctor on 3/1/07 with large local reaction to arm following influenza vaccine. Received IM influenza on 2/27/07 (has had several times before w/o AE). Within 4-8 hours post immun her arm developed a red rash at the site, swollen, tender, afebrile w/o "bumps" just redness at site later 6x5inches circular diameter. It did not encircle the arm. Site was pruritic. Also had headache, fatigue and overall body aches which have resolved/eased 24 hours later. Concerned if this was a normal reaction or an adverse event to be concerned with. She wore a bandaid over site all day, possible latex components. Reported history of Latex allergies (skin rash, peeling skin requiring prednisone use), several drug and environmental allergies. She reported allergy to epi (hypertensive crisis and tremors) and steroid creams (peeling skin/rash). Allergy to alcohol. Hx asthma, HTN, GERD, migraines, and bowel disorders. On numerous medications. She contacted office who stated she believed this was a latex reaction but referred for f/u. Skin symptoms swelling, redness to vaccine site 6 hours after vaccinated with red rash. Swelling reported to be 6 in x 4.5 in extending 1/2 way to elbow. was itching w/o bumps. Arm tender. Wearing latex bandaid over vac site until late that night and removed. No otolaryngeal symptoms, No cardiovascular symptoms, No pulmonary symptoms.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Inflammation, Local reaction, Pyrexia, Swelling
Clinical narrative: Local tissue reaction with swelling and inflammation and febrile response
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Reports that child experienced redness and moderate pain the day of the immunization as well as the next day in both the right and left legs.   No fever reported
Age: 1.02
Sex: F
Vaccine: HEPA, MMR
Symptoms: Swelling
Clinical narrative: Per mother, As of 3/23/07 - child was "not herself." Then on 3/24/07 - child "...awoke with left cheek swollen and slightly purple." No fever or other rx reported by mother. As of 3/27/07 - mother stated that child's  cheek is now only slightly swollen. Typed by RN, BSN
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Myalgia, Neck pain, Pain in extremity
Clinical narrative: APPROX. 24 HOURS AFTER VACCINE BEGAN WITH MUSCULAR NECK,BACK,LEG AND ARM PAIN.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema
Clinical narrative: Received 2month vaccines on 3/26/2007 @ 1:30pm. Site where HIB was given got reddened 4 hours later and child was crying inconsolably. Was seen by pediatrician at 5:30pm on 3/26/2007 and was given Benadryl liquid. Was followed up today and Local reaction resolved. I was notified by MD's nurse as to what transpired. Made telephone call to mother who states child now fine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Lethargy, Malaise
Clinical narrative: APPROXIMATELY 8 HOURS AFTER VACCINES WERE GIVEN DEVELOPED LETHARGY, MALAISE, FEVER (102 DEGREES), NAUSEA/VOMITING X 3.  THE LEFT UPPER ARM BECAME SWOLLEN AND RED.  THE SKIN WAS TIGHT.  IT WAS WARM AND TENDER.  WAS SEEN BY DR ON 3/24/07 WITH THE FOLLOWING FINDINGS.  THE ERYTHEMA/SWELLING WAS 12 CM ACROSS THE LEFT SHOULDER, 12 CM FROM SHOULDER TO MIDDLE AREA OF CHEST, AND 13 CM FROMT HE TOPOF THE ARM TO THE BOTTOM OF THE SWELLING.  WAS GIVEN ZYRTEC AND ORAPRED.  WAS SEEN BY DR ON 3/26/07 WITH SOME IMPROVEMENT.  THE LEFT UPPER ARM WAS SLIGHTLY SWOLLEN WITH ERYTHEMA. NOT OBVIOUSLY TENDER. NO BRUISING. NORMAL PAINLESS RANGE OF MOTION IN THE SHOULDER AND ELBOW.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Nausea, Oedema peripheral, Pyrexia, Skin tightness, Skin warm
Clinical narrative: APPROXIMATELY 8 HOURS AFTER VACCINES WERE GIVEN DEVELOPED LETHARGY, MALAISE, FEVER (102 DEGREES), NAUSEA/VOMITING X 3.  THE LEFT UPPER ARM BECAME SWOLLEN AND RED.  THE SKIN WAS TIGHT.  IT WAS WARM AND TENDER.  WAS SEEN BY DR ON 3/24/07 WITH THE FOLLOWING FINDINGS.  THE ERYTHEMA/SWELLING WAS 12 CM ACROSS THE LEFT SHOULDER, 12 CM FROM SHOULDER TO MIDDLE AREA OF CHEST, AND 13 CM FROMT HE TOPOF THE ARM TO THE BOTTOM OF THE SWELLING.  WAS GIVEN ZYRTEC AND ORAPRED.  WAS SEEN BY DR ON 3/26/07 WITH SOME IMPROVEMENT.  THE LEFT UPPER ARM WAS SLIGHTLY SWOLLEN WITH ERYTHEMA. NOT OBVIOUSLY TENDER. NO BRUISING. NORMAL PAINLESS RANGE OF MOTION IN THE SHOULDER AND ELBOW.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Tenderness, Vomiting
Clinical narrative: APPROXIMATELY 8 HOURS AFTER VACCINES WERE GIVEN DEVELOPED LETHARGY, MALAISE, FEVER (102 DEGREES), NAUSEA/VOMITING X 3.  THE LEFT UPPER ARM BECAME SWOLLEN AND RED.  THE SKIN WAS TIGHT.  IT WAS WARM AND TENDER.  WAS SEEN BY DR ON 3/24/07 WITH THE FOLLOWING FINDINGS.  THE ERYTHEMA/SWELLING WAS 12 CM ACROSS THE LEFT SHOULDER, 12 CM FROM SHOULDER TO MIDDLE AREA OF CHEST, AND 13 CM FROMT HE TOPOF THE ARM TO THE BOTTOM OF THE SWELLING.  WAS GIVEN ZYRTEC AND ORAPRED.  WAS SEEN BY DR ON 3/26/07 WITH SOME IMPROVEMENT.  THE LEFT UPPER ARM WAS SLIGHTLY SWOLLEN WITH ERYTHEMA. NOT OBVIOUSLY TENDER. NO BRUISING. NORMAL PAINLESS RANGE OF MOTION IN THE SHOULDER AND ELBOW.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Urticaria
Clinical narrative: Pt received immunizations (below) around 4:15pm on 23 Mar 07.  Within 60 minutes of administration, patient broke out in welts/hives all over body.  No difficulty in breathing was noted, but child was taken to the Urgent Care for evaluation/treatment because primary care clinic was closed.  Child was given Benadryl injection and oral steroids for treatment.  Hives/welts have persisted over the past 72 hours despite medications and will worsen if medications are not taken.  Was re-evaluated by Nurse Practitioner for continued welts and was prescribed additional oral medication for his hives/welts.
Age: 1.03
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Body temperature, Pyrexia, Rash morbilliform
Clinical narrative: Patient developed fever of 104.3F in the PM of 01/13/2007. She had rash similar to measles rash on her legs, stomach, and ears which began on 01/12/2007. She was treated with infant's dosage of acetaminophen and Motrin. Fever lowered to 101 by 01/15/2007 and to normal body temperature by 01/16/2007. No other symptoms were present.
Age: 1.27
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site swelling
Clinical narrative: Mom reports one day after receiving vaccine (3/15/07) the area around injection site was red & swollen. 3/21/07 area 2 x (cm slightly indurated on right thigh - mom reports area smaller now than last week - slight ecchymosis & pinkness.
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever 105 headache body aches
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Initial report received from a health care professional on 01 February 2007. A 3 year old, male patient (with a history of pulmonary stenosis and environmental allergies) developed a large red area on the right thigh and could not stand on leg, within 24 hours after he received his fourth dose of Ipol (lot number Z0240) subcutaneously in the right thigh; his third dose of Fluzone (lot number U2249AA) intramuscularly in the left thigh and his fifth dose of Infanrix (lot number AC14B040BA) intramuscularly in the left thigh, on 29 January 2007. He did not have any illness at the time of vaccination. X-rays were taken of the right leg - the results were not provided. At the time of the report, the patient had not recovered. Follow up information received on 15 March 2007, from a health care professional. The patient did not have illness at the time of vaccination. The patient required hospitalization. Admitted on 31 January 2007 and discharged on 01 February 2007. The following information was taken from the hospital and clinical records. Patient developed pain, swelling and redness in the right thigh following IPV vaccination the day before. He was originally seen on 30 January 2007, where he was reportedly afebrile with normal white count, normal plain films and was discontinued home. Then on 31 January 2007, he increased swelling and pain and was walking with a limp, still afebrile and nontoxic. Physical examination was remarkable only for the right lower extremity, he had anterior thigh erythema, along with some posterior thigh erythema and some diffuse swelling over the thigh. He was tender tp palpitation mostly over the anterior thigh and mildly over the right knee. Area where the injection was given had surrounding erythema and swelling. CBC showed a white count of 11, Blood cultures were negative. Patient started on Clindamycin IV empirically. On 01 February 2007 he was walking around the room with slight limp, complaining only of some mild right knee pain. Plain films showed evidence of diffuse soft tissue swelling about the right knee. A small effusion could not be ruled out and per Radiology there were no bony abnormalities appreciated. Normal labs, normal vital signs. Discharge with Keflex b.i.d for 7 days along with Motrin p.r.n for pain and warm compress p.r.n. Concomitant medication included Flonase. the patient was seen in a clinic on 13 February 2007. The leg had healed well with no residual problems from it. The patient also experienced cough and green nasal drainage for six days. Cough at bedtime was worse. He was diagnosed with allergic rhinitis / sinus and otitis media.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Arthralgia, Blood culture negative, Cough, Dysstasia, Erythema
Clinical narrative: Initial report received from a health care professional on 01 February 2007. A 3 year old, male patient (with a history of pulmonary stenosis and environmental allergies) developed a large red area on the right thigh and could not stand on leg, within 24 hours after he received his fourth dose of Ipol (lot number Z0240) subcutaneously in the right thigh; his third dose of Fluzone (lot number U2249AA) intramuscularly in the left thigh and his fifth dose of Infanrix (lot number AC14B040BA) intramuscularly in the left thigh, on 29 January 2007. He did not have any illness at the time of vaccination. X-rays were taken of the right leg - the results were not provided. At the time of the report, the patient had not recovered. Follow up information received on 15 March 2007, from a health care professional. The patient did not have illness at the time of vaccination. The patient required hospitalization. Admitted on 31 January 2007 and discharged on 01 February 2007. The following information was taken from the hospital and clinical records. Patient developed pain, swelling and redness in the right thigh following IPV vaccination the day before. He was originally seen on 30 January 2007, where he was reportedly afebrile with normal white count, normal plain films and was discontinued home. Then on 31 January 2007, he increased swelling and pain and was walking with a limp, still afebrile and nontoxic. Physical examination was remarkable only for the right lower extremity, he had anterior thigh erythema, along with some posterior thigh erythema and some diffuse swelling over the thigh. He was tender tp palpitation mostly over the anterior thigh and mildly over the right knee. Area where the injection was given had surrounding erythema and swelling. CBC showed a white count of 11, Blood cultures were negative. Patient started on Clindamycin IV empirically. On 01 February 2007 he was walking around the room with slight limp, complaining only of some mild right knee pain. Plain films showed evidence of diffuse soft tissue swelling about the right knee. A small effusion could not be ruled out and per Radiology there were no bony abnormalities appreciated. Normal labs, normal vital signs. Discharge with Keflex b.i.d for 7 days along with Motrin p.r.n for pain and warm compress p.r.n. Concomitant medication included Flonase. the patient was seen in a clinic on 13 February 2007. The leg had healed well with no residual problems from it. The patient also experienced cough and green nasal drainage for six days. Cough at bedtime was worse. He was diagnosed with allergic rhinitis / sinus and otitis media.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Full blood count, Gait disturbance, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Initial report received from a health care professional on 01 February 2007. A 3 year old, male patient (with a history of pulmonary stenosis and environmental allergies) developed a large red area on the right thigh and could not stand on leg, within 24 hours after he received his fourth dose of Ipol (lot number Z0240) subcutaneously in the right thigh; his third dose of Fluzone (lot number U2249AA) intramuscularly in the left thigh and his fifth dose of Infanrix (lot number AC14B040BA) intramuscularly in the left thigh, on 29 January 2007. He did not have any illness at the time of vaccination. X-rays were taken of the right leg - the results were not provided. At the time of the report, the patient had not recovered. Follow up information received on 15 March 2007, from a health care professional. The patient did not have illness at the time of vaccination. The patient required hospitalization. Admitted on 31 January 2007 and discharged on 01 February 2007. The following information was taken from the hospital and clinical records. Patient developed pain, swelling and redness in the right thigh following IPV vaccination the day before. He was originally seen on 30 January 2007, where he was reportedly afebrile with normal white count, normal plain films and was discontinued home. Then on 31 January 2007, he increased swelling and pain and was walking with a limp, still afebrile and nontoxic. Physical examination was remarkable only for the right lower extremity, he had anterior thigh erythema, along with some posterior thigh erythema and some diffuse swelling over the thigh. He was tender tp palpitation mostly over the anterior thigh and mildly over the right knee. Area where the injection was given had surrounding erythema and swelling. CBC showed a white count of 11, Blood cultures were negative. Patient started on Clindamycin IV empirically. On 01 February 2007 he was walking around the room with slight limp, complaining only of some mild right knee pain. Plain films showed evidence of diffuse soft tissue swelling about the right knee. A small effusion could not be ruled out and per Radiology there were no bony abnormalities appreciated. Normal labs, normal vital signs. Discharge with Keflex b.i.d for 7 days along with Motrin p.r.n for pain and warm compress p.r.n. Concomitant medication included Flonase. the patient was seen in a clinic on 13 February 2007. The leg had healed well with no residual problems from it. The patient also experienced cough and green nasal drainage for six days. Cough at bedtime was worse. He was diagnosed with allergic rhinitis / sinus and otitis media.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Joint effusion, Nasal mucosal discolouration, Oedema peripheral, Otitis media, Pain in extremity
Clinical narrative: Initial report received from a health care professional on 01 February 2007. A 3 year old, male patient (with a history of pulmonary stenosis and environmental allergies) developed a large red area on the right thigh and could not stand on leg, within 24 hours after he received his fourth dose of Ipol (lot number Z0240) subcutaneously in the right thigh; his third dose of Fluzone (lot number U2249AA) intramuscularly in the left thigh and his fifth dose of Infanrix (lot number AC14B040BA) intramuscularly in the left thigh, on 29 January 2007. He did not have any illness at the time of vaccination. X-rays were taken of the right leg - the results were not provided. At the time of the report, the patient had not recovered. Follow up information received on 15 March 2007, from a health care professional. The patient did not have illness at the time of vaccination. The patient required hospitalization. Admitted on 31 January 2007 and discharged on 01 February 2007. The following information was taken from the hospital and clinical records. Patient developed pain, swelling and redness in the right thigh following IPV vaccination the day before. He was originally seen on 30 January 2007, where he was reportedly afebrile with normal white count, normal plain films and was discontinued home. Then on 31 January 2007, he increased swelling and pain and was walking with a limp, still afebrile and nontoxic. Physical examination was remarkable only for the right lower extremity, he had anterior thigh erythema, along with some posterior thigh erythema and some diffuse swelling over the thigh. He was tender tp palpitation mostly over the anterior thigh and mildly over the right knee. Area where the injection was given had surrounding erythema and swelling. CBC showed a white count of 11, Blood cultures were negative. Patient started on Clindamycin IV empirically. On 01 February 2007 he was walking around the room with slight limp, complaining only of some mild right knee pain. Plain films showed evidence of diffuse soft tissue swelling about the right knee. A small effusion could not be ruled out and per Radiology there were no bony abnormalities appreciated. Normal labs, normal vital signs. Discharge with Keflex b.i.d for 7 days along with Motrin p.r.n for pain and warm compress p.r.n. Concomitant medication included Flonase. the patient was seen in a clinic on 13 February 2007. The leg had healed well with no residual problems from it. The patient also experienced cough and green nasal drainage for six days. Cough at bedtime was worse. He was diagnosed with allergic rhinitis / sinus and otitis media.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Rhinitis allergic, Rhinorrhoea, Sinus disorder, Soft tissue disorder, White blood cell count normal
Clinical narrative: Initial report received from a health care professional on 01 February 2007. A 3 year old, male patient (with a history of pulmonary stenosis and environmental allergies) developed a large red area on the right thigh and could not stand on leg, within 24 hours after he received his fourth dose of Ipol (lot number Z0240) subcutaneously in the right thigh; his third dose of Fluzone (lot number U2249AA) intramuscularly in the left thigh and his fifth dose of Infanrix (lot number AC14B040BA) intramuscularly in the left thigh, on 29 January 2007. He did not have any illness at the time of vaccination. X-rays were taken of the right leg - the results were not provided. At the time of the report, the patient had not recovered. Follow up information received on 15 March 2007, from a health care professional. The patient did not have illness at the time of vaccination. The patient required hospitalization. Admitted on 31 January 2007 and discharged on 01 February 2007. The following information was taken from the hospital and clinical records. Patient developed pain, swelling and redness in the right thigh following IPV vaccination the day before. He was originally seen on 30 January 2007, where he was reportedly afebrile with normal white count, normal plain films and was discontinued home. Then on 31 January 2007, he increased swelling and pain and was walking with a limp, still afebrile and nontoxic. Physical examination was remarkable only for the right lower extremity, he had anterior thigh erythema, along with some posterior thigh erythema and some diffuse swelling over the thigh. He was tender tp palpitation mostly over the anterior thigh and mildly over the right knee. Area where the injection was given had surrounding erythema and swelling. CBC showed a white count of 11, Blood cultures were negative. Patient started on Clindamycin IV empirically. On 01 February 2007 he was walking around the room with slight limp, complaining only of some mild right knee pain. Plain films showed evidence of diffuse soft tissue swelling about the right knee. A small effusion could not be ruled out and per Radiology there were no bony abnormalities appreciated. Normal labs, normal vital signs. Discharge with Keflex b.i.d for 7 days along with Motrin p.r.n for pain and warm compress p.r.n. Concomitant medication included Flonase. the patient was seen in a clinic on 13 February 2007. The leg had healed well with no residual problems from it. The patient also experienced cough and green nasal drainage for six days. Cough at bedtime was worse. He was diagnosed with allergic rhinitis / sinus and otitis media.