chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Fatigue, Feeling abnormal, Guillain-Barre syndrome, Neck pain, Neuralgia
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Paraesthesia, Pharyngolaryngeal pain
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Blood pressure fluctuation, Carbon dioxide decreased, Cough, Dyspnoea, Electrocardiogram normal
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Full blood count normal, Headache, Oxygen saturation normal, Pain, Palpitations
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Paraesthesia, Peak expiratory flow rate, Pruritus, Rhinorrhoea, Sensation of heaviness
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Urine analysis normal
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Mini Seizure and loss of consciousness (for about a minute) in response to first shot of Gardasil (HPV Vaccine)
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Was given Adacel on 6-5-08 and 2 days later developed erythema, swelling, and terderness at the injection site.  Was examined on 6/10/08 and had minimal erythema and no warmth.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Arthralgia, Chills, Fatigue, Headache
Clinical narrative: Headache, Tiredness, Stomach Ache, Chills, Body Aches, Sore Joints, Fast Heart Beat
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Heart rate increased, Pain
Clinical narrative: Headache, Tiredness, Stomach Ache, Chills, Body Aches, Sore Joints, Fast Heart Beat
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Rash generalised
Clinical narrative: I got the shot for to prevent the shingles on 08/09/2007. The same day, broke out in an awful rash mostly on my chest and back. I was in hospital on 08/08/2007 with the shingles, 3 wks while in hospital it turned into a heart attack; had to have by pass open heart surgery. Hospital another 30 days. I lost 70 lbs in 30 days. The doctor tried to treat this rash but to no avail. I go to the Derd 1 tablet 2 times a week but the rash stays, it bleeds nightly and now over 10 months later no better.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Biopsy, Blood test, Cardiac operation, Herpes zoster, Myocardial infarction
Clinical narrative: I got the shot for to prevent the shingles on 08/09/2007. The same day, broke out in an awful rash mostly on my chest and back. I was in hospital on 08/08/2007 with the shingles, 3 wks while in hospital it turned into a heart attack; had to have by pass open heart surgery. Hospital another 30 days. I lost 70 lbs in 30 days. The doctor tried to treat this rash but to no avail. I go to the Derd 1 tablet 2 times a week but the rash stays, it bleeds nightly and now over 10 months later no better.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Skin haemorrhage, Weight decreased
Clinical narrative: I got the shot for to prevent the shingles on 08/09/2007. The same day, broke out in an awful rash mostly on my chest and back. I was in hospital on 08/08/2007 with the shingles, 3 wks while in hospital it turned into a heart attack; had to have by pass open heart surgery. Hospital another 30 days. I lost 70 lbs in 30 days. The doctor tried to treat this rash but to no avail. I go to the Derd 1 tablet 2 times a week but the rash stays, it bleeds nightly and now over 10 months later no better.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dry skin, Unresponsive to stimuli
Clinical narrative: WITHIN 45 OR 60 SECONDS AFTER HPV VACCINATION BECAME NON-RESPONSIVE FOR 15 - 20 SECONDS - MOM REPORTS HAS HAPPENED ON OTHER OCCASIONS SHOH AS AFTER BLOOD WORK, DID NOT QUIT BREATHING; CHEWED GUM, SKIN W/DRY - WALKED TO EXAM TABLE 4 FT AWAY RESTED FEW MINUTES B/P 108/64 HR 74 - LEFT UNASSISTED.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Unresponsive to stimuli
Clinical narrative: WITHIN 45 OR 60 SECONDS AFTER HPV VACCINATION BECAME NON-RESPONSIVE FOR 15 - 20 SECONDS - MOM REPORTS HAS HAPPENED ON OTHER OCCASIONS SHOH AS AFTER BLOOD WORK, DID NOT QUIT BREATHING; CHEWED GUM, SKIN W/DRY - WALKED TO EXAM TABLE 4 FT AWAY RESTED FEW MINUTES B/P 108/64 HR 74 - LEFT UNASSISTED.
Age: 46.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient reports that during the night 5/19/2008 he woke with itching and rash.  Patient was seen 5/22/2008 with raised urticarial wheals ranging from 2-4cm on trunk and extremities.  No local reaction nor wheals at injection site.  Patient reports that wheals "come and go" and improves with BENADRYL.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Depressed level of consciousness, Eye disorder, Hypoventilation, Injection site pain, Oxygen supplementation
Clinical narrative: IM vaccine 11am, moments later c/o injection site pain, eyes closed, slow response, color-pale-lips white, shallow brady resp. O2 face mask with Epi Pen Jr. -EMS to ER  8/5/08 Reviewed ER medical records of 6/12/2008. FINAL DX: anaphylaxis Records reveal patient became cyanotic, diaphoretic & near syncope within 5 min of receiving vaccination.  Tx at scene w/epipen & O2.  Transported by EMS to ER.  No further reaction.  D/C to home w/epipen & steroids.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Pallor, Respiratory rate decreased
Clinical narrative: IM vaccine 11am, moments later c/o injection site pain, eyes closed, slow response, color-pale-lips white, shallow brady resp. O2 face mask with Epi Pen Jr. -EMS to ER  8/5/08 Reviewed ER medical records of 6/12/2008. FINAL DX: anaphylaxis Records reveal patient became cyanotic, diaphoretic & near syncope within 5 min of receiving vaccination.  Tx at scene w/epipen & O2.  Transported by EMS to ER.  No further reaction.  D/C to home w/epipen & steroids.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Pt fainted after receiving GARDASIL (within 30 seconds).  Also received MENACTRA prior to GARDASIL.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Urticaria
Clinical narrative: Hives on R/arm on arm administered, L/arm thereafter.  Dizziness.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Local reaction, Skin warm, Tenderness
Clinical narrative: 6-12-08 at 450pm clt reports localized rx x6 hrs post vaccination.  2"x2" focal point, "spreading down and out to the elbow".  It is red, warm, tender to touch.  States gradual worsening x24 hrs.  Applied ice and administered PO BENADRYL from 6-9-08 -> 6-12-08.  Reports overall improvement "today" - 6-12-08.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Swelling
Clinical narrative: Pt developed swelling & redness on 6/11/08 after receiving meningococcal vaccine.  Mother states swelling and redness is decreasing today 6/12/08.
Age: 26.0
Sex: F
Vaccine: ANTH, MNQ, TYP
Symptoms: Arthralgia, Mobility decreased, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Female with sig left arm pain and immobility after receiving typhoid and mgc in lt arm on 5/18/08.  Also had ava #1 in rt arm that day but did not have any reaction to this vaccine.  Service member states pain is almost gone and she will deploy on 10 Jun 08 for 120 ds.  States it still hurts at the top of the arm esp when moving it but is significantly improved.  Had an MRI of the left arm and it showed minor fluid accumulation around the AC joint but otherwise normal.  Was given MEDROL dose pack and sxs greatly improved.  Symptoms: Joint Pain, isolated, Pain.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Left arm swollen down to fingers, fever and severe pain.  Tx applied cold compress & IV PROFIN 1000mg taken C 1 time; followed 1000mg 6 1/2 hrs later x3 days.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Familial risk factor, Headache, Influenza like illness, Pyrexia
Clinical narrative: This case was received from a consumer on 27 March 2008.  A 53-year-old female patient, with a history of restless legs syndrome, received a right deltoid intramuscular injection of FLUZONE (lot number U2489AA) on 08 February 2008.  On 13 February 2008, she complained of flu-like symptoms including fever, chills, and severe headache.  The patient recovered on an unknown date.  The reporter for this case also reported an event for the patient's sister following FLUZONE administration.  That report, which included the serious events of optic nerve edema, blurred vision, vision disturbance, dilated pupils, and headache, is captured in case number 2008-00893.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: After received HPV vaccine, 8 min later - up walking and talking in hallway, then passed out for approx 10-15 sec. Then awake, alert, responsive. No complaints. Vital signs stable.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea
Clinical narrative: Pt received vaccines at 1420. At 1425 pt c/o feeling dizzy and nauseated. No vomiting. After laying pt down, giving fluids and taking frequent vital signs, pt was brought down to ER at 1520.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Received Varivax and Tdap in (L) arm yesterday. Small small amount of bruising last PM and awoke with red, tender area where received immunization (4.5x3cm). Rx Keflex today.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Dizziness, Heart rate, Respiratory rate
Clinical narrative: 1022 Immunisation given, sat in chair with nurse until 1027. Walked with nurse and father - she felt lightheaded, legs buckled, escorted to chair, smelling salts used, assisted to bench in lying position, legs elevated, cold compress and cold drink given. BP 110/50, P 56, R 20 assessed by doctor. Color returned, sitting up for 5 min. Escorted out by father.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, HIBV, PPV, RV5, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine given to 27 day old due to incorrect birthdate.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, HIBV, PPV, RV5, RV5
Symptoms: Agitation, Crying, Inappropriate schedule of drug administration, Pain
Clinical narrative: Vaccine given to 27 day old due to incorrect birthdate.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, HIBV, PPV, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine given to 27 day old due to incorrect birthdate.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, DTAPHEPBIP, PPV, RV5, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine given to 27 day old due to incorrect birthdate.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, DTAPHEPBIP, PPV, RV5, RV5
Symptoms: Agitation, Crying, Inappropriate schedule of drug administration
Clinical narrative: Vaccine given to 27 day old due to incorrect birthdate.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Rash macular, Vomiting
Clinical narrative: 6/18/08 vomiting & diarrhea x2 days.  6/20/08 macular rash on chest, abdomen, back, bilateral-not itchy, not painful not numb/tingling.  Had been exposed to family member with vomiting & diarrhea.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Aspiration joint, Fatigue, Injected limb mobility decreased, Joint stiffness
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Joint swelling, Musculoskeletal pain, Pain in extremity, Red blood cell sedimentation rate increased, Synovial fluid analysis abnormal
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Ultrasound scan normal, X-ray limb normal
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Antinuclear antibody negative, Arthralgia, Blood creatine phosphokinase normal, Blood test abnormal, Fatigue
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Haematocrit normal, Haemoglobin normal, Joint swelling, Laboratory test abnormal, Musculoskeletal pain
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Musculoskeletal stiffness, Myalgia, Pain in extremity, Platelet count normal, Red blood cell sedimentation rate increased
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rheumatoid factor negative, White blood cell count
Clinical narrative: Prior to February 2008, I enjoyed excellent health and had no allergies or previous arthritis.  I received ZOSTAVAX on 2/27/08 in my left arm.  On 3/01/08, I awoke with my right knee swollen to twice its size and pain in my left shoulder and arm, which could not be lifted.  (I had no reaction at the injection site or body rash.)  After several days of these symptoms accompanied by extreme fatigue, I consulted my internist who ordered blood tests.  (Note sed (imentation) rate of 36) and referred me to a rheumatoligist.  On 04/08/08 the doctor aspirated synovial fluid from my right knee, ordered more blood studies, a knee ultrasound, and shoulder x-ray.  He injected a corticosteroid into my knee and left shoulder.  The laboratory reported that the synovial fluid contained 26,730 white blood cells and 7920 red blood cells, both abnormally high.  Ultrasound and x-ray were unrevealing.  OTC drugs (Tylenol and Aleve) did not relieve my knee and shoulder pain, and I continue to experience marked fatigue.  On 5/13/08, I consulted the doctor again, who administered more corticosteroid to my left shoulder.  This did not relieve the pain.  Starting 5/19/08 I underwent physical therapy thrice weekly for one month.  Presently 6/13/08, aching and stiffness in my right knee have abated somewhat but motion is still restricted.  My left shoulder remains painful, and I cannot elevate my left arm.  I am experiencing extreme fatigue.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Oedema peripheral, Pain in extremity
Clinical narrative: Pt. reported pain at injection site with 6" area of redness after receiving vaccine.  The next day L arm became hot and swollen and painful.  Saw MD who Dx cellulitis and started CIPRO 500mg Bid x7 days.  One wk later pt reports improvement though not completely resolved.  Denies fever.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Skin warm
Clinical narrative: Pt. reported pain at injection site with 6" area of redness after receiving vaccine.  The next day L arm became hot and swollen and painful.  Saw MD who Dx cellulitis and started CIPRO 500mg Bid x7 days.  One wk later pt reports improvement though not completely resolved.  Denies fever.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Burning sensation, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. reported pain at injection site with 6" area of redness after receiving vaccine.  The next day L arm became hot and swollen and painful.  Saw MD who Dx cellulitis and started CIPRO 500mg Bid x7 days.  One wk later pt reports improvement though not completely resolved.  Denies fever.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Pt. reported pain at injection site with 6" area of redness after receiving vaccine.  The next day L arm became hot and swollen and painful.  Saw MD who Dx cellulitis and started CIPRO 500mg Bid x7 days.  One wk later pt reports improvement though not completely resolved.  Denies fever.
Sex: F
Vaccine: MMRV
Symptoms: Wrong drug administered
Clinical narrative: Pt. was given MMR-V instead of individual MMR and varicella.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient returned to store 2 days after vaccine to show approximate 4 inch round red, hot area at site of injection.  Told patient to take BENADRYL & let me know if any worse.  Never called back.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Nervousness, Syncope, Tremor
Clinical narrative: Following the 2nd dose of GARDASIL patient had what seemed to be a fainting episode followed by shaking of body, rolling up the eyes but no sphincter relaxation.  The episode lasted a few seconds, patient recovered and had no recollection of the event.  Vitals were normal.
Age: 68.0
Sex: F
Vaccine: PPV, TTOX, VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site pain, Injection site swelling, Type III immune complex mediated reaction
Clinical narrative: Redness w/ in 2 hours after vaccination, w/ in 24 hours larger area of redness and swelling 5"x4", movement away from injection site.  Tender to touch.  Burning sensation.  Arthus reaction.
Age: 0.8
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Hives, redness & bumps that spread all over on both legs at same time.
Age: 0.8
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site erythema, Injection site rash, Rash generalised, Urticaria
Clinical narrative: Hives, redness & bumps that spread all over on both legs at same time.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Right arm rash (pink, lacy rash over right anterior lateral and posterior upper arm).  No warmth, no induration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Right thigh red, hard and swollen.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Day after injection patient noticed body aches & fever of 101 to 103.  Patient was seen 6-11-08 and diagnosed with cellulitis at injection site.  Had redness & swelling also at injection site.  Assessment was a 10cm area of induration & erythema that overlies the injection site but majority of the induration is distal to the site.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, White blood cell count increased
Clinical narrative: Day after injection patient noticed body aches & fever of 101 to 103.  Patient was seen 6-11-08 and diagnosed with cellulitis at injection site.  Had redness & swelling also at injection site.  Assessment was a 10cm area of induration & erythema that overlies the injection site but majority of the induration is distal to the site.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Body temperature increased, Headache
Clinical narrative: Severe headache and temperature ranging from 101 - 103 for 5 days.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Electroencephalogram, Febrile convulsion
Clinical narrative: High temperature.  Mom gave Tylenol at 4p x 8p.  Febrile seizure occurred 6/11/08 9pm.  Transported 1 squad to hospital.  Treated with Ibuprofen and Actomephen.  Discharged to home.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site pain, Mobility decreased, Pain in extremity
Clinical narrative: After a few hours received pneumonia vaccine I had severe pain to injected site, unable to lift arm with intermittable pain, some numbness.  It didn't relieve pain after taking extra strength TYL 500mg + NICODIN 5mg + BENADRYL 25mg, so I went to ER with family member's assist.  Pain lasted for 10-12 days after shot.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Hypoaesthesia, Pain in extremity, Pallor, Paraesthesia
Clinical narrative: Arm numb x 5 days, pain, tingling, weak and pale.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient called on 6/19/08 1:30p to report left arm red, swollen, warm to touch.  See in office 6/20/08 8AM 5'x8' area of redness and swelling just below injection site.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pain in extremity
Clinical narrative: Severe arm pain, nausea started hours after vaccine.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blood immunoglobulin M increased, Cough, Epstein-Barr virus antibody positive, Measles antibody positive, Neutrophil count decreased
Clinical narrative: Came to us 6-13-08 with rash on body for the last 3 days.  Also cough & runny nose x2 days.  Labs done measles IgM - EBV titer - CBC done that day (6-13-08).  Pt. normal activity, sleeping well.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash generalised, Rhinorrhoea
Clinical narrative: Came to us 6-13-08 with rash on body for the last 3 days.  Also cough & runny nose x2 days.  Labs done measles IgM - EBV titer - CBC done that day (6-13-08).  Pt. normal activity, sleeping well.
Age: 64.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Dystonia, Eye pain, Facial palsy, Lacrimation increased
Clinical narrative: 1/31/08 - developed left eye pain and excessive tearing.  2/2/08 - developed left facial droop and facial dystonia.  Diagnosed with Bell's Palsy by doctor and placed on Valtrex and Prednisone taper x 10 days and vitamin B complex supplements.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: ~4x4cm round area of erythema & induration to R deltoid at MMR injection site, occurred gradually several hours later & present 3d later.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received DTaP/IPV left thigh 6/16/08.  24 hrs later red, swollen.  Seen 6/18/08 upper site measures 9.5x8cm medial site measures 3.5x4.5cm.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Edema, redness from elbow to shoulder of L arm where vaccine was given.
Age: 58.0
Sex: M
Vaccine: HEP, TYP
Symptoms: Abdominal discomfort, Frequent bowel movements, Night sweats, Pain
Clinical narrative: Night sweats, achy x "couple days".  GI upset with frequent stools, denies diarrhea "7-10 days".
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Rash
Clinical narrative: Fever onset 6/13/08 "high" (tactile) -> ER.  Seizure 2-3 minutes.  Rash onset 6/14/08, still febrile.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Local swelling, Skin warm
Clinical narrative: Td update given 6/9/08.  Localized erythema + swelling and warmth developed on day 6 after immunization.  Area 8cm x 15cm on upper arm.  Treated with oral prednisone 10 mg BID x3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh red, swollen, sore, warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Erythema, Local reaction, Pruritus, Skin warm
Clinical narrative: 16cm x 10cm red, sl. warm mild itchy local reaction.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Immunisation reaction, Injection site erythema
Clinical narrative: REDNESS TO (L) ARM IMM-SITE TREATMENT MOTRIN; ICE
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Eye swelling, Immediate post-injection reaction, Lip swelling, Oxygen saturation
Clinical narrative: Child given Varivax injection (2pm)and presented back to clinic ~15 minutes later with swollen eyes and lips, tightness in nose and throat and sever coughing. Given Epi Jr, O2 given and monitored O2 Sat. Given EpiPen (0.3mg) approximately 6 minutes later. Called 911. Child taken to ER.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Throat tightness
Clinical narrative: Child given Varivax injection (2pm)and presented back to clinic ~15 minutes later with swollen eyes and lips, tightness in nose and throat and sever coughing. Given Epi Jr, O2 given and monitored O2 Sat. Given EpiPen (0.3mg) approximately 6 minutes later. Called 911. Child taken to ER.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Accidental overdose, Medication error
Clinical narrative: PATIENT WAS GIVEN TDAP ON 10-02-2007. DOSE WAS NOT CHARTED. WAS GIVEN TDAP AGAIN ON 6-09-2008. I CALLED NEXT TO CHECK ON PATIENT & NOTIFY OF EXTRA DOSE TDAP. MOTHER SAID PATIENT WAS "FINE".
Age: 1.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: ERYTHEMA & INDURATION 10X10 MM OVER (L)ARM (PCV7) NO TREATMENT EXCEPT FOR WARM COMPRESSES.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Pharyngeal oedema, Pruritus, Urticaria
Clinical narrative: Vaccinated 19JUN08, pruitis/hives started on 20JUN08, 21JUN08 throat was swelling, was seen in ER, given IV meds (unknown), no admission, no residual problems.
Age: 46.0
Sex: M
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: CLIENT CALLED. C/O (L) ARM & SHOULDER PAIN THAT BEGAN IN MARCH 2008 AFTER RECEIVING VACCINATIONS. CLIENT CONTINUES TO EXPERIENCE PAIN IN (L) ARM. REFERRED TO PHYSICIAN FOR MEDICAL EVALUATION. RECOMMENDED ADVIL OR MOTRIN FOR PAIN/INFLAMMATION. ATTEMPTED TELEPHONE FOLLOW-UP WITH CLIENT ON 6/3/08. NO CONTACT MADE - LEFT MESSAGE.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Abdominal X-ray, Chest X-ray, Musculoskeletal stiffness, Myalgia, Pyrexia
Clinical narrative: ONSET SEVERE MUSCLE STIFFNESS, ACHING, MYALGIAS, LOW GRADE FEVER ON 6/07/08.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Urine analysis
Clinical narrative: ONSET SEVERE MUSCLE STIFFNESS, ACHING, MYALGIAS, LOW GRADE FEVER ON 6/07/08.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Headache, Musculoskeletal stiffness, Pain, Pharyngolaryngeal pain
Clinical narrative: Symptoms from typhoid vaccine administered on 7 Jun 08: headache, body aches, fever, stiffness in neck, and chills.  Patient began experiencing symptoms within 2 hours.  Patient sought medical care that evening at ER.  Patient had several tests administered and was treated with Motrin.  No medication prescribed.  Symptoms from smallpox vaccine administered to her on 8 Jun 08: headache, body aches, stiffness in neck, chills, and sore throat.  Patient experienced these symptoms within 8-24 hours for a duration of approximately a week.  Patient sought medical care 24 hours after receiving the vaccine.  Treatment included a mouth wash that she used and swallowed and OTC ibuprofen following medication schedule recommended by manufacterer.  As of 23 Jun 2008, patient is experiencing little to no symptoms.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Symptoms from typhoid vaccine administered on 7 Jun 08: headache, body aches, fever, stiffness in neck, and chills.  Patient began experiencing symptoms within 2 hours.  Patient sought medical care that evening at ER.  Patient had several tests administered and was treated with Motrin.  No medication prescribed.  Symptoms from smallpox vaccine administered to her on 8 Jun 08: headache, body aches, stiffness in neck, chills, and sore throat.  Patient experienced these symptoms within 8-24 hours for a duration of approximately a week.  Patient sought medical care 24 hours after receiving the vaccine.  Treatment included a mouth wash that she used and swallowed and OTC ibuprofen following medication schedule recommended by manufacterer.  As of 23 Jun 2008, patient is experiencing little to no symptoms.
Age: 43.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Blood test, Hypersensitivity, Influenza like illness, Pyrexia, Rash generalised
Clinical narrative: 14 DAYS AFTER SHOTS DEVELOPED RASH & FEVER. FELT LIKE FLU SO STARTED TO TAKE SUDAFED & THEREA FLU. RASH WORSENED ALL OVER BODY & DEVELOPED LARGE WELTS ON LEGS. WENT TO DOCTOR. RAN SOME BLOOD TESTS COULD NOT PIN POINT WHAT SHE HAD ALLERGIC REACTION TOO.
Age: 43.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: 14 DAYS AFTER SHOTS DEVELOPED RASH & FEVER. FELT LIKE FLU SO STARTED TO TAKE SUDAFED & THEREA FLU. RASH WORSENED ALL OVER BODY & DEVELOPED LARGE WELTS ON LEGS. WENT TO DOCTOR. RAN SOME BLOOD TESTS COULD NOT PIN POINT WHAT SHE HAD ALLERGIC REACTION TOO.
Age: 1.42
Sex: M
Vaccine: DTPHIB
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: LOCALIZED AREA REDNESS, SWELLING 3 X 5 1/2 IN AREA
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Angioedema, Blood test, Urticaria
Clinical narrative: Hives began 5/20/08. Evaluated at Health Unit. Hives began on leg, advanced to torso, extremities, head. Angioedema. He obtained treatment from Dr (Allergy). He is currently taking Prednisone 20 mg, Benadryl, other antihistamines.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Expired drug administered
Clinical narrative: Patient received Hep. B vaccine (Glaxo-Smith-Kline Engerix-B) on 6/18/08 which had an expiration date of 6/15/08.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Blood pressure, Dizziness, Heart rate, Muscle twitching
Clinical narrative: 10:20 RECEIVED IMMUNIZATION MCV4; TDAP; HEPA 10:30 REPORTED FEELING DIZZY, 0 LOC. LAID CLIENT DOWN WITH FEET ELEVATED, PB 126/78, P- 68 APPLIED ICE PACK TO BACK OF NECK; 10:35 SITTING UP BP 130/80, P P 60 (R) ARM STARTED TWITCHING 10:45 SITTING UP BP 118/82 02 ADMINISTERED TRANSFERRED TO HOSPITAL BY AMBULANCE COLOR PINK; TALKING, NO SHORTNESS OF BREATH AT 11 AM.
Age: 21.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient came to immunization clinic on 6/19/08. She reported that she was planning to travel on a missionary trip on 6/26/08. She received  a TdaP and M-M-R. First she was questioned about possible pregnancy. She reported that she was trying to get pregnant but not pregnant presently. Also discussed that she should not get pregnant for 1-3 months after the M-M-R vaccine. Patient phoned the Dept of Health on 6/23/08 and left a message that she was pregnant. Merck notified.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising, Injection site rash
Clinical narrative: I RECIEVED THE VACCINE ON 6/18/2008.   I HAVA A RASH AND BRUISING AT INJECTION SITE.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LT THIGH SWOLLEN & RED 1 - 2 CM LARGER IN DIAMETER THAN RT THIGH
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Rash
Clinical narrative: RT UPPER ARM SWELLING ERYTHEMA & RASH
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: PER MOM: 5/9/08 - SON C/O R.A. "SORE". 5/10/08 - ARM WAS RED & SLIGHT SWELLING 5/11/08 - INCREASED SWELLING, ALMOST DOUBLE THE SIZE FROM 5/10, ABOUT 5". TAKEN TO ER AT 11:00 PM - MD DX CELLULITIS  TR. BACTRIM TO TAKE QID. X14D.NO CULTURE OR LABS DONE. AN ULTRASOUND DONE: NO ABSCESS SEEN UNDER THE SKIN. TOLD TO APPLY HEAT PAD TO SITE. FOLLOW UP WITH PCP THIS WEEK. HE MISSED SCHOOL 5/12/08 DUE TO REACTION. THINKS MAY BE STAPH OR STREP INFECTION CELLULITIS.