chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Pneumonia, Pyrexia, Respiratory failure
Clinical narrative: Initial and follow up information has been received from a certified medical assistant concerning a 52 year old male pt with a history of emphysema who on 21Apr05 was vaccinated SC with a 0.5 mL dose of pneumococcal 23v polysaccharide vaccine (lot 649695/0512P). Concomitant therapies included sertraline HC1 (Zoloft), fluticasone propionate (+) salmeterol xinafoate (Advair) and albuterol (unspecified). On 22Apr05, the next morning, the pt developed an injection site reaction including swelling, redness, infection and cellulitis below this site, fever and chills. The pt was treated with ibuprofen (Motrin) and warm and cool compresses to site. The pt called back on 25Apr05 saying he was not better and was admitted to the hospital. The medical assistant confirmed that the admitting diagnoses were cellulitis of arm, respiratory failure, and pneumonia. Upon follow up information, the medical assistant could not confirm any concurrent conditions at the time of vaccination, as it was the first time the office had seen the pt. It was reported that the pt had not been seen by the office since the date of vaccination. She believed that pt was discharged from the hospital, but she could not confirm if the pt actually was discharged or if he had recovered. It was reported that the pt had not received pneumococcal 23v polysaccharide vaccine in the past. Additional information has been requested.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injury, Laboratory test abnormal, Syncope, White blood cell count increased
Clinical narrative: Patient suffered an un-witnessed syncopal event. Found down. Came around quickly but was admitted to ship's ward for observation. Clinically, I do not feel the event was related to smallpox vaccination.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Rash pruritic
Clinical narrative: 27 yo male with macular appearing rash that appears on arms, legs, chest, back and face. Rash pruritic and moves throughout the day. Thought related to bandaid use.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctivitis, Eye irritation
Clinical narrative: Pt present with irritation of right eye sp small pox vaccine x 9 days. Pt dx with conjunctivitis on 22Apr05. Pt treated with erythromycin opth oint. as a precautionary measure to ensure vaccinia was not transmitted from arm to eye. 25Apr05 eye is much improved.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Anorexia, Chills, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Malaise, low grade fever, chills, tenderness around injection site, lymph nodes swollen under r arm pit, loss of appetite. Toradol, Naproxen, Tylenol.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: Malaise, low grade fever, chills, tenderness around injection site, lymph nodes swollen under r arm pit, loss of appetite. Toradol, Naproxen, Tylenol.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Mouth ulceration, Similar reaction on previous exposure to drug, Skin ulcer
Clinical narrative: Blistering lesions erupted on face and neck. They continued to come and go until Dec 03. In Apr 03 developed clusters of other lesions on trunk, axilla, back and arms. In Jun04 began having intermittent blistering lesions erupt on buccal mucosa, under tongue and under lips. These lesions continue to the present.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox, Rash, Urticaria
Clinical narrative: Hive-like rash on forehead neck dorsal arms and hands. Pt was treated with calamine lotion and put on quarters to prevent potential spread of vaccinia.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Anxiety, Depression, Fatigue, Hepatic enzyme abnormal
Clinical narrative: Onset of Liver Disease (NASH) unknown cause. Chronic fatigue. Depression/Anxiety. Memory Loss. 1. unexplained Liver Damage 2. sleep disorder + fatigue 3. Depression  No one will take responsiblity for this & the medical costs incurred.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Hepatitis, Laboratory test abnormal
Clinical narrative: Onset of Liver Disease (NASH) unknown cause. Chronic fatigue. Depression/Anxiety. Memory Loss. 1. unexplained Liver Damage 2. sleep disorder + fatigue 3. Depression  No one will take responsiblity for this & the medical costs incurred.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia, Vomiting
Clinical narrative: Temp 104, edema, hot, erythema, vomiting, deltoid/elbow left arm (itching). See Dr, Med Atrax ordered, Med Benadryl, Motrin, Tylenol given at home.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site rash, Pruritus
Clinical narrative: 10 min after injection pt c/o itchiness left arm around injection site upon inspection area at injection site was hot, red, spreading to entire upper arm. Sp O2=98% on room air. Vistan 50mg IM given 17:00, no itching, resting comfortably at 17:15.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Injection site oedema, Irritability, Oedema, Oedema peripheral
Clinical narrative: Mother c/o swelling and redness from injection  area Left thigh to knee also redness, slight fever and "crabby" x2 days. Discuss reaction with mother and recommended she have pt see to document. Mother had pt's grandmother look at site. She states she is an RN and felt it was only soft tissue swelling. TC from mom 05/09/2005,.  pt is doing well.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 12 hours after- red, high fever 103 D, and a sore throat.
Age: 0.51
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cough, Crying, Decreased appetite, Irritability, Retching
Clinical narrative: Mother called with "constant non-stop crying" and fussiness. Mother reportes tha pt was miserable and that this was different from other fussy spells after  otehr shots.  Mom tried to differentiate that it was not fussiness "its' more than that" Coughed and gaged, then vomited x2. She also had a decreased appetite..`
Age: 0.51
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Screaming, Vomiting
Clinical narrative: Mother called with "constant non-stop crying" and fussiness. Mother reportes tha pt was miserable and that this was different from other fussy spells after  otehr shots.  Mom tried to differentiate that it was not fussiness "its' more than that" Coughed and gaged, then vomited x2. She also had a decreased appetite..`
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: No Adverse Event Reported. Information from missing data report states: Person not at this address.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Erythema multiforme, Oedema, Oedema peripheral
Clinical narrative: Pt developed redness and swelling at the R anterior thigh at the site of the DTAP. Mother outlined the margins of the erythema this a.m. when she noted same. No progression has occurred. Pt received the injection 36 hours ago.
Age: 1.01
Sex: F
Vaccine: DT, HEP, HIBV, MMR, VARCEL
Symptoms: Mouth ulceration, Mucosal inflammation, Mucous membrane disorder, Oral mucosal eruption, Rash
Clinical narrative: Maculopapular pruritic eruptions with oral lesions.
Age: 1.01
Sex: F
Vaccine: DT, HEP, HIBV, MMR, VARCEL
Symptoms: Rash maculo-papular, Rash papular
Clinical narrative: Maculopapular pruritic eruptions with oral lesions.
Age: 1.33
Sex: M
Vaccine: DTAP, PNC
Symptoms: Dermatitis atopic, Eczema, Erythema, Injection site erythema, Injection site reaction
Clinical narrative: On day of vaccinations, developed local reaction at site ( swelling and red) which is gradually resolving. 2 weeks after vaccine had rash develop on legs, then arms which is consistent with eczema. Recovering.
Age: 1.33
Sex: M
Vaccine: DTAP, PNC
Symptoms: Oedema peripheral
Clinical narrative: On day of vaccinations, developed local reaction at site ( swelling and red) which is gradually resolving. 2 weeks after vaccine had rash develop on legs, then arms which is consistent with eczema. Recovering.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Convulsion, Erythema, Pyrexia, Rash
Clinical narrative: Received 4 vaccines on 05/04/2005. Six days later,  child began with fever and red rash, seizure at home with temp 101.9 D Fahrenheit- Seizure @ hospital with temp of 103.5. "tests were done, but inconclusive. Temp up to 105 degrees Fahrenheit. At d/c temp was <100. Continues with fever to 103.0.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Received 4 vaccines on 05/04/2005. Six days later,  child began with fever and red rash, seizure at home with temp 101.9 D Fahrenheit- Seizure @ hospital with temp of 103.5. "tests were done, but inconclusive. Temp up to 105 degrees Fahrenheit. At d/c temp was <100. Continues with fever to 103.0.
Age: 14.0
Sex: F
Vaccine: HEPA
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Pharyngeal oedema, Tongue oedema
Clinical narrative: Swollen tongue, numbness in mouth, swelling of throat. IV meds given at ER.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site mass, Injection site oedema
Clinical narrative: Pt got DTaP # 5, IPV # 4, MMR #2, and Hep A #1 on 05/10/2005 in our office. Reaction started on 05/11/05 at night, including swelling, redness, warm to the touch and tissue underneath was hard like a "knot" 4x3 1/2 " area.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site warmth, Oedema
Clinical narrative: Pt got DTaP # 5, IPV # 4, MMR #2, and Hep A #1 on 05/10/2005 in our office. Reaction started on 05/11/05 at night, including swelling, redness, warm to the touch and tissue underneath was hard like a "knot" 4x3 1/2 " area.
Age: 11.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Erythema, Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Lump and large area of redness and warmth appeared at injection site almost immediately.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Pain
Clinical narrative: Right arm and site of injection-Pain.
Age: 1.04
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular, Viral infection
Clinical narrative: Papular rash on trunk, neck and head. (Chicken pox)
Age: 1.27
Sex: F
Vaccine: PNC
Symptoms: Febrile convulsion, Oedema peripheral, Pyrexia
Clinical narrative: On 05/11/2005, had a brief <1 minute febrile seizure. No TX, No focus of infection. Also had area of enlargement to left thigh. Had fever to 103 degrees F yesterday.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Erythema, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: 5x5 cm area of redness and swelling around injection site with tenderness. RX antibiotics (Augmentin).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 4.5x4.5 cm area of induration and erythema.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Skin warm
Clinical narrative: Swelling, erythema, local reaction (warm) over almost entire left upper arm.
Age: 16.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Rash, Rash erythematous
Clinical narrative: 05/14/05- developed a raised, red, non-itchy, non tender rash on face spread to neck, chest and back. Abdomen and arms. TX with Allegra and Aveeno bath.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever up to 105 for 24-48 hours. Running fever high for 2 days. No local reaction.
Age: 58.0
Sex: F
Vaccine: JEV
Symptoms: Cough, Oedema peripheral, Pruritus
Clinical narrative: Patient called office on 3/28/05 to report that 2 days ago, she had swelling of ankles and itchy feet, hands, and smokers cough on awakening. Patient stated that she felt OK at present. 4/1/05: Follow up revealed that patient is feeling better; swelling is resolved.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Developed mild case of varicella, seen 5/16/05
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Feeling hot, Fluid retention, Injection site erythema, Injection site oedema
Clinical narrative: Right upper arm with erythema, edema, warmth and tenderness over 2/3 circumference started on 5/13/05 then approx 4-5AM on 5/14 am several thin walled serious fluid containing blisters noted on posterior upper arm (not adjacent to injection site).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Tenderness
Clinical narrative: Right upper arm with erythema, edema, warmth and tenderness over 2/3 circumference started on 5/13/05 then approx 4-5AM on 5/14 am several thin walled serious fluid containing blisters noted on posterior upper arm (not adjacent to injection site).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypokinesia, Injection site mass, Pain
Clinical narrative: Left thigh with induration. Hot to touch. Pain w/ walking and certain leg movements. Dr assessed area and gave Keflex.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticarial rash developed 5min after administration all over body, no respiratory s/p noted. Rash took a few days to resolve on Benadryl/Orapred. Pt was given 1 dose of Benadryl/Orapred she started to get rash decrease in within 1 hr.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: c/o right arm swelling and redness 6cmx9cm.  No joint swelling or induration. No fever or s/s rash.
Age: 5.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Cough, Injection site reaction, Pyrexia, Urticaria
Clinical narrative: 5/9/05 Mother reported via telephone child had hives on right arm at the site of injectionafter receiving immunizations 5/4/05.  Also developed high pitched, wheezing cough pm of 5/4/05.  The child had fever for three days after immunizations were administered.  Hot packs were applied to right arm which relieved discomfort.  Mother also gave the child Benadryl for the hives.  Plans to see physician regarding immunization reaction.
Age: 16.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Angioneurotic oedema, Oedema, Urticaria
Clinical narrative: 2 days post J.E. vaccine began having hives wrist and shoulder, mother treated with benadryl,  3rd day swelling toes and wrists, seen here 5/16/05 with angio edema  no resp symptoms. Treated with oral prednisone
Age: 16.0
Sex: F
Vaccine: JEV, JEV
Symptoms: Angioneurotic oedema, Oedema peripheral, Urticaria
Clinical narrative: 2 days post J.E. vaccine began having hives wrist and shoulder, mother treated with benadryl,  3rd day swelling toes and wrists, seen here 5/16/05 with angio edema  no resp symptoms. Treated with oral prednisone
Age: 25.0
Sex: M
Vaccine: RAB
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, headache, achiness, fever after each Rabies vaccine, more pronounced after 2nd injection. Third vaccine not given, titer drawn.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Diarrhoea, Headache, Laboratory test abnormal, Musculoskeletal stiffness
Clinical narrative: Day of vaccine started with local rxn in upper arm which became swollen, tender and bruised. The day after receiving the vaccine developed fever, headache, stiff neck, myalgias, nauseaa, vomiting and diarrhea.  Syndrome required ER visit for lumbar puncture and IV fluids.  Sx resolved over 1 week except neck stiffness which persists.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Nausea, Oedema, Pyrexia, Tenderness
Clinical narrative: Day of vaccine started with local rxn in upper arm which became swollen, tender and bruised. The day after receiving the vaccine developed fever, headache, stiff neck, myalgias, nauseaa, vomiting and diarrhea.  Syndrome required ER visit for lumbar puncture and IV fluids.  Sx resolved over 1 week except neck stiffness which persists.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Day of vaccine started with local rxn in upper arm which became swollen, tender and bruised. The day after receiving the vaccine developed fever, headache, stiff neck, myalgias, nauseaa, vomiting and diarrhea.  Syndrome required ER visit for lumbar puncture and IV fluids.  Sx resolved over 1 week except neck stiffness which persists.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Patient found with vomit in crib 3.5 hours after vax.  No other illness before or after.
Age: 21.0
Sex: F
Vaccine: MMR, TTOX, VARCEL
Symptoms: Abortion spontaneous, Unintended pregnancy
Clinical narrative: Information has been received from a physician through the manf pregnancy registry concerning a 21 year old healthy female pt who on 24Mar04 was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination on 24Mar04 included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) and a dose of tetanus toxoid. The reporter stated the pt was vaccinated on 24Mar04 in another country and her LMP was 11Apr2004. The reporter noted the pregnancy was unremarkable so far. Unspecified medical attention was sought but treatment was not required. A product quality complaint was not involved. Follow up information was received from a woman in a physician's office who reported that she had checked with the physician, who confirmed that the female pt had a miscarriage at 14 weeks gestation, on approx 19Jul04. There was no other information provided regarding the pt's adverse experience. Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Hyperaesthesia, Hypoaesthesia, Hypokinesia, Injection site oedema
Clinical narrative: Information has been received from a licensed practical nurse concerning a 44 year old female with allergies to codeine, prednisone ( sensitivity at doses of 60mg and higher), moderate, persistant asthma, GERD, endometriosis, depression, insomnia and allergic rhinitis who on 05/03/2005 at 2:00PM was vaccinated IM in the left arm with a 1st 0.5ml dose of pneumococcal 23 valent polysaccharide vaccine ( lot# 649692/0371P). It was noted that the vaccine was from a new, unopened vial. Concomitant therapy included trazadone HCL, desloratidine ( Clariniex), estradiol tolterodine tartanate (Detrol), baclofen, fluoxetine, fluticasone propionate+ salumedrol xinafoate ( Advair), albuterol and montelukast sodium. The pt was diagnosed with pneumonia at the time of vaccination and treated with gatifloxacin (Tequin) 400mh PO and prednisone 40mg PO. That evening the pt experienced swelling in the left deltoid spreading down her arm and into her neck and trunk area. The pt took prednisone 40mg  for her pneumonia. She went to bed and at midnight her hand tingled, her arm became numb and she had severe pain in  the trunk area. The swelling was noted to have increased. ON 05/04/2005, she went to the ER. She was told to continue the steriods and was also started on acetominophen + oxycodone hydrochloride ( Percocet) for pain PRN. At that time she rated her pain 8/10. All labs drawn in the ER were reportedly within " normal limits". She was not hospitalized. On 05/05/2005, the pt was seen in the office and was DX with " a local reaction to the vaccine". Her symptoms slightly improved but she was still having a lot of pain and trouble moving her arm. The nurse noted that without appropriate intervention, this would have been a life threatening reaction. It was reported that the reaction was diabling " for this pt" because she had trouble moving her arm. On 05/10/2005, the nurse called the pt to check on her and the pt stated that she was recovering  but still had a pain level of 5/10 which spiked to 8/10 at times. Although she stated improving symptoms, she was still experiencing severe fatigue and some itching on the arms, hands, and trunk. She was instructed to follow up in the MD office on 05/12/05 if she had not improved by then. No product quality complaint was involved. Swelling in the left deltoid down arm, swelling into trunk area, swelling into neck area, hand tingling, arm became numb, severe pain in trunk area, trouble moving her arm, severe fatigue, itching, and local reaction were considered other important medical events. (OMIC). Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Myalgia, Oedema, Oedema peripheral, Pain
Clinical narrative: Information has been received from a licensed practical nurse concerning a 44 year old female with allergies to codeine, prednisone ( sensitivity at doses of 60mg and higher), moderate, persistant asthma, GERD, endometriosis, depression, insomnia and allergic rhinitis who on 05/03/2005 at 2:00PM was vaccinated IM in the left arm with a 1st 0.5ml dose of pneumococcal 23 valent polysaccharide vaccine ( lot# 649692/0371P). It was noted that the vaccine was from a new, unopened vial. Concomitant therapy included trazadone HCL, desloratidine ( Clariniex), estradiol tolterodine tartanate (Detrol), baclofen, fluoxetine, fluticasone propionate+ salumedrol xinafoate ( Advair), albuterol and montelukast sodium. The pt was diagnosed with pneumonia at the time of vaccination and treated with gatifloxacin (Tequin) 400mh PO and prednisone 40mg PO. That evening the pt experienced swelling in the left deltoid spreading down her arm and into her neck and trunk area. The pt took prednisone 40mg  for her pneumonia. She went to bed and at midnight her hand tingled, her arm became numb and she had severe pain in  the trunk area. The swelling was noted to have increased. ON 05/04/2005, she went to the ER. She was told to continue the steriods and was also started on acetominophen + oxycodone hydrochloride ( Percocet) for pain PRN. At that time she rated her pain 8/10. All labs drawn in the ER were reportedly within " normal limits". She was not hospitalized. On 05/05/2005, the pt was seen in the office and was DX with " a local reaction to the vaccine". Her symptoms slightly improved but she was still having a lot of pain and trouble moving her arm. The nurse noted that without appropriate intervention, this would have been a life threatening reaction. It was reported that the reaction was diabling " for this pt" because she had trouble moving her arm. On 05/10/2005, the nurse called the pt to check on her and the pt stated that she was recovering  but still had a pain level of 5/10 which spiked to 8/10 at times. Although she stated improving symptoms, she was still experiencing severe fatigue and some itching on the arms, hands, and trunk. She was instructed to follow up in the MD office on 05/12/05 if she had not improved by then. No product quality complaint was involved. Swelling in the left deltoid down arm, swelling into trunk area, swelling into neck area, hand tingling, arm became numb, severe pain in trunk area, trouble moving her arm, severe fatigue, itching, and local reaction were considered other important medical events. (OMIC). Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Information has been received from a licensed practical nurse concerning a 44 year old female with allergies to codeine, prednisone ( sensitivity at doses of 60mg and higher), moderate, persistant asthma, GERD, endometriosis, depression, insomnia and allergic rhinitis who on 05/03/2005 at 2:00PM was vaccinated IM in the left arm with a 1st 0.5ml dose of pneumococcal 23 valent polysaccharide vaccine ( lot# 649692/0371P). It was noted that the vaccine was from a new, unopened vial. Concomitant therapy included trazadone HCL, desloratidine ( Clariniex), estradiol tolterodine tartanate (Detrol), baclofen, fluoxetine, fluticasone propionate+ salumedrol xinafoate ( Advair), albuterol and montelukast sodium. The pt was diagnosed with pneumonia at the time of vaccination and treated with gatifloxacin (Tequin) 400mh PO and prednisone 40mg PO. That evening the pt experienced swelling in the left deltoid spreading down her arm and into her neck and trunk area. The pt took prednisone 40mg  for her pneumonia. She went to bed and at midnight her hand tingled, her arm became numb and she had severe pain in  the trunk area. The swelling was noted to have increased. ON 05/04/2005, she went to the ER. She was told to continue the steriods and was also started on acetominophen + oxycodone hydrochloride ( Percocet) for pain PRN. At that time she rated her pain 8/10. All labs drawn in the ER were reportedly within " normal limits". She was not hospitalized. On 05/05/2005, the pt was seen in the office and was DX with " a local reaction to the vaccine". Her symptoms slightly improved but she was still having a lot of pain and trouble moving her arm. The nurse noted that without appropriate intervention, this would have been a life threatening reaction. It was reported that the reaction was diabling " for this pt" because she had trouble moving her arm. On 05/10/2005, the nurse called the pt to check on her and the pt stated that she was recovering  but still had a pain level of 5/10 which spiked to 8/10 at times. Although she stated improving symptoms, she was still experiencing severe fatigue and some itching on the arms, hands, and trunk. She was instructed to follow up in the MD office on 05/12/05 if she had not improved by then. No product quality complaint was involved. Swelling in the left deltoid down arm, swelling into trunk area, swelling into neck area, hand tingling, arm became numb, severe pain in trunk area, trouble moving her arm, severe fatigue, itching, and local reaction were considered other important medical events. (OMIC). Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Balance disorder, CSF test abnormal, Gait disturbance, Muscular weakness
Clinical narrative: I was given flu shot 10/09/04. Within 7 days began developing a rash within 2 weeks had leg weakness, balance issues, falling,  loss of reflexes. SS lasted 2 1/2 months, went away then returned in Feb. following removal of appendix removal. Now Dx. CIDP.   07/25/05 Neurologist's statement  GBS 'or initial episode of CIDP' ; EMG done 12/13/04 positive for diagnosis.    Notes from 03/15/05 visit includes information of pt's reporting being 'back to normal' in January, having surgery for a ruptured appendix late February and pt's perception of 'starting to go down-hill again'.  Visit of 04/19/05 includes details of exam confirming clinical symptoms with changes in vibratory sensation, continued areflexive, slowed gait.   Pt's diagnosis ws revised to CIDP and the decision to treat with IVIG is recorded.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Rash, Urinary incontinence
Clinical narrative: I was given flu shot 10/09/04. Within 7 days began developing a rash within 2 weeks had leg weakness, balance issues, falling,  loss of reflexes. SS lasted 2 1/2 months, went away then returned in Feb. following removal of appendix removal. Now Dx. CIDP.   07/25/05 Neurologist's statement  GBS 'or initial episode of CIDP' ; EMG done 12/13/04 positive for diagnosis.    Notes from 03/15/05 visit includes information of pt's reporting being 'back to normal' in January, having surgery for a ruptured appendix late February and pt's perception of 'starting to go down-hill again'.  Visit of 04/19/05 includes details of exam confirming clinical symptoms with changes in vibratory sensation, continued areflexive, slowed gait.   Pt's diagnosis ws revised to CIDP and the decision to treat with IVIG is recorded.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MNQ
Symptoms: Increased appetite, Irritability, Medication error
Clinical narrative: Menactra vaccine admin inadvertently. No symptoms (adverse events) noted except cranky at 2:15PM. No fever, increased appetite.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site oedema, Pruritus
Clinical narrative: 5/9/05 Received Menactra vaccine left arm. Started c/o arm itching 5/10/05 3:00PM. Took shower that night and arm swelled to the size of a baseball at injection site. Tx: Claritin, Triamcinolone cream.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Mother notice reaction next morning on left arm. Area was warm and swollen.
Age: 1.02
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Multiple vesicles in various stages
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Autism, Autism spectrum disorder, Constipation, Crying, Diarrhoea
Clinical narrative: Lethargy began 04/06/2002 followed by high pitched screaming 12 hrs later, she did not have a bowel movement for one full week (previously she had no trouble with BM's) suffered from constipation and diarrhea, sensory processing disorder and related maladies from then on diagnosed with autism.  Per annual report-autism, pervasive developmental delay, sensory integrative disorder please see attached. Per annual report-autism and gastrointestinal problems
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Drug toxicity, Gastrointestinal disorder, Hypervitaminosis, Lethargy, Screaming
Clinical narrative: Lethargy began 04/06/2002 followed by high pitched screaming 12 hrs later, she did not have a bowel movement for one full week (previously she had no trouble with BM's) suffered from constipation and diarrhea, sensory processing disorder and related maladies from then on diagnosed with autism.  Per annual report-autism, pervasive developmental delay, sensory integrative disorder please see attached. Per annual report-autism and gastrointestinal problems
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Sensory disturbance
Clinical narrative: Lethargy began 04/06/2002 followed by high pitched screaming 12 hrs later, she did not have a bowel movement for one full week (previously she had no trouble with BM's) suffered from constipation and diarrhea, sensory processing disorder and related maladies from then on diagnosed with autism.  Per annual report-autism, pervasive developmental delay, sensory integrative disorder please see attached. Per annual report-autism and gastrointestinal problems
Age: 27.0
Sex: F
Vaccine: HEPA
Symptoms: Influenza like illness, Myalgia, Urticaria
Clinical narrative: I got my hep A shot approx 1100 hrs and at approx 1400 hrs my body began to ache like I had the flu. At approx 2130 hrs I began to break out in hives and then approx 1 1/2 hrs later I went to the ER.
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: On 05/06/05 pt presented with chicken pox.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Localized erythema, warm to touch x 2 days 11cm x 8cm. Tx: pediatric care, warm compress.
Age: 5.0
Sex: F
Vaccine: PNC
Symptoms: Feeling hot, Injection site erythema, Similar reaction on previous exposure to drug
Clinical narrative: Redness area 3 in x 5 in, swollen, warm to touch.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Swollen upper arm left side with erythema and urticaria.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Feeling hot, Injection site erythema, Pyrexia, Tenderness
Clinical narrative: Slight fever to 100.2 on 5/10/05. Morning 5/11/05 1 1/2 inch oval red patch just below site of injection, warm to touch. Area sensitive to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Tenderness
Clinical narrative: Swelling , redness, induration and tenderness L thigh and 5.0" in diameter rx with cold compress, Benadryl, Augmentin
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site nodule
Clinical narrative: Development of a hard nodule at site of vaccination.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site oedema, Malaise
Clinical narrative: Right arm almost twice as large as left (shots given in the right arm). Red, warm to touch, afebrile. Feels ill. Referred to doctor. Arm hurts
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Swollen upper arm, warm to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: After immunizations, pt developed a cellulitis of his left leg.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Nausea, Urticaria, Vomiting
Clinical narrative: Pt experienced hives beginning on left arm site to neck, trunk, and face with nausea and vomiting.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Joint range of motion decreased, Rash
Clinical narrative: 24 hours after PPV23 given left upper arm near axilla, started to swell and red lumps appeared on upper left deltoid. Decreased ROM of left shoulder.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Per mother, at 2 months, baby received shots (Pediarix, Prevnar, HIB) and cried. Mother states baby passed out and pale for about 30 minutes; not arousable. No distress, no rash, no shaking, breathing regularly. Went to ER waiting area until baby woke up and went home.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Blood pressure increased, Headache, Heart rate increased, Vomiting
Clinical narrative: Patient had increase in heart rate, blood pressure was 182/110, vomiting, and severe cephalgia. Patient was at ER at 9:30 to 4:00. Patient was administered IV, meds for blood pressure, and a shot of morphine and Phenegran. Patient left feeling better. No other symptoms since then.
Age: 1.26
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Rash papular, Rash vesicular, Viral infection
Clinical narrative: Crops of papules and vesicles on legs, trunk, face. No fever, pruritic lesions. Mild case of varicella.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Tenderness
Clinical narrative: Erythema of 7cmx9cm to left deltoid. Complaints of tenderness and heat to area beginning 5/12/05 at 17:00. Motrin PO given and ice pack applied.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling, erythema noted left deltoid 24 hours after injection. Increased temp 101.3 F.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Headache, Neck pain
Clinical narrative: Patient developed severe headache 3 days post vaccine. Severe for 3 days, now gradually improving. Also neck pain 6 days post vaccine, appears to be muscular in origin. Patient's exam normal except for muscle tightness in neck. Symptoms appear to be improving at this time.
Age: 1.34
Sex: M
Vaccine: DTAP, HEP
Symptoms: Diarrhoea, Vaccine positive rechallenge, Viral infection, Vomiting projectile
Clinical narrative: Vomiting the afternoon of 5/4/05.  Diarrhea on 5/5/05.  Diarrhea and projectle vomiting 5/5/05 evening.  Doctor thought this was due to a viral illness.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Pateint visited Emergency Department on 11 May 2005 complaining of rash behind arm and behind knee. Patient thought it was a reaction to Smallpox vaccination received on 20 Apr 2005.
Age: 0.17
Sex: M
Vaccine: DTAP, PNC
Symptoms: Apnoea, Bradycardia, Hypoxia, Pyrexia
Clinical narrative: Infant given Prevnar and DTaP on 05/08/2005 @ 12:30PM. Pt was on a nasal cannula on full feedings. Numerous A & B's after immunization. NPO and intubated within 12 hours. Infant febrile 15 hours later.
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: mom brought child in clinic on 5-11-05 for nurse to look at spots on child. noticed them the night before after bath. noticed more the next morning and called the clinic and was told to bring him in.
Age: 46.0
Sex: F
Vaccine: FLU3, JEV
Symptoms: Fatigue, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pt received JEV #2 and Flu Vaccination on 16May05. On morning of the 17th, pt began to feel heat to the back of right deltoid where JEV was given.  When she looked at the site saw that it was raised, itchy with minor burning sensation. No Fever or H/A, just feeling of fatigue. Site was marked 1 1/2 inch in height and diameter. Site looked like allergic reaction to bee sting. Warm to touch, no drainage. Recommended Tylenol and Benadryl. To present in Morning for follow-up.
Age: 66.0
Sex: F
Vaccine: DT, MMR
Symptoms: Arthralgia, Back pain, Blood pressure increased, Joint stiffness, Muscle spasms
Clinical narrative: 8 Days from MMR injection Patient developed fever of 102.8 and had multiple joints hurting ( back and neck the worst).  11th day couldn't move neck.  BP elevated due to pain and erythrocyte sedimentation rate elevated at 45.  Pt seen in family medicine clinic on 12th day from vaccine and diagnosed with severe neck spasm with unkown etiology.  Pt seen by neurosurgeon afterwards who had an MRI done of the patients c-spine and neck.  Neurosurgeon felt her symptoms of neck and back pain were due to MMR vaccine adverse reaction.  Patient's symptoms resolved without long term problems and at the date of this report is feeling well. Patient unfortunately missed two weeks of work due to the above pain syndrome.
Age: 66.0
Sex: F
Vaccine: DT, MMR
Symptoms: Pain, Pyrexia
Clinical narrative: 8 Days from MMR injection Patient developed fever of 102.8 and had multiple joints hurting ( back and neck the worst).  11th day couldn't move neck.  BP elevated due to pain and erythrocyte sedimentation rate elevated at 45.  Pt seen in family medicine clinic on 12th day from vaccine and diagnosed with severe neck spasm with unkown etiology.  Pt seen by neurosurgeon afterwards who had an MRI done of the patients c-spine and neck.  Neurosurgeon felt her symptoms of neck and back pain were due to MMR vaccine adverse reaction.  Patient's symptoms resolved without long term problems and at the date of this report is feeling well. Patient unfortunately missed two weeks of work due to the above pain syndrome.
Age: 50.0
Sex: M
Vaccine: MMR
Symptoms: Eyelid oedema, Rash, Swelling
Clinical narrative: rash on both arms and both sides of neck. eyes swollen
Age: 70.0
Sex: M
Vaccine: IPV, TD, TYP, YF
Symptoms: Asthenia, Dizziness
Clinical narrative: Weakness, dizziness 1 week after vaccines. Lasted 24 hours (had taken 2 oral typhoid at this point)  O2 UA CRX IV Saline - ER visit
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea
Clinical narrative: Child has had explosive yellow watery diarrhea since 4/25 - saw N.P. 4/29/04.  Getting better.  No other symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Eye oedema, Injection site erythema, Pruritus, Urticaria
Clinical narrative: Patient received DTaP, Polio, and MMR today in child health clinic between 2-4 PM. Mom stated child began to have redness and itching and eyes began to swell around 10:00 PM. Treated with Zyrtec and Ospred due to MD confirmation of allergic urticaria likely to vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Eye swelling, Injection site erythema, Pruritus
Clinical narrative: Patient received DTaP, Polio, and MMR today in child health clinic between 2-4 PM. Mom stated child began to have redness and itching and eyes began to swell around 10:00 PM. Treated with Zyrtec and Ospred due to MD confirmation of allergic urticaria likely to vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Patient had itching, redness, and swelling at injection site.
Age: 53.0
Sex: F
Vaccine: DT
Symptoms: Arthralgia
Clinical narrative: Developed multiple joint pain within 24-48 hours post injection.  The right shoulder, right hip, both knees, and thumbs were involved.  All pain resolved with Motrin within a week except for the right hip and shoulder pain.  The right hip pain resolved with Prednisone.  The right shoulder pain also resolved with this, but returned shortly after discontinuing the prednisone.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Laboratory test abnormal, Petechiae, Pyrexia, Sepsis, White blood cell disorder
Clinical narrative: 12 days after MMR and Varivax, febrile illness and petechia, requiring hospitalization r/o sepsis. Had zero neutrophils. Bone marrow required: child recovered. Submitted report due to timing of event after MMR/Varivax.
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Myelitis
Clinical narrative: A report was received from a manf lawyer on 09May05 concerning a male vaccinee, exact age unspecified. No details were provided regarding the vaccinees medical history or concomitant medications. In Nov2003, the vaccinee received a manf influenza vaccine, no further information available. The vaccinee became ill and was diagnosed with transverse myelitis, which no claims resulted from the flu vaccination. Follow up information will be sought.
Age: 9.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Pyrexia
Clinical narrative: Fourth of fifth rabies vaccine given 5/7/05. On 5/8/05, developed headache and fever to 101 F.
Age: 1.87
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Large local reaction in left thigh (7x7cm) with induration and erythema within 24 hrs of injection. Mom also states child had fever.
Age: 13.0
Sex: M
Vaccine: YF, YF
Symptoms: Dyspnoea
Clinical narrative: From initial information received on 09May05 from a healthcare professional regarding an adverse event occurring, it was reported that a 13 year old male pt received a dose of YF Vax, lot number UE500AA, administered SC in the left arm on 06May05 at 11:45AM. At 2:00PM on 06May05 the pt experienced shortness of breath. He visited the ER and was treated with Benadryl, epinephrine and Solumedrol. He was admitted for observation at another hospital due to the unavailability of beds at the first hospital. At the time of this report it is unk if the pt recovered from these events.
Age: 70.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site pain
Clinical narrative: 1 week of severe pain at site of injection (right deltoid).
Age: 15.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Skin nodule, Urticaria
Clinical narrative: 5/16/05 client received vaccinations at 4PM. On 5/17/05 she presents in clinic reporting she noticed bumps on her left arm and left leg upon awakening at 7AM. 2hrs later bumps developed on right leg. Denies fever, n/v or difficulty breathing. Bumps are sparse and hive-like in appearance.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Injection site oedema
Clinical narrative: Mild swelling/erythema at right deltoid. No treatment required.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Red raised area, area felt hard lump, hot. Pt advised to take Benadryl, ice to area.
Age: 1.5
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Viral infection
Clinical narrative: Bumps in stomach, legs, in hair exposed to chicken pox baseball team, treatment: Zovirax.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dry skin, Gait disturbance, Pain, Petechiae, Rash pustular
Clinical narrative: Right lower part of leg (closest to knee) has 3 inch x 3 inch round petechia area with x 1 <2cm pustule, several pin point areas around pustule scabbed over. Mother states he had another injection above the affected one, and x1 injection in the left leg. Mother states he limps on leg and c/o it hurting. Advised mother to apply ice and given Tylenol for discomfort and continue to monitor it.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pyrexia, Rash erythematous
Clinical narrative: This pt was seen Friday 5/13/05 for well child check and immunizations. He received his #2 MMR L deltoid and Dtap and IPV in R deltoid (#5, #4 in series respectively). Saturday 5/14 developed fever. On Sunday, Mom noted erythematous rash from radius scapula dorm to R elbow, arm circumference was 2 1/4" larger than L. Fever 102.9, Benadryl and Tylenol. 5/16/05 brings child in to show.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 2.5" diameter, red, hot to touch right arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left arm red and swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: Left leg slightly warm, raised area about 6cmx6cm soft, mild tender.
Age: 1.06
Sex: F
Vaccine: HEP, HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: 4/25/05 Presented with rash on face, trunk, arms, legs, tongue for 3 days. Diagnosed with chicken pox (vaccine failure).
Age: 1.05
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: 5/16/05 Numerous papules and vesicles on trunk and extremities.
Sex: F
Vaccine: MMR, PNC
Symptoms: Face oedema, Facial palsy, Laboratory test abnormal, Pyrexia
Clinical narrative: On 5/3/05, patient received MMR and Prevnar at 15 month WCC. Previously healthy child. After vaccine, developed fever on 5/9/05 for 4 days up to 103 then when fever was decreasing developed right facial swelling. Showed at home; none in office with facial swelling and lower lip drooping. Resolved within 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: On 5/3/05, patient was given DTaP 0.5cc IM in the left arm and IPV 0.5cc SQ in the left arm. Prevnar 0.5cc IM given in right arm, and MMR 0.5cc SC given in right arm. Mother brought him in on 5/5/05 with complaints of redness on left and right deltoid. I noticed 6" of redness on left deltoid, firmness, and warm to touch and purplish discoloration at injection site (DTaP given at this site) on right deltoid noted a quarter size reddened area which was warm to touch. No firmness (Prevnar given at this site). Shots given at 9:00 AM. I recommended mother to take child to physician. Diagnosis of cellulitis. Put patient on Cephalexin for 10 days. Allergy testing done and Zyrtec PRN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Skin discolouration
Clinical narrative: On 5/3/05, patient was given DTaP 0.5cc IM in the left arm and IPV 0.5cc SQ in the left arm. Prevnar 0.5cc IM given in right arm, and MMR 0.5cc SC given in right arm. Mother brought him in on 5/5/05 with complaints of redness on left and right deltoid. I noticed 6" of redness on left deltoid, firmness, and warm to touch and purplish discoloration at injection site (DTaP given at this site) on right deltoid noted a quarter size reddened area which was warm to touch. No firmness (Prevnar given at this site). Shots given at 9:00 AM. I recommended mother to take child to physician. Diagnosis of cellulitis. Put patient on Cephalexin for 10 days. Allergy testing done and Zyrtec PRN.
Age: 0.63
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever (2 hours after vaccine) up to 103. Treated with Ibuprofen/Tylenol PRN fever.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme developed 4 days after immunization.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash pruritic
Clinical narrative: He broke out in a red itchy rash. He was treated with Dytan, Orapred and Aclovate. The next day the pt came in the symptoms were resolved.