chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Head injury, Syncope
Clinical narrative: Patient received MENACTRA vaccine. He laid on the table for about 10 min then sat up. Patient and mother were informed to stay 15 min. It was unclear how long the child sat on the bed before leaving for checkout. During checkout the patient fainted. He bumped his head on the wall. Physicians and nurses were with him immediately. Dr. verified the pt. was stable.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Dizziness, Fatigue, Malaise, Nausea
Clinical narrative: Initial case received from a physician on 27 May 2011. A 12-year-old female patient, with no pre-existing conditions and no illness at time of vaccination, received a left arm first injection of MENACTRA (lot number U3840AA) on 19 May 2011. Approximately 10-12 hours post-vaccination, the patient developed dizziness, weakness, nausea, fever, and peripheral neuropathy (tingling in the hands and feet). The reporter noted that the fever had resolved within 1 day, but the other symptoms were persistent 8 days post-vaccination. Weakness was described as being worse in the morning, with dizziness, fatigue, and malaise worse at night. Nausea was present all day. The patient also complained of poor balance, and had been unable to attend school due to her symptoms. Treatment included ibuprofen. The reporter felt that the patient might be having a prolonged neurological reaction. At the time of the report, the patient had not been seen by a neurologist, and the events remained ongoing. Documents held by sender: None.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Activities of daily living impaired, Asthenia, Balance disorder, Dizziness, Fatigue
Clinical narrative: Initial case received from a physician on 27 May 2011. A 12-year-old female patient, with no pre-existing conditions and no illness at time of vaccination, received a left arm first injection of MENACTRA (lot number U3840AA) on 19 May 2011. Approximately 10-12 hours post-vaccination, the patient developed dizziness, weakness, nausea, fever, and peripheral neuropathy (tingling in the hands and feet). The reporter noted that the fever had resolved within 1 day, but the other symptoms were persistent 8 days post-vaccination. Weakness was described as being worse in the morning, with dizziness, fatigue, and malaise worse at night. Nausea was present all day. The patient also complained of poor balance, and had been unable to attend school due to her symptoms. Treatment included ibuprofen. The reporter felt that the patient might be having a prolonged neurological reaction. At the time of the report, the patient had not been seen by a neurologist, and the events remained ongoing. Documents held by sender: None.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Malaise, Nausea, Neurological symptom, Neuropathy peripheral, Paraesthesia
Clinical narrative: Initial case received from a physician on 27 May 2011. A 12-year-old female patient, with no pre-existing conditions and no illness at time of vaccination, received a left arm first injection of MENACTRA (lot number U3840AA) on 19 May 2011. Approximately 10-12 hours post-vaccination, the patient developed dizziness, weakness, nausea, fever, and peripheral neuropathy (tingling in the hands and feet). The reporter noted that the fever had resolved within 1 day, but the other symptoms were persistent 8 days post-vaccination. Weakness was described as being worse in the morning, with dizziness, fatigue, and malaise worse at night. Nausea was present all day. The patient also complained of poor balance, and had been unable to attend school due to her symptoms. Treatment included ibuprofen. The reporter felt that the patient might be having a prolonged neurological reaction. At the time of the report, the patient had not been seen by a neurologist, and the events remained ongoing. Documents held by sender: None.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Pyrexia
Clinical narrative: Initial case received from a physician on 27 May 2011. A 12-year-old female patient, with no pre-existing conditions and no illness at time of vaccination, received a left arm first injection of MENACTRA (lot number U3840AA) on 19 May 2011. Approximately 10-12 hours post-vaccination, the patient developed dizziness, weakness, nausea, fever, and peripheral neuropathy (tingling in the hands and feet). The reporter noted that the fever had resolved within 1 day, but the other symptoms were persistent 8 days post-vaccination. Weakness was described as being worse in the morning, with dizziness, fatigue, and malaise worse at night. Nausea was present all day. The patient also complained of poor balance, and had been unable to attend school due to her symptoms. Treatment included ibuprofen. The reporter felt that the patient might be having a prolonged neurological reaction. At the time of the report, the patient had not been seen by a neurologist, and the events remained ongoing. Documents held by sender: None.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Vertigo
Clinical narrative: Lots of pressure in the head and vertigo to the extent that it felt that I was going to faint. It lasted several days and gradually subsided.
Age: 39.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Axillary mass, Axillary pain, Erythema, Injection site infection, Oedema peripheral
Clinical narrative: Left arm very swollen/red/tender to touch. Knot spreading to armpit area. Describes as very painful.
Age: 39.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Tenderness
Clinical narrative: Left arm very swollen/red/tender to touch. Knot spreading to armpit area. Describes as very painful.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site papule, Rash papular
Clinical narrative: Erythema papules on the L side of lower chest and L side of back on the same injection site of vaccine
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Lip swelling, Swelling face
Clinical narrative: Received HPV #1 2 days ago 12 hours later swelling of lips and chin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Blister, Erythema, Ultrasound scan, Urticaria
Clinical narrative: Redness Thursday pm, then woke up with hives and blisters Friday AM.  By Sunday AM, had turned into massive red patch on leg that was getting larger.  On Friday, doctor put him on Benadryl and antibiotic as a preventative for infection.  Sunday AM, took to emergency room as primary doctor is now on vacation.  They added another antibiotic and are saying that if this doesn't work, he may have to be hospitalized for IV antibiotics.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site urticaria, Ultrasound scan
Clinical narrative: Redness Thursday pm, then woke up with hives and blisters Friday AM.  By Sunday AM, had turned into massive red patch on leg that was getting larger.  On Friday, doctor put him on Benadryl and antibiotic as a preventative for infection.  Sunday AM, took to emergency room as primary doctor is now on vacation.  They added another antibiotic and are saying that if this doesn't work, he may have to be hospitalized for IV antibiotics.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Gait disturbance
Clinical narrative: Client called 6/6/11 @ 9:35am with complaint of intense right hip pain which developed one day after receiving Zostavax in right arm. Pain has not resolved, has made it difficult to walk and is unrelieved with OTC medication. Denies any knowledge of contributing factors.
Age: 36.0
Sex: M
Vaccine: HEPAB
Symptoms: Cryoglobulins, Culture, Endotracheal intubation, Full blood count, Intensive care
Clinical narrative: Two hospitalizations for adverse events:  12/31/2010 and 01/13/2011. First hospitalization required intubation and ICU stay as patient went into respiratory failure. Second hospitalization was when association with vaccination discovered. Steroids, supportive care.
Age: 36.0
Sex: M
Vaccine: HEPAB
Symptoms: Metabolic function test, Respiratory failure
Clinical narrative: Two hospitalizations for adverse events:  12/31/2010 and 01/13/2011. First hospitalization required intubation and ICU stay as patient went into respiratory failure. Second hospitalization was when association with vaccination discovered. Steroids, supportive care.
Age: 35.0
Sex: F
Vaccine: TYP, YF
Symptoms: Abdominal pain, Diarrhoea, Fall, Loss of consciousness, Vaccine positive rechallenge
Clinical narrative: I developed mild diarrhea after taking the first dose of the oral typhoid vaccine (05/31/2011).  Abour 11 hours after taking the second dose (on 06/02/2011), I developed severe abdominal pain and diarrhea.  While on the toilet, I lost consciousness and fell.  I woke up on my own.
Age: 0.49
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Incorrect drug dosage form administered
Clinical narrative: HIB was mixed with Sterile Diluent in lieu of Diluent for HIB.
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Injection site cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Information has been received from a pharmacist concerning a female patient who on 26-MAY-2011 was vaccinated SC with a dose of ZOSTAVAX (Merck). Following vaccination the patient developed a cellulitis. The cellulitis was described as a red, painful area at the injection site. It was unclear when the cellulitis started, but the patient called to report the redness and pain on 29-MAY-2011 and also went to emergency room (unspecified hospital) on 29-MAY-2011. The patient was treated antibiotic and pain medication. At the time of reporting, the patient had not recovered. Cellulitis was considered to be disabling by the reporter as the patient missed her work. Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Throat irritation
Clinical narrative: Employee c/o itching to local site 7:05 AM. At 7:10 AM c/o throat itching. 720 A - Dr. ER - tx with prednisone.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Body temperature, Erythema, Papule, Skin lesion
Clinical narrative: Mom noticed red raised lesions on face & legs about 48 hrs after vaccines. No temp except evening of shots. Papular lesions appear to be contact vs insect bites. Advised monitor only.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Vaccination given 4/13. Patient came into pharmacy 4/15 with redness, swelling and heat of about an inch to two inches around inj site. Advised BENADRYL & NSAID. Came back 4/17 after going to Dr. - swelling had travelled to elbow but redness & heat were gone.
Age: 17.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Fall, Head injury, Neck pain, Pallor, Tongue biting
Clinical narrative: Client pale and slid to floor from office chair following varicella injection. Hit head on partition in office, then on floor. Glasses fell. B/P 80/60 P 64 reg. Pale. Talking 10:40 complain of neck pain and bit tongue. Cool pack. Ambulance called per father.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: Two days after the vaccination my arm had a red streak, pain, heat and hardness.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt noted redness and induration of (L) deltoid area 4 x 4 cm. Warm but not tender.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Hives of face and injection arm day of Dtap.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Syncope episode after administered vaccine.
Age: 84.0
Sex: F
Vaccine: TD
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: Nurse inadvertently administered TETANUS and DIPHTHERIA TOXOID IV instead of IM. She realized her mistake before she flushed the line. Poison Center was contacted, they did not have any information on vaccines given IV, recommended to draw back blood from the line, hoping that the dose was never fully administered. Also recommended to monitor for phlebitis and anaphylaxis. Manufacturer-Sanofi Pasteur - was contacted, recommended that they have no clinical trials of the vaccine being given IV, so there are no recommendations regarding adverse events or immunogenicity of an IV dose of the vaccine. Recommended to contact our hospital's on call Infectious Disease specialist. ID was contacted, he recommended watching for fever. The patient is currently stable, experiencing no side effects - no fever, phlebitis, or anaphylaxis currently. We reported the event to the patient and will continue to monitor her while she is in the hospital.
Age: 66.0
Sex: M
Vaccine: PNC
Symptoms: Localised oedema
Clinical narrative: 1. Localized edema. 1. Acetaminophen 325 mg QID PO. 2. Hydroxyzine 25 mg TID PO.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Biopsy skin abnormal, Erythema, Nodal marginal zone B-cell lymphoma, Papule, Positron emission tomogram
Clinical narrative: The patient received a Flu vaccine 12 2009 at a Pharmacy with an irritated erythematous area that evolved into a papular nodular lesion. A biopsy in March 2011 revealed a cutaneous marginal zone lymphoma CD20 (+), CD3 (+), CD23 (+) with a clonal light chain gene rearrangement.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Skin irritation, Skin lesion
Clinical narrative: The patient received a Flu vaccine 12 2009 at a Pharmacy with an irritated erythematous area that evolved into a papular nodular lesion. A biopsy in March 2011 revealed a cutaneous marginal zone lymphoma CD20 (+), CD3 (+), CD23 (+) with a clonal light chain gene rearrangement.
Age: 28.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Tinea infection
Clinical narrative: P.C. 955 05.26.11 Described having ring worms 3 days after injections. PMD to her to report here. Using OTC meds. topically.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Henoch-Schonlein purpura
Clinical narrative: He developed mild Henoch Schonlein purpura 4 days after the vaccine. He is improving.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: This a a cluster of 5 unidentified patients' who experienced similar adverse events following vaccination with ADACEL. Initial report received from a health care professional on 17 May 2011. A group of 5 unidentified patients' received on unknown dates an intramuscular injection (sites not reported) of ADACEL, sanofi pasteur Ltd. lot number C3823 and sanofi pasteur Inc. lot number U3874CA. The patient's developed 5-7 days after vaccination red, raised welt about the size of a half dollar at the injection site which was warm and tender to touch, painful and itchy. The patient's also had rashes, hives and swelling. The vaccinations were given over the last two weeks. The patient's required a doctor's visit. The outcomes were reported as unknown. Documents held by sender: None.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site warmth, Rash, Swelling, Urticaria
Clinical narrative: This a a cluster of 5 unidentified patients' who experienced similar adverse events following vaccination with ADACEL. Initial report received from a health care professional on 17 May 2011. A group of 5 unidentified patients' received on unknown dates an intramuscular injection (sites not reported) of ADACEL, sanofi pasteur Ltd. lot number C3823 and sanofi pasteur Inc. lot number U3874CA. The patient's developed 5-7 days after vaccination red, raised welt about the size of a half dollar at the injection site which was warm and tender to touch, painful and itchy. The patient's also had rashes, hives and swelling. The vaccinations were given over the last two weeks. The patient's required a doctor's visit. The outcomes were reported as unknown. Documents held by sender: None.
Age: 55.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: This patient is a 55 year old female who is being seen in the office today for redness, swelling, pain at site of meningococcal vaccine. Onset after vaccine. Has had fever and chills as well as myalgias. No other infectious focus.
Age: 55.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: This patient is a 55 year old female who is being seen in the office today for redness, swelling, pain at site of meningococcal vaccine. Onset after vaccine. Has had fever and chills as well as myalgias. No other infectious focus.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Abdominal pain, Anaphylactic reaction, Lip swelling, Urticaria
Clinical narrative: Within 10 minutes of vaccine patient had widespread urticaria, with swelling of the lips--POX 98% no evidence of breathing trouble.  At 11:35 AM had 30mg of orapred.  At 11:45 AM he had complaints of severe abdominal pain with wretching but no vomiting. At 11:50 AM he was given epinephrine 1:1000 0.15mg IM.  911 was called and he was taken to the Hospital--according to ER report he had Benadryl elixir 17.5mg PO was observed for four hours and sent home on Benadryl 12.5mg/5ml 7.5ml every six hours and Prednisolone solution 15mg/5ml 5ml two times a day for five days--diagnosis was anaphylactic reaction.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Fatigue, Respiratory tract congestion
Clinical narrative: cough, congestion, fatigue
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Biopsy bone marrow, Bone scan, Inflammation, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: On day 7 started with fever & rash; rash spots were quarter size & smaller when not resolved - sent to hospital on 5-17-11 - no Dx at hosp - sent home on steroids.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash, White blood cell count increased
Clinical narrative: On day 7 started with fever & rash; rash spots were quarter size & smaller when not resolved - sent to hospital on 5-17-11 - no Dx at hosp - sent home on steroids.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Chest pain, Cough, Urticaria, Wheezing
Clinical narrative: Developed cough, chest pain, wheezing & hives after administration.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient was seen in our office due to increased redness and itching to site vaccine was administered. Vaccine was given at another facility.
Age: 1.79
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Gait disturbance, Injection site nodule, Injection site swelling, X-ray normal
Clinical narrative: Received DAPTACEL (DTaP) Right thigh IM on 6-3-2011. Experienced swelling of Rt thigh from hip to knee over the weekend. X-ray neg (to R/O fx). Pt presents not walks without limping, no pain, no erythema. Still has non tender nodule at upper Rt thigh. May use TYLENOL/ADVIL PRN.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR
Symptoms: Hypersensitivity, Induration, Urticaria, Vaccination complication, Vomiting
Clinical narrative: Had ER visit on 5/20/11 for hives, big welts with induration on (Lt) thigh & vomiting. Diagnosed with allergic reaction secondary likely to vaccines received on 5/18/11. Treated with BENADRYL & DECADRON.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, PNC13, VARCEL
Symptoms: Fatigue, Injection site pain, Tremor
Clinical narrative: 6/2/11 9:50 Mother called HD to state patient woke at 6:30 with shaky hands and legs also very tired.  Patient went back to bed until 9:40.  Awoke with shaky hands and legs.  Pain at injection site were IM's administered. No fever or other complaints.  Told mother to call PCP. 6/6/11 Spoke to mother today everything is fine now.  Shaking stopped on 6/3/11  Went to see PCP.
Age: 14.0
Sex: M
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Fall, Feeling abnormal, Full blood count normal
Clinical narrative: Gardasil given. Pt put shoes on then walked to front office and while mother checked out he felt funny and then passed out. He fell and hit chin on counter and head on floor. Event occurs at least within 5 min of vac. His neuro exam was nl after the event and ct scan nl. Pt had similar fainting incident with prior steroid shot.
Age: 14.0
Sex: M
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Head injury, Loss of consciousness, Neurological examination normal
Clinical narrative: Gardasil given. Pt put shoes on then walked to front office and while mother checked out he felt funny and then passed out. He fell and hit chin on counter and head on floor. Event occurs at least within 5 min of vac. His neuro exam was nl after the event and ct scan nl. Pt had similar fainting incident with prior steroid shot.
Age: 14.0
Sex: M
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Blood electrolytes normal, Computerised tomogram head, Computerised tomogram normal, Conversion disorder, Electrocardiogram normal
Clinical narrative: Gardasil given. Pt put shoes on then walked to front office and while mother checked out he felt funny and then passed out. He fell and hit chin on counter and head on floor. Event occurs at least within 5 min of vac. His neuro exam was nl after the event and ct scan nl. Pt had similar fainting incident with prior steroid shot.
Age: 14.0
Sex: M
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Fall, Feeling abnormal, Full blood count normal, Head injury, Immediate post-injection reaction
Clinical narrative: Gardasil given. Pt put shoes on then walked to front office and while mother checked out he felt funny and then passed out. He fell and hit chin on counter and head on floor. Event occurs at least within 5 min of vac. His neuro exam was nl after the event and ct scan nl. Pt had similar fainting incident with prior steroid shot.
Age: 14.0
Sex: M
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Loss of consciousness, Neurological examination normal, Syncope, Vomiting, X-ray
Clinical narrative: Gardasil given. Pt put shoes on then walked to front office and while mother checked out he felt funny and then passed out. He fell and hit chin on counter and head on floor. Event occurs at least within 5 min of vac. His neuro exam was nl after the event and ct scan nl. Pt had similar fainting incident with prior steroid shot.
Age: 2.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: My daughter spiked a fever of 101 at 4:00 pm so I gave her Tylenol.  At 8:00 pm I checked her temperature and it was 99.0.  At 8:20 we were placing her in her crib and she began to have a seizure that lasted 4 minutes.  When the seizure was over her temperature was assessed and was 104.  After a trip to the emergency room we were sent home.  Then at 4:00am she had another seizure when her fever spiked again.
Age: 1.04
Sex: M
Vaccine: MMR, PNC13
Symptoms: Rash, Vaccination site induration, Vaccination site rash
Clinical narrative: Localized rash to vaccine site 2x2 indurated and rough
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash papular, Rash pustular, Rash vesicular, Scab
Clinical narrative: PAPULAR RASH WITH PUSTULAR ROOF AND SOME VESICULAR RASH WITH CRUST WITH ERYTHEMA
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: PAPULAR RASH WITH PUSTULAR ROOF AND SOME VESICULAR RASH WITH CRUST WITH ERYTHEMA
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: recurrent vasovagal syncope over approx. one hour period
Age: 17.0
Sex: M
Vaccine: HPV2
Symptoms: Abdominal discomfort, Nausea, Pain, Pyrexia, White blood cell count decreased
Clinical narrative: Began feeling sick to stomach, Fever of 102 degrees for 4 to 5 days, aches, nausea, Fever would come down with Motrin but came back as soon as Motrin wore off.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: LT LEG RED/SWOLLEN WARM TO TOUCH 6 CM X 8 CM INDURATION/ERYTHEMA
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site discolouration, Injection site erosion, Injection site erythema, Injection site vesicles
Clinical narrative: Fluid filled blister at site of injection on left deltoid. Blister approx. 1 cm by .5 cm in oval shape.  Blister began turning red & purple by 6/5/11 and was accidentally scrubbed open during a shower that evening... white & red dotted open abrasion remained. Covered by bandage since it was first discovered. No other symptoms have arisen but monitoring the situation. Showed blister to the pediatrician's office, but they showed a complete lack of concern.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site abscess, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LT LEG RED/SWOLLEN WARM TO TOUCH 6.5 CM X 6 CM INDURATION/ERYTHEMA
Age: 1.01
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Pyrexia, Rhinitis allergic, Vomiting
Clinical narrative: PT WAS GIVEN INJECTIONS ON 4-6-11 AT ABOUT 2:40 PM. WAS DX W/ ALLERGIC RHINITIS. MOM STATED ABOUT 6 PM HE STARTED TO RUN HIGH FEVER AND VOMITING. WOULD NOT KEEP ANYTHING DOWN. MOM STATES STILL NOT KEEPING ANYTHING DOWN,  HAS APPT TODAY [4/7/11] AT 9:00 AM - POSS. REACTION TO MMR
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: RED/SWELLING OF LT LEG
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site swelling, Pain, Pyrexia, Varicella
Clinical narrative: Enormous Swelling at injection site, fever of 101F, headache, body aches and pains. - Chicken Pox first appeared on Sunday, May 28, 2011.
Age: 16.0
Sex: F
Vaccine: HPVX, HPV4
Symptoms: Convulsion, Dizziness, Gaze palsy, Migraine, Moaning
Clinical narrative: Shortly after injection daughter felt dizzy, went into a "mild" seizure. Upper body was rigid, eyes rolled into back of head, moaning. She has no medical history of seizures. Hours later she is sore all over with a migraine and is very nauseated.
Age: 16.0
Sex: F
Vaccine: HPVX, HPV4
Symptoms: Muscle rigidity, Nausea, Pain
Clinical narrative: Shortly after injection daughter felt dizzy, went into a "mild" seizure. Upper body was rigid, eyes rolled into back of head, moaning. She has no medical history of seizures. Hours later she is sore all over with a migraine and is very nauseated.
Age: 16.0
Sex: F
Vaccine: HPVX, HPV4
Symptoms: Convulsion
Clinical narrative: Shortly after injection daughter felt dizzy, went into a "mild" seizure. Upper body was rigid, eyes rolled into back of head, moaning. She has no medical history of seizures. Hours later she is sore all over with a migraine and is very nauseated.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abasia, Arthralgia, Pain, Rheumatoid arthritis
Clinical narrative: Weeks after the shot: pain in joints, hands at first, wrists, then progressively much worse all over the body. In a period of 8 months full health turned into INABILITY TO WALK, saw a Doctor that diagnosed severe rheumatoid arthritis. RA doesn't begin at mid 60s, its definitely resulted from the H1N1 flu shot.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site anaesthesia, Pain in extremity
Clinical narrative: Immediately after receiving ADACEL, pt reported numbness in the immunized arm around the injection site. Spoke to mom about 3 hrs later & arm no longer numb, just sore.
Age: 0.57
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood test, Computerised tomogram head, Diet refusal, Hypersomnia, Musculoskeletal stiffness
Clinical narrative: Whole body all 4 extremities & head stiffening followed by relaxing every 6-15 sec for 15min episodes intervals w/o episodes lasting 10-40 min began at 9:30pm - 12am observed at home & in ER, Pt then fell asleep at home. Has slept all day until 3pm, refusing food, falls asleep with bottle.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reported (L) arm red & swollen without c/o pain 2 days post vaccination.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Body aches, chills, approx. 8 cm x 8 cm redness, site warmth, unknown fever, soreness to site.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Body aches, chills, approx. 8 cm x 8 cm redness, site warmth, unknown fever, soreness to site.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swollen, red tender area on anterior (R) thigh.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt. develop outbreak of hives about 5 hours after receiving pneumonia immunization. Started on arms last 6/1/11, went away after 24H, now had hives on ankles & left side of body, small areas, no shortness of breath, no wheezing, itchy. ZYRTEC once daily x 1 week, BENADRYL 25mg q 6 hrs. Breakthrough itching.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Lymphadenitis
Clinical narrative: Rt. supraclavicular massive lymphadenitis improved on DURICEF for 3 days.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Lacrimation increased, Paraesthesia, Swelling face, Tenderness
Clinical narrative: 5-27-11 got ZOSTAVAX injection. Tues 5/31/11 came to office with shingles. (R) side of face swollen, tender, tingling, eyes watering.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Body temperature increased, Chills, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Within 5-10 minutes pt got immediate erythema & histamanic reaction (L) deltoid - injection site. Overnite had chills. Temp 101 myalgias & arthralgias. BENADRYL 12.5-25 1 PO QID x 3 days. If symptoms worsen to hosp. IV BENADRYL & aggressive hydration.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Myalgia
Clinical narrative: Within 5-10 minutes pt got immediate erythema & histamanic reaction (L) deltoid - injection site. Overnite had chills. Temp 101 myalgias & arthralgias. BENADRYL 12.5-25 1 PO QID x 3 days. If symptoms worsen to hosp. IV BENADRYL & aggressive hydration.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 6/5/11 mom stated leg (right) was red & swollen around vaccine site. At office visit 6/6/11 child was given BENADRYL & TYLENOL.
Age: 1.73
Sex: M
Vaccine: HEPA
Symptoms: Chest X-ray, Febrile convulsion, Laboratory test, Metabolic function test, Pyrexia
Clinical narrative: Pt received vaccines on 6/3/11. 5 hours later fever and febrile seizure. Pt hospitalized.
Age: 1.73
Sex: M
Vaccine: HEPA
Symptoms: White blood cell count
Clinical narrative: Pt received vaccines on 6/3/11. 5 hours later fever and febrile seizure. Pt hospitalized.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Increased upper airway secretion, Injection site erythema, Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: -2 days (48 hrs) after injection, had complaints of increased mucus production, intense ache radiating up neck, scapula, shoulder on side of injection. Red erythematous region approx 2 in diameter surrounding injection site, complaint of severe ache on (L) upper body.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: -2 days (48 hrs) after injection, had complaints of increased mucus production, intense ache radiating up neck, scapula, shoulder on side of injection. Red erythematous region approx 2 in diameter surrounding injection site, complaint of severe ache on (L) upper body.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (R) shoulder redness, swelling tense 12 cm x 13.5 cm.
Age: 53.0
Sex: M
Vaccine: HEPAB
Symptoms: Asthenia, Dyspnoea, No reaction on previous exposure to drug, Oedema peripheral, Pain in extremity
Clinical narrative: States within 8 hours after receiving shot arm began swelling, pain, rash, weak, shortness of breath. States saw a doctor but can't remember who. No documentation of any problems with previous shots. Reports reaction today.
Age: 53.0
Sex: M
Vaccine: HEPAB
Symptoms: Rash
Clinical narrative: States within 8 hours after receiving shot arm began swelling, pain, rash, weak, shortness of breath. States saw a doctor but can't remember who. No documentation of any problems with previous shots. Reports reaction today.
Age: 10.0
Sex: F
Vaccine: FLU3, HEP, VARCEL
Symptoms: Ataxia, Computerised tomogram head, Computerised tomogram normal, Fall, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Tremors (generalized) without LOC approximately 10 days after vaccine administration. Dx ataxia x 1 1/2 months with 1 fall.
Age: 10.0
Sex: F
Vaccine: FLU3, HEP, VARCEL
Symptoms: Tremor
Clinical narrative: Tremors (generalized) without LOC approximately 10 days after vaccine administration. Dx ataxia x 1 1/2 months with 1 fall.
Age: 1.36
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Low grade fever with mild urticarial rash on day 3, with more dispersed urticaria on day 5 after vaccine administration.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Gastrointestinal disorder, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: (L) deltoid swelling & redness. Tenderness (+) GI symptoms (+).
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema peripheral, Oropharyngeal pain
Clinical narrative: Patient came in ER one day after receiving her second dose of HPV vaccine complaining of sore throat, swelling of hands and feet. Patient showed no signs of distress and was discharged home.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized swelling & redness at injection site. Cold compress was applied. Swelling & redness resolved by 5th day.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site swelling
Clinical narrative: Redness & swelling with streaks below injection site within 48 hours of administration. Cold compress applied, BENADRYL given. Swelling & tenderness by the 4th day.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Fall, Syncope
Clinical narrative: 5 MINUTES AFTER ADMINISTERING VACCINES, CHILD RAN INTO HALL AND FELL FACE FIRST WITH SYNCOPE.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Face injury, Fall, Syncope
Clinical narrative: 5 MINUTES AFTER ADMINISTERING VACCINES, CHILD RAN INTO HALL AND FELL FACE FIRST WITH SYNCOPE.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug administered at inappropriate site, Mobility decreased, Musculoskeletal pain
Clinical narrative: Pt woke up at NOC when arm felt like it was asleep. Started to be painful to lift right arm and with movement. Called clinic on 5/23/2011 and was seen on 5/23/2011. No visible abnormalities seen and advised to alternate between warm and cold packs and f/u on 5/24/11 with another provider. Recommended NSAIDs every 6-8 hours, continue with heat packs and massage. F/u with patient again on 5/26/11, continuing with same treatment and follow-up with aptient again on 6/2/11 and 6/6/11.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Pt woke up at NOC when arm felt like it was asleep. Started to be painful to lift right arm and with movement. Called clinic on 5/23/2011 and was seen on 5/23/2011. No visible abnormalities seen and advised to alternate between warm and cold packs and f/u on 5/24/11 with another provider. Recommended NSAIDs every 6-8 hours, continue with heat packs and massage. F/u with patient again on 5/26/11, continuing with same treatment and follow-up with aptient again on 6/2/11 and 6/6/11.
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Rash erythematous, Sinusitis, Urticaria
Clinical narrative: 23 May - Small Pox vaccination 27 May - Pt diagnosed with sinusitis, received amoxicillin and Claritin 02 June - Red dots, hives on upper arms. 03 June - increased rash up to 1 inch above elbow, non-vesicular, non-umbilicated 05 June - spread to upper body 06 June - spread to lower body. Pt evaluated by physician who diagnosed pt with urticarial reaction most likely 2/2 delayed drug reaction (amoxicillin).
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Adverse drug reaction, Injection site rash, Rash, Rash erythematous, Sinusitis
Clinical narrative: 23 May - Small Pox vaccination 27 May - Pt diagnosed with sinusitis, received amoxicillin and Claritin 02 June - Red dots, hives on upper arms. 03 June - increased rash up to 1 inch above elbow, non-vesicular, non-umbilicated 05 June - spread to upper body 06 June - spread to lower body. Pt evaluated by physician who diagnosed pt with urticarial reaction most likely 2/2 delayed drug reaction (amoxicillin).
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Urticaria
Clinical narrative: 23 May - Small Pox vaccination 27 May - Pt diagnosed with sinusitis, received amoxicillin and Claritin 02 June - Red dots, hives on upper arms. 03 June - increased rash up to 1 inch above elbow, non-vesicular, non-umbilicated 05 June - spread to upper body 06 June - spread to lower body. Pt evaluated by physician who diagnosed pt with urticarial reaction most likely 2/2 delayed drug reaction (amoxicillin).
Age: 1.12
Sex: F
Vaccine: MMR
Symptoms: Crying, Injection site nodule, Injection site warmth, Pyrexia
Clinical narrative: MOTHER CALLED TO REPORT FEVER, KNOT ON LEFT THIGH, WARM TO TOUCH AND CONSTANT CRYING.
Age: 1.15
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: VESICULAR RASH/ CALAMINE LOTION BENADRYL P.O.
Age: 19.0
Sex: M
Vaccine: HEP, IPV, TYP, YF
Symptoms: Body temperature increased, Dyspnoea, Eyelid oedema, Urticaria, Wheezing
Clinical narrative: AFTER RECEIVING VACCINES HE HAD AN ELEVATED TEMP OF 100.6, SWOLLEN EYELIDS, DYSPNEA, WHEEZING BILATERALLY AT THE BASES. URTICARIA.
Age: 19.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Diarrhoea, Malaise, Nausea, Vomiting
Clinical narrative: STATES 2 HOURS AFTER INJECTIONS AND FOLLOWING LUNCH, SHE BECAME NAUSEATED AND VOMITED. THIS OCCURS FOR 2 DAYS WITH "A LITTLE" DIARRHEA. PARENT TOOK HER TO HER PCP THAT DAY. DR TOLD HER IT WAS THE HEP A THAT MADE HER SICK.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Brain injury, Cough, Measles, Pyrexia, Rash
Clinical narrative: Information has been received from a registered nurse concerning an actually 23 year old male who on 07-JUL-1989 was vaccinated with the first dose of MMR II (Lot number 1342P) (not valid MMRII lot number) (dose, route and site not reported) and on 04-JUN-1993 received the second dose of MMR II (Lot number 603965/0536W) (dose, route and site not reported). The registered nurse stated that the patient was reported to have a presumed case of measles. He was now hospitalized with severe brain injury (date of hospitalization unspecified) and initially presented with a rash on his hands, feet and mouth. He also had a cough along with nasal drainage and a fever of 101.8 degrees F. The date of probable infection with measles was not provided. At the time of the report, the patient had not recovered. This is one of several reports from the same source. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Rhinorrhoea
Clinical narrative: Information has been received from a registered nurse concerning an actually 23 year old male who on 07-JUL-1989 was vaccinated with the first dose of MMR II (Lot number 1342P) (not valid MMRII lot number) (dose, route and site not reported) and on 04-JUN-1993 received the second dose of MMR II (Lot number 603965/0536W) (dose, route and site not reported). The registered nurse stated that the patient was reported to have a presumed case of measles. He was now hospitalized with severe brain injury (date of hospitalization unspecified) and initially presented with a rash on his hands, feet and mouth. He also had a cough along with nasal drainage and a fever of 101.8 degrees F. The date of probable infection with measles was not provided. At the time of the report, the patient had not recovered. This is one of several reports from the same source. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Irritability, Metabolic function test, Nasal congestion, Vomiting
Clinical narrative: PATIENT'S MOTHER REFERS THE CHILD BEGAN VOMITING, NASAL CONGESTION AND IRRITABLE.
Age: 1.51
Sex: M
Vaccine: VARCEL
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: Hx of ITP after 18 mo. imm.
Age: 4.0
Sex: M
Vaccine: MMR, PNC13
Symptoms: Diarrhoea, Irritability, Pain, Pyrexia, Rash erythematous
Clinical narrative: Received MMR and PREVNAR 13 at 4pm 6/1/11. Pt. was grumpy and fussy 6/2 and 6/3 - late afternoon 6/3/11 developed clusters of white bumps surrounded by red area then progressed to full body rash. Improved with BENADRYL, CLARITIN and SINGULAIR - very painful so also MOTRIN. Resolved 6/4/11 but pt. awoke with fever of 101 degrees, vomiting and diarrhea x 24 hours.
Age: 4.0
Sex: M
Vaccine: MMR, PNC13
Symptoms: Rash generalised, Similar reaction on previous exposure to drug, Vomiting
Clinical narrative: Received MMR and PREVNAR 13 at 4pm 6/1/11. Pt. was grumpy and fussy 6/2 and 6/3 - late afternoon 6/3/11 developed clusters of white bumps surrounded by red area then progressed to full body rash. Improved with BENADRYL, CLARITIN and SINGULAIR - very painful so also MOTRIN. Resolved 6/4/11 but pt. awoke with fever of 101 degrees, vomiting and diarrhea x 24 hours.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dysphonia, Dyspnoea, Hyperventilation, Pallor
Clinical narrative: Trouble breathing, hyperventilating, hoarseness, paleness. Squad was called & patient taken to ER.
Age: 4.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Child had PREVNAR (Rt) thigh 6/1/11; came in 6/3/11, at injection site edema and increase temp. to skin per Dr.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Injection site swelling, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Body aches, swollen arm mostly at injection site, weakness, hives, and fever.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Body aches, swollen arm mostly at injection site, weakness, hives, and fever.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Immediate post-injection reaction, Oedema peripheral
Clinical narrative: (L) arm became red and swollen immediately after shot was given.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red at site & swollen.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Tennis ball sized edema & erythema (R) deltoid, appeared same day as injection - tx: ice, prednisone 5 mg/4 mg/3 mg/2 mg/1 mg.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Oedema peripheral
Clinical narrative: Arm swelling X 48 hours after MENACTRA & GARDASIL given in same arm. Symptomatic treatment with BENADRYL, cool compresses.
Age: 1.34
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR
Symptoms: Body temperature increased, Irritability
Clinical narrative: Temperature to 104 degrees F; fussiness.
Age: 34.0
Sex: F
Vaccine: HEPAB, JEV1, RAB
Symptoms: Electromyogram normal, Neuritis, Pain, Pain in extremity
Clinical narrative: Intense pain in (R) arm. Any movement of arm flexion/extension resulted in increased pain. Seen by neuro had EMG of (R) upper extremity. Clinically felt to be c/w post vaccinal neuritis of (R) arm despite normal EMG.
Age: 32.0
Sex: M
Vaccine: RAB
Symptoms: Antinuclear antibody negative, Antiphospholipid antibodies negative, Anxiety, C-reactive protein normal, Cardiolipin antibody negative
Clinical narrative: Case number PHHY2011IN44349 is an initial literature report received on 24 May 2011. The authors discussed a rare case of calf muscle injury due to dog bite leading to deep vein thrombosis. This report refers to a 32 year old man presented with a history of unprovoked bite by a stray dog causing a penetrating, lacerated wound on his right calf and thigh, and bleeding from the site of wound. He was treated with local antiseptic and was vaccinated with rabies virus vaccine (manufacturer and batch number: unknown). Two days later, the patient experienced a swelling of the right calf which was ignored. Over the next 10 days, the swelling worsened and progressed from the calf to the thigh and was associated with pain in the right leg while walking. He also had acute onset of breathlessness, uneasiness, restlessness, palpitations and intolerable pain in the right leg for which he was hospitalized. On examination, the patient was restless and writhing in pain. His vital parameters were normal except for tachycardia and tachypnoea. No other abnormality was found on chest and cardiovascular examination. Local examination revealed swelling and tenderness over the right calf and thigh. Pratt sign and the Homan's test were positive. A differential diagnosis of deep vein thrombosis (DVT) with pulmonary embolism and cellulitis with septicemia were made. The patient was investigated and a Doppler of the right leg showed total occlusion of the right common femoral vein below the saphno-femoral junction by a thrombus with partial occlusion above the junction. His D-dimer level was 5131 ng/ml which was significantly raised. no evidence of pulmonary embolism was found on further investigations. The patient was treated with low molecular weight heparin and then shifted over to oral warfarin after overlapping the treatment for 4 days. The pain, swelling and dyspnoea improved during hospital stay and he was discharged with a target international normalized ratio (INR) between 2 and 3. On follow up, his symptoms, prothrombin time (PT) and INR were monitored. No contributory thrombophilic factors (cardiolipin antibody, C-reactive protein, lupus anticoagulant, factor V Leiden, anti-thrombin, antinuclear antibody (ANA), protein C and protein S) were found during the 6 months post-injury examinations. The author commented that the patient's only identifiable major thrombotic risk factor was the traumatic injury due to the dog bite.