chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Chest discomfort, Crying, Dizziness, Erythema, Muscle tightness
Clinical narrative: MMR vaccine administered L arm, 3 minutes later pt. c/o dizziness/started crying.  Red blotches noted on upper chest.  Pt. c/o chest tightness radiating to neck area.  Benadryl 50 mg (1 ml) given IM.  Pt. p/u by ambulance to ER.  O2 via mask given.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Rash macular
Clinical narrative: MMR vaccine administered L arm, 3 minutes later pt. c/o dizziness/started crying.  Red blotches noted on upper chest.  Pt. c/o chest tightness radiating to neck area.  Benadryl 50 mg (1 ml) given IM.  Pt. p/u by ambulance to ER.  O2 via mask given.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Aspiration, Chest X-ray abnormal, Pneumonia, Pyrexia
Clinical narrative: During Rotateq administration, patient choked and apparently aspirated some of the vaccine.  7 days later RML pneumonia febrile.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Chest X-ray abnormal, Choking, Pneumonia, Retching, Tachypnoea
Clinical narrative: During Rotateq administration, patient choked and apparently aspirated some of the vaccine.  7 days later RML pneumonia febrile.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase, Full blood count, Musculoskeletal stiffness, Pain, Sensation of heaviness
Clinical narrative: Neck & back stiffness, generalized body aching, arm & leg heaviness.
Age: 26.0
Sex: M
Vaccine: YF
Symptoms: Headache, Malaise, Myalgia, Pyrexia
Clinical narrative: Client was seen in ER for fever, Headache, muscle aches, & malaise.  Was given 800mg of Ibuprofen and fluids.  Improved and was sent home.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient came in 1/22/08 indicated she had had some twinges in arm when she moves it a certain way since she has had her flu shot.  Said it is there for just a little bit and then goes away.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pallor, Skin lesion
Clinical narrative: Got flu shot L thigh a week ago, then developed 3-4 red, blanching 8-10 mm sl. raised lesions, which may be tender.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Headache, lymphadenopathy, fever, joint pain.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: (L) arm swelling with redness, pain.
Age: 1.0
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Crying, Injection site papule, Irritability, Pyrexia, Rash papular
Clinical narrative: Received Varivax vaccine on 1/11/08.  Fever on 1/19/08 102.  Low grade on 1/20/08.  1/22/08 - cranky, no fever.  1/23/08 - cried for 2 hours, no fever, 1 small bump on right cheek.  1/24/08 - left arm with red papule at vaccine site, right cheek with 8 red papules.  Seen in office.  Impression - Varivax rash.
Age: 1.0
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Received Varivax vaccine on 1/11/08.  Fever on 1/19/08 102.  Low grade on 1/20/08.  1/22/08 - cranky, no fever.  1/23/08 - cried for 2 hours, no fever, 1 small bump on right cheek.  1/24/08 - left arm with red papule at vaccine site, right cheek with 8 red papules.  Seen in office.  Impression - Varivax rash.
Age: 22.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap given 1-23-08 when Td should have been given.  Last Tdap was given 1-22-07.  Td #1 8-2-06, Tdap #2 1-22-07.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site streaking, Injection site warmth
Clinical narrative: Per phone call from client on 1/22/08 - Patient reported developed red, warm area at injection site - approximately 2 inches in diameter, with "severe itch".  States developed "red streak down arm" from injection.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram normal, Laboratory test, Musculoskeletal pain, Pain in extremity, Thoracic outlet syndrome
Clinical narrative: Pt. came in on 11/7/07 with Lt shoulder pain x6 days.  Lt intrascapular pain radiates into Lt shoulder, down arm.  Pain lasting 1 month, severe.  R/O thoracic outlet syndrome.  Toradol 60 mg IM, Neurontin, Vicodin, ibuprofen.  EKG done WNL, X-ray and eval of cervical spine, Varicella titer.  Ret to physical therapy.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: Pt. came in on 11/7/07 with Lt shoulder pain x6 days.  Lt intrascapular pain radiates into Lt shoulder, down arm.  Pain lasting 1 month, severe.  R/O thoracic outlet syndrome.  Toradol 60 mg IM, Neurontin, Vicodin, ibuprofen.  EKG done WNL, X-ray and eval of cervical spine, Varicella titer.  Ret to physical therapy.
Age: 0.6
Sex: F
Vaccine: FLU3
Symptoms: Crying, Hyperventilation, Lethargy, Oral intake reduced, Pyrexia
Clinical narrative: Patient 2nd flu shot, became lethargic, felt warm, developed fever.  reduced PO - screaming, crying, heavy breathing.  Began to have emesis.  2 days later, still with fever, went to ER.  Mom concerned patient received incorrect dose of vaccine as documentation was incorrect.
Age: 0.6
Sex: F
Vaccine: FLU3
Symptoms: Screaming, Skin warm, Virus culture negative, Vomiting
Clinical narrative: Patient 2nd flu shot, became lethargic, felt warm, developed fever.  reduced PO - screaming, crying, heavy breathing.  Began to have emesis.  2 days later, still with fever, went to ER.  Mom concerned patient received incorrect dose of vaccine as documentation was incorrect.
Age: 0.01
Sex: M
Vaccine: HIBV
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left deltoid erythema, warmth, induration & bruising over 48 hrs - ice & ibuprofen.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pyrexia, Skin warm
Clinical narrative: Within 24 hours of receiving vaccine, developed a fever of 102 and arm was red and hot.  Took Ibuprofen.
Age: 17.0
Sex: U
Vaccine: MNQ
Symptoms: Confusional state, Dizziness
Clinical narrative: Pt went to ER 4 days after receiving Menactra, c/o dizziness and confusion lasting 2 days or so.
Age: 1.95
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Genital pain, Injection site swelling, Swelling
Clinical narrative: Received telephone call from mother stating patient had swelling in L thigh beginning evening of 1/11/08.  States patient's "privates" are swollen today (1/14/08) and painful to the touch.  States no medical home. Instructed mom to go to ER since that is where she takes child when he is sick.  Asked mother to call RN back with followup information. On 1/17/08, phone call to mother to followup on what she was told when she was to have taken patient to doctor.  An adult female answered phone and stated mom not there and that she would have mom call RN.  Then on 1/18/08, phone call to mother. Message left with adult female for mom to call RN back.  1/23/08, phone call to mother.  Telephone has been "temporarily disconnected."
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Child got varicella 12 days after first varicella immunization.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Amnesia, Blindness, Dizziness, Fatigue, Headache
Clinical narrative: Lost of memory, fatigue, dizziness, lost of vision, gained weight, headaches, skin rash.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Rash, Weight increased
Clinical narrative: Lost of memory, fatigue, dizziness, lost of vision, gained weight, headaches, skin rash.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Ecchymosis, Headache, Influenza like illness
Clinical narrative: 1/25/2008 11am - Tdap administered L Deltoid IM.  1/25/2008 9pm - Pt reports onset of mild pain and swelling to L deltoid.   1/26/2008 2:30am - pt reports she was awakened with moderate pain, increased swelling, mild body aches - took Advil 800mg.  Continued Advil every 8 hours.  1/26/2008 9pm- Dull headache, mild arm pain on advil.  1/27/2008 1:30am - Pt reports she was awakened with flu-like symptoms (moderate headache, chills, body aches). Oral temp. 104 degrees.  1/27/2008 afternoon - left arm swelling began to decrease.  1/28/2008 10am - T97.1 (last antipyretic-Advil 1/27 9pm). L Deltoid with 1cm light yellow ecchymosis, no other discoloration. Tenderness and mild swelling 7.5cm diameter.  L upper arm circumference 35.5cm.  R (dominant) upper arm 34.5cm.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain, Pain in extremity, Tenderness
Clinical narrative: 1/25/2008 11am - Tdap administered L Deltoid IM.  1/25/2008 9pm - Pt reports onset of mild pain and swelling to L deltoid.   1/26/2008 2:30am - pt reports she was awakened with moderate pain, increased swelling, mild body aches - took Advil 800mg.  Continued Advil every 8 hours.  1/26/2008 9pm- Dull headache, mild arm pain on advil.  1/27/2008 1:30am - Pt reports she was awakened with flu-like symptoms (moderate headache, chills, body aches). Oral temp. 104 degrees.  1/27/2008 afternoon - left arm swelling began to decrease.  1/28/2008 10am - T97.1 (last antipyretic-Advil 1/27 9pm). L Deltoid with 1cm light yellow ecchymosis, no other discoloration. Tenderness and mild swelling 7.5cm diameter.  L upper arm circumference 35.5cm.  R (dominant) upper arm 34.5cm.
Age: 65.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Body temperature increased, Night sweats, Tenderness
Clinical narrative: Flu and pneumonia shots 4pm Wednesday 23rd January. 7pm Thursday 24th temperature of 102.9, rash? and tenderness.  Treated with Theraflu and ginger tea.  Major night sweat - fine in morning.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Fatigue, Influenza like illness, Local swelling, Myalgia, Pruritus
Clinical narrative: Shingles Vaccine administered 1/23/08 approx 2pm  no reaction until 1/24/08 around 7pm when local swelling reached a 3" x 4" wheal severe itching 1/25 am flu like symptoms all muscles ached (no headache) very tired feeling swelling 5" x 8" and hanging down noticeably this continued until 1/27 am when swelling was much better muscles not so achy and not as tired.  By 1/28 am all symptoms are gone.  Took Benadryl for itching.  Used Benadryl gel topically.
Age: 44.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Chills, Fatigue, Headache, Insomnia, Malaise
Clinical narrative: Patient reported: Afternoon of 25 Jan 08-Fatigue, thought he was starting to be sick.  Evening of 25 Jan 08-Fever of 102 degrees, chills, RT upper arm pain 8/10 and severe headache.  Took Advil.  Had trouble sleeping that night.  26 Jan 08-RT upper arm warm with pain 8/10, 27 Jan 08-RT arm pain 4/10, neck pain 8/10, RT upper arm muscle twitching. Took Motrin, 28 Jan 08-RT upper arm slightly warm with pain of 2/10.
Age: 44.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Muscle twitching, Neck pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Patient reported: Afternoon of 25 Jan 08-Fatigue, thought he was starting to be sick.  Evening of 25 Jan 08-Fever of 102 degrees, chills, RT upper arm pain 8/10 and severe headache.  Took Advil.  Had trouble sleeping that night.  26 Jan 08-RT upper arm warm with pain 8/10, 27 Jan 08-RT arm pain 4/10, neck pain 8/10, RT upper arm muscle twitching. Took Motrin, 28 Jan 08-RT upper arm slightly warm with pain of 2/10.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: This 2 yo female received a DTaP and HAV immunization 01/23/08 in the right arm. On 01/24/2008 redness and swelling developed in the right upper arm 11cm x 12cm. Physician diagnosed cellulitis with differential diagnosis of allergic reaction to vaccine. No fever. RX for Keflex 250mg/5ml dosage: 6ml TID x 10 days.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Blood bicarbonate decreased, Blood pH decreased, Culture stool, Diarrhoea, Hypotension
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Immunology test, Intubation, Pallor, Rotavirus test positive, Shock
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Acidosis, Blood gases, Blood pH, Culture stool negative, Diarrhoea
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Hypotension, Hypovolaemia, Immunology test, Intensive care, Intubation
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Mechanical ventilation, Pallor, Red blood cell count normal, Respiratory failure, Resuscitation
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Rotavirus test positive
Clinical narrative: Developed pallor and profuse diarrhea on 1/26/08. Seen at Hospital. 1/26/08 at 23:31. Pale, hypotensive, and in shock with massive non-bloody diarrhea. Intubated and fluid resuscitation performed. Stabilized and transferred to Medical Center pediatric intensive care unit 1/27/08 AM. Still there as of 01/28/08 9am HST. 1/29/08-records received for DOS 12/13/07 well baby visit. URI, acute. Visit 1/26/08-ED note C/O diarrhea. Dry cough, copious diarrhea, pale. Eating well. Fussy, stool yellow watering. Tachypneic and dusky, decreased bowel sound, abdomen firm.  Intubated.   2/11/08-records received for DOS 1/27-2/1/08-DC DX: Shock with Respiratory Failure, requiring mechanical ventilation. Metabolic acidosis. Diarrhea. Rotavirus positive. umbilical hernia. Vomiting. Presented with 1 day history of cough and diarrhea. Increased volume of stool but no fever, vomiting, hematochezia or change in activity. In ED appeared dusky, tachycardic and irritable with distended abdomen, sunken fontanelle and poor peripheral perfusion.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 4yo male vaccinated with DTap and HAV on 01/23/08 Right deltoid. Following day developed a large tender, red swelling of right upper arm 8cm x 10 cm. Right arm painful. No fever, no chills, no lymph node swelling. Physician diagnosis-Vaccine reaction. No antibiotics.
Age: 54.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac failure congestive, Cardiomyopathy, Chest discomfort, Coronary artery disease, Hypertension
Clinical narrative: Medivaced on 9 Nov 2007, with coronary artery disease symptoms. Diagnosed with myocarditis due to small pox vaccine and sent for further treatment. Currently being treated for pericarditis and cardiomyopathy due to heart damage by the military.  01/31/08 MR received for several F/U OVs in Nov and Dec 2007 for past episode of pericarditis/myocarditis for which pt was hospitalized.  Pt developed exertional chest pain and SOB.  Pain increased with deep breathing. Pt reports chest fluttering, night sweats, and fevers.  03/05/2008 Hospital records received for DOS 12/7-8/2007 with DX: Shortness of Breath.  Cardiomyopathy. Secondary Dx:  Borderline HTN. Pt referred to ER for further eval of orthopnea, paroxysmal nocturnal dyspnea, fatigue, pedal edema and abdominal bloating.  Pt developed sx of exertional dyspnea, nausea, chest discomfort and diaphoresis in October 2007 while overseas. Pt had cardiac catheterization overseas. Pt currently showing Class 3 heart failure sx. Meds adjusted during hospitalization and to be f/u as outpt.. 1/20/2010 Congestive Heart failure.
Age: 54.0
Sex: M
Vaccine: SMALL
Symptoms: Myocarditis, Pericarditis
Clinical narrative: Medivaced on 9 Nov 2007, with coronary artery disease symptoms. Diagnosed with myocarditis due to small pox vaccine and sent for further treatment. Currently being treated for pericarditis and cardiomyopathy due to heart damage by the military.  01/31/08 MR received for several F/U OVs in Nov and Dec 2007 for past episode of pericarditis/myocarditis for which pt was hospitalized.  Pt developed exertional chest pain and SOB.  Pain increased with deep breathing. Pt reports chest fluttering, night sweats, and fevers.  03/05/2008 Hospital records received for DOS 12/7-8/2007 with DX: Shortness of Breath.  Cardiomyopathy. Secondary Dx:  Borderline HTN. Pt referred to ER for further eval of orthopnea, paroxysmal nocturnal dyspnea, fatigue, pedal edema and abdominal bloating.  Pt developed sx of exertional dyspnea, nausea, chest discomfort and diaphoresis in October 2007 while overseas. Pt had cardiac catheterization overseas. Pt currently showing Class 3 heart failure sx. Meds adjusted during hospitalization and to be f/u as outpt.. 1/20/2010 Congestive Heart failure.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Cardiac flutter, Diarrhoea, Dizziness, Headache
Clinical narrative: Day one: (by the time I got home from receiving the vaccination, Gardasil) Headache, Dizzy, Weak, fluttering in chest, and that night swelling in my feet. (Fluttering in chest continued into days 2-6). Day 4: Dirrhea. Day 5: Nausea.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Oedema peripheral
Clinical narrative: Day one: (by the time I got home from receiving the vaccination, Gardasil) Headache, Dizzy, Weak, fluttering in chest, and that night swelling in my feet. (Fluttering in chest continued into days 2-6). Day 4: Dirrhea. Day 5: Nausea.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cardiac flutter, Dizziness, Erythema, Gait disturbance, Headache
Clinical narrative: Day one: (by the time I got home from receiving the vaccination, Gardasil) Headache, Dizzy, Weak, fluttering in chest, and that night swelling in my feet. (Fluttering in chest continued into days 2-6). Day 4: Dirrhea. Day 5: Nausea.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint swelling, Oedema, Oedema peripheral
Clinical narrative: Day one: (by the time I got home from receiving the vaccination, Gardasil) Headache, Dizzy, Weak, fluttering in chest, and that night swelling in my feet. (Fluttering in chest continued into days 2-6). Day 4: Dirrhea. Day 5: Nausea.
Age: 0.33
Sex: F
Vaccine: DTAP, IPV, RV5, DTAP, IPV, RV5
Symptoms: Injection site swelling
Clinical narrative: 2 days after DTaP and IPV given in left thigh parent said left leg has been swollen, less in morning, worse at night so that pajama couldn't be snapped on that side, no fever, no redness, no pain, no injury, no warmth, uses leg fine, just came in today for first visit for us to see.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: IIIrd nerve paralysis
Clinical narrative: Partial third cranial nerve palsy two days after Zostavax administration.  Most likely due to history of type II diabetes, but timing so soon after vaccination warrents reporting.  2/19/08 Reviewed reporter/neuro medical records of 1/28/2008. FINAL DX: acute partial right third cranial nerve palsy, strongly suspect nerve ischemia related to diabetes. Records reveal patient experienced acute onset diplopia x 3 days followed by right ptosis.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Diplopia, IIIrd nerve paralysis, Nuclear magnetic resonance imaging, Vision blurred
Clinical narrative: Partial third cranial nerve palsy two days after Zostavax administration.  Most likely due to history of type II diabetes, but timing so soon after vaccination warrents reporting.  2/19/08 Reviewed reporter/neuro medical records of 1/28/2008. FINAL DX: acute partial right third cranial nerve palsy, strongly suspect nerve ischemia related to diabetes. Records reveal patient experienced acute onset diplopia x 3 days followed by right ptosis.
Sex: U
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Pharmaceutical product complaint, Respiratory distress
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of anaphylactic reaction in a subject of unspecified age and gender who was vaccinated with Flulaval for prophylaxis. On an unspecified date between the end of November 2007 until 18 January 2008 the subject received unspecified dose of Flulaval (.5 ml) from lot number AFLLA032AA. At an unspecified time after vaccination with Flulaval, the subject experienced anaphylactic reaction due to respiratory distress and pharmaceutical product complaint. The subject presented to the emergency room and then was hospitalised. The healthcare professional considered the events were life-threatening and disabling. At the time of reporting the outcome of the respiratory distress and anaphylactic reaction were unspecified. It was also noted that the Flulaval had not been compromised and had been stored properly. The reporter questioned if issues with this lot number had been reported by other facilities or was her facility the only one. Lot number AFLLA032AA.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, VARCEL
Symptoms: Injection site mass, Injection site swelling, Oedema peripheral, Pyrexia
Clinical narrative: Description: Hx obtained Jun 07: 3 yr old female for evaluation of adverse vaccine reaction.  She received above mentioned vaccines July 2006.  Both legs became swollen, had fever to 101 for 4 days, warmness over vaccine sites.  She has sensitive skin and gets large local reactions to mosquito bites.  Both legs swollen about equally down to the knee, resolved over the course of 1 week.  Developed her first day and progressed for 2-3 days.  No specific treatment per dad.  Had small bump at site of each shot, without drainage.  No blisters or pustules.  No trouble breathing, vomiting, diarrhea.  With prior reactions had smaller areas of swelling.  Symptom: Fever.  Start: 07/11/2006.  End: 07/14/2006.  Symptom: Edema at injection site 50-120mm.  Start: 07/11/2006.  End: 07/18/2006.  Comment: bil thigh to knee.
Age: 0.5
Sex: F
Vaccine: HIBV, PNC, RV5, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Varicella given too early - no adverse event.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: No adverse reaction
Clinical narrative: Vaccines given day before child's birthday.  No adverse event.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left Deltoid with 6cm round erythema area. Warm to touch.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red, warm, tender area on medial aspect of upper right arm.  Prescribed Duricef 500/5 1 tsp BID x10 days.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: 1-10-08 Varivax given.  1-22-08 office visit.  On approximately 1-20-08 scattered rash started (sm bumps, slight erythematous, no vesicles) - fever on 1-21-08.  Several on back and extremities.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Redness to right upper arm 2 1/2 cm x 2 cm and approx 1 1/4 cm induration. Prescribed Omnicef 125/5 3 ml BID x 10 Days.
Age: 38.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypokinesia, Pain in extremity
Clinical narrative: Pain in arm and limited movement of shoulder.
Age: 38.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Hypokinesia, Joint range of motion decreased
Clinical narrative: Pain in arm and limited movement of shoulder.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Dizziness, Erythema, Headache, Hypersensitivity, Injection site cellulitis
Clinical narrative: Varivax 1/25/08, noticed redness, 1/26/08.  c/o headache & dizziness 1/27/08.  Denies headache today.  On exam noted 19 1/2 x 16 cm red indurated area on L shoulder, arm warm.  Dx L arm cellulitis vs poss. allergic reaction.  Tx today Keflex 500mg PO BID x10d.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Skin warm
Clinical narrative: Varivax 1/25/08, noticed redness, 1/26/08.  c/o headache & dizziness 1/27/08.  Denies headache today.  On exam noted 19 1/2 x 16 cm red indurated area on L shoulder, arm warm.  Dx L arm cellulitis vs poss. allergic reaction.  Tx today Keflex 500mg PO BID x10d.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cellulitis, Dizziness, Erythema, Headache, Hypersensitivity
Clinical narrative: Varivax 1/25/08, noticed redness, 1/26/08.  c/o headache & dizziness 1/27/08.  Denies headache today.  On exam noted 19 1/2 x 16 cm red indurated area on L shoulder, arm warm.  Dx L arm cellulitis vs poss. allergic reaction.  Tx today Keflex 500mg PO BID x10d.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Induration
Clinical narrative: Varivax 1/25/08, noticed redness, 1/26/08.  c/o headache & dizziness 1/27/08.  Denies headache today.  On exam noted 19 1/2 x 16 cm red indurated area on L shoulder, arm warm.  Dx L arm cellulitis vs poss. allergic reaction.  Tx today Keflex 500mg PO BID x10d.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Skin lesion
Clinical narrative: Approx 15 lesions at various stages - few crusted lesions, others papules on erythematous
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Vaccines given in error.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: No adverse event
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Anorexia, Arthralgia, Chills, Injection site mass, Migraine
Clinical narrative: Service member reported the following symptoms temporally-related to receipt of anthrax vaccine given in Feb 2007, which she says was her 2nd annual booster (previously she had received a total of 7 AVA doses).  Severe throbbing headache-'migraine', associated with nausea (no vomiting), onset 2-3 hrs following AVA, lasting 72 hrs, unrelleved with Ibuprofen, but necessitated bed rest.  Tactile fever/chills, onset 2-3 hrs following AVA, treated with Ibuprofen, resolved in 48 hrs.  Generalized muscle and joint pain, onset 2-3 hrs following AVA, treated with Ibuprofen, resolved in 72 hrs.  Loss of appetite, onset 2-3 hrs following AVA, resolved in 72 hrs.  Injection site 'lump' onset 3 hrs following AVA, resolved within 2 weeks (no large local swelling).
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Service member reported the following symptoms temporally-related to receipt of anthrax vaccine given in Feb 2007, which she says was her 2nd annual booster (previously she had received a total of 7 AVA doses).  Severe throbbing headache-'migraine', associated with nausea (no vomiting), onset 2-3 hrs following AVA, lasting 72 hrs, unrelleved with Ibuprofen, but necessitated bed rest.  Tactile fever/chills, onset 2-3 hrs following AVA, treated with Ibuprofen, resolved in 48 hrs.  Generalized muscle and joint pain, onset 2-3 hrs following AVA, treated with Ibuprofen, resolved in 72 hrs.  Loss of appetite, onset 2-3 hrs following AVA, resolved in 72 hrs.  Injection site 'lump' onset 3 hrs following AVA, resolved within 2 weeks (no large local swelling).
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis left arm.  Keflex 500mg, TID for 10 days.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Local reaction
Clinical narrative: Large local Rx - 2 x 2 inches.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Inflammation, Skin warm, Tetanus, Urticaria, Vaccination complication
Clinical narrative: Almost tetanus like reaction - large inflamed welt, hot to touch.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site reaction
Clinical narrative: Large 2.5" x 4" local reaction (at injection site).
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Local reaction, Pain, Pyrexia
Clinical narrative: Fevers to 39 degrees, rigors, severe local reaction with redness, warmth, pain.  No ulceration.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Skin warm, White blood cell count increased
Clinical narrative: Fevers to 39 degrees, rigors, severe local reaction with redness, warmth, pain.  No ulceration.
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Back pain, Chills, Full blood count, Headache, Pain in extremity
Clinical narrative: Headache, quadricep and low back pain. Fever, chills.
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Pyrexia
Clinical narrative: Headache, quadricep and low back pain. Fever, chills.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Blood pressure increased, Dry mouth, Heart rate, Injection site erythema
Clinical narrative: Increase BP, pulse rate, dry mouth, dizziness, redness above site, rapid breathing, anxiety. Pt sent to urgent care facility and was given Zyrtec.  Instructed to go to emergency room if complication occurs (statement per pt).
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Respiratory rate increased
Clinical narrative: Increase BP, pulse rate, dry mouth, dizziness, redness above site, rapid breathing, anxiety. Pt sent to urgent care facility and was given Zyrtec.  Instructed to go to emergency room if complication occurs (statement per pt).
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, IPV, PNC
Symptoms: No adverse reaction
Clinical narrative: Child was given IPV at the same time as he received Pediarix.
Age: 23.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, TYP, YF
Symptoms: Pain, Pyrexia
Clinical narrative: Initial report received from a healthcare professional on 18 April 2007.  A 23 year old, female patient developed a fever of 100 degrees and generalized achiness, after she received Adacel (lot number C2610AA, route and site of administration not known), Typhim VI (lot number Z0122-3, route and site of administration not known) and YF-VAX (lot number UE998AC, route and site of administration not known) on 15 April 2007.  She also received Gardasil (Merck, lot number unknown, route and site of administration not known) and hepatitis A vaccine (lot number unknown, tradename, route and site of administration not known) on the same day.  She was on antidepressants and did not have any illness at the time of the vaccinations.  It was not known if she recovered.  Follow-up information was received from a health professional on 14 May 2007 which provided the lot numbers for the Gardasil (01374) and hepatitis A (Merck, 00194) vaccines.  The lot number for Adacel was corrected to C2632AA (previously reported as C2610AA).  Additionally, it was reported that Adacel was given intramuscularly in the left upper deltoid, Typhim VI was given intramuscularly in the left lower deltoid, YF-VAX was given subcutaneously in the left arm, Gardasil was given intramuscularly in the right lower deltoid, and hepatitis A was given in the right upper deltoid.  The patient was seen at the college health service on 18 April 2007.  Recovery status remained unknown.  Follow-up information received on 04 June 2007 from a health care professional.  In response to a request for an update of the patient's recovery status, the reporter wrote that the patient was "seen at health services in a different location.  We have not heard back."  This case has the same reporter as case 2007-01314.
Age: 5.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Abdominal pain, Abdominal pain upper, Fatigue, Malaise, Pallor
Clinical narrative: A five-year-old male patient with no reported medical history, had received a subcutaneous left thigh injection of Yellow Fever Vaccine, lot number UFO45AA and an intramuscular left thigh injection of Typhim Vi, lot number Z0443-2 on 21 June 2007 and one day later complained of not feeling well, abdominal pain, stomach pain, pallor and tiredness. The patient had received a Hepatitis A vaccination at their pediatrician's office, date of vaccination reported to have occurred within the previous four weeks. The patient had been scheduled to be evaluated by their pediatrician on 23 June 2007. The reporter stated that the patient had not recovered at the time of this report. Follow-up information received on 27 September 2007 from a health care professional. Hepatitis A vaccine not administered by this reporter's clinic. For the reporter, the symptoms resolved.
Age: 1.3
Sex: M
Vaccine: DTPHIB, MEA
Symptoms: Cough, Rash
Clinical narrative: Information has been received from a licensed practical nurse concerning a 15-month- old white male male with a history of otitis with pressure equalizing tubes who on 14-DEC-2006 was vaccinated with a 0.5 ml first dose of measles virus vaccine live (Enders-Edmonston) in the left thigh. The patient was noted to have rhinorrhea for one month at the time of vaccination. Concomitant therapy included diphtheria toxoid AP (+) ACT Hib combined. On 19-DEC-2006, the patient was seen by a dermatologist for a rash on the chest, back, and face. There was no fever. He was treated with oral diphenhydramine (BENADRYL). The nurse did not know the patient's status at the time of the report. No additional information to report. There was no product complaint involved. Follow-up information was received by a doctor indicating that a rash began in the evening of 18-DEC-2006, (previously reported onset date was 19-DEC-2006) on the patients face and a cough. On 19-DEc-2006, the rash had spread to his trunk. Physical exam revealed pink macules on the face and a large area on the trunk. The diagnosis was "uticaria-like rash" which resolved after treatment with diphenhydramine (BENADRYL) and topical cortisone cream. No additional information is expected.
Age: 4.0
Sex: M
Vaccine: MEA
Symptoms: Body temperature increased, Cough, Eye disorder, Eye pain, Lymphadenopathy
Clinical narrative: Information has been received from the mother of a 4 year old male with no medical history and no drug reactions/allergies who on 27-FEB-2007 was vaccinated with a 0.5 mL dose of Attenuvax (Enders-Edmonston).  There was no concomitant medication.  On 28-FEB-2007 the patient developed a fever of 104 after vaccination.  On 01-MAR-2007 the patient had glassy eyes and a temperature of 102.  On 02-MAR-2007 the patient had a temperature of 103.  On 05-MAR-2007 during the weekend, the patient's glands were swollen, he experienced a dry cough and a runny nose.  The mother reported that her son's eye hurt on 05-MAR-2007, he is sensitive to light and his glands are still swollen.  The patient sought unspecified medical attention.  The mother reported that the son's physician believes it is a "second viral infection."  The patient's status was reported as not recovered.  There was no product quality complaint.  Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MEA
Symptoms: Photophobia, Pyrexia, Rhinorrhoea, Streptococcal identification test, Viral infection
Clinical narrative: Information has been received from the mother of a 4 year old male with no medical history and no drug reactions/allergies who on 27-FEB-2007 was vaccinated with a 0.5 mL dose of Attenuvax (Enders-Edmonston).  There was no concomitant medication.  On 28-FEB-2007 the patient developed a fever of 104 after vaccination.  On 01-MAR-2007 the patient had glassy eyes and a temperature of 102.  On 02-MAR-2007 the patient had a temperature of 103.  On 05-MAR-2007 during the weekend, the patient's glands were swollen, he experienced a dry cough and a runny nose.  The mother reported that her son's eye hurt on 05-MAR-2007, he is sensitive to light and his glands are still swollen.  The patient sought unspecified medical attention.  The mother reported that the son's physician believes it is a "second viral infection."  The patient's status was reported as not recovered.  There was no product quality complaint.  Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL, FLUN3, HEPA, VARCEL
Symptoms: Chest discomfort, Eye pruritus, Swelling face, Throat irritation, Urticaria
Clinical narrative: Received immunizations during a well child visit, noted itchy eyes before leaving office, left office, walked a block, sxs of itchy throat, chest tightness, facial swelling, returned immediately to office, brought into a room, given albuterol neb for expiratory wheeze, hives noted over body were worsening, given 0.2 mL of 1 mg/mL of epinephrine 1:1,000 Sub-Q and 2 mg/kg of Orapred.  EMS contacted, given IM Benadryl, observed at hospital for ~5.5 hrs.  D/C to home, seen back in clinic next day and still well.  Time course: ~30 min after Imm, given Epi.  No hx of egg allergy.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL, FLUN3, HEPA, VARCEL
Symptoms: Wheezing
Clinical narrative: Received immunizations during a well child visit, noted itchy eyes before leaving office, left office, walked a block, sxs of itchy throat, chest tightness, facial swelling, returned immediately to office, brought into a room, given albuterol neb for expiratory wheeze, hives noted over body were worsening, given 0.2 mL of 1 mg/mL of epinephrine 1:1,000 Sub-Q and 2 mg/kg of Orapred.  EMS contacted, given IM Benadryl, observed at hospital for ~5.5 hrs.  D/C to home, seen back in clinic next day and still well.  Time course: ~30 min after Imm, given Epi.  No hx of egg allergy.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Cervicobrachial syndrome, Injection site pain, Muscle spasms
Clinical narrative: Patient received Td booster on 03/05/2007 and experienced minor pain at the injection site. Three weeks later, on 03/31/2007, the patient came back to the doctor's office complaining of severe pain around her right shoulder. The doctor noted that she had full range of motion. The patient was given Ibuprofen and Vicodin. Follow up information received 04/18/2007: The patient's doctor noted that patient had right shoulder and neck and muscle spasms, which the doctor thought was due to cervical radiculopathy rather than Td vaccination. The patient was last seen on April 5, 2007. At that point the patient started taking steroids, which improved her pain significantly.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient received Td and MMR vaccinations, as well as a PPD test, on 06/05/07 and sometime that day developed swelling, redness, warmth and induration at Td vaccine injection site.  Patient also complained of itching at injection site and had a slight fever.  Patient had a blood test done that showed mildly to moderately higher levels of white blood cells and was put on antibiotic.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Patient received Td and MMR vaccinations, as well as a PPD test, on 06/05/07 and sometime that day developed swelling, redness, warmth and induration at Td vaccine injection site.  Patient also complained of itching at injection site and had a slight fever.  Patient had a blood test done that showed mildly to moderately higher levels of white blood cells and was put on antibiotic.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Muscle spasms, Pyrexia, Vomiting
Clinical narrative: Pt states approx 6-8 hrs after receiving flu vaccine, noted fever (not measured), headache, chills, "muscle spasms" and vomiting - all lasting approximately 4 hrs and then resolved.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: MMR administered 12/27/07. Rash onset 1/26/08. Started on anterior legs, "bumps, filled with fluid", pruritic. Lasted 3 days, resolved fully. Took Benadryl. Resolved by the time seen by undersigned.
Age: 22.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Arm pain, swelling and redness for about 5 days beginning the day after injection in left Deltoid. Responded to ibuprofen and recovered in about 6 -7 days without antibiotic use.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Immediately after vaccine administration patient experienced syncope and seizure lasting 10 seconds during which time patient lost bladder control. Patient was safely contained in chair and amonia inhalent was used to arouse patient after event. Approximately 30 seconds after vaccine administration patient was again responsive with VSS. She reported feeling better and called for sibling to pick her up at the clinic. Was given a referral to be evaluated by primary care physician for seizure disorder as patient explained that she experiences similar events during times of stress.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Hypoaesthesia oral, Injection site pain, Injection site rash, Lip swelling
Clinical narrative: Rsh began at injection site afternoon after receiving second vaccine dose. Scattered wheals, and site tenderness that evening. Fever, restless sleep during night. Joint aches, tender lymph nodes in neck next am, rash decreased. Rash returned evening after vaccine given; rash on chest, L arm, scrotum, bilateral legs/feet with itching, wheals. Possible low grade temp. Rash much improved following day. Some muscle aches, tender enlarged lymph nodes in neck, groin (bilaterally), not axillary. Given Motrin 600mg to take q 6-8 hrs for next 2-3 days with food. reported to HC 1-25-08 lip swelling and lip numbness on 1-21-2008 evening, denied other symptoms, took Claritin, resolved in am. Recalled at that point similar episode of lip swelling 1/13/08 after vaccine dose on 1/9/2008. Referred to allergist prior to giving 3rd dose. Employee (who is intern/guest researcher) decided to decline 3rd dose at this point as vaccine is not essential to job. Advised to discuss with chief of rabies branch/supervisor and would follow up with allergist for possible pre-treatment prior to 3rd vaccine dose.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Lymph node pain, Pruritus, Pyrexia, Rash, Restlessness
Clinical narrative: Rsh began at injection site afternoon after receiving second vaccine dose. Scattered wheals, and site tenderness that evening. Fever, restless sleep during night. Joint aches, tender lymph nodes in neck next am, rash decreased. Rash returned evening after vaccine given; rash on chest, L arm, scrotum, bilateral legs/feet with itching, wheals. Possible low grade temp. Rash much improved following day. Some muscle aches, tender enlarged lymph nodes in neck, groin (bilaterally), not axillary. Given Motrin 600mg to take q 6-8 hrs for next 2-3 days with food. reported to HC 1-25-08 lip swelling and lip numbness on 1-21-2008 evening, denied other symptoms, took Claritin, resolved in am. Recalled at that point similar episode of lip swelling 1/13/08 after vaccine dose on 1/9/2008. Referred to allergist prior to giving 3rd dose. Employee (who is intern/guest researcher) decided to decline 3rd dose at this point as vaccine is not essential to job. Advised to discuss with chief of rabies branch/supervisor and would follow up with allergist for possible pre-treatment prior to 3rd vaccine dose.