chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Influenza like illness, Myalgia, Pain, Pharyngitis, Pyrexia
Clinical narrative: Received AVA #1, had flu-like symptoms with cough, fever, felt like a really bad cold. When starting to get better, was given second AVA on Mar 23, coughing so severe hept her awake all night, tried lying on floors, bed, chairs to try to suppress cough. Deployed Mar 25th, severe cough, runny nose, mild fevers, using cold and cough syrup without effect. Seen by medic, given Tessalon perle, Sudafed, none helpful. Arrived overseas Apr 4, seen Apr 7 by MD, given Guifenisin, Levoquin. Cough relieved, but fatigue remained. Seen May 27, 04 for shortness of breath. Since that time SOB has continued and worsened, and additional symptoms now include headache on daily basis, mild fevers, short term memory loss that is particularly bothersome, body and muscle aches, and weight gain (from ususal wgt of 135-140 to now 165-180 lbs).
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Rhinitis, Rhinorrhoea, Vaccine positive rechallenge, Weight increased
Clinical narrative: Received AVA #1, had flu-like symptoms with cough, fever, felt like a really bad cold. When starting to get better, was given second AVA on Mar 23, coughing so severe hept her awake all night, tried lying on floors, bed, chairs to try to suppress cough. Deployed Mar 25th, severe cough, runny nose, mild fevers, using cold and cough syrup without effect. Seen by medic, given Tessalon perle, Sudafed, none helpful. Arrived overseas Apr 4, seen Apr 7 by MD, given Guifenisin, Levoquin. Cough relieved, but fatigue remained. Seen May 27, 04 for shortness of breath. Since that time SOB has continued and worsened, and additional symptoms now include headache on daily basis, mild fevers, short term memory loss that is particularly bothersome, body and muscle aches, and weight gain (from ususal wgt of 135-140 to now 165-180 lbs).
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Client received #1 Hep B vaccine on 7/30/04 sometime between 8:30am - 11am. Phone call from mother of client stating at about 11:30am developed hives and itchy rash all over. Advised on taking Benadryl (having some relief) and call Dr. Seen by Dr who advised not to continue with another vaccines of Hep B.
Age: 0.36
Sex: M
Vaccine: DT, HIBV, PPV
Symptoms: Crying
Clinical narrative: Received immun at appox 9:00am. Was fine till around 2:00pm same day at which time he began crying. Crying lasted an hour when she called health department and was advised to call Dr. Called Dr who advised tylenol dose and who did not feel it was a bad reaction to the shots. Infant cried off and on until 5:00pm at which time he fell asleep. Stated if she held him he would stop crying but the minute she put him down he would cry again. Denied fever. high pitched cry.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Crying, Urticaria
Clinical narrative: Vaccines given follwing usual screening/teaching. Mother states no previous reations to prior vaccines.  Approx. 20 minutes after, mother and child returned to clinic. Child is crying and had hives on trunk, arms and face.  No evidence of respiratory difficulty noted.  Child sent to ER and treated by pediatrician with Zyrtec (adult strength). Mother instructed by physician to watch child closely throughout evening and night and to see a pediatric allergist in the near future.  Hives subsided with treatment.  Mother said she had given child Tylenol at 2:30 pm prior to vaccinations.
Age: 1.12
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Cough, Pyrexia, Rash morbilliform, Rhinitis
Clinical narrative: Coryza, Cough, Measles Rash, fever.
Age: 1.33
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Hearing impaired, Irritability, Pharyngolaryngeal pain, Pyrexia, Speech disorder
Clinical narrative: 2 WEEKS AFTER - BOARDERLINE HEARING RESULTS FOR AT LEAST BETTER EAR, POOR TYMPANOMETRY MIDDLE EAR FUNCTION IN LT EAR, REFERED TO ENT FOR MIDDLE EAR DIFFICULTY.  LESS THEN 3 WEEKS AFTER VACCINATION, SOAR THROAT NOT EATING WELL CRANKY, FEVER OF 103.  ONE MORE DAY LATER, EAR DRAINAGE FROM LT EAR AND TROUBLE HEARING OUT OF RT.  3 MORE DAYS AND TEST FOR URI- DXED WITH URI AND AUDITORY FAILURE AND HEARING DIFFICULTY, NOT RESPONDING TO NOISES BEHIND HIM.  1 WEEK AFTER THIS TUBES PUT IN TO SEE IF IT HELPS WITH HEARING TO BRING BACK LANG.
Age: 1.33
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Upper respiratory tract infection, Urinary tract infection
Clinical narrative: 2 WEEKS AFTER - BOARDERLINE HEARING RESULTS FOR AT LEAST BETTER EAR, POOR TYMPANOMETRY MIDDLE EAR FUNCTION IN LT EAR, REFERED TO ENT FOR MIDDLE EAR DIFFICULTY.  LESS THEN 3 WEEKS AFTER VACCINATION, SOAR THROAT NOT EATING WELL CRANKY, FEVER OF 103.  ONE MORE DAY LATER, EAR DRAINAGE FROM LT EAR AND TROUBLE HEARING OUT OF RT.  3 MORE DAYS AND TEST FOR URI- DXED WITH URI AND AUDITORY FAILURE AND HEARING DIFFICULTY, NOT RESPONDING TO NOISES BEHIND HIM.  1 WEEK AFTER THIS TUBES PUT IN TO SEE IF IT HELPS WITH HEARING TO BRING BACK LANG.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Asthma, Bronchiolitis, Bronchitis, Constipation, Cough
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Croup infectious, Crying, Deafness, Dyspnoea, Erythema
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Hypokinesia, Injection site mass, Irritability, Otitis media, Pain
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Personality disorder, Pharyngolaryngeal pain, Pyrexia, Rash, Respiratory syncytial virus infection
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Rhinorrhoea, Speech disorder, Swelling, Viral infection, Vomiting
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 1.53
Sex: M
Vaccine: HIBV
Symptoms: Wheezing
Clinical narrative: INJECTION SIGHT ON RIGHT LEG RED AND SWOLLEN, PT FUSSY ON THE 6TH.  10TH FEVER OF 102.2 STILL RED AND SWOLLEN PT IN PAIN AND FUSSY CONTINUED.  13TH DR VISIT FOR URI AND CONTINUED FEVER, SPIKES AT NIGHT, VERY FUSSY AT NIGHT CEPHALEXIN MONOHYDRATE PERSCRIBED, VOMITING.  14 EMERGENCY ROOM 102 WHEEZING SEAL LIKE COUGH, RSV, DIAPER RASH, MILD BREATHING PROBLEMS, RED LUMP STILL IN LEG.  TOUNGE CLIPPED BACK AGO AND EAR TUBES PLACED AND STILL NOT TALKING,  LOSS OF LANG AFTER MMR.....XED WITH BRONCHITIS.  DAY AFTER ER VISIT DECREASED APPETITE, AND ACTIVITY DXED WITH CROUP, QUESTION OF ASTHMA DETERIORATED.  AFTER NOT GETTING BETTER AND HEARING CONTINUING TO NOT IMPROVE AND LANG COMPLETELY GONE, MOTER SKILLS DETERIORATING.  REFERED TO FIRST STEPS EARLY CHILDHOOD INTERVENTION PROGRAM FOR THERAPY HELPS.  EAR INFECTION NOT GOING AWAY OR IMPROVING AFTER MONTHS OF ANTIBOTICS, BRINGING ON HEAD BANGING LANDING HIM IN THE ER FOR SCAN AND UNCONTROLABLE WEEPING,  CONTINUING FRUSTRATION IN COMMUNICATION DIFFICULTIES.
Age: 0.58
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Hyperglycaemia, Pyrexia, Status epilepticus
Clinical narrative: Several hours after vaccination developed fever and seizure lasting more than 45 minutes. Admit to PICU for 24 hours PEDS 48 hours. Brought by ambulance to ER where got Atavan. Additional terms stated in Discharge summary rec'd 06/21/2005 -- Hyperglycemia and status epilepticus.
Age: 15.0
Sex: M
Vaccine: HEP, TD
Symptoms: Asthenia, Diplopia, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Weak, dizzy, sweaty, pale, double vision, nausea.
Age: 15.0
Sex: M
Vaccine: HEP, TD
Symptoms: Skin discolouration
Clinical narrative: Weak, dizzy, sweaty, pale, double vision, nausea.
Age: 22.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Blood pressure decreased, Cold sweat, Hyperacusis, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient received TD and Hep A intramuscularly separately, left arm.  After receiving Hepatitis A patient stated "I'm going to faint", got pale, sweaty, clammy, lost hearing momentarily, became unconscious for approximately 30 seconds.  Blood pressure 60/30, code blue, called 911, patient continued to be monitored, regained consciousness, walked to couch with assistance, laid down supine, legs up.  Patient recovered fully, refused glucose monitoring and to go with paramedics.
Age: 22.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Skin discolouration
Clinical narrative: Patient received TD and Hep A intramuscularly separately, left arm.  After receiving Hepatitis A patient stated "I'm going to faint", got pale, sweaty, clammy, lost hearing momentarily, became unconscious for approximately 30 seconds.  Blood pressure 60/30, code blue, called 911, patient continued to be monitored, regained consciousness, walked to couch with assistance, laid down supine, legs up.  Patient recovered fully, refused glucose monitoring and to go with paramedics.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus, Rash, Swelling
Clinical narrative: Received MMR, Friday 06/03/2005.  Noticed bright red rash, swelling, warmth to site, Saturday 06/04/2005 in PM.  Sunday 06/05/2005 swelling decreased, no itching, pinkish- red at site.  Monday 06/06 site warm, slightly irritable with slight itching, swelling much more decreased, per report of patient.  Today, tears, 06/07/2005 seen in clinic - site pink, warm, area measured 2in x 2 inches.  Patient actively rubbing site.  Ice pack placed.  Blood pressure 120/70, rate 26, pulse 70 at 2:30PM.  Pink color and warm dissipated.  Advised to go to doctor or ER, should symptoms worsen.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Musculoskeletal stiffness, Psychomotor hyperactivity, Screaming, Tonic clonic movements
Clinical narrative: The child had an unusual process going on where she would act like she was hyper alert, stiffen up, her eyes would get wide and then she'd scream like she was really upset for a long time afterwards.  The actual what Mom calls a seizure did not involve actual tonic clonic movements, just more tonic and lasted about 10 seconds.  These would occur several times a day and occurred for about 3 weeks after the shots and then stopped, hasn't had any for the last month to 6 weeks.  No treatment.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Irritability
Clinical narrative: Irritability/inconsolable crying since 5:30 PM. There are no further terms reported as per discharge summary rec'd 06/21/2005.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Oedema, Rash erythematous
Clinical narrative: Left deltoid local reaction. Erythema, induration 8cmx6cm, edema, tenderness, warmth at site. Erythematous rash around site. No other urticaria, fever, or pruritus. No arthralgia.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Tenderness
Clinical narrative: Left deltoid local reaction. Erythema, induration 8cmx6cm, edema, tenderness, warmth at site. Erythematous rash around site. No other urticaria, fever, or pruritus. No arthralgia.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting for 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness of right leg, knee and above.
Age: 0.52
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Irritability, fever 101.5 after vaccines.  Tylenol every 4 hours for 24 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Swelling, Tenderness
Clinical narrative: 2 days after injection of DPAT/IPV on right thigh, was seen here due to swelling, tenderness and warmth covering almost all of right thigh.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Pruritus
Clinical narrative: 3 days after shots, mother noticed redness and swelling at site of injection and child complained of itching.  Area is still red and indurated, by 4 cm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Feeling hot, Nausea, Pain
Clinical narrative: Immunization given on 06/13/2005 at approximately 3PM.  At 6:30PM developed temperature 101, weakness and by next day pain to left arm - arm hot to touch, dizzy, pale when got up, nausea.  By 06/14/2005 PM was feeling better.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Immunization given on 06/13/2005 at approximately 3PM.  At 6:30PM developed temperature 101, weakness and by next day pain to left arm - arm hot to touch, dizzy, pale when got up, nausea.  By 06/14/2005 PM was feeling better.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain, Headache, Neck pain, Pain
Clinical narrative: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM.  Neck hurts, aching, not feeling well in general.  Abdominal pain.  Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting.  Did not take temperature.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Marked swelling, induration and tenderness. Was very red, but redness resolved over the weekend.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash 8-10 days after MMR vaccination.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Loss of consciousness
Clinical narrative: 5 minutes after Menactra 0.5ml IM given, client lost consciousness. Epinephrine 0.5mg SQ given. Client regained consciousness and was transported to ER for medical evaluation.
Age: 1.38
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Local erythema and induration right upper lateral thigh. Treated with Benadryl and Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Blister, Erythema, Swelling
Clinical narrative: .5cm red, swollen on left thigh with tiny blisters in water.
Age: 1.36
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Several varicella lesions at site of vaccine administration. Left thigh with swelling but no significant tenderness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: 3cmx4cm area of erythema left deltoid (DTaP, IPV). Warm, non-tender, no nodes or fever. Immunizations 6/8/05, reaction noted by daycare 6/10/05. Recommended Benadryl syrup 1tsp every 6 hours. Ice area as tolerated; follow up as needed.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Received vaccine 9 AM 6/10/05. 6/11/05, developed fever 101-102, severe myalgias, headache. Responded to Tylenol over 24-36 hours. Known adverse effect but was severe.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash, Rash macular, Urticaria
Clinical narrative: Child broke out in blotchy hive-like rash on legs only. Mom brought child to our office immediately (1 PM) and was seen by the doctor. Benadryl Elixir 1/4 tsp. given PO at 1:30 PM. By report from mom, rash significantly faded by 4 PM. Completely gone by the next morning.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Pain, Shoulder pain
Clinical narrative: Left arm really hurt after shot; Codeine didn't help. Pain goes up into my left shoulder and down my arm. Cannot sleep or lay on that shoulder and arm. Hurts badly to use it. Sat and just cried 2 nights ago.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site mass
Clinical narrative: Knot in leg (thigh) were vaccine administered (4mm) in size. Crying for more than three hours at a time on 5/31/05.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 5cm diameter warm, red, indurated patch right upper arm/deltoid. No systemic symptoms; improving through day. Take Benadryl, Tylenol PRN, use ice pack PM.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Varicella exanthem.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection was red and very swollen. Patient was given meds.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure increased, Cold sweat, Dizziness, Flushing
Clinical narrative: On 6/3/05, employee visited occupational health for his second hepatitis B immunization at 9 AM. Approximately 20 minutes later, the employee returned to occupational health with complaints of dizziness, flushing of his face and clammy hands. BP 152/93; Pulse 88; Temp 98. The employee was evaluated and transported to the ED for further treatment. In ED, seen by doctor and examined. EKG, pulse Ox - 100%. Benadryl 50mg IV, Decadron 6mg IV. Patient feeling better and discharged. Follow up with PMD.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: 06/08/05 Symptoms started with pain at injection site of right deltoid. 6/9/05 Redness, heat, itchy at injection site.
Age: 0.38
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site abscess, Injection site mass, Skin discolouration, Tenderness
Clinical narrative: Infant developed a large lump which developed a yellow center. Mother took infant to MD at which time he was put on antibiotics. Mother states she is still able to express purulent material. Right thigh area discolored and slightly tender. Infant received antibiotics for 2 weeks.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Skin nodule
Clinical narrative: Seven days post immunization, patient complained of painful bumps behind right ear. About 5 erythematous nodules each 3-4mm and tender were noted in post-auricular region. No pustules, vesicles, LAD.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Flu-like Sx @ 5 day post vaccination; fever.
Age: 14.0
Sex: F
Vaccine: DT
Symptoms: Asthenia, Dizziness, Hypersensitivity, Pallor, Syncope
Clinical narrative: received Td vaccine, went home - became weak and lightheaded in the car and after getting out of car, patient passed out.  She remained "out" for several minutes and then revived.  Again, she became pale, light-headed.  Ambulance called and EMTs assessed patient and told mother to take teen to private MD.  MD stated she had an allergic reaction to the Td vaccine.  Administered benadryl x 2 days
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Cough, Headache, Pain, Pyrexia
Clinical narrative: Menactra vaccine administered on 6/15/2005 at ~10:30 am.  On 6/16/2005 at 7:00 am, patient's father contacted MD to report that patient had a cough, fever of 102.6F, sore arm, and headache.  Patient was monitored at home by family per MD. Given Tylenol and Advil for fever and arm pain.  On 6/17/2005 8:00am, MD contacted patient's father and patient is afebrile, denies headache and sleeping comfortably.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: RT ARM INDURATED WITH REDNESS
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Vomiting, Wheezing
Clinical narrative: Dizzy, weak, vomiting, wheezing
Age: 1.89
Sex: M
Vaccine: DT, HIBV
Symptoms: Face oedema, Oedema peripheral, Pyrexia, Urticaria
Clinical narrative: Mild fever evening of vac date. 3 days later developed hives, raised welts 70% of body, (face, trunk, eyes) Benadryl x1. Next day developed swelling of feet and face. Family physician called in Prednisole bid x3 days. Smyptoms completely resolved after 2 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PPV
Symptoms: Cellulitis
Clinical narrative: Celluitis right upper thigh.
Age: 5.0
Sex: M
Vaccine: DT, FLU3, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Onset with redness, swelling and itching on right lateral deltoid where DTaP had been given. Measured 9.5cm in diameter. Advised, ice and Tylenol. Redness began resolving on Sat. much improved by 6/15/04.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Received Varivax and MMR at 1 yr well child check 6/7/05. Presented with fever and rash 6/17. Rash is scattered maculopapular in appearance with small discrete blanching erythematous lesions. Distributed on neck, arms, trunk, back. No definite vesicles or pustules observed. Not apparently itchy or uncomfortable.  Relationship to vaccination uncertain. Differential certainly includes more common nonspecific viral exanthem.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Injection site abscess, Injection site erythema, Injection site necrosis, Rash papular
Clinical narrative: 5x5 mm necrotic ulcer left triceps at site of vaccination with surrounding 2x2 cm area of slightly raised erythema, with several 2mm vesicular satellite lesions on left triceps at site of vaccine administration--originally a bullous lesion lanced by parents with a sewing needle draining clear fluid, also 10 papules scattered occiput, trunk, arms and legs; 1x1 cm soft tissue swelling over right proximal humerus; no fever, slight cough and rhinorrhea; symptoms began 6/11, VZV vaccine given 5/20, evaluated by pediatrician and myself (Ped ID) 6/13; treated with Clindamycin 40 mg/kg/day divided TID x 10 days for possible bacterial superinfection
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: 5x5 mm necrotic ulcer left triceps at site of vaccination with surrounding 2x2 cm area of slightly raised erythema, with several 2mm vesicular satellite lesions on left triceps at site of vaccine administration--originally a bullous lesion lanced by parents with a sewing needle draining clear fluid, also 10 papules scattered occiput, trunk, arms and legs; 1x1 cm soft tissue swelling over right proximal humerus; no fever, slight cough and rhinorrhea; symptoms began 6/11, VZV vaccine given 5/20, evaluated by pediatrician and myself (Ped ID) 6/13; treated with Clindamycin 40 mg/kg/day divided TID x 10 days for possible bacterial superinfection
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: Localized swelling to an area of 10 x 7cm on the right lateral thigh. Erythematous. Warm to palpation. Swollen. No breathing difficulties. Treatment recommended Benadryl, cold compresses, Tylenol for fever or discomfort. Recheck in two days on Monday.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness of lower portion of upper arm, swelling and increased heat.  Initally entire upper arm, after 2 days has decreased to lower 1/2 of upper arm.  Started evening of injection.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site induration
Clinical narrative: 10cmx6cm induration to right thigh. Mild fluctuance.
Age: 1.05
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Skin lesions for 4 days.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin warm, Swelling, Urticaria
Clinical narrative: 1-2+ EDEMA, MILD ERYTHEMA, MILD OCCASIONAL URTICARIA, SKIN WARM TO TOUCH.  TREATMENT WITH BENADRYL 25 MG QID AND BURST PREDNISONE 20MG TID X 5 DAYS PENDING.
Age: 52.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Hypokinesia, Injection site erythema, Injection site rash, Injection site swelling, Pain
Clinical narrative: 1/13/04 - Symptoms started around 5:30am. Red and swollen at the injection site. Hard to move her right arm. 1/14/04 - still red and swollen. Little bumps developed a the injection site. 1/15/04 - in am, still hard to move her right arm. Redness spread to almost 4 inches. Advised husband to take client to the doctor. Client not sure medical attention. Client right arm got better by the evening 1/15/04. Pt recovered.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site pain, Injection site reaction
Clinical narrative: 12/16/2003 - Immediately developed pain at the injection site. between 7-8pm that evening, a knot developed. Blue/red in color. Half of a baseball in length. A quarter inch raised. Next day pt. had more pain in left arm. 2 day after vaccination, client saw her doctor. The doctor prescribed A/B x 10day. Diagnosis - cellulitis. Pt recovered.
Age: 3.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Varivax given 11/7/00. Developed varicella 1/04/05. Mom requested vaccine failure reported.
Age: 3.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Varivax given 11/7/00. Developed varicella 1/04/05. Mom requested vaccine failure reported.
Age: 14.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Asthenia, Hyperaesthesia, Pyrexia
Clinical narrative: Fever 103, severe weakness, sensitivity to touch for 36 hours.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Approximately 1 week after Hepatitis B shot, devloped rash on arms - was itchy all over. Did not associate rash with shot - did not call MD. Contacted MD after 4/30/04 visit to Health Dept - shot refused her - Contacted MD - MD stated it was reaction to Hepatitis B vaccine.
Age: 0.51
Sex: M
Vaccine: DT, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming, Tremor
Clinical narrative: 5/19/2004 Both mother and paternal grandmother state child had last shots 3/18/04. He went home and took a nap. When he awoke around 5 or 6PM he began screaming and they could not comfort him. Both mother and grandmother states the child would not be consoled. Mother called the doctor the next day, but the doctor did not seem to be worried about the screaming at that time. When they could not get the child to settle, they took pt to the emergency room for evaluation. The emergency room doctor could not find anything physically wrong with the child and told the parent they felt his screaming was a result of the shots. He continued with the behavior until Saturday, 3/20/04 at 11PM when he went to sleep and when he awoke was fine. He has had not further episodes of the screaming. He did not run a fever. Grandmother stated he did seem to be shaking once during the event, but not as in a seizure. Mother did not mention this.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Blister, Cellulitis, Erythema, Feeling hot, Neck pain
Clinical narrative: Left arm swelling on 4/24/04. area (left deltoid) was red, hot, tender to touch. Neck was achy. Every day reddened area became larger. On 4/30/04 red area on deltoid was greater than 3 inches across. Tongue swelled  - had a yellow colored covering on tongue. Went to see MD. Dr. Prescribed Keflex, Bextra and Motrin. Diagnosis - reaction to vaccine cellulitis. Area was also blister like.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Oedema, Tenderness, Tongue discolouration, Tongue oedema
Clinical narrative: Left arm swelling on 4/24/04. area (left deltoid) was red, hot, tender to touch. Neck was achy. Every day reddened area became larger. On 4/30/04 red area on deltoid was greater than 3 inches across. Tongue swelled  - had a yellow colored covering on tongue. Went to see MD. Dr. Prescribed Keflex, Bextra and Motrin. Diagnosis - reaction to vaccine cellulitis. Area was also blister like.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Headache, Rash pustular
Clinical narrative: Pt vaccinated for Smallpox, complaint of Headache, chest discomfort, with pustule noted on arms and torso.  Patient present to local clinic, transported to Emergency Room and ID notified.
Age: 1.11
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Decreased appetite, Irritability, Pyrexia, Rash
Clinical narrative: 4/23/04 - irritated ("cranky"), rash (sl. raised, pinpoint) on tunk and face. 4/24/04 -> 4/28/04 - rash faded, then reappeared, temperature to 101 degrees, lack of appetite, cranky. 4/30/04 - no fever, very irritable, rash continues. Rash gone 5/1/04.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Headache, Heart rate increased, Vision blurred
Clinical narrative: Hep B injection given 8:15am - called to Health Department at 10:15 with 90 heart racing, headache, blurred vision, face flushed - hot feeling. H.R. at time was 88 per another nurse that was with pt - Pt. was able to talk to me - denies Resp. problems - had eaten this am - I referred her to family MD - gave her his phone # to call today.
Age: 1.23
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: At clinic visit 4/1/04, mother told us of reaction after last shots given 1/29/04. 2 days later broke out over chest and back mainly and other areas large red welts, itching. Took to Emergency Dept. and next day to MD who thought it was reaction to MMR. Resolved one day later, Benadryl used.
Age: 1.08
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Decreased appetite, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: 3/23-3/24 fussy, runny nose 3/25 thurs. - lethargy, fever vomit, temperature 102-103 3/28 rash began on face, ears, spread to trunk, legs - arms. eyes red 3/28 to ER 3/30. fever continues rash persists, to family Dr, CBC and 4A; appetite poor, lethargic. improved by 4/1/04
Age: 1.08
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: 3/23-3/24 fussy, runny nose 3/25 thurs. - lethargy, fever vomit, temperature 102-103 3/28 rash began on face, ears, spread to trunk, legs - arms. eyes red 3/28 to ER 3/30. fever continues rash persists, to family Dr, CBC and 4A; appetite poor, lethargic. improved by 4/1/04
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Face oedema, Pruritus, Rash
Clinical narrative: 15 minutes after itching, bottom lip swollen, rash on bilateral knees. Pt received Prednisolone and Benedryl in ER. was also sent home on same meds
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Keloid scar
Clinical narrative: mid january 2004 - smallpox scar gradually increased in size to 15mm, reddened keloid - type raised area. Pt is 22wks pregnant - saw ??  OB today, referred to LHD for explanation. Pt is an RN. She worked in an ER at time of vaccination.
Age: 0.34
Sex: M
Vaccine: DTP, HIBV
Symptoms: Coma, Lethargy, Stupor
Clinical narrative: Patient was extremely lethargic and unresponsive to sound, touch, and visual stimuli.  Twice, he seemed to be completely absent mentally.  He was very difficult to wake when he did sleep to the point where wet rags were used to gain even a mild response.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swelling, redness, sore, warmth at injection site and then bruising at injection site. Still slighty swollen today. Saw MD at clinic for follow-up who told pt. her reaction was not unusual. The size was about 6 inches when it was at its largest.
Age: 53.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Arthralgia, Asthenia, Hypokinesia, Nerve injury, Neuritis
Clinical narrative: Pt reports R shoulder pain like strain from 1/20/05, progressive pain to restricted motion by 2/5/05, required ED eval/treatment. Since then had neurologic orthopedics work up, have led to acute brachial neuritis. Report by Peripheral nerve surgeon: Shoulder pain after shoveling and fishing. Intense pain seen in ER and given narcotics. Slept with arm over head because it was the only way he could get any pain relief. 2/17/05 cannot lift arm. Secondary shoulder instability secondary to deltoid weakness. EMG right axillary nerve damage. Absent lateral and antebrachial response. CT/Mylogram- no significant impingement. Wing of left scapula. Right FLP 5/5. Only long head is palpable. With exertion active vesiculation of supraspinatus, right external rotation 05, exertion 5/5, wrist and finger 5/5. Prognosis: Acute onset right axillary and supra scapular nerve palsy with motor involvement. With EMG appears brachial plexus level. History of related palsy on the other side. Differential diagnosis: Parsonage Turner Syndrome, Motor Neuritis Multiplex, HNPP, Presence of Tineal Sign right supraclavicular fossa suggest some nerve regeneration. This is a challenging problem that may not be amenable to surgery.
Age: 53.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Radiculitis brachial
Clinical narrative: Pt reports R shoulder pain like strain from 1/20/05, progressive pain to restricted motion by 2/5/05, required ED eval/treatment. Since then had neurologic orthopedics work up, have led to acute brachial neuritis. Report by Peripheral nerve surgeon: Shoulder pain after shoveling and fishing. Intense pain seen in ER and given narcotics. Slept with arm over head because it was the only way he could get any pain relief. 2/17/05 cannot lift arm. Secondary shoulder instability secondary to deltoid weakness. EMG right axillary nerve damage. Absent lateral and antebrachial response. CT/Mylogram- no significant impingement. Wing of left scapula. Right FLP 5/5. Only long head is palpable. With exertion active vesiculation of supraspinatus, right external rotation 05, exertion 5/5, wrist and finger 5/5. Prognosis: Acute onset right axillary and supra scapular nerve palsy with motor involvement. With EMG appears brachial plexus level. History of related palsy on the other side. Differential diagnosis: Parsonage Turner Syndrome, Motor Neuritis Multiplex, HNPP, Presence of Tineal Sign right supraclavicular fossa suggest some nerve regeneration. This is a challenging problem that may not be amenable to surgery.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Anorexia, Arthralgia, Chills, Fatigue, Headache
Clinical narrative: 3.5 swelling, redness, induration at injection site, headache, pain, loss of appetite, arthralgia, malaise, chills, fatigue.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Malaise, Pain
Clinical narrative: 3.5 swelling, redness, induration at injection site, headache, pain, loss of appetite, arthralgia, malaise, chills, fatigue.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Complaints of soreness at site of injection right deltoid. Also, about 6 inch zone of redness.
Age: 18.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Face oedema, Headache, Pyrexia, Rash, Swelling
Clinical narrative: Fever within 6 hours (103-104), neck swelled and got sore, headache. 12 hours, rash on neck and face within 4 days . Rash from neck to groin on front of body; upper back also had rash. Face swelled 48 hours after shot.
Age: 20.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Rash pustular
Clinical narrative: Pustule-type bumps all over body. Mainly on upper legs and on sides of torso from smallpox vaccination.
Age: 30.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Meningitis, Vaccination complication, Viral infection
Clinical narrative: Two weeks after receiving my smallpox vaccination, I started showing symptoms of viral meningitis and self inoculated (blisters) around the vaccine site. The blisters were in a 3 inch circle around the site. The viral meningitis was verified in the ER.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Depressed level of consciousness, Irritability, Somnolence, Syncope, Vomiting
Clinical narrative: Episode of vomiting x1 followed by sleepiness, difficult to arose, irritiablilty, seemed "out of it" for 10-15 minutes.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema multiforme, Feeling hot, Oedema
Clinical narrative: 6x7cm  area of erythema (papule) mild swelling and warmth. Non tender. No appreciable abscess. Suggested Motrin PRN and cold compresses.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Injection site warmth, Tenderness
Clinical narrative: 5x4cm  induration, warm, tenderness with recurring tenderness
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Erythema, Hypokinesia, Injection site pain, Injection site warmth
Clinical narrative: Pain- Immediate.  Lower shoulder ROM until 1 hour, increased swelling by evening, warmth, redness by evening. Extensive warmth with hardness, redness and bruise around injection site (from above the dot to 3 inches from elbow 1/2 way around arm. 4 days recovery.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Oedema
Clinical narrative: Pain- Immediate.  Lower shoulder ROM until 1 hour, increased swelling by evening, warmth, redness by evening. Extensive warmth with hardness, redness and bruise around injection site (from above the dot to 3 inches from elbow 1/2 way around arm. 4 days recovery.
Age: 0.16
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Possible seizure activity, fever, lab work, CT scan, EEG done and hospitalization. Apnea monitor.
Age: 44.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Oedema, Oedema peripheral
Clinical narrative: Extreme Swelling in feet, legs and lower abdomen.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Tenderness
Clinical narrative: Swelling Redness, and tenderness at site. RX; Prelone, Prelactine- started 05/16/05
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site inflammation, Injection site reaction, Oedema, Pyrexia
Clinical narrative: Left deltoid 6x6cm cellulitis. Admitted 6/9/05-6/11/05. Information from discharge summary states swelling, inflamation of injection site, fever. msv
Age: 28.0
Sex: F
Vaccine: MMR, TD
Symptoms: Headache, Injection site hypersensitivity, Somnolence
Clinical narrative: Day after shots woke up and her RA was red, swollen and sore. In the afternoon of that day she was very tired and sleepy and in the evening had very bad HA.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Dizziness. nausea, and vomiting, one time on 06/08/2005. " Sx resolved over 24 hour period".
Age: 1.13
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Erythema, Face oedema, Oedema, Vomiting
Clinical narrative: Vomiting 1/2 hour. Followed by erythema and swelling of face, peri oral.>???????? Tx in ER solumedrol, epinephrine, and steroids PO.
Age: 1.83
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site haemorrhage, Rash erythematous
Clinical narrative: Day after the injection, child delveloped large erythematous non indurated lesion on LL with ecchimosis of puncture site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hyperaesthesia, Infection, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: In immunization clinic on 6/6/05. Back in HD on 6/9/05; right arm visibly reddened, swollen warm to touch, especially right wrist. Also had reddened area to other arm (left), face which was before immunization. PHN questioned client's mother regarding why her son was scratching extremities and his face, there were reddened areas noted, she related he has sensitive skin, just like I do, he's been that way since birth. LPN had to assist me in giving these injections, as the mother was unable to restrain her son to allow safe vaccine administration. On 6/9, when se returned to the HD with her son, she is advised to follow suggested instructions, to use cool compresses to area at least 20 minutes 2-3 times daily and to use OTC aids such as Benadryl if she choose to or take client to see his physician if this problem persisted. She took client to the pediatrician from the HD, and called back to say the doctor said Y'all should not have given the shots in his arms, don't y'all use the legs. And that he has an infection in his arm and who's gonna pay for this. Explained injection sites to mother and told her I would call the clinic where the doctor practices to obtain a copy of her findings and forward with this report (which I done on 6/9) to provide for payment of patient's doctor bills. Spoke with the doctor's nurse, who related they would forward me the info. I requested (and have received nothing as of this date 6/15) and I called the clinic again on 6/10. I notified the acting director of the health district and made him aware of the situation on 6/9, along with the district administrator. The nurse manager was away on business; was notified when she returned. Called the mother on 6/15 to inquire as to his condition. She relates his is better, still has some redness to his arm and remains on the antibiotic.
Age: 28.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD, TYP
Symptoms: Dysphagia, Lymphadenopathy, Upper respiratory tract congestion
Clinical narrative: Client given immunizations 05/02/05, Sx of swollen glands in neck and discomfort swallowing started on 05/09/52005 I saw her throat day after Dx her with an URI and CA cols. I alsos gave her meds foe the seasonal allergies.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Given MMR and Varivax on 06/08/2005. 06/10/2005, fever for 2 days, today presented with fine maculopapular diffuse rash on trunk and extremities.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 3cm area of warmth, swelling and erythema.
Age: 1.13
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Apnoea, Body temperature increased, Cold sweat, Cyanosis, Febrile convulsion
Clinical narrative: CT given MMR, Varicella, Hib (pedivax) and Prevnar. Baby was 7 months ols when she received her 4th dose of Prevnar. PHN notified PMD and mentioned the Prevnar spacing. MD gave verbal order ok to repeat the PCV7 dose. PHN made a home visit 05/26/05 approx. 9:00 A.M. Mother was concerned about the child. At approximately 10:00PM the night before, the child was crying during a diaper change. The child then arched to the side , stopped breathing, became blue and her skin was cold. The parents tried to rouse the chidl unsuccessfully finally sprayed her with water and she started to breahte again. The mother thinks the child may have had fever 05/25/2005 however she did not check the child's temp or give any anti pyretic. 05/26/2005 the child was taken to the ER and was Dx with febrile seizure. Follow up home visit was made 05/31/05 the mother reproted continued with mild temp elevation with no further px.
Age: 1.13
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Opisthotonus, Pyrexia
Clinical narrative: CT given MMR, Varicella, Hib (pedivax) and Prevnar. Baby was 7 months ols when she received her 4th dose of Prevnar. PHN notified PMD and mentioned the Prevnar spacing. MD gave verbal order ok to repeat the PCV7 dose. PHN made a home visit 05/26/05 approx. 9:00 A.M. Mother was concerned about the child. At approximately 10:00PM the night before, the child was crying during a diaper change. The child then arched to the side , stopped breathing, became blue and her skin was cold. The parents tried to rouse the chidl unsuccessfully finally sprayed her with water and she started to breahte again. The mother thinks the child may have had fever 05/25/2005 however she did not check the child's temp or give any anti pyretic. 05/26/2005 the child was taken to the ER and was Dx with febrile seizure. Follow up home visit was made 05/31/05 the mother reproted continued with mild temp elevation with no further px.
Age: 1.04
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Broke out with chicken pox on body and face. Blisters, rash, afebrile. 06/05/05
Age: 25.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Low grade fever, redness, soreness, and swelling at injeciton site. (3x4cm LD).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity
Clinical narrative: Received DTaP # 5 in RA on 06/15 and within hours developed redness, swelling at site