chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Cardiac failure, Condition aggravated, Hypokinesia, Injection site haemorrhage, Injection site oedema
Clinical narrative: A pharmacist reported the occurrence of an exacerbation of heart failure in a 44 year old male who was vaccinated with Twinrix for prophylaxis. The subject's medical history included heart failre and chronically elevated liver enzyme concentrations due to heart failure. The subject was on a waiting list for a heart transplant. The subject's concurrent medications included Lasix, calcium, amiodarone hydrochloride, Prevacid, lisinopril, Lipitor, Ecotrin, vitamin C, Coumadin, digoxin and spironolactone. On 5/20/03, the subject received his first injection of Twinrix. On 5/21/03, he developed an injection site reaction characterized by "severe" pain and swelling, which limited his ability to move the arm. The subject presented to the ER in the evening of 5/21/03, for treatment of the injection site reaction. The ER physician noted that the subject was "obviously edematous." Upon questioning, the subject reported that he had not urinated for 24 hrs. A diagnosis of worsening heart failure was made, and the subject was hospitalized. Lab analyses revealed increased creatinine concentration. During hospitalization, the subject reported night sweats, which were attributed to heart failure. The worsening heart failure was treated with IV dobutamine. The injection site reaction was treated with an injection of methylprednisolone, followed by oral prednisone. The pharmacist reported that there was some question as to whether the swelling at the Twinrix injection site represented a hematoma. On admission to the hospital, the subject's international normalized ratio was 1.7. The injection site swelling and pain responded "quickly" to corticosteroid therapy, so his physicians did not want to attempt to ascertain if a hematoma was present. On 5/23/03, the subject developed hives on his knees. As of 5/23/03, the exacerbation of heart failure and the injection site reaction had improved. The outcome of the hives was unknown. The reporter considered the exacerbation of heart failure to be unrelated to Twinrix administration. He considered the injection site reaction to be related to Twinrix administration. He considered the hives to be possibly related to Twinrix administration.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Injection site pain, Injection site reaction, Liver function test abnormal, Pain, Urinary retention
Clinical narrative: A pharmacist reported the occurrence of an exacerbation of heart failure in a 44 year old male who was vaccinated with Twinrix for prophylaxis. The subject's medical history included heart failre and chronically elevated liver enzyme concentrations due to heart failure. The subject was on a waiting list for a heart transplant. The subject's concurrent medications included Lasix, calcium, amiodarone hydrochloride, Prevacid, lisinopril, Lipitor, Ecotrin, vitamin C, Coumadin, digoxin and spironolactone. On 5/20/03, the subject received his first injection of Twinrix. On 5/21/03, he developed an injection site reaction characterized by "severe" pain and swelling, which limited his ability to move the arm. The subject presented to the ER in the evening of 5/21/03, for treatment of the injection site reaction. The ER physician noted that the subject was "obviously edematous." Upon questioning, the subject reported that he had not urinated for 24 hrs. A diagnosis of worsening heart failure was made, and the subject was hospitalized. Lab analyses revealed increased creatinine concentration. During hospitalization, the subject reported night sweats, which were attributed to heart failure. The worsening heart failure was treated with IV dobutamine. The injection site reaction was treated with an injection of methylprednisolone, followed by oral prednisone. The pharmacist reported that there was some question as to whether the swelling at the Twinrix injection site represented a hematoma. On admission to the hospital, the subject's international normalized ratio was 1.7. The injection site swelling and pain responded "quickly" to corticosteroid therapy, so his physicians did not want to attempt to ascertain if a hematoma was present. On 5/23/03, the subject developed hives on his knees. As of 5/23/03, the exacerbation of heart failure and the injection site reaction had improved. The outcome of the hives was unknown. The reporter considered the exacerbation of heart failure to be unrelated to Twinrix administration. He considered the injection site reaction to be related to Twinrix administration. He considered the hives to be possibly related to Twinrix administration.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: A pharmacist reported the occurrence of an exacerbation of heart failure in a 44 year old male who was vaccinated with Twinrix for prophylaxis. The subject's medical history included heart failre and chronically elevated liver enzyme concentrations due to heart failure. The subject was on a waiting list for a heart transplant. The subject's concurrent medications included Lasix, calcium, amiodarone hydrochloride, Prevacid, lisinopril, Lipitor, Ecotrin, vitamin C, Coumadin, digoxin and spironolactone. On 5/20/03, the subject received his first injection of Twinrix. On 5/21/03, he developed an injection site reaction characterized by "severe" pain and swelling, which limited his ability to move the arm. The subject presented to the ER in the evening of 5/21/03, for treatment of the injection site reaction. The ER physician noted that the subject was "obviously edematous." Upon questioning, the subject reported that he had not urinated for 24 hrs. A diagnosis of worsening heart failure was made, and the subject was hospitalized. Lab analyses revealed increased creatinine concentration. During hospitalization, the subject reported night sweats, which were attributed to heart failure. The worsening heart failure was treated with IV dobutamine. The injection site reaction was treated with an injection of methylprednisolone, followed by oral prednisone. The pharmacist reported that there was some question as to whether the swelling at the Twinrix injection site represented a hematoma. On admission to the hospital, the subject's international normalized ratio was 1.7. The injection site swelling and pain responded "quickly" to corticosteroid therapy, so his physicians did not want to attempt to ascertain if a hematoma was present. On 5/23/03, the subject developed hives on his knees. As of 5/23/03, the exacerbation of heart failure and the injection site reaction had improved. The outcome of the hives was unknown. The reporter considered the exacerbation of heart failure to be unrelated to Twinrix administration. He considered the injection site reaction to be related to Twinrix administration. He considered the hives to be possibly related to Twinrix administration.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Pneumonia
Clinical narrative: A 75 year old male patient received RSV Vaccine or Placebo and Influenza Vaccine on an unspecified date. The patient was admitted to the hospital on 3/10/03 for pneumonia (both lungs). The investigator assessed the event as possibly related to study product. Follow up information received on 4/3/03: The patient was put on antibiotic therapy and there is a good chance he will be going to a rehab center when he is discharged. Diagnosis: Pneumonia in both lungs. Follow up information received 6/20/03: Investigator spoke to family members who refused to provide any information on patient. Plan to request records from hospital.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Swelling, Tenderness
Clinical narrative: Swelling, erythema, tenderness right thigh. The discharge summary states cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion
Clinical narrative: 5/30/02 Had initial seizure; hospitalized for 8 days. Had 2 MRI's, 2 EEG's, blood tests, spinal tap - all negative except EEG's showed slower brain wave movement on left side. Has been treated since and is on 3 medications concurrently. The 60 day follow up received on 9/24/03 states though on medication, seizures continue.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Intracranial pressure increased, Pyrexia
Clinical narrative: Patient was pseudo-tumor cerebri and had a fever (low grade about 101). The discharge summary and neuro consult report received on 1/28/04 states post vaccination pseudotumor cerebri.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Dyspnoea, Hypersensitivity
Clinical narrative: Allergic reaction to 2nd anthrax shot (symptoms-dyspnea, airway problems, chest tightness); Tx - Benadryl 50 mg IM right deltoid and O2 nonrebreather mask; transport to ER.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Diarrhoea, Dizziness, Myalgia, Nausea
Clinical narrative: AGE-type symptoms beginning about 5 PM yesterday: chills, myalgias, dizzy, diarrhea, nausea. Symptoms continue today.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm round, red, warm area approx the size of a tennis ball. Shot given 5/27/03 - RTC on 5/29/03 - MD recommended Benadryl, Motrin and cold compresses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left arm lemon size red area started just after injection - progressed bigger until today has area of redness and induration 130mm x 130mm with blister in center 8mm x 5mm. Warmth at site. No fever or illness. No problems noted at right arm.
Age: 16.0
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Received phone call from pt's mother. Reports pt woke up with little red dots all over his face and neck. Advised mother to take pt to MD. Pt seen at MD's office and was given a topical med for the rash.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Flushing, Nausea, Pallor, Tinnitus
Clinical narrative: Immediately after administration of vaccine, pt was at first flushed in the face then became pale. Complained of ringing in the ears, nausea and dizziness. Ice pack placed to back of neck and legs were elevated. Pt asked for water to drink. At 10 minutes into episode pt stated she was feeling better but drained. At 16:45, pt said she was fine and was able to leave the clinic.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Chest discomfort, Malaise, Pain
Clinical narrative: 6/24/03 Pt complained achy feeling 3-4 hours (18:00-19:00) after administration of Adult Hep B vaccine. Complained of chest pressure during night. 6/25/03 today complained of aches and general malaise. No fever. BP 144/104.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Swollen left arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Tenderness
Clinical narrative: Received MMR to left thigh 6/17/03, 24 hours later developed hard, tender, indurated area to left thigh. Treated with topical steroid, began resolving. No fever, no other rash.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Pain, Pyrexia, Rash
Clinical narrative: Pt received vaccine on 2/19/03. On 2/22/03 low grade temp, soreness at site, aches and pain. Red rash right lower arm and hand on 2/23/03. Rash gone on 2/25/03.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Asthma, Bronchitis
Clinical narrative: History of asthma (rescue inhalers only). On 03/12 had status asthmaticus, fever. Went to primary MD. Remains on asthma inhalers, SOB, on antibiotics, still not able to return to school. Diagnosis - asthma and bronchitis.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Hypoaesthesia, Injection site erythema, Injection site warmth, Joint stiffness
Clinical narrative: Per pt received vaccination on 12/19/02. About 2 hours after immunization given at site of injection arm hot and red, weakness in arm the next day, developed stiff neck pain and stiffness in joints, headache to 2-3 days and numbness in arm. Called her physician on 12/21/02.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Muscular weakness, Musculoskeletal stiffness, Pain
Clinical narrative: Per pt received vaccination on 12/19/02. About 2 hours after immunization given at site of injection arm hot and red, weakness in arm the next day, developed stiff neck pain and stiffness in joints, headache to 2-3 days and numbness in arm. Called her physician on 12/21/02.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Swollen left arm with erythema, fever, increase in underlying seizure activity
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Gait disturbance, Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Right thigh swollen tender to the touch. Father states that child complained of pain occasionally and limps occasionally. Around injection site slight hardness localized erythema (inner) swelling extends from groin to knee (3 cm > Lt)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Tenderness
Clinical narrative: Right thigh swollen tender to the touch. Father states that child complained of pain occasionally and limps occasionally. Around injection site slight hardness localized erythema (inner) swelling extends from groin to knee (3 cm > Lt)
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable crying for 12 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Quarter sized erythema, slightly swollen.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Swelling at injection site with pain, noted 7 x 10 area of erythema.
Age: 14.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Feeling hot, Injection site induration, Tenderness
Clinical narrative: Local reaction to Hep A #1. 7 x 9 area of tender induration with warmth to right deltoid.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Pruritus
Clinical narrative: Local reaction to Varivax. Tx: Benadryl 12.5 mg/5mL 1/2 tsp po every 6 hours prn itching.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site oedema
Clinical narrative: Swollen left arm with blisters/very red.  Augmentin E.S for 10 days (Antibiotic) 750mg of Rocephin (IM).
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Emotional distress, Urticaria
Clinical narrative: Mother telephoned 05/22/2003 with concerns of mental status changes and new onset migrating urticaria-treated with antihistamines.  Allergist is presently involved possible correlation suggested.
Age: 5.0
Sex: U
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Onset varicella disease 06/22/2003.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: Patient has a 2.5 inch high x 3 inch long red area that is warm to the touch at site of DTaP shot.  Mom was advised ice, tylenol per mouth by doctor.
Age: 2.9
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site oedema, Injection site rash
Clinical narrative: Leg swollen, rash-circular 10cm x 12cm around injection site, warm to touch.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema
Clinical narrative: Redness of whole lower leg, lasted for about 20 minutes.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Swelling and erythema over large area on right arm and left thigh; diagnosis cellulitis
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Erythema, Feeling hot, Pruritus
Clinical narrative: Upper arm erythematous, warm pruritia.  Temperature 99.4 orally.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Erythema, induration, warmth, tenderness at injection site.  10cm x 9cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: Upper arm erythematous, warm and pruritic
Age: 1.3
Sex: M
Vaccine: HBHEPB, MER, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: Seizure x 2
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: 4 month old male status post pediarix, prevnar, and hib on 06/26/2003.  Cried non stop x 24 hours with very little periods of consolement.  (+) fever.  No other symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Flushing, Pruritus, Urticaria, Wheezing
Clinical narrative: DTaP, MMR, Polio-Severe itchy, hives, wheezing, flushed appearance all over body approximately 15 minutes after injections.  Returned to office, albuterol NEB, pulse ok.  BP monitoring-Epinephrine, Dexaonstasone, Benadryl injections given.  Patient sent home on medications (Prelone, Benadryl, EPI Pen JR.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Urticaria few hours after shot.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Body temperature increased, Injection site erythema, Injection site rash, Lethargy
Clinical narrative: Mom called office at 10:09 06/18/2003.  States babysitter called, temperature 102 and patient was lethargic.  At 19:42 06/18/2003, dad called back.  Temperature to 104.9.  Not eating, rash at injection site.  Red, flat.  Spread down to inside of elbow.  Phone advise given for tylenol and motrin.  Fever broke and rash resolved 06/19/2003 at 10:30.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Redness and inflammation at right deltoid injection site of DTaP.  Called parent 06/24/2003, no answer, left message, no return call.
Age: 45.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Pyrexia
Clinical narrative: 10 days post vaccination; varicella blisters; fever persisted x 23 days.  Finally prescribed Acyclovir with improvement.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Headache, Musculoskeletal stiffness, Photophobia
Clinical narrative: This is a 23 y/o cauc who presented to the emergency department (ED) at Hospital with c/o headache, photophobia, neck stiffness and left chest pain 8 days status post smallpox vaccination and 10 days s/p anthrax #3. Was treated and released.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Fever, severe irritability, refusing to eat. Behavior lasted 10-12 hours. CSF + wbcs, no organisms, no bacterial growth. CBCs and CRPs elevated but improved through hospital course. Discharged 48 hours after admission in essentially normal condition.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Erythema, Feeling hot, Pain
Clinical narrative: 1:30 pm - Unconsolable crying and marked reddness on left thigh and heat. No reported swelling. Tremor of left leg during episode os crying.  Dr. Notified.  5-28-03 Painful crying when left thigh touched while mom was bathing.
Age: 22.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Pruritus, Skin burning sensation
Clinical narrative: Burning, itching in both hands and feet, wrist down to fingertips, ankles to end of toes. Sensations very intense.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash on left and right arm along with itching and redness on both arms more than 12 cm.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular, Skin ulcer
Clinical narrative: Developed maculo-papular discreet lesions over chest and back day 12 after smallpox vax. No other symptoms. Appears like the multiple other cases of white young males with similar lesions, non-pruritic.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had normal course following vaccination. On 06/26/03, pt reported raised, reddened area at the vaccine site, approx. 8 to 10mm in size. Site itches occasionally. No fever or other systemic symptoms.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Skin ulcer
Clinical narrative: Pt had normal course following vaccination. On 06/26/03, pt reported raised, reddened area at the vaccine site, approx. 8 to 10mm in size. Site itches occasionally. No fever or other systemic symptoms.
Age: 3.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Hallucination, Injection site inflammation, Nausea, Pyrexia, Vomiting
Clinical narrative: First dose (6/2/03)-nausea and vomiting Second dose (6/5/03)-nausea and vomiting; inflammation at the injection site Third dose (6/9/03)-fever 104 (controlled with Tylenol); vomiting; hallucinations-room full of water with sharks (secondary to fever?)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives that began about 3 hours after the injection.  The hives have involved his thighs and trunk and have continued for about 7 days mostly at night.  They itch, but there are no other symptoms.  Mother gives him Benadryl for the itching.
Age: 54.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site induration, Myalgia, Pruritus, Pyrexia
Clinical narrative: Received tetanus/diphtheria vaccine on 6/26/03.  That evening, noted low grade fever and myalgias; fever to 101 and generalized myalgias within 24 hours.  72 hours following vaccination, noted erythema, induration, pruritis at site of injection.  Still with low grade fever, myalgias; using advil q6 hours.
Age: 1.1
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure 10 days after immunization. No other symptoms besides fever starting that day.  Normal examination.  No rash
Age: 31.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Pt reports she is pregnant.  LMP 5/11/03 Smallpox vaccine given 5/8/03.  She has seen an OB doctor who confirms pregnancy. This has been reported to Dr.
Age: 31.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Pt reports she is pregnant.  LMP 5/11/03 Smallpox vaccine given 5/8/03.  She has seen an OB doctor who confirms pregnancy. This has been reported to Dr.
Age: 31.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Pt reports she is pregnant.  LMP 5/11/03 Smallpox vaccine given 5/8/03.  She has seen an OB doctor who confirms pregnancy. This has been reported to Dr.
Age: 1.0
Sex: F
Vaccine: VARCEL, MMR, VARCEL
Symptoms: Convulsion, Cyanosis, Electroencephalogram abnormal, Infantile spasms, Vomiting
Clinical narrative: the third day after her MMR at 12 months she passed out and her demeanor changed. she acted like she did not know who i was, she seemed scared and screamed. Ten days later she began to have cyanotic episodes on her lips ,fingers and toes. later found out to be brain spasms. finally it progressed into infantile spasm. now she suffers from seizures.
Age: 1.0
Sex: F
Vaccine: VARCEL, MMR, VARCEL
Symptoms: Arrhythmia, Convulsion, Cyanosis, Infantile spasms, Loss of consciousness
Clinical narrative: the third day after her MMR at 12 months she passed out and her demeanor changed. she acted like she did not know who i was, she seemed scared and screamed. Ten days later she began to have cyanotic episodes on her lips ,fingers and toes. later found out to be brain spasms. finally it progressed into infantile spasm. now she suffers from seizures.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia, Respiratory disorder, Tremor
Clinical narrative: Per mom: 6/24/03 child received vaccines, did well, woke at 7 PM that evening shaking and with fever. Started having seizure. Mom called EMS. They took child to hospital and child was intubated, D/T, erratic breathing. Flown to another hospital's PICU. Child did better next day and was extubated.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Had DTaP, IPV and MMR on 4/24/03. Swollen right arm where DTA and IPV had been administered. Noticed on Friday, site was size of quarter. Saturday morning size was size of half dollar, red, and hot to the touch. Saturday afternoon, site was size of pear, red, and hot to touch. Parents took her to hospital; she was admitted at 9PM Saturday until 5PM Sunday. IV antibiotics given and Benadryl at hospital. Patient saw doctor 4/28; gave antibiotics for 10 days. Patient went to school 4/29/03.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Dehydration, Kawasaki's disease, Oedema, Pyrexia, Rash
Clinical narrative: Acquired fever 2 days after MMR. Fevers persisted for more than 1 week. Causing dehydration. All lab/diagnosis negative. Diagnosed with Kawasaki disease.   The medical record states rash and edema. Diagnosis of Kawasaki disease was confirmed. The 60 day follow up received on 9/24/03 states pt was diagnosed with Kawasaki's.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Paraesthesia, Pyrexia
Clinical narrative: Temp 102.5 degrees F. Fatigues less than 18 hours. Two hour episode of hand tingling, pale fingers, blue fingernails. After 2 hours now resolved.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema, Pruritus
Clinical narrative: At 19:00 6/23/03 began itching and tight feeling. Erythema at injection site progressively worsened even with exercise and cold packs. Edema increased. Came to Imm and RN referred pt to MD. Large local reaction (>120mm) with erythema, warmth and induration. Treated with topical steroids, NSAID's. Advised to avoid exercise with right arm and avoid sun exposure.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Bradycardia, Dizziness, Hyperhidrosis, Hypotension
Clinical narrative: 22 year old female working, was bitten by a dog and pt received Rabies Immune Globulin (Bayer manuf) and Rabies Vaccine (Aventis) 4 shots IM on gluteal areas. About 20 minutes after receiving the shots, pt became dizzy, hypotensive, bradycardial (high 30's-40's) and diaphoretic. Pt placed on monitor. In bolus fluid x 1 liter, 1 mg Atropine IUP given. Pt's HR elevated to 70's-80's, became normotensive and released from ER about 3-4 hours after tx.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Pt presented to ER with swelling and redness to upper left arm at immunization site. Diagnosed with cellulitis. Blood drawn, Ceftriaxone 950 mg given IV.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Chest pain, Injection site erythema, Malaise, Pyrexia
Clinical narrative: Pt had dt booster left deltoid - experienced slight fever, malaise, localized reaction with erythema and cellulitis. Had chest pain with negative EKG. Pt had had (she thinks) 3 dt's in about 5 years? No SOB or anaphlactic reaction.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Fatigue, Headache, Malaise, Myalgia
Clinical narrative: 42 year old female health care worker (physician) who experienced onset of severe unremitting generalized headache, severe head-to-toe myalgias and profound malaise with onset 24-28 hours after influenza vaccine. The pt has no medical history of note. Headache was not positional, no hypersensitivity to light, no N/V/ocular abril. No relief with Tylenol, Motrin or sleep. Onset head-toe severe myalgia - no muscles spared. Muscles not painful to touch. No dark urine or change in stool color. Pt reports even "toes" hurt him. Profound malaise - no stamina or endurance. The pt has run a marathon and the severity of malaise exceeded the weakness after marathon. Denies fever, cough, coryza, URTI, diarrhea. Triad of headache, myalgias and fatigue lasted approx 2 weeks.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Tenderness
Clinical narrative: Swollen upper arm, tenderness
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 2"-3" red swollen right arm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 3"-5" red hot swollen left arm
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: Per child's mother statement - hives and itching noted on the face approx 3-4 hours after administration of Hepatitis A and PPD on 6/6/03. No fever. Hives noted for 2 days, relieved and hives subsided with Benadryl oral tx.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Complained of left arm red, swollen and hot, size 2" x 4"
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Day after the vaccine administer, left deltoid warm and swollen down to elbow - pt checked by Nurse Practitioner and given Tylenol tsp q 4 hours. Recheck/follow up in 1 week.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid with 3" red, swollen, warm area. No fever per mom.
Age: 44.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Cellulitis, Injection site swelling, Skin burning sensation, Tenderness
Clinical narrative: Raised burning area to left arm, tender nodes, complained of "heaviness" in arm, no fever. Last tetanus > 10 years ago, no reported allergies. Tx'd by primary care provider 5/27/03, prescribed Keflex and Atarax - Dx: allergic reaction/cellulitis.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Running slight fever, mild rash, and severe itching.
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, swelling around needle site.
Age: 11.0
Sex: F
Vaccine: TTOX, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site vesicles
Clinical narrative: Redness, swelling and blister around needle site.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain
Clinical narrative: 05/12/2003: Following TD-Had ivory to back of leg-backed up into pain on 05/11/2003.   05/13/2003: All day could move freely and pain until 10 pm-couldn't move at all and throbbing all night.  05/14/2003: Came in to be checked-slightly pink.  Received Tylenol or Ibuprofen can put warm compresses-keep moving arm -call or see MD if worsening.
Age: 5.7
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site pain, Oedema, Pruritus
Clinical narrative: 05/07/2003: At 07:00, mom noted right arm swelling, redness, itch and tenderness.  Child was given ibuprofen 1.5 tsp and sent to school.  Child received DTaP to right arm 05/05/2003.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Cold sweat, Dyskinesia, Hypotonia
Clinical narrative: Received PPD followed by Varicella; when needle removed from left deltoid, patient became limp and jerking motions, skin cool and clammy.  Blood pressure: 80/50.  Thready, weak.  After 2 min. patient alert pulse 8, blood pressure 90/60.  After 5 min, alert pulse 72, blood pressure 100/80.
Age: 11.1
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Swelling, pain to left deltoid area.  05/23/2003: Called mom, child much better, swelling down.
Age: 6.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypokinesia, Injection site induration, Oedema
Clinical narrative: Redness, swelling, warm to touch, firm, itches, no fever, no tenderness.  Mom and child states can't lift arm, can move arm back and forth and fingers.  Temperature 97.4.  06/11/2003, advised mom to take to pediatrician, tylenol, pain/fever.
Age: 6.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus
Clinical narrative: Redness, swelling, warm to touch, firm, itches, no fever, no tenderness.  Mom and child states can't lift arm, can move arm back and forth and fingers.  Temperature 97.4.  06/11/2003, advised mom to take to pediatrician, tylenol, pain/fever.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site warmth, Oedema, Pyrexia
Clinical narrative: Patient given DTaP vaccine on 05/01/2003.  Mom states the next day patient left arm was swollen, redness, hot to touch.  Saw patient arm on 05/02/2003, still had redness, swelling, fever.  Instructed to take to ER.  Patient was put on Prednisone 12mg.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Pyrexia, Rash, Viral infection
Clinical narrative: 11AM, 05/31/2003, woke up with red rash on left arm only.  By AM rash had progressed to rest of body including soles of feet.  Temperature 101 rectal.  Tylenol given every 4 hours.  Saw MD with diagnosis probable virus, gave cream to apply on 06/04/2000.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Redness, swelling, itching, warm to touch, firm. 6/13/03 T 99.6.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Feeling hot, Injection site mass, Oedema
Clinical narrative: Received DTaP (left thigh) on 06/16/2003.  Swollen, red, warm to touch, hard knot.  Advised to see physician, give Tylenol, and warm compress.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Significant erythema to right deltoid area.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pain
Clinical narrative: 26.5 cm diameter of left upper arm.  Area of erythema 12 x 13 cm on left lateral upper arm.  Pain with range of movement in deltoid, warm to the touch.
Age: 0.8
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Rash
Clinical narrative: Hive like rash with purpulish areas underarms and groin, no fever.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Approximately 20-24 hours after vaccines given, mother noted swelling, redness, and warmth at site of immunization.  Child also complains of itching.  Symptoms have persisted 48 hours later, but not worsened.  Right deltoid/arm
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid red, swollen approximately 24 hours after injection of DTaP, no fever.  Instructed parent to place cool wet cloth over swelling and given acetomenephen for pain and fever.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site pain
Clinical narrative: Immunizations on 06/10/2003.  DTaP and IPV in left arm intramuscular.  Reaction started 06/11/2003.  About the size of a silver dollar.  today the area is baseball size.  3.5 in long x 3in wide.  1 small area in aspect of left arm.  size of quarter.  Area is warm and tender.  Mobility intact.  NO fever.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: 06/21/2003: Rash swollen patches of red bumps on posterior neck, cheeks, under eyes and on legs.  Diagnosis after viral examination.  06/26/2003: Doctor visit.  06/26/2003.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: This morning patient woke up with redness and swelling of right upper arm.  Arm felt hard and warm to the touch and covered area of approximately 5 x 4 inches.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Asthenia, Dizziness, Dyspnoea, Flushing, Pharyngolaryngeal pain
Clinical narrative: Shot given at office 06/23/2003.  Ran (10-11 am).  Patient left and went back to work.  Status post developed: difficult breathing, sore throat, weakness, paleness, dizzyness, blotches (hives?) especially on face/head.  Patient did not let anyone know until effects were quite moderate.  then to md.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Rash macular
Clinical narrative: Shot given at office 06/23/2003.  Ran (10-11 am).  Patient left and went back to work.  Status post developed: difficult breathing, sore throat, weakness, paleness, dizzyness, blotches (hives?) especially on face/head.  Patient did not let anyone know until effects were quite moderate.  then to md.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MM
Symptoms: Cellulitis
Clinical narrative: Cellulitis left thigh.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Mother noticed reddened right arm 06/24/2003 evening.  Called 06/25/2003 and reported right arm swollen-hand-red-itching.  Doctor appointment on 06/26/2003.  Doctor not worried.  Treatment with antibiotics and benadryl.  no fever.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Dysphonia, Pyrexia, Rhinorrhoea
Clinical narrative: Had a sl fever, runny nose, on 6/18/03, felt run down with hoarse voice. On the night of vaccination felt chills, denies any rash.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Arm swollen elbow to shoulder tight red and warm to touch (Lt arm).
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: DTaP-local reaction 5" x 4" day. Fever-103.7 3-4 days. CBC WBC 3.3 platelets 120.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Erythema, swelling Lt-lateral arm 4cm x 3cm tenderness.
Age: 13.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Redness, warmth, pain at site of injection-beginning day after-no Rx.
Age: 59.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Injection site reaction, Nausea, Pyrexia
Clinical narrative: 4 hrs post administration pt reports feeling dizzy, nauseated, subjective fever that continued thru the night. Seen next am-temp 99.1. BP 116/74 exam nl and Rxn at injection site. Temp up to 101 that day by next am pt was fine.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site rash
Clinical narrative: 6/4/03 pm mom noticed sl. rash around inj. site of lt. thigh. Area was hard and red and swollen mid thigh to just above knee. Today 6/5/03 rash is gone/site looks pink and is still hard, swollen, has not spread. Child is not in pain, no fever. 6/4/03 mom iced leg. 6/5/03 am bath given. 6/5/03 getting better.
Age: 30.0
Sex: F
Vaccine: MMR, TD
Symptoms: Abdominal pain upper, Haematochezia, Pyrexia
Clinical narrative: 1 wk after receiving MMR and Td pt reports that her stomach hurts. Off and on she has had blood in her stools. She is from Okinawa and moved to USA 3 mo ago. Reports her diet is completely differnt. Had a fever one evening and then it subsided. Referred to PMD/assessment.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Mom reports "a few red bumps" appeared on child approx. 2 wks. after imms. states that the bumps cleared up, then approx 1wk later the child developed a "red rash across her abdomen" also with a temp of 103 degrees which came down with Tylenol. Instructed client to contact physician.
Age: 0.51
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Petechiae, Rash
Clinical narrative: Rash on arms and legs, mostly on the legs with palpable petechie easily blanchable.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site erythema, Injection site oedema, Irritability
Clinical narrative: 4 mo physical on 6/23/03. Mother stated post 2 mo shots both legs swollen and tender. Infant extremely fussy. Applied warm compresses 6/24/03 after DT and IPV. Stated L leg site round, red, puffy, dime size-Tylenol compresses.
Age: 21.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain, Malaise, Neck pain
Clinical narrative: C/O general malaise beginning on 6/19/03. Also radiating pain from injection site into neck. Presented to doctro on 6/23/03 stating she felt "fine" 100%.
Age: 1.0
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia
Clinical narrative: Mother of pt notified on 6/18/03 that after shots in December pt had crying and fever for 3 days-fever up to 104 and possible 106. Did not notify MD or health dept. Parents gave Tylenol and Motrin.
Age: 48.0
Sex: M
Vaccine: DT, HEP
Symptoms: Diarrhoea, Dizziness, Nervousness
Clinical narrative: Within 30" of receiving vaccines, pt felt dizzy, faint, nervous. Symptoms continued intermittently "in waves" over next 48 hrs. Episodes only lasting a few seconds. Seen by his doctor who thought symptoms wee related to immunization. On 6/19/03, started having loose, watery, foul smelling stools-3-4 day; one loose stool this am and now improved. No problems at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pruritus, Tenderness
Clinical narrative: R arm 5 1/2 x 7/14" redness and swelling, warm to the touch, (+) itchy, some tenderness. Tx: Motrin q 6 prn, Benadryl prn and ice to area.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L thigh 4cm red, raised, warm area.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Vomiting
Clinical narrative: Extremely irritability, spitting up with feeds, temp 102.7 x 2d.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Agitation, Hot flush, Pyrexia, Tremor
Clinical narrative: Received vaccines at 3pm 6/23/03; 6/24 at 4:30am, mother awakened by child crying, trembling all over, very flushed ("red as a beet"), feverish. She called our Dr. who advised her to go to the ER.  A follow up report received 7/10/2003 adds: Pt probably had undiagnosed roseola?
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: L arm red and swollen.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site warmth, Pruritus
Clinical narrative: 6/18/03 developed itching at injection site with some erythema. 6/23/03 itching and erythema. Erythema 24.5 x 8cm at widest point, sl. warm to touch, minimal induration. Temp 97.1, no SOB, dyspnea. Rx: Elocon BID prn itching, Benadryl 50mg q 4 prn, Aleve x 2 BID prn.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Wheezing
Clinical narrative: Parent noted wheezing, pronounced breathing 24 hours after administration of vaccine. Seen in PMD office 6/20/03. Administered albuterol nebulizer and Orapred. With some relief Mon. noted wheezing after last Prevnar dose as well but not as symptomatic.
Age: 11.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Rash pruritic
Clinical narrative: Developed highly pruritic rash which progressed from neck to entire body. MD prescribed Prednisone and Benadryl too. Rash lasted 4 days.
Age: 9.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Rash
Clinical narrative: Rash onset 6/24/03. Rash arms and legs, "small, tiny dots" over arms and legs. Child has no complaint of itch. No fever present. No other complaints.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Left arm red, started several days after injection.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Dizziness, Nausea
Clinical narrative: Pt felt nauseous, dizzy with abdominal cramping 30 minutes. After vaccination T 97.9, BP 110/80, R 16, P 84. Skin warm and dry - tongue moist. Has bad taste in mouth - no SOB or difficulty swallowing. No swelling or rash at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt developed an area of redness and swelling to site of application of immunizations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling/redness/warm to touch of injection site right thigh - post immunization of IPV. Redness measures 9 x 10 cm.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt was seen at MD office on 6/10/03 in AM. According to nurse, the pt had a large local reaction of the left arm - 11 x 6cm - red, warm and swollen, elevated temp. Mother stated to MD's nurse that child had a temp at home of 103 - temp at MD office ax. 99.7 - no other symptoms reported.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Crying, Pyrexia, Screaming, Vomiting
Clinical narrative: Unconsolable crying for over 3 hours. Fever went to 102, some vomiting. Back to normal after 48 hours (was not sick before immunizations).
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Fontanelle bulging, Pyrexia
Clinical narrative: After 24 hours, developed fever 101.5 and bulging fontanelle. Seen at ER. Seen in my office about 72 hours later and found to be completely recovered.
Age: 62.0
Sex: M
Vaccine: TD
Symptoms: Blister, Injection site induration, Oedema, Pain
Clinical narrative: Right deltoid sore from vaccine for 5 days, then developed bulla, vesicles, induration "pain". Over next week skin surface improved, bulla scabbed over, hyperpigmented area where vesicles were (circular around IM site), some edema bicep and regional pain.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Dyspnoea, Tremor
Clinical narrative: 6/24/03 at 4:40 AM mom called our office. Says baby gasping and shaking for 2 hours. Instructed mom to take to ER.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Firm, warm, erythemic area of induration 13 x 10 cm right anterlateral thigh. Nontender, afebrile, full weight bearing, full range of motion.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Unintended pregnancy
Clinical narrative: Pt given MMR and PPD on 6/11/03, had PPD read 6/13/03. Came in on Monday 6/16/03 stating she just found out she is pregnant. Has not been to MD for care yet. Told to do so and we would follow up.  Telephone call to pt 6/19/03 and 6/20/03.
Age: 39.0
Sex: F
Vaccine: TD, TD
Symptoms: Erythema, Impaired healing, Influenza like illness, Lymphadenopathy, Oedema
Clinical narrative: Temp 105 degrees F for 3 days, left arm paralysis for one day. Swelling, redness for 4 days, loss of hearing in left ear. Flu symptoms. Extreme pain left arm. Swelling of lymph glands.
Age: 39.0
Sex: F
Vaccine: TD, TD
Symptoms: Pain, Paralysis, Pyrexia
Clinical narrative: Temp 105 degrees F for 3 days, left arm paralysis for one day. Swelling, redness for 4 days, loss of hearing in left ear. Flu symptoms. Extreme pain left arm. Swelling of lymph glands.
Age: 39.0
Sex: F
Vaccine: TD, TD
Symptoms: Hypoacusis, Hypokinesia, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Temp 105 degrees F for 3 days, left arm paralysis for one day. Swelling, redness for 4 days, loss of hearing in left ear. Flu symptoms. Extreme pain left arm. Swelling of lymph glands.
Age: 39.0
Sex: F
Vaccine: TD, TD
Symptoms: Injection site warmth, Lymphadenopathy, Oedema, Pain, Pulmonary congestion
Clinical narrative: Temp 105 degrees F for 3 days, left arm paralysis for one day. Swelling, redness for 4 days, loss of hearing in left ear. Flu symptoms. Extreme pain left arm. Swelling of lymph glands.
Age: 39.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Temp 105 degrees F for 3 days, left arm paralysis for one day. Swelling, redness for 4 days, loss of hearing in left ear. Flu symptoms. Extreme pain left arm. Swelling of lymph glands.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient had major reaction with no adverse events and vax site completely healed.  On 6/25/03 (day 105) patient developed erythematous, raised lesion at vax site, approx 9 mm x 11 mm.  No associated systemic symptoms.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Skin ulcer
Clinical narrative: Patient had major reaction with no adverse events and vax site completely healed.  On 6/25/03 (day 105) patient developed erythematous, raised lesion at vax site, approx 9 mm x 11 mm.  No associated systemic symptoms.