chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Feeling hot
Clinical narrative: Pt requested GARDASIL vaccine today. Order and Screening questionnaire reviewed and signed by Clinician. GARDASIL 0.5 ml IM administered in (L) Deltoid by clinic  All VS WNL. 10 minutes after admin Pt c/o feeling warm and dizzy. Clinic Nurse helped Pt to lay down in Supine position and given an icepack for comfort. Checked VS BP 126/84, P:88. Injection site appears WNL. No redness, itching, pain or swelling. Pt monitored and instructed to rest for 5 to 10 minutes. VS rev after 10 minutes. BP 120/82; P: 82. Pt states feeling much better. Dizziness has subsided. Pt states she is well enough to leave clinic. Instructed Pt to monitor for allergic reaction (difficulty breathing, swelling, fever, pain, tachycardia). Pt verbalized understanding and will call or seek medical attn for above S&SX. No LOC
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dyspnoea, Eyelid oedema, Wheezing
Clinical narrative: Wheezing, difficulty of breathing, edema eyelids; none then monitored after 1 hour.  Rx 1 epinephrine, albuterol.  2 Referred to ER by paramedics; Benadryl.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site swelling
Clinical narrative: Patient had some slight bleeding at  injection site and then it swelled up to size of golf ball (looked to be blood filled). Applied ice to site and swelling decreased over next 30 minutes. Gave patient 2 IBUPROFEN (200 mg) to take at home.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Patient with low grade fever, new runny nose, nasal congestion consistent with SXS that of FLUMIST.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pain, Injection site warmth
Clinical narrative: 10/13/08 Pt sates noticed pain and redness at ZOSTAVAX site 2 days after it was administered. Site assessed - at injection site there is erythema 12 cm x 9 cm with ecchymosis to approx 50%. Warm to touch. Not worsening
Age: 0.4
Sex: F
Vaccine: DTAPH, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: DTAP-HIB combo given before 15 months of age. No side effects reported.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Swelling - warmth - tenderness at injection site. Some axillary ademopathes on side of injection.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out about 10 min after receiving GARDASIL #3. Did not faint with other 2 GARDASIL vaccines.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MEN, TDAP
Symptoms: Cyanosis, Gaze palsy, Muscle rigidity, Pulse abnormal, Tremor
Clinical narrative: Within 1 minute of vaccine admin, eyes rolled back and had UE & LE shaking/tremors, unable to stop the tremors. This episode lasting approx 30 seconds, and was followed about 3 minutes later with eyes rolling back dusky color thready pulse with rigid contracting of her UES. This 2nd episode lasted about 1 minute total. EMS was activated, transported to hospital.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MEN, TDAP
Symptoms: Convulsion
Clinical narrative: Within 1 minute of vaccine admin, eyes rolled back and had UE & LE shaking/tremors, unable to stop the tremors. This episode lasting approx 30 seconds, and was followed about 3 minutes later with eyes rolling back dusky color thready pulse with rigid contracting of her UES. This 2nd episode lasted about 1 minute total. EMS was activated, transported to hospital.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Lymphadenopathy
Clinical narrative: (L) arm and chest redness. Axillary adenopathy.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Rash generalised, Urticaria
Clinical narrative: All over hive type body rash 5 days after vaccinations.  Benadryl OTC prn.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at injection site L lower arm Received Rx for Abx and advised to use cool compress and OTC antihistamine.
Age: 76.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Contusion, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Redness - from shoulder to wrist - 4 days Swelling - shoulder to elbow - 3 days black and blue - shoulder to elbow - 3 days fever - 3 days
Age: 1.1
Sex: F
Vaccine: FLU3, HIBV, MMR, PNC
Symptoms: Blood culture negative, Chest X-ray normal, Chills, Culture urine negative, Pyrexia
Clinical narrative: After getting vaccines, plus chills, fever to 102.9 seen at ER, did blood, urine, CXR "All normal" Low grade fever since ER visit (10-10-08) ER (10-9-08) shots given (10-8-08)
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Laboratory test, Radioallergosorbent test
Clinical narrative: Area 6 1/2 x 7 1/2 cm erythema, warm and raised at injection site.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Feeling abnormal, Heart rate
Clinical narrative: Patient complained of dizziness, spaced out feeling, fuzzy mentally, chest hurting.
Age: 25.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 25.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Heart rate increased, Immediate post-injection reaction
Clinical narrative: None stated.
Age: 25.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Oropharyngeal pain, Pregnancy test, Throat tightness
Clinical narrative: None stated.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Blister, Scab, Varicella post vaccine
Clinical narrative: Primary varicella rash vesicles and scabbed lesions greater than 40 across body (arms/legs/chest/back).
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Diplopia
Clinical narrative: c/o double vision - seen by ophthalmology & cleared. Was treated for strep throat 6 days before shots.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Rash macular
Clinical narrative: Vaccine given 10/6/08. Six days later got red bump at site of injection which has gradually increase in size. No fever. No exudate. Non-tender. Diameter of circumferential, erythematous macule is 2 cm.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster ophthalmic
Clinical narrative: Herpes Zoster - Ophthalmic Branch Z Cranial Nerve Distribution
Sex: M
Vaccine: HEP, HEPA, TTOX, TYP
Symptoms: Eye rolling, Hyperhidrosis, Neck pain, Pallor, Sensation of foreign body
Clinical narrative: Gave Hep B and Typhoid vaccine in left arm; move to right side and administered Hep A and Tetanus/Diph. As I'm about to give yellow fever vaccine, client became unresponsive, eyes rolled back, color pale, diaphoretic. Within 15 sec. client became responsive but c/o of "knot in throat", neck pain, and spots in line of vision. B/P and pulse monitored.
Sex: M
Vaccine: HEP, HEPA, TTOX, TYP
Symptoms: Unresponsive to stimuli, Visual impairment
Clinical narrative: Gave Hep B and Typhoid vaccine in left arm; move to right side and administered Hep A and Tetanus/Diph. As I'm about to give yellow fever vaccine, client became unresponsive, eyes rolled back, color pale, diaphoretic. Within 15 sec. client became responsive but c/o of "knot in throat", neck pain, and spots in line of vision. B/P and pulse monitored.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm red, swollen prescribed with  BENADRYL prn and BACTRIM PO twice daily for 5 days
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Blister, Oedema peripheral, Pain in extremity
Clinical narrative: Left arm, pain, swelling, blisters
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Neck pain, Swollen tongue
Clinical narrative: Within 20 minutes of HEP B vaccination, pain increased at injection site, radiated to neck, "mild swelling" of tongue. Denies airway obstruction, denies dyspnea. Denies visual disturbances. Pulse regular, afebrile. Ambulates steadily. Symptoms of pain and tongue swelling subsided within 25-30 minutes after reporting.
Age: 17.0
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: gave patient TWINRIX before age 18
Age: 1.2
Sex: F
Vaccine: MMR, PNC
Symptoms: Erythema, Induration, Inflammation, Local reaction, Pruritus
Clinical narrative: Patient developed local inflammation, with induration, redness, warmth and pruritic
Age: 1.2
Sex: F
Vaccine: MMR, PNC
Symptoms: Skin warm
Clinical narrative: Patient developed local inflammation, with induration, redness, warmth and pruritic
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Decreased appetite, Headache, Pyrexia
Clinical narrative: Started 2 days after immunized: Fever 100.4, severe stomach cramps, headaches and poor appetite.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle twitching
Clinical narrative: Left arm (shoulder and forearm) continuous muscle twitching that started the same day as the vaccine and persists now 2 days later
Age: 32.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Erythema, Local reaction, Oedema peripheral, Pain in extremity
Clinical narrative: Erythema and significant edema to the Right Deltoid area extending to the Right elbow associated with pain - large local reaction.
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Cough, Headache, Sneezing
Clinical narrative: Sneezing, pain in joints, coughing, headache
Age: 4.0
Sex: F
Vaccine: FLUN3, UNK
Symptoms: Diarrhoea, Headache, Pallor, Rhinorrhoea
Clinical narrative: Diarrhea yesterday after MIST - Today mom reported c/o H/A, runny nose and looks pale.
Age: 0.7
Sex: F
Vaccine: HIBV, PNC
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Received PCV-7 & ACT HIB about 11 AM. Late afternoon began running fever around 7 PM Temp noted to be 103 Axillary. Client hade sever brief episodes of swelling of extremities, no loss of consciousness - lasted only seconds
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site laceration, Injection site scab
Clinical narrative: At site of HEP A vaccine injection a 1 cm area of skin breakdown /  laceration with scab formation. Little or no inflammation. Seen on 10-1-08.
Sex: U
Vaccine: FLUN3, HEPA, TDAP, VARCEL
Symptoms: Erythema, Immunisation reaction, Oedema peripheral, Pain, Skin warm
Clinical narrative: Heptatitis A and Varicella were given on October 14th in patient's right arm. Varicella was in LA. On 10/15 mother called stating patients left arm was swollen and red but no fever. Cool compresses advised. 10/16 mother called Right arm swollen and hot and size of $.50 piece and "feels like a needle is in arm." Patient seen in office 10/16 with possible cellulits and reaction to Varicella. Placed on Omnicef and warm compresses. To be rechecked on 10/18 in the office.
Age: 15.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Pruritus, Urticaria
Clinical narrative: Within an hour after receiving immunizations the client returned to the clinic c/o itching on the feet and legs. Did have hives below the waist. Treatment was Benadryl 50mg IM in left deltoid. Which the client tolerated well and relief was noted.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Chest discomfort, Cough, Disorientation
Clinical narrative: I had my shot at 1:00 pm, I went back to work and felt a little disoriented and my arm ached.By 5:00 pm that same day, I got a  heavy,wheezing feeling in my chest and coughed and coughed, my body was aching,my eyes got very red and irratated, aprox 3:00 am i woke up and my eyes were swollen and almost matted shut.went to the Drs the following day at 10:30 am. And she said she does not beleive it was from the shot she belives I just"happened to get a virus on the same day. I do not believe this is the case. normally if I get sick my neck glands start hurting a couple days before I come down with something, and I was completly fine before the shot. The Dr. told me to take tylenol cold medicine,benadryl, and rest. Today I stayed home from work again, as for I am aching bad and very weak feeling, however my low grade fever has not come back yet today.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Eye irritation, Eye swelling, Ocular hyperaemia, Pain, Pain in extremity
Clinical narrative: I had my shot at 1:00 pm, I went back to work and felt a little disoriented and my arm ached.By 5:00 pm that same day, I got a  heavy,wheezing feeling in my chest and coughed and coughed, my body was aching,my eyes got very red and irratated, aprox 3:00 am i woke up and my eyes were swollen and almost matted shut.went to the Drs the following day at 10:30 am. And she said she does not beleive it was from the shot she belives I just"happened to get a virus on the same day. I do not believe this is the case. normally if I get sick my neck glands start hurting a couple days before I come down with something, and I was completly fine before the shot. The Dr. told me to take tylenol cold medicine,benadryl, and rest. Today I stayed home from work again, as for I am aching bad and very weak feeling, however my low grade fever has not come back yet today.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Viral infection, Wheezing
Clinical narrative: I had my shot at 1:00 pm, I went back to work and felt a little disoriented and my arm ached.By 5:00 pm that same day, I got a  heavy,wheezing feeling in my chest and coughed and coughed, my body was aching,my eyes got very red and irratated, aprox 3:00 am i woke up and my eyes were swollen and almost matted shut.went to the Drs the following day at 10:30 am. And she said she does not beleive it was from the shot she belives I just"happened to get a virus on the same day. I do not believe this is the case. normally if I get sick my neck glands start hurting a couple days before I come down with something, and I was completly fine before the shot. The Dr. told me to take tylenol cold medicine,benadryl, and rest. Today I stayed home from work again, as for I am aching bad and very weak feeling, however my low grade fever has not come back yet today.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, No reaction on previous exposure to drug, Syncope
Clinical narrative: Reports approx. 30 minutes after the flu shot was feeling bad and then when got home had difficulty breathing, syncope, vomited, dizziness.  Had the flu shot before with no previous reactions in the past.  Refused to go to hospital.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Reports approx. 30 minutes after the flu shot was feeling bad and then when got home had difficulty breathing, syncope, vomited, dizziness.  Had the flu shot before with no previous reactions in the past.  Refused to go to hospital.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness, swelling on left thigh
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness, swelling on left thigh
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Dry mouth, Erythema, Feeling of body temperature change
Clinical narrative: Rec'd Afluria vaccine at 9am. Reports at 5pm began to feel flushed, aching, chilled. Reports during night had shaking chills and felt aching all over. Took Tylenol for complaints. At 9am reports still doesn't feel well. Skin flushed. Cheeks reddened. Temp 99.2 otic. Hands cool to touch. c/o feeling hot/cold. c/o "dry mouth". Reports has had the flu vaccine before but never had a problem before. Reports felt "fine" prior to getting the vaccine and this is "not my usual" when I do get sick.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Malaise, No reaction on previous exposure to drug, Pain, Tremor
Clinical narrative: Rec'd Afluria vaccine at 9am. Reports at 5pm began to feel flushed, aching, chilled. Reports during night had shaking chills and felt aching all over. Took Tylenol for complaints. At 9am reports still doesn't feel well. Skin flushed. Cheeks reddened. Temp 99.2 otic. Hands cool to touch. c/o feeling hot/cold. c/o "dry mouth". Reports has had the flu vaccine before but never had a problem before. Reports felt "fine" prior to getting the vaccine and this is "not my usual" when I do get sick.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Eye discharge, Eye pruritus, Feeling cold
Clinical narrative: At approximately 5:30 PM patient started developing "scratchy" eyes and blurry vision. She felt like she could not take a deep breath. After a while she felt like her throat was closing up and she developed mucus in her eyes. She waited until her husband came home and he took her to the emergency room about 8:00 PM. She said her breathing was better by that time, but she had a "horrible" headache and was "freezing". She was given a breathing treatment at the emergency room. She was discharged with an inhaler and Benadryl. The next morning she still had a "horrible" headache, bloodshot eyes, and was chilling. Patient still has "scratchy" eyes today, but all other symptoms have subsided.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Ocular hyperaemia, Throat tightness, Vision blurred
Clinical narrative: At approximately 5:30 PM patient started developing "scratchy" eyes and blurry vision. She felt like she could not take a deep breath. After a while she felt like her throat was closing up and she developed mucus in her eyes. She waited until her husband came home and he took her to the emergency room about 8:00 PM. She said her breathing was better by that time, but she had a "horrible" headache and was "freezing". She was given a breathing treatment at the emergency room. She was discharged with an inhaler and Benadryl. The next morning she still had a "horrible" headache, bloodshot eyes, and was chilling. Patient still has "scratchy" eyes today, but all other symptoms have subsided.
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Dizziness, Headache, Hypoaesthesia, Pyrexia, Tremor
Clinical narrative: PT PRESENTS WITH SHAKING, NUMBNESS IN ALL EXTREMITIES, HEADACHE, DIZZINESS, AND FEVER.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Hyperhidrosis, Nausea, Oral herpes, Pain
Clinical narrative: 10/15- body aches, diarhhea, fever (sweats, fever blister on lip) 10/16 symptoms continued and felt a little better. without diarrhea this morning(10/17/2008).  Still  aches and nausea.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: 10/15- body aches, diarhhea, fever (sweats, fever blister on lip) 10/16 symptoms continued and felt a little better. without diarrhea this morning(10/17/2008).  Still  aches and nausea.
Age: 20.0
Sex: F
Vaccine: FLU3, HPV4, TDAP
Symptoms: Chills, Hypoaesthesia, Pyrexia, Rhinorrhoea
Clinical narrative: History of Guillain-Barre' syndrome.  Saw private provider 10/16/2008 with complaints of fever, chills, nasal drainage, lower back numbness. Given injection of depo-medrol, dexamethasone, and rocephin.  RX for claritin.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Dizziness, Lightheaded, Faint, Sweaty.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pain, Eye swelling, Eyelid oedema, Ocular hyperaemia, Upper respiratory tract congestion
Clinical narrative: 10/16/2008 3 PM R eye feeling "puffy".  Discomfort in eyes with redness and swellling of upper lids.  Took OTC allergy med ? claritin.  Hydrocortisone cream on both lids.  Swelling has decreased this am 10/17.  Cont. with OTC allergy med and CVS medication for "chest congestion"  Zythromycin for 5 days
Age: 14.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Lymphadenitis, Lymphadenopathy, Musculoskeletal discomfort, Swelling, X-ray limb
Clinical narrative: Patient woke at 3:00 am on 10/16/08 with a swollen area in the right clavicle region. He had trouble turning his neck to the left. No redness or swelling was noted at the injection site. He came to Health Department and was seen by an RN. He was then sent to his physician or a walk in clinic for further diagnosis. He was taken to Emergency Department, by his mother. He was diagnosised with cervical adenitis, by Dr. Patient was prescribed Amoxicillin 500 mg, tid for 7 days, Motrin 800 mg, every 8 hours and his right arm was placed in a sling for comfort.
Age: 78.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Feeling abnormal, Heart rate increased, Palpitations
Clinical narrative: A few minutes after receiving the injection I felt "strange," a little weak, and then noticed a rapid, strong heartbeat. (I had started to go to the gym but changed my mind because I didn't feel quite right.)I walked back to the office, got some tea, and took a Tylenol regular strength tablet. The heartbeat subsided and I felt OK within 30-45 minutes.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Dysstasia, Fatigue, Feeling of body temperature change, Hyperhidrosis
Clinical narrative: 10/16 am woke up with stom pain.(sharp).  Felt "tired", body achee that increased throughout the day.  By 5Pm could not stand up, slept for 3 hours in the afternoon.  Felt "hot" and "cold".  Woke up at 5AM today 10/17/2008 heavy perspiration, aches are gone, some nausea
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain
Clinical narrative: 10/16 am woke up with stom pain.(sharp).  Felt "tired", body achee that increased throughout the day.  By 5Pm could not stand up, slept for 3 hours in the afternoon.  Felt "hot" and "cold".  Woke up at 5AM today 10/17/2008 heavy perspiration, aches are gone, some nausea
Age: 18.0
Sex: F
Vaccine: FLUN3
Symptoms: Rash
Clinical narrative: Patient was seen at ER yesterday evening for evaluation of facial rash that developed approximately 8 hours after receiving flu mist vaccine.  She denies fever, chills, lip or throat swelling, or pruritis and the rash is confined to her face primarily the cheeks.  Patient has not previously received any flu vaccine.  She was given Benadryl at hospital and told to follow up in clinic.  No signs or symptoms of anaphylaxis.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia facial, Muscular weakness
Clinical narrative: Within minutes of receiving the vaccine in the left deltoid, employee experienced numbness on the left side of face and weakness/numbness of the left arm and headache.  Weakness/numbness begain wearing off about 2 pm same date but had the headache throughout the night.  Rx'd with Motrin.  Symptoms resolved.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hemiparesis, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Within minutes of receiving the vaccine in the left deltoid, employee experienced numbness on the left side of face and weakness/numbness of the left arm and headache.  Weakness/numbness begain wearing off about 2 pm same date but had the headache throughout the night.  Rx'd with Motrin.  Symptoms resolved.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia facial, Muscular weakness
Clinical narrative: Within minutes of receiving the vaccine ion the left deltoid, employee experienced numbness on the left side of face and weakness/numbness of the left arm and headache. Weakness/numbness began wearing off about 2 PM same date but had the headache throughout the night. Prescribed with MOTRIN Symptoms resolved.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hemiparesis, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Within minutes of receiving the vaccine ion the left deltoid, employee experienced numbness on the left side of face and weakness/numbness of the left arm and headache. Weakness/numbness began wearing off about 2 PM same date but had the headache throughout the night. Prescribed with MOTRIN Symptoms resolved.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urine analysis normal
Clinical narrative: Pt developed red, swollen painful deltoid.  Developed temp of 101.8 overnight following vaccine administration.  UA neg, blood cultures sent.  Pt receiving releif from tylenol, ice.  Currently afebrile.  12/23/08 Reviewed hospital medical records of 10/14-10/18/2008. FINAL DX: atrial fibrillation; allergic reaction to influenza vaccine(injection site swelling & redness, fever 102). Records reveal patient experienced palpitations, rapid irregular heartbeat, chest heaviness, feeling unwell, SOB, diaphoretic.  In ER, rapid atrial fib treated w/meds & cardioversion.  received pneumovax right arm & influenza vax left arm.  Same day developed swelling & redness over the left arm w/fever 102.  Fever & swelling resolved by next day.  D/C to home.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Patient's lower lip began swelling about 8:00 PM on Wednesday, 10/15/08. She came to our facility on Thursday morning. We advised her to call her physician, due to large swelling on lower lip. Patient saw M.D. on Thursday, 10/16/08 and was given a benadryl type medication. Swelling was completely gone by Friday morning.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: administered Sat. Oct. 11, 2008.  Called CVS Sunday, call not returned.  Fever Sat. night, 3x4 inch swelling, hot to touch.  Called CVS referal number also.  Said swelling was normal.  Called minute clinic again Monday, Oct 12, (holiday). Said maybe I should see my Dr.  Swelling was less red.  I did cold packs as suggested.  Took Tylenol.  Did not see Dr.  (holiday).  Improved daily.
Age: 24.0
Sex: M
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Erythema, Hypersensitivity, Oedema peripheral, Pruritus
Clinical narrative: Patient received FluMist Nasal Influenza vaccine  on 10/9/08 around 10:30am.  10/10/08 left hand began itching and mild swelling. 10/11/08 left hand and palm red, swollen, itching, right hand started itching.10/12/08 Both hands itching and swollen, hive type lesions appeared at ankles and feet, hives on side of head and torso of body appeared on this date. 10/13/08 Symptoms still present patient went to physician at Hospital who diagnosed as an allergic reaction and prescribed an over the counter anti-itch cream, Clodetasol and Hydroxyz-Hcl 25mg.  Patient still on medications which he states are controlling the itch which when scratched begins to burn.  Patient has not returned to work at this time due to the hives which are evident on his body.
Age: 24.0
Sex: M
Vaccine: FLUN3
Symptoms: Skin burning sensation, Urticaria
Clinical narrative: Patient received FluMist Nasal Influenza vaccine  on 10/9/08 around 10:30am.  10/10/08 left hand began itching and mild swelling. 10/11/08 left hand and palm red, swollen, itching, right hand started itching.10/12/08 Both hands itching and swollen, hive type lesions appeared at ankles and feet, hives on side of head and torso of body appeared on this date. 10/13/08 Symptoms still present patient went to physician at Hospital who diagnosed as an allergic reaction and prescribed an over the counter anti-itch cream, Clodetasol and Hydroxyz-Hcl 25mg.  Patient still on medications which he states are controlling the itch which when scratched begins to burn.  Patient has not returned to work at this time due to the hives which are evident on his body.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctivitis allergic, Eye pruritus, Ocular hyperaemia, Vaccine positive rechallenge
Clinical narrative: Pt recieve flu vaccine and developed itchy red eyes within 24 hrs of vaccine, same problem occured the year before.  Pt this year treated for allergic conjuctivitis with patonol prn;  if
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt had two days of fever <101 followed by two weeks of daily irritability.  Slept OK but during day time was irritable 90% of time.  No signs or symptoms of other illness.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Culture urine positive, Injection site erythema, Injection site pain, Injection site swelling, No reaction on previous exposure to drug
Clinical narrative: Shot given right triceps and reported within 24 hrs a very significant 3 x 8 inch redness, tenderness and swelling starting at the injection site and spreading downward almost to the elbow.  There was no sign of infection and the patient denied any other symptoms.  I saw the site on 10/17/08 and it appeared to me to be a much larger than expected reaction compared to those I have seen in 25 years of giving and receiving flu shots.  I agreed that there was no sign of infection.  The patient has taken flu shots for many years and never reported any similar reactions. We are wondering whether she should now consider herself allergic to all flu vaccines and whether she should get flu vaccines ever again.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Pain, Stomach discomfort
Clinical narrative: 4 hours after receiving the flu vaccination complained of bad chills, body aches, head ache, fatigue and upset stomach. (Did not take temperature.) The next day continued to have chills, upset stomach and fatigue but they were not as severe.  Continued to feel tired and have an upset stomach the second day following the injection, but chills were gone.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Musculoskeletal pain
Clinical narrative: Experienced 2+ month history of shoulder pain described as sharp and deep in his shoulder.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Cold sweat, Computerised tomogram, Dizziness, Head discomfort, Laboratory test
Clinical narrative: Cold sweats, dizziness lasting one week since influenza vaccine. Head feels heavy.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Inappropriate schedule of drug administration, Local reaction, Lymphadenopathy, Pain
Clinical narrative: Localized swelling, pain, redness, fever. Swollen lymph node over left clavicle (vaccine in left arm). Pain, achiness, swollen lymph node persisting for 3 weeks.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Localized swelling, pain, redness, fever. Swollen lymph node over left clavicle (vaccine in left arm). Pain, achiness, swollen lymph node persisting for 3 weeks.
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Pt broke out in hives, had difficulty breathing, after receiving the flulaval vaccine on 10/11/08
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5, DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Enema administration, Intussusception, Surgery
Clinical narrative: 3 days after receiving vaccines intussusception was suspected and patient was Hospital were intussusception was diagnosed and was unable to be reduced by enema and had to be done manually in the OR.  No bowel resectioning was necessary.  10/28/08 Reviewed hospital medical records of 10/9-10/13/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced intermittent crampy abdominal pain, abdominal distention & vomiting x 3 days.  Taken emergently to OR when enema administration did not reduce IS.  Open reduction performed.  Progressed well & d/c to home.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5, DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Abdominal mass, Barium enema abnormal, Intussusception, Pyrexia, Surgery
Clinical narrative: 3 days after receiving vaccines intussusception was suspected and patient was Hospital were intussusception was diagnosed and was unable to be reduced by enema and had to be done manually in the OR.  No bowel resectioning was necessary.  10/28/08 Reviewed hospital medical records of 10/9-10/13/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced intermittent crampy abdominal pain, abdominal distention & vomiting x 3 days.  Taken emergently to OR when enema administration did not reduce IS.  Open reduction performed.  Progressed well & d/c to home.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5, DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Vomiting
Clinical narrative: 3 days after receiving vaccines intussusception was suspected and patient was Hospital were intussusception was diagnosed and was unable to be reduced by enema and had to be done manually in the OR.  No bowel resectioning was necessary.  10/28/08 Reviewed hospital medical records of 10/9-10/13/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced intermittent crampy abdominal pain, abdominal distention & vomiting x 3 days.  Taken emergently to OR when enema administration did not reduce IS.  Open reduction performed.  Progressed well & d/c to home.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dizziness, Fatigue, Headache, Incontinence
Clinical narrative: It started with me feeling very tired and dizzy.  So I went home and went to bed.  Then I was shaking and chilled with my teeth chattering uncontrolably, even though I was completely (including my head) under two heavy blankets.  Next I vomited so hard that I was also incontinent at the same time.  The fever was making my head ache.  The chills and shaking continued for the next six hours with me having to go to the bathroom every half hour.  Because I was obviously losing a lot of fluid I tried to drink something but my throat was so swollen and sore that I could only trickle the fluid in.  My muscles were aching.  I am not allergic to eggs, latex, Thimerosal and I have never had Guillian Barre Syndrome.  In fact, I have taken a flu shot every year for more than a decade because I work at a center and come in contact with 3000-10,000 people on any given night.  I am not very young or very old and I am otherwise very healthy.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Myalgia, No reaction on previous exposure to drug, Oropharyngeal pain, Pharyngeal oedema, Pyrexia
Clinical narrative: It started with me feeling very tired and dizzy.  So I went home and went to bed.  Then I was shaking and chilled with my teeth chattering uncontrolably, even though I was completely (including my head) under two heavy blankets.  Next I vomited so hard that I was also incontinent at the same time.  The fever was making my head ache.  The chills and shaking continued for the next six hours with me having to go to the bathroom every half hour.  Because I was obviously losing a lot of fluid I tried to drink something but my throat was so swollen and sore that I could only trickle the fluid in.  My muscles were aching.  I am not allergic to eggs, latex, Thimerosal and I have never had Guillian Barre Syndrome.  In fact, I have taken a flu shot every year for more than a decade because I work at a center and come in contact with 3000-10,000 people on any given night.  I am not very young or very old and I am otherwise very healthy.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Tremor, Vomiting
Clinical narrative: It started with me feeling very tired and dizzy.  So I went home and went to bed.  Then I was shaking and chilled with my teeth chattering uncontrolably, even though I was completely (including my head) under two heavy blankets.  Next I vomited so hard that I was also incontinent at the same time.  The fever was making my head ache.  The chills and shaking continued for the next six hours with me having to go to the bathroom every half hour.  Because I was obviously losing a lot of fluid I tried to drink something but my throat was so swollen and sore that I could only trickle the fluid in.  My muscles were aching.  I am not allergic to eggs, latex, Thimerosal and I have never had Guillian Barre Syndrome.  In fact, I have taken a flu shot every year for more than a decade because I work at a center and come in contact with 3000-10,000 people on any given night.  I am not very young or very old and I am otherwise very healthy.
Age: 12.0
Sex: F
Vaccine: HPVX
Symptoms: Computerised tomogram, Crying, Dizziness, Headache, Vomiting
Clinical narrative: Vaccine administered at approximately 2:00 P.M. Child awoke at 1:30 AM complaining of severe headache stated pounding and throbbing. Child crying. Thirty minutes later, she vomited. Also complained of dizziness. Headache unrelieved by Tylenol. Headache intermittently comes back, but not as bad. Exactly one week later, headache came back (severe headache).
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Swollen tongue
Clinical narrative: ~15-30 minutes after receiving fluzone in left deltoid mtoher stated that pt. tongue began to swell.  Two hours after symptoms began his mother called the health department and stated that his tongue was swelling and wanted to know what to do.  Health department staff informed mother to immediately call 911, but had caregiver take him to local ER. According to mother, he received benadryl and steriods and sent home from ER.  He was home resting, without any difficulty, within 3 hours of treatment.
Age: 11.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia oral
Clinical narrative: client given Hepatitis A #1 vaccine in afternoon of 9/26/08 within one hour of getting vaccine client noticed redness swelling and tenderness at injection site and tongue became tingly mom gave client benadryl tongue symptom resolved puffiness of arm lasted aprox. 5 days tenderness of arm lasted aprox. 2 days
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Oropharyngeal pain, Pain
Clinical narrative: Within 4 hours of administration of Fluzone vaccine, pt had temperature of 103 degrees and body aches, weak and sore throat.  All symptoms persisted for more than 24 hours.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyskinesia, Fall, Muscle twitching, Unresponsive to stimuli
Clinical narrative: Gardasil administered in right deltoid and within approximately 1 minute, patient complained of feeling faintish.  Around 1 1/2 minutes patient's head fell to the table and she began to twitch and jerk as if having a seizure and then urinated on the floor. This lasted about 15 seconds before she started responding to her name being called.  No treatment was needed.  Reported episode to her primary care physician for follow up.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urinary incontinence
Clinical narrative: Gardasil administered in right deltoid and within approximately 1 minute, patient complained of feeling faintish.  Around 1 1/2 minutes patient's head fell to the table and she began to twitch and jerk as if having a seizure and then urinated on the floor. This lasted about 15 seconds before she started responding to her name being called.  No treatment was needed.  Reported episode to her primary care physician for follow up.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Flushing, Immediate post-injection reaction, Oxygen supplementation
Clinical narrative: Flushing, itching, chest tightness, and dyspnea immediately after flu vaccine administration.  Received single adult epinephrine autoinjector.  Oxygen 15-10 LPM via nonrebreather mask.  Patient was transported to Medical Center via ambulance. 10/21/08 Reviewed hospital medical records of 10/9-10/2008. FINAL DX: acute allergic reaction to flu shot Records reveal patient experienced hives, itching, SOB, wheezing, throat tightness & chest pain.  Tx w/epi, nebs, Benadryl & steroids.  29 weeks pregnant.  No reaction on prior flu shots.  Admitted for fetal monitoring overnight. D/C to home on continued antihistamines.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Flushing, itching, chest tightness, and dyspnea immediately after flu vaccine administration.  Received single adult epinephrine autoinjector.  Oxygen 15-10 LPM via nonrebreather mask.  Patient was transported to Medical Center via ambulance. 10/21/08 Reviewed hospital medical records of 10/9-10/2008. FINAL DX: acute allergic reaction to flu shot Records reveal patient experienced hives, itching, SOB, wheezing, throat tightness & chest pain.  Tx w/epi, nebs, Benadryl & steroids.  29 weeks pregnant.  No reaction on prior flu shots.  Admitted for fetal monitoring overnight. D/C to home on continued antihistamines.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Heart rate increased
Clinical narrative: Developed dizziness, weakness and increase in heart rate on the day of the vaccination. Symptoms resolved after 2 days
Age: 11.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Symptoms noticed on 10/15/2008.  Itchy, swollen, red, warm to touch area extending 4.5 * 5.5 inches left upper arm
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Rash macular
Clinical narrative: Injection site became red and warm within hours of trt.  Red, itchy, warm blotches extended 6" down front of arm below injection site.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Blood pressure increased, Burning sensation, Dyspnoea, Heart rate normal
Clinical narrative: Came to employee health 6 hours after vaccination and stated that she was experiencing throat tightness and felt that her face was swollen.  States has been sneezing every few minutes since vaccination and that face is burning. States she is short of breath. Appears to be very anxious.  B/P is 150/70 with Pulse of 76. Evaluated and given Claritin.  At 1315 B/P is 135/80 with pulse of 80.  Pulse oximetry is 98% saturation.  At 1330 B/P is 120/78, pulse is 74, RR is 26.  O2 Sat is 97%.  Discharged and will F/U.  Will take Claritin Qd through weekend.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Oxygen saturation normal, Sneezing, Swelling face, Throat tightness
Clinical narrative: Came to employee health 6 hours after vaccination and stated that she was experiencing throat tightness and felt that her face was swollen.  States has been sneezing every few minutes since vaccination and that face is burning. States she is short of breath. Appears to be very anxious.  B/P is 150/70 with Pulse of 76. Evaluated and given Claritin.  At 1315 B/P is 135/80 with pulse of 80.  Pulse oximetry is 98% saturation.  At 1330 B/P is 120/78, pulse is 74, RR is 26.  O2 Sat is 97%.  Discharged and will F/U.  Will take Claritin Qd through weekend.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Mother states child has been crying non-stop for 24 hours
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: RECEIVED VACCINES ON 10/13/08. RAN FEVER OF 102 DEGREES TIMES 2 DAYS, THEN BECAME DIAPHORETIC. APPOINTMENT WITH DOCTOR 10/16/08 AND SUGGESTED VAERS REPORT.
Age: 71.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity
Clinical narrative: Left arm pain, improving but still present at this time.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Lymphadenopathy, Mass, Neck pain
Clinical narrative: pain in neck with a lump started at 2:30 patient was brought to clinic at 3:30 was asessed by PA and dx with lymphadneopathy on left side
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Asthenia, Fatigue, Headache, Infection, Injection site pain
Clinical narrative: I received Pneumovax which was administered by the local pharmacy at approximately 3 pm.  The injection was intensely painful.  The pain continued to get worse which kept me awake the entire night with no sleep due to the intense pain in my arm left arm.  My arm was hot to the touch.  I had a headache and was weak and tired.  My arm was severly swollen. My husband took me to our physician first thing the next morning.  The physician took one look at all the swelling and hot tissue and said that I had a raging infection.  He gave me some antibiotics and said if I was not better to call him after the weekend.  Our total cost for the doctor was $125 and $25 for the antibiotic and was not covered by insurance.  It is now 48 hours later and there is no improvement.  11/20/2008 Office records received from PCP for OV 10/16/08 with DX:  Cellulitis.  Insomnia. Pt presented with c/o rash, itching, ? chills, and sleep troubles. L shoulder warm and swollen and injection site. Tx with abx and Ambien
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Oedema peripheral, Pain in extremity, Skin warm, Sleep disorder
Clinical narrative: I received Pneumovax which was administered by the local pharmacy at approximately 3 pm.  The injection was intensely painful.  The pain continued to get worse which kept me awake the entire night with no sleep due to the intense pain in my arm left arm.  My arm was hot to the touch.  I had a headache and was weak and tired.  My arm was severly swollen. My husband took me to our physician first thing the next morning.  The physician took one look at all the swelling and hot tissue and said that I had a raging infection.  He gave me some antibiotics and said if I was not better to call him after the weekend.  Our total cost for the doctor was $125 and $25 for the antibiotic and was not covered by insurance.  It is now 48 hours later and there is no improvement.  11/20/2008 Office records received from PCP for OV 10/16/08 with DX:  Cellulitis.  Insomnia. Pt presented with c/o rash, itching, ? chills, and sleep troubles. L shoulder warm and swollen and injection site. Tx with abx and Ambien
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: 10/2: Vet phones in to report what he suspects to be an adverse reaction to his flu  vaccine received on 22 Sep 08; he describes the immediate surrounding area to be  slightly reddened, tender and raised also experiencing mild soreness in left  deltoid.  Denies resp. problems, denies n/v/d or headache, afebrility noted; PCP  made aware, MD to eval.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Hypersensitivity
Clinical narrative: A day after vaccination, got an allergic problem on his foot first then continued another one right next to the mouth area.
Age: 7.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Pyrexia, Streptococcal identification test, Streptococcal identification test negative
Clinical narrative: Patient had elevated fever up to 104 following vaccine
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Crying, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PAIN AT INJECTION SITE when given gardasil vaccine lot # 0072 excoriation was 10/24/2010 im - was 2nd gardasil -no adverse reaction from first vaccine - causing pt to cry, hold her arm, swelling at injection site 1/4 inch raised bump (declined within a seconds) redness that radiated to 1 1/2 inches from injection site (gone within 15 minutes ) had pt lay down, monitor vital signs - stayed within normal limits except temp was 98.6, 15 minutes later was 99.0, got out emergency first aid benedryl but did not need it, pts color remained the same - ARNP check pt and injection site - pt remained in clinic for 30 minutes after injection - pain had decreased in arma and pt had mobility in arm and she left in good condition.  Called pt at home 3 hours later and pt stated she felt much better and that her arm felt better than it had after her first gardasil vaccination after 3 hours.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: No reaction on previous exposure to drug
Clinical narrative: PAIN AT INJECTION SITE when given gardasil vaccine lot # 0072 excoriation was 10/24/2010 im - was 2nd gardasil -no adverse reaction from first vaccine - causing pt to cry, hold her arm, swelling at injection site 1/4 inch raised bump (declined within a seconds) redness that radiated to 1 1/2 inches from injection site (gone within 15 minutes ) had pt lay down, monitor vital signs - stayed within normal limits except temp was 98.6, 15 minutes later was 99.0, got out emergency first aid benedryl but did not need it, pts color remained the same - ARNP check pt and injection site - pt remained in clinic for 30 minutes after injection - pain had decreased in arma and pt had mobility in arm and she left in good condition.  Called pt at home 3 hours later and pt stated she felt much better and that her arm felt better than it had after her first gardasil vaccination after 3 hours.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: FEBRILE SEIZURE. FOLLOW UP APPT WAS DONE ON 10/14/2008 AT PEDS CLINIC.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Blood lactic acid, Electroencephalogram, Metabolic function test, Myoclonus
Clinical narrative: Benign Myoclonic Jerks.