chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: U
Vaccine: FLU3, VARZOS
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: IMM given on 09/09/2009 SQ Left posterior upper arm, tolerated well.  Patient reported 1-2 days later having a red raised rash (hives) to skin under breasts, around her waistline and right lateral hip.  Symptoms continued intermittently over 16 days with itching.  Patient returned to the TCC for evaluation, dx was urticaria and treated with zyrtec, benadryl and oral prednisone.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Cellulitis, Hypoaesthesia, Injected limb mobility decreased, Joint swelling
Clinical narrative: Received vaccine through Employee Health at hospital on 8/3/09. Arm swelled about two to three times normal size and turned red and hot; 1st ER visit diagnosed with adverse reaction to Tdap as well as cellulitis. Given oral antibiotic and pain killer. Waited 3 days for improvement before returning to ER. 8-10-09 return to ER for dose of Vancomycin; diagnosed with staph infection from the shot; arm has swelled more and swelling has increased to shoulder, down the shoulder blade, and up the neck. 8-12-09 return to ER; admitted for 3 days worth of Vancomycin; continued redness; swelling decreasing; arm still numb and painful to touch. Infectious disease Dr clears me of staph yet placed me on vitamin B6 for nerve health. Still unable to lift weight in left arm and painful; refer to neurologist. Nerve test results are good; no permanent damage; still pain and unable to lift weight; unable to work bc of injury. 10/2/09 Received medical records for date of service 8/10/09 to 8/12/09. DX: Cellulitis left upper arm and forearm.  Presenting SX: chief c/o left arm pain, swelling, erythema tracking up to her neck and back. Tetanus vaccine 5 days prior. PO abx given but pain, swelling and erythema got worse. Pt tx with IV abx.   ICD9 codes: 682.3, 041.12, V0254
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received vaccine through Employee Health at hospital on 8/3/09. Arm swelled about two to three times normal size and turned red and hot; 1st ER visit diagnosed with adverse reaction to Tdap as well as cellulitis. Given oral antibiotic and pain killer. Waited 3 days for improvement before returning to ER. 8-10-09 return to ER for dose of Vancomycin; diagnosed with staph infection from the shot; arm has swelled more and swelling has increased to shoulder, down the shoulder blade, and up the neck. 8-12-09 return to ER; admitted for 3 days worth of Vancomycin; continued redness; swelling decreasing; arm still numb and painful to touch. Infectious disease Dr clears me of staph yet placed me on vitamin B6 for nerve health. Still unable to lift weight in left arm and painful; refer to neurologist. Nerve test results are good; no permanent damage; still pain and unable to lift weight; unable to work bc of injury. 10/2/09 Received medical records for date of service 8/10/09 to 8/12/09. DX: Cellulitis left upper arm and forearm.  Presenting SX: chief c/o left arm pain, swelling, erythema tracking up to her neck and back. Tetanus vaccine 5 days prior. PO abx given but pain, swelling and erythema got worse. Pt tx with IV abx.   ICD9 codes: 682.3, 041.12, V0254
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Throat irritation
Clinical narrative: A few hours after the shot, my throat felt like it had something stuck in it.  I tried everything to clear it, but it took several hours to go away.  It felt like my throat was closing up, however, it wasn't and it did pass.
Age: 12.0
Sex: U
Vaccine: HPV4
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: About 1 to 2 minutes after she got her shot she got dizzy and fainted, falling off the table at the office
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Induration, Musculoskeletal pain, Tenderness
Clinical narrative: Induration, erythema 3.5 cm around, tenderness, pain entire shoulder region.  Self limited symptoms
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye pain, Lacrimation increased, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Sore throat ~ 4 hours after vaccination followed by sore, red and watery eyes and cough. Development of periorbital edema. Lasted ~48 hours.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Periorbital oedema
Clinical narrative: Sore throat ~ 4 hours after vaccination followed by sore, red and watery eyes and cough. Development of periorbital edema. Lasted ~48 hours.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Vomiting
Clinical narrative: 5 hours after injection: 102 degree tempreture, vomoting, headache. 12 hours after injection tempreture 98.8.  24 to 72 hours after injection on and off chills and overall exhaustion.
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Anxiety, Dyspnoea, Rash erythematous, Rash generalised, Upper airway obstruction
Clinical narrative: Difficulty breathing, upper airway constriction, SaO2 was 72% on room air.  Red itchy ears (within 15minutes of injection) which progressed to full body red rash with hives to cheeks, arms, and legs (within 30 minutes of injection).  Anxiety. Treatment was received extremely quickly before cardiovascular system was effected.  I took him straight from clinic to ER less than 1 mile away.  He received an oral dose of benadryl and a xopenex neb treatment at the clinic (pt own home meds - he has the same reaction to milk and I keep these things on me at all times - would have administered epi-pen if hadn't been so close to ER - presented at first like asthma attack from upsetting situation of getting 3 immunizations).  At ER received O2, SQ epinephrine, albuterol neb tx, IV solumedrol and additional benadryl IV.  We were sent home with oral prednisolone and antihistamines.
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Difficulty breathing, upper airway constriction, SaO2 was 72% on room air.  Red itchy ears (within 15minutes of injection) which progressed to full body red rash with hives to cheeks, arms, and legs (within 30 minutes of injection).  Anxiety. Treatment was received extremely quickly before cardiovascular system was effected.  I took him straight from clinic to ER less than 1 mile away.  He received an oral dose of benadryl and a xopenex neb treatment at the clinic (pt own home meds - he has the same reaction to milk and I keep these things on me at all times - would have administered epi-pen if hadn't been so close to ER - presented at first like asthma attack from upsetting situation of getting 3 immunizations).  At ER received O2, SQ epinephrine, albuterol neb tx, IV solumedrol and additional benadryl IV.  We were sent home with oral prednisolone and antihistamines.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphonia, Fatigue, Headache, Injection site inflammation, Myalgia
Clinical narrative: WITHIN 24 HRS hoarse, sore throat, congestion, headache, muscle aches, site inflammation, runny nose, fatigue - still present 4 days later
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Nasal congestion, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: WITHIN 24 HRS hoarse, sore throat, congestion, headache, muscle aches, site inflammation, runny nose, fatigue - still present 4 days later
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Ear pain, Injection site pain, Myalgia
Clinical narrative: Within 20 min of vaccine - nauseau, dizziness, earache, muscle ache and weakness, feverish and site pain. Lasted approx. 48 hrs. Bed rest, liquids
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia
Clinical narrative: Within 20 min of vaccine - nauseau, dizziness, earache, muscle ache and weakness, feverish and site pain. Lasted approx. 48 hrs. Bed rest, liquids
Age: 0.35
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Asthenia, Candidiasis, Cerebral haemorrhage, Computerised tomogram, Crying
Clinical narrative: DROP HIM OFF WITH SITTER AFTER VACCINE SHE STATED HE WAS JUST CRYING NOT EATING WHEN HE WAS WITH ME HE STATED PROJECTILE VOMITING CRY WAS VERY WEAK, PALE, AND LETHARGIC LISTLESS NOT ACTIVE HUGE BALL OF MASS WHERE INJECTIONS GIVEN RED HOT TO TOUCH. TOOK HIM TO ER THAT EVENING. BUT LEFT AFTER NURSE DID EVALUATION DUE TO WAITING FOR 3 HOURS. THE NEXT MORNING TOOK HIM TO DR TO REPORT THAT HE HAD A REACTION TO VACCINATION. THEY TREATED HIM FOR DEHYDRATION AND TOLD ME TO GO TO HOSPITAL. BECAUSE SHE SAID ALL BABIES GET A LITTLE SICK AFTER INJECTIONS SO THAT WASN'T UNCOMMON WENT TO ER BECAUSE I WAS SCARED THAT MY CHILD WAS GOING TO DIE AND AFTER SEEING THE DOCTOR THERE HE TREATED FOR DEHYDRATION AND SENT US HOME AGAIN HOME CALLED THE DR ON THE 5TH STILL CONCERN ABOUT MY BABIES HEALTH HE FOLLOWED UP WITH ME ON JULY 7 BABY HAD FEVER 101 STILL LETHARGIC NOT EATING PALE BUT THEN HE WAS TREATED FOR THRUSH. I CALLED ONE OTHER DAY AND THURSDAY AND HE TOLD ME TO CONTINUE WITH PEDIALTY AND ON SATURDAY MY HUSBAND TOOK HIM BACK TO ER AND WE REFUSED TO MOVE UNTIL THEY FOUND SOMETHING WAS WRONG WITH MY SON AND THEY DID HE WENT TO SURGERY DUE TO A HEMORRHAGE IN HIS HEAD WE STATED IN THE HOSPITAL FOR ABOUT 2 WEEKS IN ICU. AND TO THINK THIS LITTLE ANGEL WAS ABSOLUTE PERFECT UNTIL HE RECEIVED HIS 4 MONTHS VACCINATIONS. HE CONTINUES TO SEE DR. AND GET HIS CAT SCAN EVERY 3 MONTHS TO MONITOR HIS HEAD CONTINUES TO GROW. MY SON HAS NOT RECEIVED ANOTHER INJECTION AND CONTINUES TO BE ALMOST PERFECT WITH A LARGE HEAD. 11/25/09 Hosp. recs received for date 7/12/09 to 7/23/09. Duplicate records received 11/30/09. DX: subacute and chronic subdural hematoma, s/p rt. front subdural drain, retinal hemorrhages. Presented to ER w/ persistent fussiness, emesis x2 occasions at ER and dx w/ viral syndrome. Parents stated when sx continued again took pt to ER for 3rd time and had CT performed which showed subdural bleed. Assessment: large head w/ prominent forehead, anterior fontanelle bulging, pulsating small nodule palpated on the occiput, unable to fully move left eye laterally. Pt was taken to OR and subdural drain placed, removed on 7/20. Ophthalmologist consult while in hosp. showed bilat retinal hemorrhages, left sixth nerve palsy 11/25/09 ICD9 codes: 432.1,852.1, 378.54, 362.81, E928.9, E849.9, V65.3.
Age: 0.35
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Dehydration, Hypophagia, Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: DROP HIM OFF WITH SITTER AFTER VACCINE SHE STATED HE WAS JUST CRYING NOT EATING WHEN HE WAS WITH ME HE STATED PROJECTILE VOMITING CRY WAS VERY WEAK, PALE, AND LETHARGIC LISTLESS NOT ACTIVE HUGE BALL OF MASS WHERE INJECTIONS GIVEN RED HOT TO TOUCH. TOOK HIM TO ER THAT EVENING. BUT LEFT AFTER NURSE DID EVALUATION DUE TO WAITING FOR 3 HOURS. THE NEXT MORNING TOOK HIM TO DR TO REPORT THAT HE HAD A REACTION TO VACCINATION. THEY TREATED HIM FOR DEHYDRATION AND TOLD ME TO GO TO HOSPITAL. BECAUSE SHE SAID ALL BABIES GET A LITTLE SICK AFTER INJECTIONS SO THAT WASN'T UNCOMMON WENT TO ER BECAUSE I WAS SCARED THAT MY CHILD WAS GOING TO DIE AND AFTER SEEING THE DOCTOR THERE HE TREATED FOR DEHYDRATION AND SENT US HOME AGAIN HOME CALLED THE DR ON THE 5TH STILL CONCERN ABOUT MY BABIES HEALTH HE FOLLOWED UP WITH ME ON JULY 7 BABY HAD FEVER 101 STILL LETHARGIC NOT EATING PALE BUT THEN HE WAS TREATED FOR THRUSH. I CALLED ONE OTHER DAY AND THURSDAY AND HE TOLD ME TO CONTINUE WITH PEDIALTY AND ON SATURDAY MY HUSBAND TOOK HIM BACK TO ER AND WE REFUSED TO MOVE UNTIL THEY FOUND SOMETHING WAS WRONG WITH MY SON AND THEY DID HE WENT TO SURGERY DUE TO A HEMORRHAGE IN HIS HEAD WE STATED IN THE HOSPITAL FOR ABOUT 2 WEEKS IN ICU. AND TO THINK THIS LITTLE ANGEL WAS ABSOLUTE PERFECT UNTIL HE RECEIVED HIS 4 MONTHS VACCINATIONS. HE CONTINUES TO SEE DR. AND GET HIS CAT SCAN EVERY 3 MONTHS TO MONITOR HIS HEAD CONTINUES TO GROW. MY SON HAS NOT RECEIVED ANOTHER INJECTION AND CONTINUES TO BE ALMOST PERFECT WITH A LARGE HEAD. 11/25/09 Hosp. recs received for date 7/12/09 to 7/23/09. Duplicate records received 11/30/09. DX: subacute and chronic subdural hematoma, s/p rt. front subdural drain, retinal hemorrhages. Presented to ER w/ persistent fussiness, emesis x2 occasions at ER and dx w/ viral syndrome. Parents stated when sx continued again took pt to ER for 3rd time and had CT performed which showed subdural bleed. Assessment: large head w/ prominent forehead, anterior fontanelle bulging, pulsating small nodule palpated on the occiput, unable to fully move left eye laterally. Pt was taken to OR and subdural drain placed, removed on 7/20. Ophthalmologist consult while in hosp. showed bilat retinal hemorrhages, left sixth nerve palsy 11/25/09 ICD9 codes: 432.1,852.1, 378.54, 362.81, E928.9, E849.9, V65.3.
Age: 0.35
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Intensive care, Lethargy, Listless, Pallor, Pyrexia
Clinical narrative: DROP HIM OFF WITH SITTER AFTER VACCINE SHE STATED HE WAS JUST CRYING NOT EATING WHEN HE WAS WITH ME HE STATED PROJECTILE VOMITING CRY WAS VERY WEAK, PALE, AND LETHARGIC LISTLESS NOT ACTIVE HUGE BALL OF MASS WHERE INJECTIONS GIVEN RED HOT TO TOUCH. TOOK HIM TO ER THAT EVENING. BUT LEFT AFTER NURSE DID EVALUATION DUE TO WAITING FOR 3 HOURS. THE NEXT MORNING TOOK HIM TO DR TO REPORT THAT HE HAD A REACTION TO VACCINATION. THEY TREATED HIM FOR DEHYDRATION AND TOLD ME TO GO TO HOSPITAL. BECAUSE SHE SAID ALL BABIES GET A LITTLE SICK AFTER INJECTIONS SO THAT WASN'T UNCOMMON WENT TO ER BECAUSE I WAS SCARED THAT MY CHILD WAS GOING TO DIE AND AFTER SEEING THE DOCTOR THERE HE TREATED FOR DEHYDRATION AND SENT US HOME AGAIN HOME CALLED THE DR ON THE 5TH STILL CONCERN ABOUT MY BABIES HEALTH HE FOLLOWED UP WITH ME ON JULY 7 BABY HAD FEVER 101 STILL LETHARGIC NOT EATING PALE BUT THEN HE WAS TREATED FOR THRUSH. I CALLED ONE OTHER DAY AND THURSDAY AND HE TOLD ME TO CONTINUE WITH PEDIALTY AND ON SATURDAY MY HUSBAND TOOK HIM BACK TO ER AND WE REFUSED TO MOVE UNTIL THEY FOUND SOMETHING WAS WRONG WITH MY SON AND THEY DID HE WENT TO SURGERY DUE TO A HEMORRHAGE IN HIS HEAD WE STATED IN THE HOSPITAL FOR ABOUT 2 WEEKS IN ICU. AND TO THINK THIS LITTLE ANGEL WAS ABSOLUTE PERFECT UNTIL HE RECEIVED HIS 4 MONTHS VACCINATIONS. HE CONTINUES TO SEE DR. AND GET HIS CAT SCAN EVERY 3 MONTHS TO MONITOR HIS HEAD CONTINUES TO GROW. MY SON HAS NOT RECEIVED ANOTHER INJECTION AND CONTINUES TO BE ALMOST PERFECT WITH A LARGE HEAD. 11/25/09 Hosp. recs received for date 7/12/09 to 7/23/09. Duplicate records received 11/30/09. DX: subacute and chronic subdural hematoma, s/p rt. front subdural drain, retinal hemorrhages. Presented to ER w/ persistent fussiness, emesis x2 occasions at ER and dx w/ viral syndrome. Parents stated when sx continued again took pt to ER for 3rd time and had CT performed which showed subdural bleed. Assessment: large head w/ prominent forehead, anterior fontanelle bulging, pulsating small nodule palpated on the occiput, unable to fully move left eye laterally. Pt was taken to OR and subdural drain placed, removed on 7/20. Ophthalmologist consult while in hosp. showed bilat retinal hemorrhages, left sixth nerve palsy 11/25/09 ICD9 codes: 432.1,852.1, 378.54, 362.81, E928.9, E849.9, V65.3.
Age: 0.35
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Surgery, Vomiting projectile
Clinical narrative: DROP HIM OFF WITH SITTER AFTER VACCINE SHE STATED HE WAS JUST CRYING NOT EATING WHEN HE WAS WITH ME HE STATED PROJECTILE VOMITING CRY WAS VERY WEAK, PALE, AND LETHARGIC LISTLESS NOT ACTIVE HUGE BALL OF MASS WHERE INJECTIONS GIVEN RED HOT TO TOUCH. TOOK HIM TO ER THAT EVENING. BUT LEFT AFTER NURSE DID EVALUATION DUE TO WAITING FOR 3 HOURS. THE NEXT MORNING TOOK HIM TO DR TO REPORT THAT HE HAD A REACTION TO VACCINATION. THEY TREATED HIM FOR DEHYDRATION AND TOLD ME TO GO TO HOSPITAL. BECAUSE SHE SAID ALL BABIES GET A LITTLE SICK AFTER INJECTIONS SO THAT WASN'T UNCOMMON WENT TO ER BECAUSE I WAS SCARED THAT MY CHILD WAS GOING TO DIE AND AFTER SEEING THE DOCTOR THERE HE TREATED FOR DEHYDRATION AND SENT US HOME AGAIN HOME CALLED THE DR ON THE 5TH STILL CONCERN ABOUT MY BABIES HEALTH HE FOLLOWED UP WITH ME ON JULY 7 BABY HAD FEVER 101 STILL LETHARGIC NOT EATING PALE BUT THEN HE WAS TREATED FOR THRUSH. I CALLED ONE OTHER DAY AND THURSDAY AND HE TOLD ME TO CONTINUE WITH PEDIALTY AND ON SATURDAY MY HUSBAND TOOK HIM BACK TO ER AND WE REFUSED TO MOVE UNTIL THEY FOUND SOMETHING WAS WRONG WITH MY SON AND THEY DID HE WENT TO SURGERY DUE TO A HEMORRHAGE IN HIS HEAD WE STATED IN THE HOSPITAL FOR ABOUT 2 WEEKS IN ICU. AND TO THINK THIS LITTLE ANGEL WAS ABSOLUTE PERFECT UNTIL HE RECEIVED HIS 4 MONTHS VACCINATIONS. HE CONTINUES TO SEE DR. AND GET HIS CAT SCAN EVERY 3 MONTHS TO MONITOR HIS HEAD CONTINUES TO GROW. MY SON HAS NOT RECEIVED ANOTHER INJECTION AND CONTINUES TO BE ALMOST PERFECT WITH A LARGE HEAD. 11/25/09 Hosp. recs received for date 7/12/09 to 7/23/09. Duplicate records received 11/30/09. DX: subacute and chronic subdural hematoma, s/p rt. front subdural drain, retinal hemorrhages. Presented to ER w/ persistent fussiness, emesis x2 occasions at ER and dx w/ viral syndrome. Parents stated when sx continued again took pt to ER for 3rd time and had CT performed which showed subdural bleed. Assessment: large head w/ prominent forehead, anterior fontanelle bulging, pulsating small nodule palpated on the occiput, unable to fully move left eye laterally. Pt was taken to OR and subdural drain placed, removed on 7/20. Ophthalmologist consult while in hosp. showed bilat retinal hemorrhages, left sixth nerve palsy 11/25/09 ICD9 codes: 432.1,852.1, 378.54, 362.81, E928.9, E849.9, V65.3.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Bacterial infection, Blindness unilateral, Eye inflammation, Iris disorder, Migraine
Clinical narrative: Since receiving the Gardisil vaccination, patient has suffered frequent migraine headaches, bloodshot eyes, and extreme sensitivity to light. Within a week or two of the 3rd & final vaccination, eyes became extremely bloodshot. On 9/18/09, visit to NCAA team doctor for bloodshot eyes resulted in diagnosis of inflamed iris and two spots on the cornea. On 9/19/09, when patient woke up in the morning, was unable to see out of the left eye. Taken to emergency room and was diagnosed with corneal ulcer and bacterial infection. Has been referred to cornea specialists for treatment. Treatment for past 9 days has involved hourly eyedrops and/or ointments applied to the eye, 24 hours a day. Doctor now concerned about thinning of cells and the surface of the eye being broken as a result of the bacteria attacking the cornea. These events have had an adverse number of effects on her life in addition to the medical concerns.10/19/2009 received Opthalmologist records for dates 9/19 and 9/20/2009. Patient with c/o's decreased vision, eye pain. PE revealed discharge lt eye, Rx'd ABX eye gtts. DC
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ocular hyperaemia, Photophobia, Ulcerative keratitis
Clinical narrative: Since receiving the Gardisil vaccination, patient has suffered frequent migraine headaches, bloodshot eyes, and extreme sensitivity to light. Within a week or two of the 3rd & final vaccination, eyes became extremely bloodshot. On 9/18/09, visit to NCAA team doctor for bloodshot eyes resulted in diagnosis of inflamed iris and two spots on the cornea. On 9/19/09, when patient woke up in the morning, was unable to see out of the left eye. Taken to emergency room and was diagnosed with corneal ulcer and bacterial infection. Has been referred to cornea specialists for treatment. Treatment for past 9 days has involved hourly eyedrops and/or ointments applied to the eye, 24 hours a day. Doctor now concerned about thinning of cells and the surface of the eye being broken as a result of the bacteria attacking the cornea. These events have had an adverse number of effects on her life in addition to the medical concerns.10/19/2009 received Opthalmologist records for dates 9/19 and 9/20/2009. Patient with c/o's decreased vision, eye pain. PE revealed discharge lt eye, Rx'd ABX eye gtts. DC
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Bacterial infection, Blindness unilateral, Iritis, Migraine, Ocular hyperaemia
Clinical narrative: Since receiving the Gardisil vaccination, patient has suffered frequent migraine headaches, bloodshot eyes, and extreme sensitivity to light. Within a week or two of the 3rd & final vaccination, eyes became extremely bloodshot. On 9/18/09, visit to NCAA team doctor for bloodshot eyes resulted in diagnosis of inflamed iris and two spots on the cornea. On 9/19/09, when patient woke up in the morning, was unable to see out of the left eye. Taken to emergency room and was diagnosed with corneal ulcer and bacterial infection. Has been referred to cornea specialists for treatment. Treatment for past 9 days has involved hourly eyedrops and/or ointments applied to the eye, 24 hours a day. Doctor now concerned about thinning of cells and the surface of the eye being broken as a result of the bacteria attacking the cornea. These events have had an adverse number of effects on her life in addition to the medical concerns.10/19/2009 received Opthalmologist records for dates 9/19 and 9/20/2009. Patient with c/o's decreased vision, eye pain. PE revealed discharge lt eye, Rx'd ABX eye gtts. DC
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Photophobia, Ulcerative keratitis
Clinical narrative: Since receiving the Gardisil vaccination, patient has suffered frequent migraine headaches, bloodshot eyes, and extreme sensitivity to light. Within a week or two of the 3rd & final vaccination, eyes became extremely bloodshot. On 9/18/09, visit to NCAA team doctor for bloodshot eyes resulted in diagnosis of inflamed iris and two spots on the cornea. On 9/19/09, when patient woke up in the morning, was unable to see out of the left eye. Taken to emergency room and was diagnosed with corneal ulcer and bacterial infection. Has been referred to cornea specialists for treatment. Treatment for past 9 days has involved hourly eyedrops and/or ointments applied to the eye, 24 hours a day. Doctor now concerned about thinning of cells and the surface of the eye being broken as a result of the bacteria attacking the cornea. These events have had an adverse number of effects on her life in addition to the medical concerns.10/19/2009 received Opthalmologist records for dates 9/19 and 9/20/2009. Patient with c/o's decreased vision, eye pain. PE revealed discharge lt eye, Rx'd ABX eye gtts. DC
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma
Clinical narrative: Patient developed hematoma at injection site of deltoid of left arm with reddening of upper left arm. Patient was watched for 30 minutes while using ice pack and received diphenhydramine.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: Sub-q PNEUMOVAX given in left arm. Arm swelled and was inflamed. Pt went to doctor and received an Rx fro KEFLEX 500mg qid x 7d
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Mobility decreased, Oedema peripheral, Tenderness
Clinical narrative: He said arm is swollen. Hurts to touch. Cannot bend arm.
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Nightmare, Oropharyngeal pain
Clinical narrative: Vivid nightmares on consecutive nights, sore throat begining on day 2.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: BEGINNING ONE NIGHT FROM VACCINATION PATIENT BEGAN HAVING FEVER. ALSO RECOVERING FROM SURGERY 2 WEEKS PRIOR.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection administered at 10:45 a.m. PDST on September 23, 2009; symptoms began upon awakening the morning of September 24, 2009.  Severe, large solid blocks of redness, tenderness and swelling covering most of upper arm (outside portion of upper arm) on arm that got the injection, severe pain lasting in excess of 4 days preventing patient from normal use of arm, red areas (very large and solid) very hot to the touch; area of arm involved keeps expanding and moving down arm, and as of 4 days after injection, now moving down the arm involving elbow joint and causing joint pain; areas of upper arm less red but still very sore and tender to the touch; Patient will visit doctor on Monday, September 28, 2009 because symptoms have not subsided and more area of arm has become involved (left arm)
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Systemic lupus erythematosus
Clinical narrative: Injection administered at 10:45 a.m. PDST on September 23, 2009; symptoms began upon awakening the morning of September 24, 2009.  Severe, large solid blocks of redness, tenderness and swelling covering most of upper arm (outside portion of upper arm) on arm that got the injection, severe pain lasting in excess of 4 days preventing patient from normal use of arm, red areas (very large and solid) very hot to the touch; area of arm involved keeps expanding and moving down arm, and as of 4 days after injection, now moving down the arm involving elbow joint and causing joint pain; areas of upper arm less red but still very sore and tender to the touch; Patient will visit doctor on Monday, September 28, 2009 because symptoms have not subsided and more area of arm has become involved (left arm)
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Kloe received the FluMist 9/26/09. On 9/27, she has a fever 0f 104 F. I gave her Tylenol to treat this fever.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash generalised
Clinical narrative: Had rash, itchy hands-rash on everywhere on body. Received vaccine on 09/22/09 and noticed itching and rash on 09/26/09.
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site rash, Pain in extremity, Skin warm
Clinical narrative: Patient developed red, circular rash around injection site measuring 3.5 x 5.0 cm. The rash area was warm, red, and painful to patient. These symptoms occurred within 24 hours of vaccines. Patient was seen and treated in Urgent Care 9/27/09 and has a follow up appointment 9/28/09. The area referenced to is the upper left arm.
Age: 0.2
Sex: F
Vaccine: DTAP, RV5, DTAP, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. 2 month old female who on 09-JUL-2009 was vaccinated by mouth with the first dose of ROTATEQ (LOT# 664293/0418Y). Concomitant therapy included DAPTACEL (LOT# C3142AA), IM on the left leg. Previous vaccination included HIB (manufacturer not provided) and PREVENAR. On 20-JUL-2009 the patient experienced intussusception and required surgical reduction. One or more of the events was considered to be life threatening and required hospitalization. The original reporting source was not provided. The VAERS No. is 353133. A lot check was initiated. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. No further information is available. This report was filed with the FDA. The VAERS ID is 353133.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Burning sensation, Dizziness, Hypoaesthesia, Injection site pain, Insomnia
Clinical narrative: Client received 1st step PPD (Tuberlin skin test) 8/7/09. 8-14-09 reading of 1st step TST Neg. Step 2 of TST placed and Tdap given also. Returned 8/17/09 for reading of step 2. No notes on chart. re: reaction of Tdap.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Musculoskeletal pain, Neck pain, Pain of skin, Pyrexia
Clinical narrative: Client received 1st step PPD (Tuberlin skin test) 8/7/09. 8-14-09 reading of 1st step TST Neg. Step 2 of TST placed and Tdap given also. Returned 8/17/09 for reading of step 2. No notes on chart. re: reaction of Tdap.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: No adverse event
Clinical narrative: Client received 1st step PPD (Tuberlin skin test) 8/7/09. 8-14-09 reading of 1st step TST Neg. Step 2 of TST placed and Tdap given also. Returned 8/17/09 for reading of step 2. No notes on chart. re: reaction of Tdap.
Age: 16.0
Sex: F
Vaccine: HPV4, HEP, HPV4
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Neck pain, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a nurse concerning a 16 year old female patient with no pertinent medical history and no known allergies who on 19-SEP-2008 was vaccinated with the first 0.5 ml dose of GARDASIL (lot number 660553/0070X). Secondary suspect vaccination therapy on the same day included the third dose of RECOMBIVAX HB (lot number 657898/1622U). Two weeks later, on approximately 03-OCT-2008, the patient was hospitalized (name and address unspecified) for two months and was diagnosed with encephalitis. On 10-JUL-2009 the patient was vaccinated with the second 0.5 ml dose of GARDASIL (lot number 659054/0315Y). There was no other vaccination therapy on that day. Concomitant medication included birth control (name and manufacturer unspecified). On 31-JUL-2009 the patient experienced a severe headache and went to emergency room (ER) of a hospital. On 31-JUL-2009 a computed axial tomography (CT) was performed and the result was normal ("no acute process"). The patient was not admitted. There was no encephalitis. The patient did not receive the third dose of GARDASIL. The symptom improved after the vaccination therapy was stopped. At the time of the report, the patient had recovered. The nurse added that the information surrounding the first event of encephalitis and hospitalization following the first dose of GARDASIL was not available; the office found out about the experience directly from the patient in August 2009. The encephalitis was considered to be life-threatening by the reporter. No further information is available.
Age: 16.0
Sex: F
Vaccine: HPV4, HEP, HPV4
Symptoms: Tenderness, Vomiting
Clinical narrative: Information has been received from a nurse concerning a 16 year old female patient with no pertinent medical history and no known allergies who on 19-SEP-2008 was vaccinated with the first 0.5 ml dose of GARDASIL (lot number 660553/0070X). Secondary suspect vaccination therapy on the same day included the third dose of RECOMBIVAX HB (lot number 657898/1622U). Two weeks later, on approximately 03-OCT-2008, the patient was hospitalized (name and address unspecified) for two months and was diagnosed with encephalitis. On 10-JUL-2009 the patient was vaccinated with the second 0.5 ml dose of GARDASIL (lot number 659054/0315Y). There was no other vaccination therapy on that day. Concomitant medication included birth control (name and manufacturer unspecified). On 31-JUL-2009 the patient experienced a severe headache and went to emergency room (ER) of a hospital. On 31-JUL-2009 a computed axial tomography (CT) was performed and the result was normal ("no acute process"). The patient was not admitted. There was no encephalitis. The patient did not receive the third dose of GARDASIL. The symptom improved after the vaccination therapy was stopped. At the time of the report, the patient had recovered. The nurse added that the information surrounding the first event of encephalitis and hospitalization following the first dose of GARDASIL was not available; the office found out about the experience directly from the patient in August 2009. The encephalitis was considered to be life-threatening by the reporter. No further information is available.
Age: 16.0
Sex: F
Vaccine: HPV4, HEP, HPV4
Symptoms: Computerised tomogram normal, Encephalitis, Headache, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a nurse concerning a 16 year old female patient with no pertinent medical history and no known allergies who on 19-SEP-2008 was vaccinated with the first 0.5 ml dose of GARDASIL (lot number 660553/0070X). Secondary suspect vaccination therapy on the same day included the third dose of RECOMBIVAX HB (lot number 657898/1622U). Two weeks later, on approximately 03-OCT-2008, the patient was hospitalized (name and address unspecified) for two months and was diagnosed with encephalitis. On 10-JUL-2009 the patient was vaccinated with the second 0.5 ml dose of GARDASIL (lot number 659054/0315Y). There was no other vaccination therapy on that day. Concomitant medication included birth control (name and manufacturer unspecified). On 31-JUL-2009 the patient experienced a severe headache and went to emergency room (ER) of a hospital. On 31-JUL-2009 a computed axial tomography (CT) was performed and the result was normal ("no acute process"). The patient was not admitted. There was no encephalitis. The patient did not receive the third dose of GARDASIL. The symptom improved after the vaccination therapy was stopped. At the time of the report, the patient had recovered. The nurse added that the information surrounding the first event of encephalitis and hospitalization following the first dose of GARDASIL was not available; the office found out about the experience directly from the patient in August 2009. The encephalitis was considered to be life-threatening by the reporter. No further information is available.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Back pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Heart rate normal
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Oxygen saturation, Pericarditis, Troponin
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Back pain, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Cardiac enzymes normal, Cardiovascular evaluation
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Influenza like illness, Nuclear magnetic resonance imaging normal
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis, Troponin I, Vaccinia virus infection
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Burning sensation, Chest pain, Dizziness, Electrocardiogram ST segment elevation, Influenza
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis
Clinical narrative: Flu symptoms and then had a burning feeling with light headedness and chest pain
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Syncope
Clinical narrative: Pateint was given a pneumococcal vaccine in his right arm about 9:30 AM on 9-16-09 and was given the Influenza vaccine in his left arm at about the same time. He woke up at 2:30 AM on 9-17-09 with his arm being red, swollen, hard, and painful to the touch. He later fainted and was taken to the ER where he was treated and released. Patient has had 4 pneumococcal vaccinations documented in the last 10 years when he would have only been required to get one.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Inappropriate schedule of drug administration, Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Pateint was given a pneumococcal vaccine in his right arm about 9:30 AM on 9-16-09 and was given the Influenza vaccine in his left arm at about the same time. He woke up at 2:30 AM on 9-17-09 with his arm being red, swollen, hard, and painful to the touch. He later fainted and was taken to the ER where he was treated and released. Patient has had 4 pneumococcal vaccinations documented in the last 10 years when he would have only been required to get one.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Syncope
Clinical narrative: Pateint was given a pneumococcal vaccine in his right arm about 9:30 AM on 9-16-09 and was given the Influenza vaccine in his left arm at about the same time. He woke up at 2:30 AM on 9-17-09 with his arm being red, swollen, hard, and painful to the touch. He later fainted and was taken to the ER where he was treated and released. Patient has had 4 pneumococcal vaccinations documented in the last 10 years when he would have only been required to get one.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL, DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Irritability, Pruritus, Rash morbilliform
Clinical narrative: Pt received vaccines on 09/22/09 and tolerated them well. Mother called 09/23/09 late in the day to report pt has a measles type rash on body (Trunk/Extremities) but no fever-only sl. irritable. Tool pt to pediatrician 09/24/09 who stated it appears to be a "measles reaction" although that usually takes a week to happen.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL, DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Irritability, Rash morbilliform
Clinical narrative: Pt received vaccines on 09/22/09 and tolerated them well. Mother called 09/23/09 late in the day to report pt has a measles type rash on body (Trunk/Extremities) but no fever-only sl. irritable. Tool pt to pediatrician 09/24/09 who stated it appears to be a "measles reaction" although that usually takes a week to happen.
Age: 71.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Fatigue, Hyperhidrosis
Clinical narrative: (First day) swelling, redness, and soreness 4" diam around shot; upset stomach, loss of appetite; general fatique; fever and related whole body muscle aches; related chills and sweating - used aspirin 4 times to cover fever and muscle aches. (Second day) Shot area the same, fever and all came on later in the day, used aspirin twice during the night.  (Third day) Shot area the same - pain interferes with sleep, complete exhaustion, loss of appetite, fever doesn't seem so bad, so there's hope for recovery.  But I seem to fall into the 1% that develop fever, muscle aches, and severe local reactions.
Age: 71.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: (First day) swelling, redness, and soreness 4" diam around shot; upset stomach, loss of appetite; general fatique; fever and related whole body muscle aches; related chills and sweating - used aspirin 4 times to cover fever and muscle aches. (Second day) Shot area the same, fever and all came on later in the day, used aspirin twice during the night.  (Third day) Shot area the same - pain interferes with sleep, complete exhaustion, loss of appetite, fever doesn't seem so bad, so there's hope for recovery.  But I seem to fall into the 1% that develop fever, muscle aches, and severe local reactions.
Age: 71.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Sleep disorder
Clinical narrative: (First day) swelling, redness, and soreness 4" diam around shot; upset stomach, loss of appetite; general fatique; fever and related whole body muscle aches; related chills and sweating - used aspirin 4 times to cover fever and muscle aches. (Second day) Shot area the same, fever and all came on later in the day, used aspirin twice during the night.  (Third day) Shot area the same - pain interferes with sleep, complete exhaustion, loss of appetite, fever doesn't seem so bad, so there's hope for recovery.  But I seem to fall into the 1% that develop fever, muscle aches, and severe local reactions.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Pt was given a TRIPEDIA on his (Lt) arm on 9-22-09, patient called on 9/2509 state arm was red, swollen, rash in that area.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Diet refusal, Dizziness, Feeling abnormal, Irritability, Pallor
Clinical narrative: Was very whiny very unlike him. Did not want to eat said that did not feel good - Next morning was pale, light headed, dizzy. On 3 instances people offered to help him do his work which is very out of the norm. He tried to eat bananas and food to feel better. Finally got home on 9/23 by 6 PM and said that while on the truck with AC felt OK but felt like falling down with no AC. He has been taking his blood pressure medication. Today feels fine.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dyspnoea, Erythema, Heart rate increased, Oedema peripheral
Clinical narrative: Left arm real red, about 3.5-4 inch little soreness, swelling, itching, shortness of breath, rapid heart-beat, took c-pad shortness of breath. Took XANAX to stop it. Mild symptoms lasted for 3 days; but medication corrected it. Right now slight bit of weakness, circle of redness smaller.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Left arm real red, about 3.5-4 inch little soreness, swelling, itching, shortness of breath, rapid heart-beat, took c-pad shortness of breath. Took XANAX to stop it. Mild symptoms lasted for 3 days; but medication corrected it. Right now slight bit of weakness, circle of redness smaller.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Pain
Clinical narrative: Really fast heart rate, shortness of breath, chest tightness. Took INDERAL by 10pm felt better. Right now feels achy.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Dyskinesia, Pain
Clinical narrative: Extreme pain X 8 hrs at right shoulder to arm, could not raise arm. Better now - No nausea.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Injection site mass, Pain in extremity
Clinical narrative: A Knot formed below injection sight 10 day after vaccine.  There is pain in the whole arm.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Infection
Clinical narrative: Erythema, injection secondary to tetanus infection.
Age: 71.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Husband also took vaccine with no problem.  Very drastic.  Diarrhea, sore stomach, IMODIUM stopped it, & PEPTO BISMOL, helped her to evacuate.  Slept through.
Age: 0.57
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Induration, Local reaction, Oxygen saturation, Rash erythematous, Wheezing
Clinical narrative: Local reaction in deltoid. Onset by wheezing 24hrs after H/o. positive for previous RAD. Arm- erythematous slightly indurated. approx 4x2cm - non tender - no fevers.
Age: 1.2
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, IPV, MMR, PPV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Mother brought twins a male and a female on Monday, Sept. 14th to get 1 yr. immunizations. Mother had her cards we given her when we gave then prior vaccines. The CDP that was printed didn't match her card. I looked up past encounters to find out when the history was given to us. The information was not provided by the parent when she had come in for immunizations so i was not sure if it was entered by mistake. I tried look up both child and was unable to access them at the time. I did read the note in CDP by agency that history given by the MD office was entered in CDP on 022609 and they needed one year immunizations. (SMC did give an extra set of immunizations on Mar. 13th when only a Hep B was the only vaccine needed). The immunizations I gave with the current information I had lead me to believe the one year immunizations were due then. Later I was able to pull up information on one twin only and found that another clinic had given her 2,4,6 mos. & 1yr immunizations which is what we had done due to not having the history. Before giving any immunizations on 091409 I asked the mother if any other vaccines had been give to them besides the ones on the card the mother said "No". When i asked about the dates recorded from September she said, "They were done that one time" (when she went to clinic).
Age: 1.2
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, IPV, MMR, PPV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Mother brought twins a male & a female on Monday, Sept. 14th to get 1 yr. immunizations. Mother had her cards we had given when we gave them prior vaccines. The CDP that was printed didn't match her card. I looked past encounters to find out when the history was given to us. the information was not provided by the parent when she had come in for immunizations so I was not sure if it was entered by mistake. I tried look up both children was unable to access them at the time. I did read the note in CDP by agency that history given by MD office was entered in CDP on 022609 and they needed one year immunizations.   (SMC did give an extra set of immunizations on Mar. 13th when only a Hep B was the only vaccine needed). The immunizations I gave with current information I had led me to believe the one year immunizations were due then. Later I was able to pull up information on the female twin only and found that another clinic had given her 2, 4, 6 mos. & 1 yr immunizations which is what we had done due to not having history. Before giving any immunizations on 091409 I asked the mother if any other vaccines had been give to them besides the ones on the card the mother said "No". When I asked about the dates recorded from September she said, "They were done that one time" (when he went to Clinic). No medical treatment required.  Follow-up - I tried to call the mother the next day to find out how the twins were doing. Mom was not available to spoke to me the aunt was the only one who spoke English and she said they were doing fine. Corrective action - I left message with Dr. at Clinic to let her know what had happened to her patients. The twins still need the second dose of Hep A six months after Sept. 14th, 2009. Their records states Hep A was given July 28th 2009 which will be too early if mother comes in for second dose the end of January. Call 3 days later no problems reported.
Age: 8.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated. 11/25/09:  Hospital records received for dates of service 9/24/09 to 9/25/09.  Dx:  Anaphylactic reaction to immunization and asthma.  Developed wheezing, coughing and urticarial rash with swelling of eyelids and lips one half hour after immunizations.  Red area around injection site. Admitted to CCU.   Steroid therapy, albuterol and benadryl  and IV therapy initiated.  Discharge in improved condition.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL, HEP, HEPA
Symptoms: Breast mass, Dyspnoea
Clinical narrative: A family member called & states child (on Sunday 09/27/09) developed a knot on breast, became short of breath & was admitted to the hospital. Dr states this was caused by the immunizations given on 09/25/09."  10/6/09 MR received for DOS 9/27-28/09 with DX: Hypoxia, Fever. Pt presented with cough, fever, SOB, as well as injection site erythema, tenderness and induration on the left arm. Cyanotic on admission, O2 sat 80%. Assessed as FUO, most likely 2' to immunizations. Tx abx and IVF and observed o/n.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL, HEP, HEPA
Symptoms: Haematology test abnormal, Haemoglobin normal, Unevaluable event, White blood cell count increased
Clinical narrative: A family member called & states child (on Sunday 09/27/09) developed a knot on breast, became short of breath & was admitted to the hospital. Dr states this was caused by the immunizations given on 09/25/09."  10/6/09 MR received for DOS 9/27-28/09 with DX: Hypoxia, Fever. Pt presented with cough, fever, SOB, as well as injection site erythema, tenderness and induration on the left arm. Cyanotic on admission, O2 sat 80%. Assessed as FUO, most likely 2' to immunizations. Tx abx and IVF and observed o/n.