chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan normal, Weight bearing difficulty, X-ray normal
Clinical narrative: The morning after her injection she woke up complaining of upper right leg pain, near the groin area where the leg bends. No fever or reddness.Two days later the pain extended down to the knee, and by a week and a half later the pain extended down to the foot. She was also experiencing swelling of the leg and blanching of the skin accompanied by her leg getting cold to touch. Her right leg is painful to touch and she can not tolerate weight bearing. After a day at school the leg is very painful and swollen.So far nothing seems to help, heat, ice,  elavating the leg,or vicodin. So she takes extra strength tylenol for the pain.  5/28/2008 MR received from PCP for 2 OVs dated 4/29/08 and 5/02/08 with DX: R leg pain and R leg pain now with absent femoral pulse. Pt presented with c/o of R leg pain which began 1 day s/p HPV vax.  Initially started in the groin, then moved distally to the thigh and knee, and now to the ankle over the course of several weeks. Pt was unable to walk for several days but is ambulating with crutches. Pt reports occasional swelling and purplish skin discoloration. PE (+) for pain and tenderness to touch and with hip and ankle flexion and. extension. RTO 3 days later with worsening pain and now coldness of the R lower extremity as well as the purple color. PE (+) for purple discoloration and cool to touch especially in the calf area. No palpable femoral pulse.  Concern for acute arterial  obstruction. DDx spinal nerve impingement, bony abnormality, RSD.
Sex: M
Vaccine: UNK
Symptoms: Autism, Blood test, Childhood disintegrative disorder, Developmental delay, Speech disorder developmental
Clinical narrative: Patient appeared to be a normally developing child until approximately the age of 15 months.  Over the second year of his life patient's development slowed and eventually regressed (e.g. no longer remembered things he previously mastered such as names of objects or characters, reduced and eventually stopped speaking to and interacting with others, etc.).  Medical professionals initially suggested speech therapy which we expanded to include occupational therapy at age 3.  At age 4 we consulted a well respected Doctor group who explained how immunizations may be a cause for autism, and that the years of intense speech and occupational therapy are the only reasons why patient has not fallen substantially further behind his peers in his development.  We have also completely changed patient's food intake and diet, as well as that of the rest of our family as it is impossible for a four year old child to understand why the rest of the family is able to eat certain foods that he is not, which has been a substantial undertaking financially and personally for each family member.  7/11/08 Reviewed PCP medical records of 2005-2008.  Vax records included.  Received MMR #1 & Prevnar #3 on 1/15/2005(age approx 12 mos);  Received Hib #3 & Varicella #1 on 3/30/2005 (age approx 15 mos); Received DTaP, IPV, & Prevnar 6/29/2005 (approx 18 mos).  Many lot #s missing on vax record & unavailable in office. FINAL DX: metabolic disorder, encephalopathy, bacterial enteritis Records reveal patient was well on 1/15/2005, 3/30/2005, 6/29/2005.  Hospitalized 5/23/2005 for croup & severe respiratory distress.  10/2005 hospitalized for respiratory distress & had chest tubes at that time.  7/25/2006 referred for ST & OT.  Recurrent croup episode 3/2007; impetigo & urticaria 1/2008.  Began DAN protocol w/gluten & casein free diet 3/2008; chelation 5/2008; dx w/yeast & clostridium 6/2008.   10/14/08 Reviewed additional PCP medical records of 1/04-1/2008.  Also received flu vaccine 11/30/05, lot # U178764, RT.
Sex: M
Vaccine: UNK
Symptoms: Urine analysis
Clinical narrative: Patient appeared to be a normally developing child until approximately the age of 15 months.  Over the second year of his life patient's development slowed and eventually regressed (e.g. no longer remembered things he previously mastered such as names of objects or characters, reduced and eventually stopped speaking to and interacting with others, etc.).  Medical professionals initially suggested speech therapy which we expanded to include occupational therapy at age 3.  At age 4 we consulted a well respected Doctor group who explained how immunizations may be a cause for autism, and that the years of intense speech and occupational therapy are the only reasons why patient has not fallen substantially further behind his peers in his development.  We have also completely changed patient's food intake and diet, as well as that of the rest of our family as it is impossible for a four year old child to understand why the rest of the family is able to eat certain foods that he is not, which has been a substantial undertaking financially and personally for each family member.  7/11/08 Reviewed PCP medical records of 2005-2008.  Vax records included.  Received MMR #1 & Prevnar #3 on 1/15/2005(age approx 12 mos);  Received Hib #3 & Varicella #1 on 3/30/2005 (age approx 15 mos); Received DTaP, IPV, & Prevnar 6/29/2005 (approx 18 mos).  Many lot #s missing on vax record & unavailable in office. FINAL DX: metabolic disorder, encephalopathy, bacterial enteritis Records reveal patient was well on 1/15/2005, 3/30/2005, 6/29/2005.  Hospitalized 5/23/2005 for croup & severe respiratory distress.  10/2005 hospitalized for respiratory distress & had chest tubes at that time.  7/25/2006 referred for ST & OT.  Recurrent croup episode 3/2007; impetigo & urticaria 1/2008.  Began DAN protocol w/gluten & casein free diet 3/2008; chelation 5/2008; dx w/yeast & clostridium 6/2008.   10/14/08 Reviewed additional PCP medical records of 1/04-1/2008.  Also received flu vaccine 11/30/05, lot # U178764, RT.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Accidental needle stick, Hepatitis B antibody abnormal, Therapeutic response decreased
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of decreased therapeutic response in a 2-month-old female subject who was vaccinated with Pediarix (GlaxoSmithKline).  The subject's medical history included allergic rhinitis.  Concurrent medical conditions included autism, delayed speaking and developmental delay. Previous and/or concurrent vaccination included PedvaxHIB; Merck; unknown given on 6 August 2004 and 5 October 2004; Prevnar, unspecified; Wyeth Labs; unknown given on 6 August 2004, 5 October 2004 and 17 December 2004.  On 6 August 2004 at 15:15, 5 October 2004 at 14:00 and 17 December 2004 the subject received 1st dose, 2nd dose and 3rd dose of Pediarix (.5 ml, unknown).  On 28 April 2008, at an unspecified time after vaccination with Pediarix, the subject experienced decreased therapeutic response.  The subject was playing in a sharps container and stuck herself with a contaminated needle.  Relevant test results included hepatitis B antibody level was 5 (unprotected level).  The healthcare professional considered the events were clinically significant (or requiring intervention).  At the time of reporting, the outcome of the events was unspecified.  The healthcare professional considered the events were probably related to vaccination with Pediarix.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After receiving injection pt. walked out of room and started feeling dizzy and passed out on the floor.  Pt. eyes were open and pt. was alert.  Pt states felt very lightheaded.  Went into room and laid on the table s/p check.  Pt. remained on table x 30 min.  Discharged in stable condition.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Nausea, Pain, Vaccine positive rechallenge, Vomiting
Clinical narrative: Pt received Gardasil on 5-30-07 and 8-13-07.  States both times felt nauseated, vomited, ached all over body, had bad H/A.  When asked why pt did not reveal S&S on 2nd dose, pt stated "she wanted to tough it out".  Refused 3rd shot.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Uncontrollable crying
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt acquired shingles after vaccinated.  Treated with Zovirax.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: (L) deltoid area, redness (+) color, (+) dolor.
Age: 15.0
Sex: U
Vaccine: HPV4
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Fever, chills nausea since two hours after receiving the Gardasil shot x3 days ago.
Age: 9.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Local reaction, Pain in extremity, Skin warm
Clinical narrative: c/o R arm hurt on 5/2/08 & then on 5/3/08 arm redness & warmth developed.  7 1/2" L x 6" W redness & warmth R upper arm.  Able to lift arm overhead & strong hand squeezage.  Dx: Local reaction to shot, allergic vrs. cellulitis.  TC to mom 5/5/08 & she did begin Keflex 500mg TID x5 days due to increased redness below elbow.  Taking as prescribed.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Irritability, Rotavirus test
Clinical narrative: Diarrhea - multiple watery stools, fussy. Spitting up formula. Four day after vaccine x 5 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness/swelling at left leg at site of MMR.  Redness/swelling & minimal induration on right leg at site of varicella.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Local reaction, Pruritus, Skin warm
Clinical narrative: Local reaction.  Area red, itchy, hard & warm to the touch.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Exfoliative rash, Gait disturbance, Irritability, Pyrexia, Rash
Clinical narrative: Beginning 4-29-08, patient with fever, rash on arms, legs, irritability.  Gave Tylenol.  Over next 4 days, fever diminished, had "off & on" difficulty walking.  Rash changed appearance: on 5-3-08, rash red, scaly on arms, legs; papular rash on face.  Pronounced rash at diaper area.  Treated with antibiotic ointment.  No fever.  Intermittently fussy.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Beginning 4-29-08, patient with fever, rash on arms, legs, irritability.  Gave Tylenol.  Over next 4 days, fever diminished, had "off & on" difficulty walking.  Rash changed appearance: on 5-3-08, rash red, scaly on arms, legs; papular rash on face.  Pronounced rash at diaper area.  Treated with antibiotic ointment.  No fever.  Intermittently fussy.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 4x6 cm area of induration/erythema mildly tender. Warm to touch.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Fibromyalgia, Laboratory test, Migraine, Syncope
Clinical narrative: After she received 1st injection she kept complaining of her knees, joints aching, fainting and migrine. Then the 2nd injection she really started complaining. Now she was just recently diagnoised with fibromyligia because she aches so bad. She has been hospitalized many of times after injections with migrines and aching joints. I refused the 3rd injection  06/17/2008 MR received for 7 ER visits.  Seen 8/8/07 and 10/23/07 r/t pre-existing platelet aggregation defect. Seen 10/28/2007 with dx chest pain.  Reproduceble tenderness on exam. Seen 11/20/2007 with dx vomiting and diarrhea. Pt had passed out day prior and hit head. Seen 12/10/2007 with dx Headache Seen 12/22/2007 with dx tremors. Tongue fasiculations noted on exam. Seen 1/14/2008 with R hand fx after hitting a wall. Dx: Danger to self. Depression.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Vaccine positive rechallenge
Clinical narrative: After she received 1st injection she kept complaining of her knees, joints aching, fainting and migrine. Then the 2nd injection she really started complaining. Now she was just recently diagnoised with fibromyligia because she aches so bad. She has been hospitalized many of times after injections with migrines and aching joints. I refused the 3rd injection  06/17/2008 MR received for 7 ER visits.  Seen 8/8/07 and 10/23/07 r/t pre-existing platelet aggregation defect. Seen 10/28/2007 with dx chest pain.  Reproduceble tenderness on exam. Seen 11/20/2007 with dx vomiting and diarrhea. Pt had passed out day prior and hit head. Seen 12/10/2007 with dx Headache Seen 12/22/2007 with dx tremors. Tongue fasiculations noted on exam. Seen 1/14/2008 with R hand fx after hitting a wall. Dx: Danger to self. Depression.
Age: 68.0
Sex: M
Vaccine: VARZOS
Clinical narrative: Information has been received from an investigator concerning a 68 year old male with diabetes, benign prostatic hyperplasia and hyperlipidaemia and a history of myocardial infarction (1996) and cataract operation who entered a study, title as stated above. On 18-DEC-2007 the patient was vaccinated with blinded therapy. On 08-MAR-2008 the patient died. The cause of death was unknown. At this time, relationship of death to study therapy is unknown. The records for this patient was unblinded on 01-MAY-2008. The patient was treated with Zostavax (Oka/Merck) 0.65 ml. Additional information has been requested.  5/7/08-record received Cause of Death: Cardiac insufficiency. Diabetes. Hypertension
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cyanosis, Electrocardiogram normal, Pallor, Somnolence
Clinical narrative: 6 hrs after vaccines given-pt had extreme pallor- circumoral cyanosis-extremely sleepy-poor feeding. Went to the ER. CBC normal EKG (-).  5/29/2008 MR received for DOS 4/30-5/01/2008 with DX: Acute Life Threatening Event s/p 1 month vaccinations.  Infant found by parent in crib pale with circumoral cyanosis and limp.  Lasted ~45". by arrival in ER infant was pink and smiling.  W/U (-).  Observed o/n with no further episodes.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram abnormal, Herpes virus infection, Herpes zoster ophthalmic, Periorbital oedema
Clinical narrative: Developed herpes zoster opthalmicus and several herpetiform lesions on posterior chest bilaterally.  5/13/08 Reviewed PCP medical records which consisted of vax record & hospital d/c summary.  Hospitalized from 4/27-4/30/2008. FINAL HOSPITAL DX: left periorbital pain secondary to herpes zoster ophthalmicus. Records reveal patient experienced URI s/s approx 3 wks prior to admit.  S/S persisted & intensified.  Tx w/antibiotics for presumed sinusitis.  Developed left periorbital edema, mild erythema & increased facial pain w/low grade fever.  Tx w/IV antibiotics for presumed orbital cellulitis.  On day of admission, developed chest lesions then developed forehead lesions.  Tx w/antiviral & ophthal consult done.  5/23/08 Reviewed additional hospital records of 4/27-4/30/2008: H&P & labs.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus test negative, Vomiting
Clinical narrative: Patient received Pediarix, Hib, Prevnar and Rotateq. Started with gastroenteritis later (vomiting + diarr)- Required 2 ER visits and finally admitted for Bowel Rest  1 week later 6/12/08-records received for DOS 4/27-4/30/08-presented to ED with nonbloody vomiting and diarrhea times 5 days. Two days after vaccination began having loose stools. Decreased oral intake, watery stools. Third visit to ED with dehydration and vomiting. DX:acute gastroenteritis.
Age: 1.1
Sex: M
Vaccine: HBHEPB, HEPA, MMR, VARCEL
Symptoms: Herpes zoster, Red blood cell sedimentation rate increased, Skin lesion
Clinical narrative: Diagnosis of herpes zoster secondary to varicella vaccine - pt received vaccine on 11/26. On 11/28 pt started with lesions around (L) eye. Pt saw eye doctor and then pt came to doctor on 12/4/ b/c lesions still present without relief.  7/10/2008 MR recieved for DOS 12/4-6/2007 with D/C DX: Herpes Zoster.  Impetigo. Pt presented with spreading pustular lesions around the L eye. Tx with Zovirax and Omnicef with good response.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Fat necrosis, Injection site induration
Clinical narrative: Developed large (3.5 x 4cm) induration at site of MMR injection; Treated with ABX, then went to ER, PMD -> Surgeon 5/6/08-records received for DOS 4/6/08-seen in ED for  left arm erythema and mass at injection site. Impression:Febrile illness. Excision left arm inflammatory mass.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Pt diagnosed with intussusception on 4/18/08.  Required surgical reduction.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Large intestinal obstruction reduction, Surgery
Clinical narrative: Pt diagnosed with intussusception on 4/18/08.  Required surgical reduction.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Patient had swelling and rash around injection site and extending about 4 inches below site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 4-25-08 - redness, pain & itching L thigh without fever.  Tx with Tylenol & Benadryl.  Sx resolved on or before 5/1/08.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Influenza like illness
Clinical narrative: Mild immunization reaction commenced 36 hrs post Tdap with flu-like symptoms.
Age: 19.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Rash pruritic
Clinical narrative: Pt reported a pruritic rash over abdomen and back that started soon after 04/09/08 clinic visit and lasted a few days.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Eye movement disorder, Muscle twitching, Pallor, Syncope vasovagal
Clinical narrative: After patient received her 3 injections, she became pale and started slumping over.  As mom and RN were helping her lay down they noticed her eyes deviating to the right and twitching of her mouth for no more than 15 seconds.  She woke up right away and was appropriated.  Vasovagal syncope.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Pt held in room for 10 mins after imm's for routine waiting period after imm's.  Felt fine and was released.  Pt did well until 15 min after receiving imm's.  Pt was out in waiting room with mother.  She felt light headed and dizzy then fainted.  Reportedly fell forward and hit front of head on counter then fell back and hit occiput on tile floor.  LOC for approx 10 sec.  No sz activity.  Immediately awake and talking.  Does not remember fall but remembers events immediately prior and after.  GCS 15.  Pupils equal and reactive.  no vomiting.  Vital taken and able to stand and walk with help to exam room after 5 minutes.  Occiput noted boggy with 1 cm lac.  No crepitis noted.  Pressure dressing applied.  Able to take sips of water and ate orange slices.  Neuro intact.  Mild occipital headache.  Two ASA Free Exedrine given for headache.  Pt talking, VSS, memory intact except for the fall.  GCS 15.  Sent to ER via parent's vehicle at 5:10.  Mother says now that pt has not eaten today.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Memory impairment, Skin laceration, Syncope, Syncope vasovagal
Clinical narrative: Pt held in room for 10 mins after imm's for routine waiting period after imm's.  Felt fine and was released.  Pt did well until 15 min after receiving imm's.  Pt was out in waiting room with mother.  She felt light headed and dizzy then fainted.  Reportedly fell forward and hit front of head on counter then fell back and hit occiput on tile floor.  LOC for approx 10 sec.  No sz activity.  Immediately awake and talking.  Does not remember fall but remembers events immediately prior and after.  GCS 15.  Pupils equal and reactive.  no vomiting.  Vital taken and able to stand and walk with help to exam room after 5 minutes.  Occiput noted boggy with 1 cm lac.  No crepitis noted.  Pressure dressing applied.  Able to take sips of water and ate orange slices.  Neuro intact.  Mild occipital headache.  Two ASA Free Exedrine given for headache.  Pt talking, VSS, memory intact except for the fall.  GCS 15.  Sent to ER via parent's vehicle at 5:10.  Mother says now that pt has not eaten today.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Borrelia burgdorferi serology, Facial palsy, Hypoaesthesia, Nuclear magnetic resonance imaging
Clinical narrative: Patient developed Bell's palsy - started w/ numbness to extremities 2 days after 1st Gardasil dose, and then 5 days after 1st dose, developed symptoms of Bell's palsy.  Symptoms have never fully resolved since. 8/21/08-records received for DOS 11/23/07-developed Bell's palsy month after 9/25/07 vaccination with HPV. MRI and neurologist consult with steroid treatment and symptoms resolved. Continues to C/O being very tired. With onset of Bell's palsy had sore throat.On 11/23/07 received 2nd HPV.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Red rash, warm, slight swelling at injection site R deltoid meas-5 1/2cm x 7cm, oval.  No wheeze.  Tx: Medrol dose pack & Vistaril po.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV, TYP, VARZOS
Symptoms: Body temperature increased, Chills
Clinical narrative: Vaccines administered 4/29/08, pt called 4/30/08 states having "chills" - took hot bath 2 Tylenol -> felt better.  Check up 5/1/8 pt states had T 102.9 last night, now down to 100.1.
Age: 44.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Injection site erythema, Injection site pain, Oedema peripheral, Pyrexia
Clinical narrative: Swollen left arm.  Large redness area with site pain.  Fever and chills at night.
Sex: F
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase, Full blood count, Influenza serology, Metabolic function test, Myalgia
Clinical narrative: Fever, myalgias, nausea.
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia, Streptococcal identification test
Clinical narrative: Fever, myalgias, nausea.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Erythema, swollen 24 hours after shot given.  Indurated, warm 11 x 6 cm.  No fever, temperature 98 degrees.
Age: 1.04
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site induration, Lymph node pain
Clinical narrative: Varivax vaccine 4/14/08 L lat thigh and Hep A vaccine 4/18/08 L lat thigh.  By 4/25/08 had 20 mm area of erythema and 5 mm induration as well as 10 mm L inguinal node which seemed tender.  By 4/28 palpable granular-like firmness persists - no erythema or tenderness.  Never any systemic sx.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Bacterial infection, Headache, Malaise, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Tuesday 4/15/08 at school not feeling good - low grade fever, laid down in nurses office.  4/16/08 Wednesday night after shot with fever 101-102 degrees, headache.  Friday 4/18/08 sore throat.  Monday 4/21/08 CNP at urgent care "sick to begin with bacterial infection, sore throat, upset stomach".
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Stomach discomfort
Clinical narrative: Tuesday 4/15/08 at school not feeling good - low grade fever, laid down in nurses office.  4/16/08 Wednesday night after shot with fever 101-102 degrees, headache.  Friday 4/18/08 sore throat.  Monday 4/21/08 CNP at urgent care "sick to begin with bacterial infection, sore throat, upset stomach".
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Faeces discoloured, Occult blood negative
Clinical narrative: Donor went to ER due to black stools.  Stool sample neg. HCP at ER suggested black color due to diet.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Rash on body look like mosquito bites approximately 12 hours post immunization.  Referred to PMD.
Age: 15.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: 10 mins after receiving injection was sitting in classroom - felt dizzy, laid head on desk & "blacked out".  Friend had to wake her up 15-20 min later.  Able to walk back to nurses office in school.  Laid down to rest or one hour & resumed normal activities.
Age: 4.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient received Pro Quad and Varicella.  Patient presented with probable, moderate case of Varicella 4/29/08.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Varivax administered 4/15/08 at 4:30pm.  Mom called on 4/16/08 and stated patient had a reaction to the vaccine.  Her right arm at injection site, upper outer arm had soreness and "silver dollar" sized red area with puffiness.  Mom instructed to call when resolved.  Resolved after 3 days.
Age: 11.0
Sex: M
Vaccine: HEP, TTOX, VARCEL
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Localized reaction at injection site R deltoid per pt. mom vaccine was given 4-10-08 & pt. seen by Dr. 4-24-08 with rxn.
Age: 1.6
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash papular
Clinical narrative: 2 days high fever.  Scattered 1mm erythematous papules.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Conjunctival hyperaemia, Conjunctival oedema, Eye swelling, Nasal congestion, Rash erythematous
Clinical narrative: Puffiness both eyes with conjunctival swelling & redness & nasal congestion - 4/22/08.  Treated with Patanol eye drops & Benadryl.  4/23/08 - Blotchiness of face & hives - papuloerythematous rash over buttock.  Treated with Claritin/hydrocortisone.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Rash macular, Rash papular, Urticaria
Clinical narrative: Puffiness both eyes with conjunctival swelling & redness & nasal congestion - 4/22/08.  Treated with Patanol eye drops & Benadryl.  4/23/08 - Blotchiness of face & hives - papuloerythematous rash over buttock.  Treated with Claritin/hydrocortisone.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: 04/29/2008 mom called and states patient has hives on face and body.
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Skin hypertrophy, Tenderness
Clinical narrative: Redness, tenderness, palp. thickness at site R upper arm about 1.5 cm.  Sx still present 6 days after injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash papular, Scab, Varicella
Clinical narrative: Patient contracted chickenpox and was diagnosed 5/4/08.  Patient presented with areas on torso, scalp and palms of hands with itching.  Areas papulovesicular with areas of crusting.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Hives, rash.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Dry skin, Injection site urticaria, Rash pruritic, Urticaria
Clinical narrative: Patient is an employee at the clinic, I do employee health at the clinic. For our policy, we have to have proof of immunization of 2 MMR's along with other required immunizations. I noted she only had 1 MMR which was given elsewhere, so I did give her another to meet employee clinic policy. She said 1 day after injection, she got a 4 inch red raised welt at her injection site which went away in 2 days. She also said she developed on her lower abdomen a red raised itchy rash. She did see her Dr. in another clinic which diagnosed her abdomen rash as dry skin. She got Eucerin cream to use prn at home. She also mentioned that the rash is mild in the am, but gets worse in the pm. I did see the abdomen rash this am, and it was pink and welty looking. She said that the Doctor she seen did not feel that it was related to the vaccine. At the time, she states that she was remodeling her home and could have gotten exposed to something there.
Age: 7.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Cough, Eyelid oedema, Wheezing
Clinical narrative: after receiving vaccines, child began coughing and wheezing. Also developed bilateral eyelid edema. 5/23/08-records received for DOS 5/2-5/3/08-DC DX: Anaphylaxis. Questionable vaccine reaction. C/O difficulty breathing after vaccine administration. Immediately after receiving vaccine developed swelling of eyes and difficulty breath.
Age: 38.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Headache, Malaise, Pyrexia, Stomach discomfort
Clinical narrative: Malaise, low grade fever, upset stomach, headache for 3 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: 2 days later, itchy, red, hoyt to touch.  round, 21/2-3 inch diameter, omewhat puffy.
Age: 48.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: reddness, swelling and warmeth to touch at site of vaccination; also fever
Age: 1.08
Sex: F
Vaccine: FLU3
Symptoms: Electroencephalogram normal, Eye movement disorder
Clinical narrative: Approximately 2 weeks after the administration of the flu vaccine, the patient developed eye movements diagnosed as possible mini seizures.  No EEG changes.  No other illness symptoms.  These lasted for about 1 month and stopped completely.  We are unsure if this was due to the vaccine, but it is possible as there was nothiing else to point to.  No tx was needed for these episodes and they have resolved completely.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: L arm swollen, red, hard, hot and painful to touch, radiating up the shoulder, beginning 24 hours after injection. Pt had low grade fever 99.5 for 24 hours,
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Patient was seen in Hospital Emergency Room 05/01/2008 for left leg swelling and rednes at injection site.  Diagnosis was Acute Local Large Reaction. Reaction was at the site where Varicella was given.
Age: 65.0
Sex: F
Vaccine: MMR
Symptoms: Chest pain, Confusional state, Dizziness, Dysphonia, Electrocardiogram normal
Clinical narrative: 45-60 Minutes post vaccination, trembling, confusion, nausea, light headness & dizziness, generalized itching but no rash, slight fever.  Contacted my Asthma Specialist.  Home, developed chest pain which localized to left neck & shoulder. swelling @ left sternal area, tachycardia, hoarsness , headache & blurred vision. Asthma doctor encouraged me to see PCP.  As already late in day, saw PCP following day.  Did EKG which was WNL.  Told to return for Stress Test should chest pain return.
Age: 65.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Musculoskeletal pain, Nausea, Neck pain, Pruritus generalised
Clinical narrative: 45-60 Minutes post vaccination, trembling, confusion, nausea, light headness & dizziness, generalized itching but no rash, slight fever.  Contacted my Asthma Specialist.  Home, developed chest pain which localized to left neck & shoulder. swelling @ left sternal area, tachycardia, hoarsness , headache & blurred vision. Asthma doctor encouraged me to see PCP.  As already late in day, saw PCP following day.  Did EKG which was WNL.  Told to return for Stress Test should chest pain return.
Age: 65.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Swelling, Tachycardia, Tremor, Vision blurred
Clinical narrative: 45-60 Minutes post vaccination, trembling, confusion, nausea, light headness & dizziness, generalized itching but no rash, slight fever.  Contacted my Asthma Specialist.  Home, developed chest pain which localized to left neck & shoulder. swelling @ left sternal area, tachycardia, hoarsness , headache & blurred vision. Asthma doctor encouraged me to see PCP.  As already late in day, saw PCP following day.  Did EKG which was WNL.  Told to return for Stress Test should chest pain return.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash, Pyrexia
Clinical narrative: Mother called our clinic and stated child had a red rash around injection site of Varicella and had a fever.
Age: 19.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia oral, Urticaria
Clinical narrative: Hives and tingling mouth.  2+ to 3+ diffuse hives head to toe.  As of 5/5/08 pt is still getting hives.  IV steroids in ER on 5/3/08.  Prescribed prednisone x 4 days, zantac, and benadryl.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Oedema peripheral, Skin warm
Clinical narrative: L arm slightly swollen, red, slightly warm to touch.  Pain at site.  Grandmother had applied ice & given motrin at 3 pm.  She said arm looked better.  Pt. stated arm hurts when he does any jerky movement; otherwise no pain.  Will continue to follow up with telephone call on Sunday.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV1
Symptoms: Convulsion, Respiratory failure
Clinical narrative: Within 6 hours of getting vaccines, this infant had a seizure, and respiratory failure which resulted in transport to the hospital by helicopter ambulance.  5/27/2008 MR received for DOS 5/01-06/08/2008 with D/C DX: Status epilepticus/Respiratory failure. Infant presented to ER in status epilepticus. During diaper change infant developed generalized seizure with tonic posturing and eye deviation followed by hypotonia.  Generalized seizure activity continued in ED. Intubated and sedated 2' to respiratory distress/failure. Nasoenteric tube for feeds.  Nystagmus c/w brainstem involvement. Developed aspiration pneumonia. Extensive w/u. Presumed mitochondrial disorder. D/C on GJ feeds.   6/03/2008 As of today, still in hospital. 9/08/2008 MR received for DOS 6/26-28/2008 with Final DX:  Cleft palate, Hypotonia, Aspiration pneumonia, Seizure Disorder, Attention to Gastrostomy tube. Pt presented with intermittant gagging and coughing since D/C. Prior to day of admission suctioning had been clear but today suctioning was formula from the mouth. GJ tube replaced
Age: 27.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash generalised
Clinical narrative: Severe rash developing all over the patient body a day after the vaccination.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture, Culture urine, Differential white blood cell count, Full blood count, Pyrexia
Clinical narrative: fever began, according to parents, on 4.28 after immunizations.  not measured with thermometer at home.  continued until visit to MD on 5.1, when rectal temperature was 103.4
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urine analysis
Clinical narrative: fever began, according to parents, on 4.28 after immunizations.  not measured with thermometer at home.  continued until visit to MD on 5.1, when rectal temperature was 103.4
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Cold sweat, Influenza like illness, Injection site erythema, Nausea
Clinical narrative: Felt fine immediately after Zostavax given in left subcutaneous upper arm, but approximately 5 hours later, noticed redness around site on her left deltoid.  The next morning she felt flu like symptoms, bodyaches, low grade fever, cold sweats, chills, nausea for 2 days. Didnt treat with tylenol or other medication.  At 2-3 days post injection she  noticed lower deltoid with large area of swelling and redness covering half her upper arm.  Arm improved gradually since then. Then, 5 days after shot, noticed mosquito-bite like welts on both arms from upper arm to forearm. Noticed finger itching at 6 days after injections where there was no bite.  She has been using diphenhydramine cream topically which seemed to help. she is allergic to benadryl PO which she didnt realize is the same medication.  No shortness of breath, throat swelling or coughing.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Oedema peripheral, Pain, Pruritus, Pyrexia, Urticaria
Clinical narrative: Felt fine immediately after Zostavax given in left subcutaneous upper arm, but approximately 5 hours later, noticed redness around site on her left deltoid.  The next morning she felt flu like symptoms, bodyaches, low grade fever, cold sweats, chills, nausea for 2 days. Didnt treat with tylenol or other medication.  At 2-3 days post injection she  noticed lower deltoid with large area of swelling and redness covering half her upper arm.  Arm improved gradually since then. Then, 5 days after shot, noticed mosquito-bite like welts on both arms from upper arm to forearm. Noticed finger itching at 6 days after injections where there was no bite.  She has been using diphenhydramine cream topically which seemed to help. she is allergic to benadryl PO which she didnt realize is the same medication.  No shortness of breath, throat swelling or coughing.
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dyspnoea, Injection site bruising, Injection site erythema, Injection site swelling, Pain
Clinical narrative: 5-2-08 Body Aches, 5-3-08 Fever, Body Aches & shortness of Breath  took advil symptoms resolved by 5-4-08. Had developed increased Redness, swelling and brusing at the injection site (right deltoid) 5-2-2008.  The patient called the family physician and he recommended taking benadrylx2.
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: 5-2-08 Body Aches, 5-3-08 Fever, Body Aches & shortness of Breath  took advil symptoms resolved by 5-4-08. Had developed increased Redness, swelling and brusing at the injection site (right deltoid) 5-2-2008.  The patient called the family physician and he recommended taking benadrylx2.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Blood pressure, Chest discomfort, Dizziness, Dyspnoea, Heart rate
Clinical narrative: 4:10 pm Td given. Pt. c/o dizziness, SOB, and chest tightness. Ambulance called. BP 130/90, Pulse 100, respiration 20. Recheck on BP @ 4:15 was 110/170. Ambulance arrived @ 4:20 pm. Pt. responsive entire time. Pt. left via ambulance for evaluation. No SOB or chest tightness at time pt. left on ambulance.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Respiratory rate
Clinical narrative: 4:10 pm Td given. Pt. c/o dizziness, SOB, and chest tightness. Ambulance called. BP 130/90, Pulse 100, respiration 20. Recheck on BP @ 4:15 was 110/170. Ambulance arrived @ 4:20 pm. Pt. responsive entire time. Pt. left via ambulance for evaluation. No SOB or chest tightness at time pt. left on ambulance.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site rash, Rash, Rash maculo-papular
Clinical narrative: Rash, wide spread. Macupapular rash even at the site of the injection.
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Ear haemorrhage, Epistaxis, Injection site haemorrhage, International normalised ratio increased, Mouth haemorrhage
Clinical narrative: Pt admitted to hospital with 3 week history of bleeding from mouth, nose, ears and insulin injection sites.  INR found to be 5.0 with Plt count of <5.  Medications prior to admission included aspirin, clopidogrel, and warfarin.  Pt stated he had influenza vaccine 3 weeks prior to admission. 5/21/08-records received for DOS 12/7-12/12/07-DC DX: Idiopathic thrombocytopenic purpura. Coumadin coagulopathy. Presented to ED with bruises on skin and bumps at the insulin injection site 3 days prior to presentation. Bleeding from gums, ears and nose for 3 days. Abdominal soreness for 2-3 months.
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Platelet count decreased
Clinical narrative: Pt admitted to hospital with 3 week history of bleeding from mouth, nose, ears and insulin injection sites.  INR found to be 5.0 with Plt count of <5.  Medications prior to admission included aspirin, clopidogrel, and warfarin.  Pt stated he had influenza vaccine 3 weeks prior to admission. 5/21/08-records received for DOS 12/7-12/12/07-DC DX: Idiopathic thrombocytopenic purpura. Coumadin coagulopathy. Presented to ED with bruises on skin and bumps at the insulin injection site 3 days prior to presentation. Bleeding from gums, ears and nose for 3 days. Abdominal soreness for 2-3 months.
Age: 1.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Fever of 103.5, induration redness
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site rash, Streptococcal identification test, Streptococcal identification test negative
Clinical narrative: rash at injection site -red, raised, 3 inches long by 2 inches wide at injection site on left upper arm.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Returned to clinic four days post vaccination with right upper arm swollen and erythematous. Site warm to touch. Onset was evening of vaccination. Denies other symptoms: no fever, other rashes,no shortness of breath. States feels feel. Treated with Ice to site and benadryl.
Age: 15.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: PT WAS GIVEN ADULT DOSE OF HEP A WHICH WAS 20MCG, WHEN HE SHOULD HAVE BEEN GIVEN 10MCG.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Computerised tomogram, Head injury, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: It appeared as if the patient had syncope within one minute of injection completion. She had a loss of consciousness for approx. 10-15 seconds. The patient became extremely diaphoretic with nausea and vomiting. While unconscious, her head fell back hitting a wall quite hard.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: It appeared as if the patient had syncope within one minute of injection completion. She had a loss of consciousness for approx. 10-15 seconds. The patient became extremely diaphoretic with nausea and vomiting. While unconscious, her head fell back hitting a wall quite hard.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Agitation, Balance disorder, Body temperature, Chest discomfort, Chills
Clinical narrative: Received Tdap at approximately 9:30am.  Dizzy, overwhelmed and "out of balance" feeling for most of day after injection.  Crying unprovoked.  Awoke approximately 1:30am with shaking, chills and tightness in chest, crying uncontrollably, swollen and white tongue. Temp 99.7 orally at that time. Took antihistamine.  Continued to feel dizzy, off balance throughout next day.  Temp 99.0 oral next day.  Pain and redness at injection site.  Tongue continued to feel swollen and used antihistamines. Day 3 temp normal, still dizzy, agitated. Tongue remained slightly swollen, continued with antihistamine, pain at injection site.  Day 4 continued with dizziness and fatigue with complaints of "body buzzing".  Day 5 same symptoms continue.  Evaluated by physician on day 4 and 5.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Crying, Dizziness, Fatigue, Feeling abnormal, Injection site erythema
Clinical narrative: Received Tdap at approximately 9:30am.  Dizzy, overwhelmed and "out of balance" feeling for most of day after injection.  Crying unprovoked.  Awoke approximately 1:30am with shaking, chills and tightness in chest, crying uncontrollably, swollen and white tongue. Temp 99.7 orally at that time. Took antihistamine.  Continued to feel dizzy, off balance throughout next day.  Temp 99.0 oral next day.  Pain and redness at injection site.  Tongue continued to feel swollen and used antihistamines. Day 3 temp normal, still dizzy, agitated. Tongue remained slightly swollen, continued with antihistamine, pain at injection site.  Day 4 continued with dizziness and fatigue with complaints of "body buzzing".  Day 5 same symptoms continue.  Evaluated by physician on day 4 and 5.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Swollen tongue, Tongue discolouration, Tremor
Clinical narrative: Received Tdap at approximately 9:30am.  Dizzy, overwhelmed and "out of balance" feeling for most of day after injection.  Crying unprovoked.  Awoke approximately 1:30am with shaking, chills and tightness in chest, crying uncontrollably, swollen and white tongue. Temp 99.7 orally at that time. Took antihistamine.  Continued to feel dizzy, off balance throughout next day.  Temp 99.0 oral next day.  Pain and redness at injection site.  Tongue continued to feel swollen and used antihistamines. Day 3 temp normal, still dizzy, agitated. Tongue remained slightly swollen, continued with antihistamine, pain at injection site.  Day 4 continued with dizziness and fatigue with complaints of "body buzzing".  Day 5 same symptoms continue.  Evaluated by physician on day 4 and 5.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Induration
Clinical narrative: 4 inch area of induration appeared in r arm. Skin or arm was not affected (no redness, warmth or drainage).
Age: 27.0
Sex: F
Vaccine: JEV, TYP
Symptoms: Chills, Oedema peripheral, Pyrexia, Urticaria
Clinical narrative: Fever, hives, chills and swelling of hands 5 hrs after the shot and lasted for approx 8 hrs.  Resovled with Benadryl.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Eyelid oedema, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: LESS THAN 24 HOURS LATER I AWAKENED WITH A SWOLLEN RIGHT EYELID AND HIVES ALL OVER MY FACE.  THE SITE OF THE INJECTION WAS HOT, RED AND SLIGHTLY RAISED.  FIVE DAYS LATER I STILL HAVE SOME HIVES BUT THEY ARE GETTING SMALLER. THE EYE LID SWELLING IS GONE BUT THE EYE LID IS ITCHY.  CHILDREN'S LIQUID BENADRYL USED FOR 3 DOSES OF 1 1/2 TABLESPOONS AT A TIME.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: LESS THAN 24 HOURS LATER I AWAKENED WITH A SWOLLEN RIGHT EYELID AND HIVES ALL OVER MY FACE.  THE SITE OF THE INJECTION WAS HOT, RED AND SLIGHTLY RAISED.  FIVE DAYS LATER I STILL HAVE SOME HIVES BUT THEY ARE GETTING SMALLER. THE EYE LID SWELLING IS GONE BUT THE EYE LID IS ITCHY.  CHILDREN'S LIQUID BENADRYL USED FOR 3 DOSES OF 1 1/2 TABLESPOONS AT A TIME.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local reaction, Pain
Clinical narrative: Onset w/in 24 hours local redness that resolved by time of office visit.  Mild pain.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Dyspnoea, Erythema, Gait disturbance, Malaise
Clinical narrative: Left deltoid with erythemic area of 4 inches in circumference tender to touch/warm. Fever of 102.4.  c/o:  Malaise, SOB, difficult breathing, difficult ambulating.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin warm, Tenderness
Clinical narrative: Left deltoid with erythemic area of 4 inches in circumference tender to touch/warm. Fever of 102.4.  c/o:  Malaise, SOB, difficult breathing, difficult ambulating.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nausea, Oedema peripheral, Pain in extremity, Throat irritation, Vomiting
Clinical narrative: 3/9/08 told by client that after school he was having a lot of pain in his left arm, it swelled up, he got nauseated and vomited, and his throat felt itchy.  His parents took him to the ER.  Parents Spanish speaking only.  Client reported no treatment.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Laboratory test abnormal, Local reaction, Urticaria
Clinical narrative: Large local lasting 3 days.  Generalized urticaria lasting 3 wks.  Required systemic steroids & antihist.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient and her mother reported "itchy hives" down right arm that began the evening of the admission and resolved within 24 hours.  Patient took Benadryl.  (Shot was given in right deltoid).
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red, warm skin, painful to touch at injection site.  Tx: cold compress, NSAD's
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Body temperature, Feeling hot, Flushing
Clinical narrative: States feeling hot & flushed all over 1 hr after shot was given.  Temp was taken at his job =99.2.  Tylenol given by nursing staff.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site swelling, Injection site urticaria, Rash macular
Clinical narrative: Immediately after receiving vaccines - her L arm began swelling, blotchy appearing hives like reaction appeared on upper L arm from shoulder to elbow.  DTaP & varicella were given in L arm.   Ice pack applied & swelling & hives began to decrease.
Age: 0.87
Sex: F
Vaccine: DTAP, DTAPHEPBIP, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 2 doses of DTaP.