chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Heart rate increased, Laboratory test normal, Nausea, Syncope, Weight decreased
Clinical narrative: Information has been received from a consumer concerning her daughter who on 20-DEC-2007 was vaccinated with her first dose of GARDASIL (lot# not reported). Concomitant therapy included MENACTRA. On approximately 20-DEC-2007 the patient experienced nausea, weakness, weight loss and a fast heart beat. On 20-FEB-2008 the patient was vaccinated with her second dose of GARDASIL (lot# not reported) and fainted. The patient was sent to the emergency room. Therapy was discontinued. The patient's mother will not allow her to received the third dose. The patient's nausea, weakness, weight loss and fast heart beat persisted. The patient had blood work and a CAT scan. Additional information has been requested. Follow-up information was received from the physician's office. The illness at the time of vaccination was frequent nausea, headache, dizziness and fatigue. The patient had no pre-existing drug allergies and has reflux. On 21-FEB-2008 at 2:00PM the patient also was lightheaded and dizzy and unable to eat. On 21-FEB-2008 the patient had a computed axial tomography test performed of the abdomen and pelvis. Images of the lung bases are clear. Images of the liver, spleen, gallbladder, pancreas, kidneys and adrenal glands are normal in appearance. Bowel gas pattern is normal. No evidence of intra-abdominal or intrapelvic inflammatory process. No evidence of intra-abdominal and intrapelvic inflammatory process. No evidence of free air obstruction. On 21-FEB-2008 an electrocardiogram (EKG) was performed and was abnormal; findings included right atrial enlargement, MS inferior T wave changes. On 21-FEB-2008 a urinalysis pregnancy test was performed and was negative. On 21-Feb-2008 orthostatic blood pressure measurement was performed and the results were as follows: 137/82 (supine), 132/70 (sitting to standing) and 149/ (supine to sitting). Respiratory rate measurement was performed 115 (sitting pulse), 122 (standing) and 110 (supine). At the time of reporting it was unknown if the patient had recovered. Additional information is not expected.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC, DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Crying, Lethargy, Pyrexia
Clinical narrative: High fever (up to 106 during hospitalization). Hospitalized from 2/23-2/28, lethargy, uncontrolled crying for short periods of time, diffuse papular urticaria rash.  Due to persistent fever infant transferred to tertiary care for further workup. Transfer diagnosis: possible viral syndrome, r/o Kawasaki disease, r/o other causes of prolonged fever. Follow-up: # not in service; all available information is incorrect; mail undeliverable. Telephone and registered mail attempts to communicate for follow-up have been unsuccessful.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC, DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Blood culture negative, Bronchiolitis, CSF culture negative, Chest X-ray abnormal, Crying
Clinical narrative: High fever (up to 106 during hospitalization). Hospitalized from 2/23-2/28, lethargy, uncontrolled crying for short periods of time, diffuse papular urticaria rash.  Due to persistent fever infant transferred to tertiary care for further workup. Transfer diagnosis: possible viral syndrome, r/o Kawasaki disease, r/o other causes of prolonged fever. Follow-up: # not in service; all available information is incorrect; mail undeliverable. Telephone and registered mail attempts to communicate for follow-up have been unsuccessful.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC, DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Culture urine negative, Full blood count, Influenza serology negative, Lethargy, Liver function test abnormal
Clinical narrative: High fever (up to 106 during hospitalization). Hospitalized from 2/23-2/28, lethargy, uncontrolled crying for short periods of time, diffuse papular urticaria rash.  Due to persistent fever infant transferred to tertiary care for further workup. Transfer diagnosis: possible viral syndrome, r/o Kawasaki disease, r/o other causes of prolonged fever. Follow-up: # not in service; all available information is incorrect; mail undeliverable. Telephone and registered mail attempts to communicate for follow-up have been unsuccessful.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC, DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Pyrexia, Urticaria papular, White blood cell count increased
Clinical narrative: High fever (up to 106 during hospitalization). Hospitalized from 2/23-2/28, lethargy, uncontrolled crying for short periods of time, diffuse papular urticaria rash.  Due to persistent fever infant transferred to tertiary care for further workup. Transfer diagnosis: possible viral syndrome, r/o Kawasaki disease, r/o other causes of prolonged fever. Follow-up: # not in service; all available information is incorrect; mail undeliverable. Telephone and registered mail attempts to communicate for follow-up have been unsuccessful.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Onset of shingles rash 2 weeks after receiving Zostavax vaccine. Outbreak on left trunk.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Woke at 2:00 AM on 3-7-08 with fever 102 and raised, red, rash covering an area the 'size of an egg" on " left upper arm where shot was given." Taken to ER - Benadryl administered - told "reaction to shot". Benadryl continued along with alternating doses of Ibuprofen - Acetaminophen. Fever lasted 48 hrs. Rash fading on 3/10/08.
Age: 1.11
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Crying, Injection site induration, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: 10 days after vaccines given, developed measles-like rash and fever, also swelling, itching area where varicella given - firm, swollen, red almost like abscess. Brought to pediatrician- diagnosed with MMR reaction and rash. Later that day very hard to console, irritable, screaming, high fever fro 5-6 hrs.
Age: 1.11
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Rash morbilliform, Screaming
Clinical narrative: 10 days after vaccines given, developed measles-like rash and fever, also swelling, itching area where varicella given - firm, swollen, red almost like abscess. Brought to pediatrician- diagnosed with MMR reaction and rash. Later that day very hard to console, irritable, screaming, high fever fro 5-6 hrs.
Age: 30.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site mass, Pain in extremity
Clinical narrative: Soreness in arm, lump by injection site.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received Anthrax vaccine administration (Anthrax, series #4), via subcutaneous injection to right deltoid region (on 8 Mar 08 at approximately 10AM).  Patient did not receive any other vaccine at that time.  Later in the evening (approximately 7PM), patient noticed localized "swelling, redness, itching, tenderness (8/10), and pain (2/10) to my right arm where I was given the shot" (per patient).  Patient reported these signs on 9 Mar 08 to the clinic staff and doctor at the clinic.  Doctor recommended continued monitoring and patient use of over-the-counter Benadryl and Tylenol.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Received vaccine at 1130. By afternoon left arm became warm to touch, reddened, and tender to touch. Symptoms worsened by evening. Took codeine 20mg for pain. Called doctor given Prednisone 60mg for 4 days.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Patient reported on 1/26/07 that rash to chest started on 11/7/07. Rash spread to neck 11/7/07 - 11/12/07. On 11/12/07 patient was evaluated by her PMD. Information provided on 11/26/07.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site inflammation, Urticaria
Clinical narrative: Arthrus reaction at site 4 x 4cm (LA) and Uticaria on cheeks.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Body temperature increased, Erythema, Rash generalised
Clinical narrative: After pt was vaccinated went to restaurant to eat breakfast with mom. Ate eggs. Mom called at 1 pm stating she noticed child's face get red, and feeling as though getting temp. Pt came back to doctors office at 1:30. Child presenting with face redness, generalized rash, and temp of 103.6. Child sent to ER.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Induration, Oedema peripheral, Pain
Clinical narrative: Significant swelling and erythema from shoulder to elbow 48 hours after vaccine.  Firm, painful.  Keflex given as patient leaving country without ability to follow up.
Age: 1.4
Sex: M
Vaccine: DTAP, HEPA, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: Seizure. Pt was taken to ER.
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: 3 days after vaccine, developed swelling and urticaria around injection site (L) arm; still persistent 6 days later.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Haematochezia, Ultrasound abdomen normal, White blood cell count normal
Clinical narrative: Blood in stool began 3 days after vaccines. It lasted for 5 days.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Axillary pain, Induration, Local swelling, Pain
Clinical narrative: dT administered 3/13/08.  Mod/severe pain, induration and swelling locally by next day, severe burning pain and swelling, mild induration, in axilla started 3/16/08.  Vaccine manufacturere Sanofi Pasteur.  Rxed ibuprofen, lidocaine gel.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Crying, Erythema, Lip swelling, Oedema peripheral
Clinical narrative: Mother reports infant received immunizations 9/25/07.  On 9/26/07 temperature  100 degrees for 3 days with crying, swelling of face, lips and left leg for 3 days with red quarter sized area on left leg.  Loss of appetite for 3 days.  Called PMD 9/28/07 and was seen by PMD 10/3/07.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Swelling face
Clinical narrative: Mother reports infant received immunizations 9/25/07.  On 9/26/07 temperature  100 degrees for 3 days with crying, swelling of face, lips and left leg for 3 days with red quarter sized area on left leg.  Loss of appetite for 3 days.  Called PMD 9/28/07 and was seen by PMD 10/3/07.
Age: 1.6
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC
Symptoms: Medication error
Clinical narrative: Child in for immunizations.  Had 2 series of vaccines at health unit.  Computer not checked and immunization I not updated - 4th Pediarix given.  Child had been given vaccine 4-5-07.  Reported to doctor.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria, Viral infection
Clinical narrative: Received vaccines on 3-24-05- on 4-2-05 child broke out with hives from head to toe- Immediately placed on Benadryl by parent- when Benadryl was not given exactly at every 4 hours child continued to break out with additional hives, 2nd break out child had hives on back, stomach. 3rd break out (5 1/2 hrs after last dose of Benadryl) hives had covered body-taken temp on 4-4-05, dx as viral illness
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Autopsy, Death, Epistaxis, Haemorrhage
Clinical narrative: On 2/25/08 infant breastfed well at 3 AM. At approximately 6 AM 2/25/08 infant was found with blood in nose, apneic and pulseless; 911 called, fail resuscitation attempted. Infant was declared dead at hospital ED after failed attempt to revive her. She was a former 32 week preemie who slept in same bed with parents. 4/18/08-autopsy report received: Cause of Death:Sudden unexplained infant death in infancy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Petechiae, Pulse absent, Resuscitation
Clinical narrative: On 2/25/08 infant breastfed well at 3 AM. At approximately 6 AM 2/25/08 infant was found with blood in nose, apneic and pulseless; 911 called, fail resuscitation attempted. Infant was declared dead at hospital ED after failed attempt to revive her. She was a former 32 week preemie who slept in same bed with parents. 4/18/08-autopsy report received: Cause of Death:Sudden unexplained infant death in infancy.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Autopsy, Death
Clinical narrative: Infant reported in paper as deceased. No contact with parents. PHN who gave vaccine had remembered that infant died and had received immunizations from local health unit on 010308. This was triggered by report of another infant in same county who dies at 3 mo. of age and was given same vaccines but with different lot #s of some vaccines.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Diarrhoea, Vomiting projectile
Clinical narrative: 1st series of vaccines given 022008. T. Call from mother 022608 states in faint having "projectile vomiting and severe diarrhea." PHN called CDNS who rec. infant see private MD STAT and report to nurse outcome. 022708 call from infant's mother states "her pediatrician told her that"vomiting not due to Rotavirus." That it is OK to give at 4 months old. 031308 Mom called to say baby dies lat PM. Mom states "she was just fussy the past few days."
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Arrested labour, Caesarean section, Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: Information has been received from a Licensed Practical Nurse (LPN) for the pregnancy registry for Gardasil concerning a 19 year old female (last menstrual period was early May 2007) with no pertinent medical history, drug reactions or allergies who on 16-MAY-2007 was vaccinated with her first dose of Gardasil, 0.5 ml, intramuscular administration (IM), and was subsequently determined to be pregnant.  There was no concomitant medication.  The LPN reported the patient did not experience any problems.  Product Quality Control (PQC) was not involved.  Follow-up information has been received from a pregnancy questionnaire.  The patient, with no past medical history or conditions, had no complications during pregnancy, diagnostic test during pregnancy or during labor/delivery.  However, 38 weeks from LMP, the patient had a cesarean section due to failure to descend.  On 20-JUN-2007 and 22-AUG-2007 the patient had an ultrasound (results WNL) due to new OB and 18 weeks U/S.  It was reported that the patient declined to have a MSAFP test.  On 23-JAN-2008 a normal female baby was born at 7 lbs 7 oz with an APGAR score of 5/9.  Concomitant medication during pregnancy (JAN-2005 through February 2008) included prenatal vitamins ("Tandem") once a day for pregnancy.  No previous pregnancies were noted.  Upon internal review cesarean section due to failure to descend was considered to be an other important medical event.  Additional information is not expected.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Anaemia, Anxiety, Arrested labour, Caesarean section, Depression
Clinical narrative: Initial and follow up information has been received from 2 registered nurse, concerning a 21 year old female patient, with no prior pregnancies, ovarian cysts and a drug hypersensitivity to VICODIN and a past history of anxiety (treated with EFFEXOR) and tobacco use, who on 27-FEB-2007 was vaccinated with the first dose of Gardasil (lot # not reported). On 16-APR-2007 the patient had her LMP, and on 27-APR-2007, was vaccinated with the second dose of Gardasil (Lot #656050/0245U). There was no concomitant medication. On an unspecified date, a pregnancy test confirmed the patient's pregnancy. The estimated date of delivery (EDC) was 20-JAN-2008. The nurse confirmed that the patient was not experiencing any known symptoms. Follow up information confirmed that on 07-JUN-2007, therapy with prenatal vitamins (PNV) was initiated for the pregnancy. On 27-JUN-2007, an ultrasound confirmed the EDC of 20-JAN-2008. On 23-OCT-2007, therapy with SLOW FE was initiated for treatment of anemia. A follow up ultrasound (date not reported) indicated that the fetus had short upper extremities, however this resolved at 35 weeks gestation. On 27-DEC-2007, therapy with ZOLOFT was initiated for treatment of anxiety and depression (onset of symptoms not specified). During labor (date not specified), there was an arrested descent, and the baby developed "multi variable decels." Due to these developments, on 12-JAN-2008, at 38 6/7 weeks gestation, a C-section was performed and a normal male infant (no congenital anomalies or abnormalities) was delivered, birth weight 7 lb 11.5 oz, APGAR 4/8. Upon internal review, arrested descent was multivaribable decels- C-section were considered to be serious as an other important medical event. Additional information is not expected.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Immunology test, Pregnancy test positive, Ultrasound scan abnormal
Clinical narrative: Initial and follow up information has been received from 2 registered nurse, concerning a 21 year old female patient, with no prior pregnancies, ovarian cysts and a drug hypersensitivity to VICODIN and a past history of anxiety (treated with EFFEXOR) and tobacco use, who on 27-FEB-2007 was vaccinated with the first dose of Gardasil (lot # not reported). On 16-APR-2007 the patient had her LMP, and on 27-APR-2007, was vaccinated with the second dose of Gardasil (Lot #656050/0245U). There was no concomitant medication. On an unspecified date, a pregnancy test confirmed the patient's pregnancy. The estimated date of delivery (EDC) was 20-JAN-2008. The nurse confirmed that the patient was not experiencing any known symptoms. Follow up information confirmed that on 07-JUN-2007, therapy with prenatal vitamins (PNV) was initiated for the pregnancy. On 27-JUN-2007, an ultrasound confirmed the EDC of 20-JAN-2008. On 23-OCT-2007, therapy with SLOW FE was initiated for treatment of anemia. A follow up ultrasound (date not reported) indicated that the fetus had short upper extremities, however this resolved at 35 weeks gestation. On 27-DEC-2007, therapy with ZOLOFT was initiated for treatment of anxiety and depression (onset of symptoms not specified). During labor (date not specified), there was an arrested descent, and the baby developed "multi variable decels." Due to these developments, on 12-JAN-2008, at 38 6/7 weeks gestation, a C-section was performed and a normal male infant (no congenital anomalies or abnormalities) was delivered, birth weight 7 lb 11.5 oz, APGAR 4/8. Upon internal review, arrested descent was multivaribable decels- C-section were considered to be serious as an other important medical event. Additional information is not expected.
Age: 39.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal X-ray, Biopsy bone marrow, Body temperature increased, Chills, Insomnia
Clinical narrative: Information has been received from a physician, concerning herself, a 40 year old female with gastrooesophageal reflux disease, drug hypersensitivity to meperidine (DEMEROL), erythromycin and clarithromycin (BIAXIN), and a history of depression, who on 05-SEP-2007 was vaccinated IM with the first dose of Gardasil (lot # not reported).  Concomitant therapy included esomeprazole magnesium (NEXIUM), mirtazapine (REMERON) and alprazolam (XANAX).  In approximately September 2007 ("following the vaccination"), the physician felt lethargic and couldn't sleep.  On 06-NOV-2007 she was vaccinated IM with the second dose of Gardasil (lot #655154/1210U).  Following the second dose, she developed fevers greater than 100 degrees F, which have continued for 4 months, along with body pain and rigors.  She had diagnostic labs and testing performed, including a computed axial tomography (CAT) scan of the chest and abdomen, x-ray, echocardiogram and bone marrow biopsy (dates and results not provided).  The physician stated she hadn't been able to work for 3 months, due to her significant malaise.  She reported seeing another physician (details not provided).  At the time of this report, the physician had not recovered from the events.  The physician indicated that the events were serious as disabling.  Additional information has been requested.  4/11/08 Received OB/GYN medical records of 8/23/07 & labs of 9/5/07.  4/15/08 Received primary GYN record of 11/6/07 where received HPV #2, 1210U left deltoid.  Reported no side effects from HPV #1.  5/30/08 Reviewed PCP medical records from 7/2007-3/2008 which reveal patient experienced depression & under psych care. Unable to work.  In 11/2007, had fever x 5 days, abdominal cramping & increased stools.  Tx w/meds & improved until fever returned 12/2007 W/HA & severe fatigue.  Meds adjusted & felt better by 1/2008.  Fever recurred 2-3/2008   PCP felt could be related to psych meds.  Meds adjusted.  ID & GYN consult done.  No dx stated.  Felt better & was able to return to work 4/2008.
Age: 39.0
Sex: F
Vaccine: HPV4
Symptoms: Lethargy, Malaise, Pain, Pyrexia
Clinical narrative: Information has been received from a physician, concerning herself, a 40 year old female with gastrooesophageal reflux disease, drug hypersensitivity to meperidine (DEMEROL), erythromycin and clarithromycin (BIAXIN), and a history of depression, who on 05-SEP-2007 was vaccinated IM with the first dose of Gardasil (lot # not reported).  Concomitant therapy included esomeprazole magnesium (NEXIUM), mirtazapine (REMERON) and alprazolam (XANAX).  In approximately September 2007 ("following the vaccination"), the physician felt lethargic and couldn't sleep.  On 06-NOV-2007 she was vaccinated IM with the second dose of Gardasil (lot #655154/1210U).  Following the second dose, she developed fevers greater than 100 degrees F, which have continued for 4 months, along with body pain and rigors.  She had diagnostic labs and testing performed, including a computed axial tomography (CAT) scan of the chest and abdomen, x-ray, echocardiogram and bone marrow biopsy (dates and results not provided).  The physician stated she hadn't been able to work for 3 months, due to her significant malaise.  She reported seeing another physician (details not provided).  At the time of this report, the physician had not recovered from the events.  The physician indicated that the events were serious as disabling.  Additional information has been requested.  4/11/08 Received OB/GYN medical records of 8/23/07 & labs of 9/5/07.  4/15/08 Received primary GYN record of 11/6/07 where received HPV #2, 1210U left deltoid.  Reported no side effects from HPV #1.  5/30/08 Reviewed PCP medical records from 7/2007-3/2008 which reveal patient experienced depression & under psych care. Unable to work.  In 11/2007, had fever x 5 days, abdominal cramping & increased stools.  Tx w/meds & improved until fever returned 12/2007 W/HA & severe fatigue.  Meds adjusted & felt better by 1/2008.  Fever recurred 2-3/2008   PCP felt could be related to psych meds.  Meds adjusted.  ID & GYN consult done.  No dx stated.  Felt better & was able to return to work 4/2008.
Age: 0.6
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Initial report received on 04 March 2008 from the patient's uncle. A 7-month-old female patient, with a past medical history of "reflux", had received a first dose of FLUZONE SV 2007-2008 (lot number U2442AA) on 24 September 2007. The route and site of administration of the Fluzone vaccine was not provided. It was "unknown" if the patient had any illnesses at the time of the vaccination. Approximately two months post-vaccination, the patient experienced "seizures." The patient required an emergency room visit with subsequent hospitalization (date not reported). An electroencephalogram (EEG) was performed that revealed seizure activity. The recovery status of the patient was reported as "Unknown." No other relevant medically significant information was provided.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Balance disorder, Muscular weakness, Neuropathy, Pain in extremity
Clinical narrative: 11-23-04 - developed weakness in leg and trouble with her balance; 12-04 - weakness in legs progressed until patient had to use cane to walk; 2-05 - now has to use a walker/cane and c/o severe joint pain; A. Received Flu vaccine 11-18-04; B. On 11-23-04 patient noticed weakness in left leg and had trouble with her balance. C. Weakness continued to increase for several weeks, patient had to start using a cane to assist with walking. D. Jan and Feb saw DR who suggested a diagnosis of neuropathy. E. April of 05 patient now c/o pain down both legs, can only walk with cane or walker and has constant joint pain especially in legs. 7/16/08-records received-Presented on 12/6/04 with C/O neck hurting several years ago. Lots of tension. Dragging left lower extremity, left arm hurts from flu shot. Cervical spine pain. PE: mild scoliosis. Assessment: cervical disc syndrome, lymbar disc syndrome, osteoarthritis left knee, possible torn medial meniscus. Complaints continued.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Walking aid user
Clinical narrative: 11-23-04 - developed weakness in leg and trouble with her balance; 12-04 - weakness in legs progressed until patient had to use cane to walk; 2-05 - now has to use a walker/cane and c/o severe joint pain; A. Received Flu vaccine 11-18-04; B. On 11-23-04 patient noticed weakness in left leg and had trouble with her balance. C. Weakness continued to increase for several weeks, patient had to start using a cane to assist with walking. D. Jan and Feb saw DR who suggested a diagnosis of neuropathy. E. April of 05 patient now c/o pain down both legs, can only walk with cane or walker and has constant joint pain especially in legs. 7/16/08-records received-Presented on 12/6/04 with C/O neck hurting several years ago. Lots of tension. Dragging left lower extremity, left arm hurts from flu shot. Cervical spine pain. PE: mild scoliosis. Assessment: cervical disc syndrome, lymbar disc syndrome, osteoarthritis left knee, possible torn medial meniscus. Complaints continued.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Acoustic stimulation tests, Deafness, Erythema, Hearing impaired, Oedema peripheral
Clinical narrative: Received vaccine on Friday Oct 27 - Saturday red rash covered my left arm, swelling and fever, hearing was distorted. Hearing grew worse over next day - called doctor for treatment. Later to specialist - lost my hearing.  3/21/08 Reviewed PCP medical records 10/26/07-3/11/08. FINAL DX: none provided Records review patient experienced swelling or left arm w/rash & oral thrush.  On 10/26 received PCV & flu vaccines.  10/30 dx w/injection reaction & tx w/steroids & antihistamine.  TM/s were normal but having vertigo & hearing problem.  Noted to have retraction right TM.  Tx w/continued steroids & decongestant.  Note of 3/11 does not address hearing or vertigo status.   3/25/08 Received ENT medical records of 11/07-11/30/2007. FINAL DX: right sided sudden sensorineural hearing loss. Records reveal patient noted rash, n/v & right ear hearing loss day after pneumo vax.  No improvement w/tx.  Exam revealed dull right TM w/fluid in right middle ear.  Dx: right serous otitis media & possible mixed hearing loss.  Tx w/antibiotics & steroids.  Returned for audiogram 11/16/07 which was abnormal.  Referred for MRI.  Returned 11/28/07.  No improvement.   Referred for hearing aids.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Received vaccine on Friday Oct 27 - Saturday red rash covered my left arm, swelling and fever, hearing was distorted. Hearing grew worse over next day - called doctor for treatment. Later to specialist - lost my hearing.  3/21/08 Reviewed PCP medical records 10/26/07-3/11/08. FINAL DX: none provided Records review patient experienced swelling or left arm w/rash & oral thrush.  On 10/26 received PCV & flu vaccines.  10/30 dx w/injection reaction & tx w/steroids & antihistamine.  TM/s were normal but having vertigo & hearing problem.  Noted to have retraction right TM.  Tx w/continued steroids & decongestant.  Note of 3/11 does not address hearing or vertigo status.   3/25/08 Received ENT medical records of 11/07-11/30/2007. FINAL DX: right sided sudden sensorineural hearing loss. Records reveal patient noted rash, n/v & right ear hearing loss day after pneumo vax.  No improvement w/tx.  Exam revealed dull right TM w/fluid in right middle ear.  Dx: right serous otitis media & possible mixed hearing loss.  Tx w/antibiotics & steroids.  Returned for audiogram 11/16/07 which was abnormal.  Referred for MRI.  Returned 11/28/07.  No improvement.   Referred for hearing aids.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR
Symptoms: Convulsion, Dyskinesia, Pyrexia, Staring, Unresponsive to stimuli
Clinical narrative: (Fever of 103 next day) 36 hours later my son had a seizure-like reaction - he was staring, unresponsive and his right arm and leg were jerking. The unresponsive behavior lasted about 3 minutes and the jerking limbs lasted about 30 secs. An hour later in the ER, his temperature spiked to 105.8 and it had been normal. His temperature prior to the seizure was normal.  4/8/08 Reviewed hospital medical records for 2/15-2/16/2008. FINAL DX: Febrile seizure. Records reveal patient experienced fever max 103.5 x 2 days s/p vaccinations.  Parents reported staring spell x 4 min twitching right extremities w/no postictal period.  Seen in outlying ER where temp 105.8.  Tx w/IV antibiotics & transferred to higher level of care.  Neuro consult done.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood product transfusion, Burning sensation, Catheter placement, Dysuria
Clinical narrative: Generalized not feeling well, "flu-like" symptoms evening of flu shot that persisted thru week; 10 days after flu shot feels "burning-rash-like" sensation across abdomen; no visible rash, took Benadryl X 2 doses, also unable to urinate, went to ED Foley catheter placed, 12 days post vaccination still unable to urinate, tingling/numbness in legs, loss of sensation/weakness; ascending paralysis; MD diagnosed Guillain Barre' syndrome; has had nerve conduction studies, the last ones very consistent with Guillain-Barre'; completed 5 days of IV IG.  He has also been on Solu-Medrol, pt has required mechanical ventilation, plasmapheresis, currently remains in ICU with quadraplegia. 4/28/08-records received for DOS 3/4-4/16/08-DC DX: Myeloradiculitis secondary to flu vaccine. Status post tracheostomy. Status post percutaneous gastrotomy. Several weeks following flu vaccine developed urinary retention followed by ascending motor and sensory dysfunction consistent with Landry Guillain Barre syndrome. Ventilator dependent for short period off during day but at night goes back on ventilator for support. Several apneic episodes. Treated with IVIG and plasmapheresis. Prior to third run of plasmapheresis suffered a respiratory arrest due to mucous plugging. Developed pneumonia and became septic. At time of discharge able to sit up with assistance, failed swallowing evaluation. Tube feeding.  1/20/2010 Patient expired several months ago.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Influenza like illness, Malaise, Mechanical ventilation, Nerve conduction studies abnormal
Clinical narrative: Generalized not feeling well, "flu-like" symptoms evening of flu shot that persisted thru week; 10 days after flu shot feels "burning-rash-like" sensation across abdomen; no visible rash, took Benadryl X 2 doses, also unable to urinate, went to ED Foley catheter placed, 12 days post vaccination still unable to urinate, tingling/numbness in legs, loss of sensation/weakness; ascending paralysis; MD diagnosed Guillain Barre' syndrome; has had nerve conduction studies, the last ones very consistent with Guillain-Barre'; completed 5 days of IV IG.  He has also been on Solu-Medrol, pt has required mechanical ventilation, plasmapheresis, currently remains in ICU with quadraplegia. 4/28/08-records received for DOS 3/4-4/16/08-DC DX: Myeloradiculitis secondary to flu vaccine. Status post tracheostomy. Status post percutaneous gastrotomy. Several weeks following flu vaccine developed urinary retention followed by ascending motor and sensory dysfunction consistent with Landry Guillain Barre syndrome. Ventilator dependent for short period off during day but at night goes back on ventilator for support. Several apneic episodes. Treated with IVIG and plasmapheresis. Prior to third run of plasmapheresis suffered a respiratory arrest due to mucous plugging. Developed pneumonia and became septic. At time of discharge able to sit up with assistance, failed swallowing evaluation. Tube feeding.  1/20/2010 Patient expired several months ago.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Paralysis, Plasmapheresis, Quadriplegia, Sensory loss
Clinical narrative: Generalized not feeling well, "flu-like" symptoms evening of flu shot that persisted thru week; 10 days after flu shot feels "burning-rash-like" sensation across abdomen; no visible rash, took Benadryl X 2 doses, also unable to urinate, went to ED Foley catheter placed, 12 days post vaccination still unable to urinate, tingling/numbness in legs, loss of sensation/weakness; ascending paralysis; MD diagnosed Guillain Barre' syndrome; has had nerve conduction studies, the last ones very consistent with Guillain-Barre'; completed 5 days of IV IG.  He has also been on Solu-Medrol, pt has required mechanical ventilation, plasmapheresis, currently remains in ICU with quadraplegia. 4/28/08-records received for DOS 3/4-4/16/08-DC DX: Myeloradiculitis secondary to flu vaccine. Status post tracheostomy. Status post percutaneous gastrotomy. Several weeks following flu vaccine developed urinary retention followed by ascending motor and sensory dysfunction consistent with Landry Guillain Barre syndrome. Ventilator dependent for short period off during day but at night goes back on ventilator for support. Several apneic episodes. Treated with IVIG and plasmapheresis. Prior to third run of plasmapheresis suffered a respiratory arrest due to mucous plugging. Developed pneumonia and became septic. At time of discharge able to sit up with assistance, failed swallowing evaluation. Tube feeding.  1/20/2010 Patient expired several months ago.
Age: 37.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Oral herpes
Clinical narrative: BEGINNING OF DAY 3/12/08 NOTICE SWELLING ON SITE OF INJECTION ON THE RIGHT ARM, ABOUT TWO HRS LATER WAS WARM AND RED ABOUT 1" DIAMETER ON INJECTION SITE AND IT WAS PAINFUL BY THEN. ON 3/12/08 VISIT MD ON FEVER BLISTERS ON LIP AND PRESCRIBED ANTIBIOTICS. (AVLACOR)
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TDAP
Symptoms: Viral rash
Clinical narrative: MILD VIRAL EXANTHUM NOTICED 16 MARCH 0230, 11 DAYS AFTER INOCULATION.  NO TREATMENT NEEDED.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Autism
Clinical narrative: Autistic symptoms.  Treatment is ot, pt, and speech. 4/14/08-records received-Developmental evaluation at 9 months of age-2/26/02 cognitive skills at 3 1/2 to 5 months. Self-help skills 5-8 months level. Communication skills-5 1/2 to 6 1/2 level. Early childhood intervention program evaluation 3/7/02-does not interact with toys, not sitting, arching back to avoid sitting, not crawling or moving forward. Frequent otitis media. Office note 12/20/02-hypotonia of unknown etiology.  11/26/02-Has not met developmental milestones, delayed by about 9 months. Delay began at 6 months of age. 11/22/02-Neurology visit-impression unexplained developmental delay with hypotonia. 1/24/07-Unexplained static encephalopathy with nocturnal seizures and some autistic features. No social interaction with peers.
Age: 25.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Ecchymosis, Erythema, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: PATIENT COMPLAINS OF TWO DAYS OF "ITCHINESS AND REDNESS" AND WARMTH TO THE SITE OF INJECTION. OBSERVATION REVEALS NICKEL SIZED ECCHYMOSIS AT LEFT MEDIAL DELTOID REGION. TWO AREAS OF ERYTHEMATOUS ELEVATED WHEALS DISTAL TO ECCHYMOTIC AREA. WARM TO THE TOUCH WITH BLANCHING NOTED. BORDERS OF ERYTHEMATOUS AREA MARKED FOR FUTURE REFERENCE. PATIENT TOLD TO TAKE 800MG MOTRIN PO EVERY 8 HOURS FOR TWO DAYS. APPLY HEAT OR ICE COMPRESS WHEN POSSIBLE AND FOLLOW UP IN 48 HOURS IF SYMPTOMS PERSIST OR SOONER IF SYMPTOMS WORSEN.
Age: 25.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pallor, Urticaria
Clinical narrative: PATIENT COMPLAINS OF TWO DAYS OF "ITCHINESS AND REDNESS" AND WARMTH TO THE SITE OF INJECTION. OBSERVATION REVEALS NICKEL SIZED ECCHYMOSIS AT LEFT MEDIAL DELTOID REGION. TWO AREAS OF ERYTHEMATOUS ELEVATED WHEALS DISTAL TO ECCHYMOTIC AREA. WARM TO THE TOUCH WITH BLANCHING NOTED. BORDERS OF ERYTHEMATOUS AREA MARKED FOR FUTURE REFERENCE. PATIENT TOLD TO TAKE 800MG MOTRIN PO EVERY 8 HOURS FOR TWO DAYS. APPLY HEAT OR ICE COMPRESS WHEN POSSIBLE AND FOLLOW UP IN 48 HOURS IF SYMPTOMS PERSIST OR SOONER IF SYMPTOMS WORSEN.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Apnoea, Death, Hyperventilation, Irritability, Resuscitation
Clinical narrative: Patient was given the following vaccines: Hep B, HIB, Rotateq, DT/DTAP, IPV, Pneumococcal Conj. on Monday March 3rd, 2008 around 1:45pm.  He was fussy after and was given Tylenol at the dr's instructions and slept most of Monday evening other than waking to eat.  Tuesday he was still taking deap breaths as if he just finished crying and was very quiet.  Although I still was able to have him coo with me he was very calm and relaxed.  Monday morning I got him ready for daycare and dropped him off around 7:30 along with his sister and received a phone call at 4:45 that my baby was lot breathing.  Daycare performed CPR until the EMS arrived, then the EMS took over and transferred him to the hospital.  At the hospital they tried to revive him for an hour and had to pronounce him dead. 3/31/08-records received from ED for DOS 3/5/08-Presented in cardiopulmonary arrest. Found nonresponsive at daycare. Intubated. No blood pressure, no pulse, asystolic pulse. Patient expired. DX: Cardiopulmonary arrest.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Somnolence
Clinical narrative: Patient was given the following vaccines: Hep B, HIB, Rotateq, DT/DTAP, IPV, Pneumococcal Conj. on Monday March 3rd, 2008 around 1:45pm.  He was fussy after and was given Tylenol at the dr's instructions and slept most of Monday evening other than waking to eat.  Tuesday he was still taking deap breaths as if he just finished crying and was very quiet.  Although I still was able to have him coo with me he was very calm and relaxed.  Monday morning I got him ready for daycare and dropped him off around 7:30 along with his sister and received a phone call at 4:45 that my baby was lot breathing.  Daycare performed CPR until the EMS arrived, then the EMS took over and transferred him to the hospital.  At the hospital they tried to revive him for an hour and had to pronounce him dead. 3/31/08-records received from ED for DOS 3/5/08-Presented in cardiopulmonary arrest. Found nonresponsive at daycare. Intubated. No blood pressure, no pulse, asystolic pulse. Patient expired. DX: Cardiopulmonary arrest.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Gait disturbance
Clinical narrative: Parent states 1 week after recieving MMR and Varicella vaccine, child is limping. Parent denies any trauma/fall. Parent concerned about joint pain, which was mentioned in MMR VIS form. Recommended to parent to have child examined by pediatrician.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Gait disturbance, Rash, Vomiting
Clinical narrative: Parent states 1 week after recieving MMR and Varicella vaccine, child is limping. Parent denies any trauma/fall. Parent concerned about joint pain, which was mentioned in MMR VIS form. Recommended to parent to have child examined by pediatrician.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pt given VIS, no information given on pregnancy at time. Pt received vaccine and later told me that she was pregnant due in 8/08
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood test, Computerised tomogram, Muscle spasms, Oedema peripheral, Pyrexia
Clinical narrative: Low grade fever, swelling in upper left arm, muscle spasms in both arms and right leg.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chemotherapy, Chest X-ray abnormal, Computerised tomogram abnormal, Epstein-Barr virus test negative, Full blood count normal
Clinical narrative: Pt. received series of 3 vaccinations - 11/06, 05/07, 01/08.  Pt. noted sl. weight loss - 10 lbs, and enlarged supraclavicular lymph nodes around 2/1/08.  Node grew slightly larger by 3/11/08.  Pt was seen by fam. phys. - cbc done, + cxr.  Cxr abnormal - 4 x 7.4 cm mediastinal mass noted.  CT showed grossly enlarged lymph nodes.  Biopsy performed on lymph node - positive for Hodgkin's lymphoma.  Pt. awaiting appt. with oncology for staging and plan of care.  Component HHV-6 known causative agent of HODGKIN's lymphoma contained in GARDASIL. 5/19/08-records received-Oncology visit 3/25/08-presented with no significant PMH. C/O enlargement of left cervical lymph node at end of 1/08 and upper respiratory symptoms. Four weeks later seen by PCP, C/O pruritus in legs and arms since January as well as patches of dry skin. Chemotherapy.  Follow-up: Since cancer can recur, I have no idea if the event is resolved. Patient continues to received chemotherapy related to HODGKIN's lymphoma. Enlarged lymph node noted i.v. Feb 08 - 1 month after completing the series of 3 vaccinations of GARDASIL. HODGKINS diagnosed 3-14-08
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hodgkin's disease, Lymphadenopathy, Mediastinal mass, Weight decreased
Clinical narrative: Pt. received series of 3 vaccinations - 11/06, 05/07, 01/08.  Pt. noted sl. weight loss - 10 lbs, and enlarged supraclavicular lymph nodes around 2/1/08.  Node grew slightly larger by 3/11/08.  Pt was seen by fam. phys. - cbc done, + cxr.  Cxr abnormal - 4 x 7.4 cm mediastinal mass noted.  CT showed grossly enlarged lymph nodes.  Biopsy performed on lymph node - positive for Hodgkin's lymphoma.  Pt. awaiting appt. with oncology for staging and plan of care.  Component HHV-6 known causative agent of HODGKIN's lymphoma contained in GARDASIL. 5/19/08-records received-Oncology visit 3/25/08-presented with no significant PMH. C/O enlargement of left cervical lymph node at end of 1/08 and upper respiratory symptoms. Four weeks later seen by PCP, C/O pruritus in legs and arms since January as well as patches of dry skin. Chemotherapy.  Follow-up: Since cancer can recur, I have no idea if the event is resolved. Patient continues to received chemotherapy related to HODGKIN's lymphoma. Enlarged lymph node noted i.v. Feb 08 - 1 month after completing the series of 3 vaccinations of GARDASIL. HODGKINS diagnosed 3-14-08
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy lymph gland, Chest X-ray abnormal, Computerised tomogram abnormal, Full blood count normal, Hodgkin's disease
Clinical narrative: Pt. received series of 3 vaccinations - 11/06, 05/07, 01/08.  Pt. noted sl. weight loss - 10 lbs, and enlarged supraclavicular lymph nodes around 2/1/08.  Node grew slightly larger by 3/11/08.  Pt was seen by fam. phys. - cbc done, + cxr.  Cxr abnormal - 4 x 7.4 cm mediastinal mass noted.  CT showed grossly enlarged lymph nodes.  Biopsy performed on lymph node - positive for Hodgkin's lymphoma.  Pt. awaiting appt. with oncology for staging and plan of care.  Component HHV-6 known causative agent of HODGKIN's lymphoma contained in GARDASIL. 5/19/08-records received-Oncology visit 3/25/08-presented with no significant PMH. C/O enlargement of left cervical lymph node at end of 1/08 and upper respiratory symptoms. Four weeks later seen by PCP, C/O pruritus in legs and arms since January as well as patches of dry skin. Chemotherapy.  Follow-up: Since cancer can recur, I have no idea if the event is resolved. Patient continues to received chemotherapy related to HODGKIN's lymphoma. Enlarged lymph node noted i.v. Feb 08 - 1 month after completing the series of 3 vaccinations of GARDASIL. HODGKINS diagnosed 3-14-08
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Lymphadenopathy, Weight decreased
Clinical narrative: Pt. received series of 3 vaccinations - 11/06, 05/07, 01/08.  Pt. noted sl. weight loss - 10 lbs, and enlarged supraclavicular lymph nodes around 2/1/08.  Node grew slightly larger by 3/11/08.  Pt was seen by fam. phys. - cbc done, + cxr.  Cxr abnormal - 4 x 7.4 cm mediastinal mass noted.  CT showed grossly enlarged lymph nodes.  Biopsy performed on lymph node - positive for Hodgkin's lymphoma.  Pt. awaiting appt. with oncology for staging and plan of care.  Component HHV-6 known causative agent of HODGKIN's lymphoma contained in GARDASIL. 5/19/08-records received-Oncology visit 3/25/08-presented with no significant PMH. C/O enlargement of left cervical lymph node at end of 1/08 and upper respiratory symptoms. Four weeks later seen by PCP, C/O pruritus in legs and arms since January as well as patches of dry skin. Chemotherapy.  Follow-up: Since cancer can recur, I have no idea if the event is resolved. Patient continues to received chemotherapy related to HODGKIN's lymphoma. Enlarged lymph node noted i.v. Feb 08 - 1 month after completing the series of 3 vaccinations of GARDASIL. HODGKINS diagnosed 3-14-08
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: At around 7pm on 03/16/08, mother noted baby was febrile with temp. 101 and hives-like rash erupted at around right thigh, where he had PCV vaccination, and also eruption at groin, head anterior and posterior trunk. Was brought to ER, where he was given Benadryl IM shot. Rash subsided in 1/2 hour and has not recurred. Baby has been afebrile since.
Age: 0.24
Sex: M
Vaccine: RVX
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt administered first Rotavirus vaccine at 12 weeks and 2 days;  automatic warning was not triggered; spoke with mom and informed her; no adverse events noted.
Age: 0.52
Sex: M
Vaccine: DTPPHIB, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Pt developed diarrhea after received immunization.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Sporadic severe pain at injection site x 3mos.Pain relieved with Aleve tabs 2.
Age: 14.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Headache, Injection site discolouration, Injection site discomfort, Injection site erythema
Clinical narrative: On 03-17-08, Mother reported that patient had received a chickenpox (2nd dose) and Tdap booster in her right arm on Friday, 03-14-08, about 4:30pm. On Saturday, 03/15/08, about 2:00pm patient complained of redness, swelling and discomfort at the Chickenpox injection site. No problems were noted at the Tdap injection site. She also complained of a headache and had a temp. of 99.5 degrees. Mother gave patient Advil for the fever and discomfort every 6 hours. On Sunday, 03/16/08, patient's Mother stopped the Advil and about 2:00pm patient's temp. went up to 101 degrees.  Patient's mother gave her another dose of Advil and her temp returned to normal within 30 minutes. Patient also had increased redness, swelling and discomforted  at the  chickenpox injection site. Today 03-17-08, patient was sent home from school complaining of nausea and dizziness. The swelling, redness and discomfort at the chickenpox inject site has gotten worse. The chickenpox injection site has a bull's eye type area of redness and swelling totally approx. 4 inches in diameter. It has a center area of dark redness  approx. 2 inches in diameter that is surrounded by a 1/2 inch ring of whitish discolored that is surrounded by another 1/8 ring of pinkish discoloration. One chickenpox pox is noted in the area of discoloration, swelling and discomfort. Patient mother states she is planning on taking her to the doctor. She was encouraged to do so, push fluids and instructed not to give any Aspirin products.