chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Postictal state, Swollen tongue, Tongue discolouration
Clinical narrative: Recieved menactra on june 24 2009. She had seizure during the night bit tongue severely. Went to doctor next day, said to watch her. She had another seizure on September 1, 2009 during class at college. Was sent to emergency room.They are tonic clonic seizures. No family history of seizures and she was fine up until menactra vaccine.She has seen neurologist who has now put her on seizure medicine.
Age: 0.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Vaccine positive rechallenge
Clinical narrative: That evening the child became congested and had a fever. Continued to have worsening "cold" symptoms, but fever stopped. 4 days later fever of 99.3 returned and continues to have thich nasal discharge. These same symptoms happened after the 2 and 4 month shots also. The Dr. said it was coincidence after the first 2 times. This is the 3rd time and mom is worried.
Age: 20.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Blepharospasm, Blood glucose normal, Convulsion, Musculoskeletal stiffness, Syncope
Clinical narrative: After receiving Hepatitis A vaccine patient fainted and had some seizure activity, including eyes twitching, tonic-clonic movements of arms and legs and stiffening of his back. Was unresponsive for approximately 1 to 2 minutes with seizure-like activity less than 1 minute. Upon recovery was oriented to person, time, place. Knew President of the U.S. (even though he recently arrived from another country) and knew how many dimes in a dollar. Refused transport to hospital by EMTs who did attend to patient.
Age: 20.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: After receiving Hepatitis A vaccine patient fainted and had some seizure activity, including eyes twitching, tonic-clonic movements of arms and legs and stiffening of his back. Was unresponsive for approximately 1 to 2 minutes with seizure-like activity less than 1 minute. Upon recovery was oriented to person, time, place. Knew President of the U.S. (even though he recently arrived from another country) and knew how many dimes in a dollar. Refused transport to hospital by EMTs who did attend to patient.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chest discomfort, Chills, Cough, Ocular hyperaemia
Clinical narrative: began developing symptoms approx. 4 hrs. following administration of flu vaccine.  Began coughing,& having chest tightness.  Developed 101 temperature with chills and aches and reddened eyes.  Symptoms resolved next day except for reddened eyes.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: began developing symptoms approx. 4 hrs. following administration of flu vaccine.  Began coughing,& having chest tightness.  Developed 101 temperature with chills and aches and reddened eyes.  Symptoms resolved next day except for reddened eyes.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal discomfort, Abdominal pain, Blood test normal, Culture throat negative, Injection site erythema
Clinical narrative: Red, raised and very hot at site of shot for three days and very cranky, followed by abdominal pains, then fever and felt sick to her stomach on the 4th day after.  Had urine tested, throat culture and a series of blood taken and received IV fluids in hospital.  Everything came back negative.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Injection site warmth, Irritability, Pyrexia, Urine analysis normal
Clinical narrative: Red, raised and very hot at site of shot for three days and very cranky, followed by abdominal pains, then fever and felt sick to her stomach on the 4th day after.  Had urine tested, throat culture and a series of blood taken and received IV fluids in hospital.  Everything came back negative.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Hypertension, Throat tightness
Clinical narrative: Tightness in throat, radiating to chest, coughing, high blood pressure (173/109). Symptons began at 4:20pm and continued until steroid were administered in ER at 6:15 and 6:27pm.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Pallor, Skin discolouration
Clinical narrative: Patient claims that she felt lightheaded after standing for 10 mins and she had to be assisted with walking. She also claims that after feeling lightheaded and dizzy she sat down on cold floor at which point "everything was black" for approximately 10-20 mins. Patient never lost consciousness. People with patient noted that she was pale and lips greenish and was sweating profusely.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Arthritis, Burning sensation, Fatigue, Joint swelling, Musculoskeletal pain
Clinical narrative: Member was administered the Anthrax vaccine on 24 Aug at approximately 0930 am in the Left upper arm (IM). She experienced the normal burning sensation following administration. At Midnight of the 24th she awoke from her sleep with pain in her left arm starting from the finger tips radiating up the arm,neck and left side of her head. She took Ibuprofen 800mg at that time, she did not experience much relief of her pain, at 0230 and again at 0500 on the 25th of Aug, took 800mg of Ibuprofen. She called in sick on the 25th, she noted at that time that her entire Left shoulder was swollen, enflamed, painful and tender with palpation. She continued to take Ibuprofen throughout the day. On the 26th Aug she remained ill and developed entire body aches along with her painful swollen lt arm. She also experienced fatique. She states "I felt like I was hit by a truck". She began to take Benadryl 25mg two tabs every 8 hours or so, as well as the 800mg of Ibuprofen. August 27th, left arm remained swollen, warm with less erythemia. She continued to feel quiet fatiqued. August 28th, she was feeling better, left arm remained swollen with no erythemia. At this time she is not experiencing any illness and left arm appears normal. NOTE: This is her nineth Anthrax vaccination, she indicates that with each progress Anthrax vaccination that she has been experiencing worsening reactions.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Pain, Pain in extremity, Similar reaction on previous exposure to drug, Tenderness
Clinical narrative: Member was administered the Anthrax vaccine on 24 Aug at approximately 0930 am in the Left upper arm (IM). She experienced the normal burning sensation following administration. At Midnight of the 24th she awoke from her sleep with pain in her left arm starting from the finger tips radiating up the arm,neck and left side of her head. She took Ibuprofen 800mg at that time, she did not experience much relief of her pain, at 0230 and again at 0500 on the 25th of Aug, took 800mg of Ibuprofen. She called in sick on the 25th, she noted at that time that her entire Left shoulder was swollen, enflamed, painful and tender with palpation. She continued to take Ibuprofen throughout the day. On the 26th Aug she remained ill and developed entire body aches along with her painful swollen lt arm. She also experienced fatique. She states "I felt like I was hit by a truck". She began to take Benadryl 25mg two tabs every 8 hours or so, as well as the 800mg of Ibuprofen. August 27th, left arm remained swollen, warm with less erythemia. She continued to feel quiet fatiqued. August 28th, she was feeling better, left arm remained swollen with no erythemia. At this time she is not experiencing any illness and left arm appears normal. NOTE: This is her nineth Anthrax vaccination, she indicates that with each progress Anthrax vaccination that she has been experiencing worsening reactions.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Patient noticed a small red rash around the injection site on Wednesday morning 9/2/09 two days after shingles shot was given.  The rash was red and sore, and had a small degree of itching.  I observed the rash on Wednesday about 1130 am. I suggested that she call her primary care physician, & let him know & suggested Benadryl (but told her to call md either way).  After checking with patient today (Friday 9/3/9), the rash had improved significantly.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever 104
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: A 3 cm round erythromatous indurated area around injection site.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Disturbance in attention, Dizziness
Clinical narrative: The patient received the flu shot on 09/01/09 at 1450 and withtin 15-20 minutes she started having symptoms.  The patient complained of dizziness, lightheadedness, inability to concentrate.  The patient stated that she felt as if she was having an exacerbation of her MS.  The patient left work and went to see her neurologist.  Her doctor is now observing her Guillain-Barre.  10/21/09 Neurology consult records received service date 9/4/09. Assessment: Multiple sclerosis with flu vaccine-induced exacerbation. Patient complains of feeling poorly. Fever and chills, feeling foggy, unable to think straight, weak and dizzy. Burning in right leg worse.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Syncope, Vaccine positive rechallenge
Clinical narrative: patient lying on exam table. While lying on exam table she fainted and arms flailed up. Nurse called patients name and she immediatley opened her eyes and was aware of surroundings. Nurse took pulse, B/P, and resp. All her vitals were within normal limits. Patient had fainted with the first HPV vaccination.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Fatigue, Headache, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PAINFUL, SWOLLEN, WARM TO TOUCH RIGHT DELTOID. MYALGIAS, STIFF, PAINFUL NECK AND SHOULDERS. HEADACHE, FATIGUE AND FEVER LESS THAN 102. TREATMENT: IBUPROFEN 200MG 2 TABS Q4-5 HRS, DARVOCET N100 650MG-100MG 1 TAB Q4 HRS PRN.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Joint stiffness, Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Neck pain
Clinical narrative: PAINFUL, SWOLLEN, WARM TO TOUCH RIGHT DELTOID. MYALGIAS, STIFF, PAINFUL NECK AND SHOULDERS. HEADACHE, FATIGUE AND FEVER LESS THAN 102. TREATMENT: IBUPROFEN 200MG 2 TABS Q4-5 HRS, DARVOCET N100 650MG-100MG 1 TAB Q4 HRS PRN.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: PAINFUL, SWOLLEN, WARM TO TOUCH RIGHT DELTOID. MYALGIAS, STIFF, PAINFUL NECK AND SHOULDERS. HEADACHE, FATIGUE AND FEVER LESS THAN 102. TREATMENT: IBUPROFEN 200MG 2 TABS Q4-5 HRS, DARVOCET N100 650MG-100MG 1 TAB Q4 HRS PRN.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Asthenia, Dizziness, Feeling cold, Pallor
Clinical narrative: PT BECAME PALE, WEAK AND DIZZY AFTER ADMINISTERING HPV VACCINE. PT REPORTED FEELING COLD AFTER ADMINISTRATION. PT WAS SITTING AT TIME ON INNOCULATION.
Age: 0.83
Sex: F
Vaccine: DTAPH
Symptoms: Crying, Ear infection, Ear tube insertion, Head banging, Injection site erythema
Clinical narrative: swelling, red and hot at the site, cried continuously for an hour or more, 4 days latter, she started throwing up out of nowhere then that night she started banging her hear repeatedly in her crib and car seat, still to this day does it.  She's also had several ear infections since and now has tubes in her ears.
Age: 0.83
Sex: F
Vaccine: DTAPH
Symptoms: Injection site swelling, Injection site warmth, Vomiting
Clinical narrative: swelling, red and hot at the site, cried continuously for an hour or more, 4 days latter, she started throwing up out of nowhere then that night she started banging her hear repeatedly in her crib and car seat, still to this day does it.  She's also had several ear infections since and now has tubes in her ears.
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Joint range of motion decreased, Pain, Swelling
Clinical narrative: Patient received Pneumovax injection.  Had immediate swelling/pain upon arriving home.  Used ice, heat, massage, NSAID's for the past 3 weeks with no improvement except decrease in swelling.  Continues to have limited range of motion and pain.
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Pain, Swelling
Clinical narrative: Patient received Pneumovax injection.  Had immediate swelling/pain upon arriving home.  Used ice, heat, massage, NSAID's for the past 3 weeks with no improvement except decrease in swelling.  Continues to have limited range of motion and pain.
Age: 39.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Malaise
Clinical narrative: Warmth, redness, pain at site of vaccination.  Generalized malaise, fatigue, body aches and pains (quite severe).  Fevers.
Age: 39.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Warmth, redness, pain at site of vaccination.  Generalized malaise, fatigue, body aches and pains (quite severe).  Fevers.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Dizziness, Feeling cold, Pallor
Clinical narrative: PT BECAME PALE, WEAK AND DIZZY AFTER ADMINISTERING HPV VACCINE. PT WAS SITTING AT TIME ON INNOCULATION. PT REPORTED FEELING COLD AFTER ADMINISTRATION.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Cough, Nasal congestion, Pruritus, Rash, Wheezing
Clinical narrative: 9/1/2009 patient experienced a rash on his trunk and extremities with some itching.  09/02/2009 He started coughing, wheezing and has nasal congestion. Was told to see MD and notify the MD that he had receieved Tdap and Menactra 08/31/2009.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Irritability, Pruritus, Pyrexia, Rash generalised, Rhinitis allergic
Clinical narrative: Pt developed rash on whole body, itchy, cranky, and low grade fever on 8-20-2009.  Saw family physician on 8-25-2009  Dx MMR vaccine reaction and allergoc rhinitis.  No treatment given.  Spoke with grandma on 9-3-09 who states the fever is gone and the rash is fading.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Vaccination complication
Clinical narrative: Pt developed rash on whole body, itchy, cranky, and low grade fever on 8-20-2009.  Saw family physician on 8-25-2009  Dx MMR vaccine reaction and allergoc rhinitis.  No treatment given.  Spoke with grandma on 9-3-09 who states the fever is gone and the rash is fading.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Decreased appetite, Lethargy, Malaise, Pyrexia, Rash generalised
Clinical narrative: Fever per patient's mother (temp not actually taken; was 97.2 orally on 8/31/09), generalized rash, loss of appetite, lethargy.  Mother noticed these s/s on 8/29/09 but patient told her she had not been feeling well for several days. Pt. was assessed by Dr. on 8/31/09.  No treatment ordered.  I spoke with pt's mother today.  She noted that patient was "much better" and rash, etc. resolving.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Antinuclear antibody negative, Arthralgia, C-reactive protein normal, Cytomegalovirus test negative, Full blood count normal
Clinical narrative: About 2 weeks after vaccine administered, the patient developed severe joint pain and myalgias.  Most affected joints were knees, elbows and hands.  Testing has not revealed a cause of the joint pain.  Using aleve, the pain is slowly improving.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Myalgia, Parvovirus B19 serology negative, Red blood cell sedimentation rate normal, Streptococcal identification test
Clinical narrative: About 2 weeks after vaccine administered, the patient developed severe joint pain and myalgias.  Most affected joints were knees, elbows and hands.  Testing has not revealed a cause of the joint pain.  Using aleve, the pain is slowly improving.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling warmth to L thigh, almost to knee measuring about 6x4" irregular bordered, no drainage.  Pt triaged with RN appt.  Enc cool paks or wet cold washcloth to area as much as possible child does not want to allow ice pack.  Enc mom to call for worsening s/s outside area marked, especially if redness is moving to core body, nausea, vomiting, etc...Our Shot record is incomplete for age, unknown if previous doses were given, no other shot record unavailable.  documented previous doses according to our records
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R arm red swollen warm "band" posterior to lateral arm measuring about 3x5".  No drainage.  No fever, no other s/s of illness
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Chest pain, Chills, Cough, Decreased appetite
Clinical narrative: Pain in left tricep 1 hour following shot-over the course of 12 hours increasing severe muscle aches in joints, back, feet, shoulders, head,chest pains.  Severe shortness of breath for 2 days, coughing, wheezing, chills, fever (highest 101.4), sweats, insominia, dry heaves, extreme thirst, loss of appetite, fatigue.  a 8"x11" hot, red, swollen, very painful left arm just above and including the left elbow area-injection area was hot but not red or swollen.  Went to urgent care and the dr. prescribed dexadron, medrol dose pak, and keflex for 10 days in addition to wearing a sling.
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Dyspnoea, Erythema, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Pain in left tricep 1 hour following shot-over the course of 12 hours increasing severe muscle aches in joints, back, feet, shoulders, head,chest pains.  Severe shortness of breath for 2 days, coughing, wheezing, chills, fever (highest 101.4), sweats, insominia, dry heaves, extreme thirst, loss of appetite, fatigue.  a 8"x11" hot, red, swollen, very painful left arm just above and including the left elbow area-injection area was hot but not red or swollen.  Went to urgent care and the dr. prescribed dexadron, medrol dose pak, and keflex for 10 days in addition to wearing a sling.
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Insomnia, Musculoskeletal pain
Clinical narrative: Pain in left tricep 1 hour following shot-over the course of 12 hours increasing severe muscle aches in joints, back, feet, shoulders, head,chest pains.  Severe shortness of breath for 2 days, coughing, wheezing, chills, fever (highest 101.4), sweats, insominia, dry heaves, extreme thirst, loss of appetite, fatigue.  a 8"x11" hot, red, swollen, very painful left arm just above and including the left elbow area-injection area was hot but not red or swollen.  Went to urgent care and the dr. prescribed dexadron, medrol dose pak, and keflex for 10 days in addition to wearing a sling.
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Myalgia, Pain, Pyrexia, Retching, Thirst
Clinical narrative: Pain in left tricep 1 hour following shot-over the course of 12 hours increasing severe muscle aches in joints, back, feet, shoulders, head,chest pains.  Severe shortness of breath for 2 days, coughing, wheezing, chills, fever (highest 101.4), sweats, insominia, dry heaves, extreme thirst, loss of appetite, fatigue.  a 8"x11" hot, red, swollen, very painful left arm just above and including the left elbow area-injection area was hot but not red or swollen.  Went to urgent care and the dr. prescribed dexadron, medrol dose pak, and keflex for 10 days in addition to wearing a sling.
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Wheezing
Clinical narrative: Pain in left tricep 1 hour following shot-over the course of 12 hours increasing severe muscle aches in joints, back, feet, shoulders, head,chest pains.  Severe shortness of breath for 2 days, coughing, wheezing, chills, fever (highest 101.4), sweats, insominia, dry heaves, extreme thirst, loss of appetite, fatigue.  a 8"x11" hot, red, swollen, very painful left arm just above and including the left elbow area-injection area was hot but not red or swollen.  Went to urgent care and the dr. prescribed dexadron, medrol dose pak, and keflex for 10 days in addition to wearing a sling.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discomfort, Injection site haematoma
Clinical narrative: A 72 year old female came in to the clinic to and stated that has some discomfort to right arm where she was given a shot. Also stated she noticed bruising on 2 areas of the right arm. (1 in the injection site, 1 just right above the elbow).  I observed the right arm and noted approximately a 1cm size bruise at the injection site and a 50cent coin piece just right above the elbow.  Patient stated did not apply any cold or warm compresses to injection site. Referred to physician if she continues to have discomfort to right arm.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Pain in extremity, Swelling face
Clinical narrative: The patient developed a headache and a swelling of the face 1.75 hours after vacc. administration (in addition to soreness of the arm).  The swelling of the face was significant around the right eye and resulted in the eye being 1/2 closed.  The swelling persisted through 8 PM when she was given a weight-based dose of antihistamine (Benadryl).  No other symptoms of systemic allergic reaction were apparent.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUX, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: DTap #5 administered to left Deltoid 9/1/09, upper arm became swollen/red very tight and painful. Taken to Emergency Room by mother 9/2/09 (as clinic was closed), where Prednisone was prescribed. Reaction resolved as stated by mother on 9/3/09.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: R Arm - site of injection swollen red and painful per patient. Swelling extends inot axilla,
Age: 0.7
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Autopsy, Death
Clinical narrative: Death. 9/11/09 Autopsy received DOD 07/09/2009. Sudden Unexplained Death in Infancy (SUIDI or SIDS). The manner of death is natural. Additional information abstracted: Infant was found dead in crib, positioned supine. No evidence of injury.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Decreased appetite, Lethargy, Pallor, Vomiting
Clinical narrative: Vomiting started within 2hrs after vaccination. Also became pale and lethargic about the same time. Poor appetite throughout the night. Brought to clinic 9/3/09. Sent to hospital for admission.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling around site of injection after 24 hours 6 centimeters.  VARICELLA vac only.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Headache, Hypokinesia, Pain, Pyrexia
Clinical narrative: Fever, chills, aches, hard to move, headache.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Pruritus, Pyrexia, Vomiting
Clinical narrative: Fever x 1 day. Itching, vomiting x 1. 7.5 cm x 5.0 cm mild erythema and mild induration on left arm.
Age: 12.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received VARIVAX # 2 on 08/31/09, injection area has become red, swollen, painful, area of erythema, well circumscribed, slightly warm, mild pain & touch.  No streaking, no signs of infection.
Age: 1.7
Sex: F
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Injection site erythema, Injection site rash, Injection site vesicles
Clinical narrative: skin r thigh Erythemic rash with few vesicles initial and put on KEFLEX 250mg for 10 days.
Age: 15.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Body temperature increased, Tremor, Vomiting
Clinical narrative: Patient presented to office on 9/1/09 at about 10:00 am with c/o SA; "shaking", fever. T- 102.6 ear noted., V x 1 in office, injection sites- clear, none redness or induration. 9/2/09, called patient, doing better, no fever, vx1, taking fluids. No "shaking".
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Erythema, Fatigue, Headache, Injection site erythema
Clinical narrative: Pain and soreness to left deltoid on 9/2/09, fever 101 degrees, child was very weak, tired, HA on 9/2/09, redness am of 9/3/09. Area 5 1/2 cm x 5 cm covering left deltoid, no swelling, deltoid hot to touch.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pain and soreness to left deltoid on 9/2/09, fever 101 degrees, child was very weak, tired, HA on 9/2/09, redness am of 9/3/09. Area 5 1/2 cm x 5 cm covering left deltoid, no swelling, deltoid hot to touch.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Patient had reaction to shots give on 8/31/09. KINRIX 6x9 1/2 cm red and feverish whelp in right thigh no pain. VAIRIVAX 4x6cm left subq red feverish whelp, sore to touch.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site rash, Injection site warmth, Muscular weakness
Clinical narrative: Large rash at injection site, radiating warmth about 8 inches in diameter. Muscle weakness in legs, from hip down. Patient also had headache.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Eye swelling, Lip swelling, Swelling face, Urticaria
Clinical narrative: Vaccine 8/27/09 8/29/09 Urticaria swollen eyes, nose, lips.  Given EPINEPHRINE 0.15 mg IM and BENADRYL 12.5 mg orally.
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Quarter size hive at site of VARIVAX. No other signs or symptoms. BENADRYL given.
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Quarter size hive @ site of Varicella vaccine. No other signs or symptoms. BENADRYL given.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Oxygen saturation normal, Rash generalised
Clinical narrative: Small rash all body with no SOB or wheezing pulse OX 100% BENADRYL PO every six months.
Age: 22.0
Sex: F
Vaccine: MNQ
Symptoms: Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: Stiffness on left side of neck and then when she turned neck she developed numbness on neck that is still present.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Patient had syncopal episode after receiving vaccine and was unresponsive and hypotensive for 5 mins. Patient improved after rest and juice.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Right arm hurts, patient says can't lift arm above the shoulder. Arm throbs, no swelling. After 2 hours post injection no swelling or redness of site - just soreness.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Mobility decreased, Skin warm, Swelling
Clinical narrative: Swollen, red, hot area - hard to move upper arm.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Computerised tomogram, Convulsion, Dyskinesia, Gaze palsy
Clinical narrative: Non febrile seizure on 9/12/2009.  Lasted approximately 2 minutes per mom.  Eyes rolled back.  Arms and legs jerk
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Myalgia, Pyrexia
Clinical narrative: Fever - 103 degrees, stomach-ache, muscle aches.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pruritus, Rash generalised, Urticaria
Clinical narrative: Received phone call from mother, concerned because son had broken out in a rash all over body about five hours after injections received. Child alert and "normal for him." Consulted with Dr. advised to give BENADRYL if itching worse or for comfort. To go to ER if swelling around mouth or throat or rash increases. 9/2/09 @ 10:00 Am - per mother child taken to ER 9/1/09 PM told by MD child has hives RX'd BENADRYL and PRELONE.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Pt. had generalized reaction at injection site redness, swelling & inflammation. Pt also experienced fever, malaise. Followed up with doctor visit. Events occurred at home.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Cold sweat, Convulsion, Dizziness, Erythema, Hyperhidrosis
Clinical narrative: Pt. had generalized reaction at injection site redness, swelling & inflammation. Pt also experienced fever, malaise. Followed up with doctor visit. Events occurred at home.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site inflammation, Injection site swelling, Malaise
Clinical narrative: Pt. had generalized reaction at injection site redness, swelling & inflammation. Pt also experienced fever, malaise. Followed up with doctor visit. Events occurred at home.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Nausea, Oedema peripheral, Pallor, Pyrexia, Syncope
Clinical narrative: Pt. had generalized reaction at injection site redness, swelling & inflammation. Pt also experienced fever, malaise. Followed up with doctor visit. Events occurred at home.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Pt. had generalized reaction at injection site redness, swelling & inflammation. Pt also experienced fever, malaise. Followed up with doctor visit. Events occurred at home.
Age: 51.0
Sex: U
Vaccine: FLU3
Symptoms: Feeling cold, Pain, Pyrexia
Clinical narrative: Pt reports onset of fever, chills & all-over body aches on 8/30/09, injection was given 8/28/09.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Youth here today complaining of swelling, redness, pain, and itching over bilateral upper arms, where immunization shots were given yesterday. Pt states that she noticed some discomfort in the areas last night while sleeping when she would lie on her respective side. Then this morning she noticed the swelling and redness and has had intense itching in the area, worse over her R vs. L upper arm. Pt received immunizations yesterday and the affected area correlates with where her injections were given. Pt received the Tdap shot in her upper L (dominant) arm and a Hep A #1 and MENACTRA shot in her upper R arm. The more anterior shot appears to be the one reacting in her R arm, however, I am not certain if it was the Hep A or the MENACTRA that was given anteriorly in that arm. Pt also had a PPD placed in her volar R forearm yesterday. Pt has not tried any tx. She denies any fever, chills, or d/c. In further discussion regarding pt's vaccinations, she states she thinks she did receive some vaccinations, although she does not remember which ones, about a year ago. We have no record of these vaccinations on file. Pt's parents are currently out of the country and will not be returning until about 9/18/09. Pt states there is no other family members here who would know any further information on her vaccination status or who could obtain her previous medical records. She states she thinks she might have had a rxn to a vaccination in the past, but then she thinks it might have been a bee sting, she cannot remember which it was. Other ROS is WNL.
Age: 1.8
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Condition aggravated, Cough, Full blood count, Influenza serology, Nasal congestion
Clinical narrative: Immunizations were given 8-28-09.  Child presented on 9-1-09 with fever (104.2 Rectal), nasal congestion, cough and restlessness.
Age: 1.8
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pyrexia, Restlessness, Streptococcal identification test, Urine analysis
Clinical narrative: Immunizations were given 8-28-09.  Child presented on 9-1-09 with fever (104.2 Rectal), nasal congestion, cough and restlessness.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: No adv s/sx.
Age: 19.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Asthenia, Fall, Hypoaesthesia, Hypotonia, Oxygen saturation normal
Clinical narrative: Client reported feeling weak and unable to feel her body. Afterwards client began to fall backwards onto the exam table and was limp for approx. 2-3 seconds. Monitored and applied cool compress to forehead and neck.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right arm swollen, red, and warm to touch.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dyspnoea
Clinical narrative: MCV given in left deltoid at approximately 11:30 am.  Client left with no complaint after shot & went to restaurant.  Mom then states child complained of difficulty breathing & was taken to the hospital by EMS.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Blister, Erythema, Local reaction
Clinical narrative: Local reaction with varicella vaccine redness/blisters to arm.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Left thigh 10 mm X 8 mm red, inflamed, warm to touch.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Low grade fever started last night rectal temp today was 100 given Tylenol today. Left upper thigh is 3/4 an inch diameter larger than right thigh. 5/D eval schedule for today.
Age: 0.3
Sex: F
Vaccine: DTAP
Symptoms: Muscle spasms, Staring
Clinical narrative: Within day or two of vaccine started having "muscle spasms almost like vibrating" seemed to notice especially as he would fall asleep; just not himself for about 2 weeks. Would stare off into space. As of 8/28/09 still having muscle spasms though more normal behavior other than "tremors" when falls asleep (for 2-15 seconds).
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site urticaria
Clinical narrative: Urticaria around the injection site.  Pain at injection site.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen, red area where varicella vaccine was given.  Warm to the touch & tender.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling
Clinical narrative: On 8/29/09- morning Pt noticed a swollen area on her left deltoid measuring 2 1/2 diameter.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure increased, Chest pain, Pain, Skin discolouration, Urticaria
Clinical narrative: Upper arm turned black/blue first night - pain woke me up all night worse second day - third day 7/30 upper arm covered w/ hives - large and in a circle - pain worse - went to facility after calling nurse and advised to go to emergency. The doctor at facility thought I was having a heart attack - elevated blood pressure - hive turned black, then brown and lasted thru 8/19 along with upper chest pain.
Age: 49.0
Sex: F
Vaccine: DTOX
Symptoms: Body temperature increased, Erythema, Skin warm, Swelling
Clinical narrative: Swelling erythema warmth around site of injection extending 4cm. 3 days later with T 100 and erythema extending distally about 6cm.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Dizziness, Dyskinesia, Fall, Fatigue
Clinical narrative: Information has been received from a physician concerning a 22 year old female teacher with tic disorder and anxiety who on 10-AUG-2009 at 4:00 pm was vaccinated intramuscularly in the left arm with the third dose of GARDASIL (lot# 662518/0087Y). There was no illness at the time of vaccination. Concomitant therapy included TENEX. On 18-AUG-2009 at 4:01 pm the patient had tonic clonic seizure (whatever was written there was crossed out) with syncope that lasted for a full minute. The patient had asymptomatic post ictal phase. The patient denied any discomfort symptom after her seizure. The outcome was unknown. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Gaze palsy, Immediate post-injection reaction, Increased appetite, Moaning, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a physician concerning a 22 year old female teacher with tic disorder and anxiety who on 10-AUG-2009 at 4:00 pm was vaccinated intramuscularly in the left arm with the third dose of GARDASIL (lot# 662518/0087Y). There was no illness at the time of vaccination. Concomitant therapy included TENEX. On 18-AUG-2009 at 4:01 pm the patient had tonic clonic seizure (whatever was written there was crossed out) with syncope that lasted for a full minute. The patient had asymptomatic post ictal phase. The patient denied any discomfort symptom after her seizure. The outcome was unknown. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Thirst
Clinical narrative: Information has been received from a physician concerning a 22 year old female teacher with tic disorder and anxiety who on 10-AUG-2009 at 4:00 pm was vaccinated intramuscularly in the left arm with the third dose of GARDASIL (lot# 662518/0087Y). There was no illness at the time of vaccination. Concomitant therapy included TENEX. On 18-AUG-2009 at 4:01 pm the patient had tonic clonic seizure (whatever was written there was crossed out) with syncope that lasted for a full minute. The patient had asymptomatic post ictal phase. The patient denied any discomfort symptom after her seizure. The outcome was unknown. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Grand mal convulsion, Postictal state, Syncope
Clinical narrative: Information has been received from a physician concerning a 22 year old female teacher with tic disorder and anxiety who on 10-AUG-2009 at 4:00 pm was vaccinated intramuscularly in the left arm with the third dose of GARDASIL (lot# 662518/0087Y). There was no illness at the time of vaccination. Concomitant therapy included TENEX. On 18-AUG-2009 at 4:01 pm the patient had tonic clonic seizure (whatever was written there was crossed out) with syncope that lasted for a full minute. The patient had asymptomatic post ictal phase. The patient denied any discomfort symptom after her seizure. The outcome was unknown. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Quarter size hive at site of varicella.  No other signs or symtpoms.  Benadryl given
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Diarrhoea, Pain, Pyrexia
Clinical narrative: Fever 101-105 w/in 24hrs of receiving immunizations - fever above 101 for 5 days unconsolable crying, pain, diarrhea, about 5 days.  9/14/09 Received hospital medical records for 6/8/09 to 6/9/09. FINAL DX: febrile illness, viral vs vaccination related; altered mental status Records reveal patient experienced high fever x 4 days, loose stools x 1 day, irritability.  Seen in ER over weekend & received IM antibiotic.  Tx w/IVF, continued IV antibiotic.  ID consult done.  Transferred per parental request.  DTaP held at 4mo but patient developed unconsolable screaming/crying after other 4 mo vax.  Referred to Immunology Clinic. ICD9 Codes: 78060; 78097.  10/1/09 Hospital records received DOS 6/8/09 to 6/9/09. Assessment: Fever, Noninfectious Gastroenteritis/Colitis.  Patient presents with 2-3 day hx of fever, irritability, diarrhea, and intermittant vomiting. Decreased po. Temp 104.2, heart rate 200+/min. Rash.  ICD-9 Codes: 78060 Fever unspecified, 5589 Noninfectious Gastroenteritis/Colitis.
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Laboratory test, Myelitis transverse
Clinical narrative: Transverse myelitis of acute onset on 8/29/09.  Vaccines given 8/12/09. DC'd from hospital 9/25/2009, DC DX 323.52 Myelitis following immunization procedure
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Asthenia, Hypoaesthesia, Myelitis transverse, Paralysis, Sensory loss
Clinical narrative: Transverse myelitis of acute onset on 8/29/09.  Vaccines given 8/12/09. DC'd from hospital 9/25/2009, DC DX 323.52 Myelitis following immunization procedure
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Within 24 hrs I had a red rash at the injection site which increased in size for 7 days ending up being about 2" x 4". 2 days post injection I was placed on KEFLEX 500mg bid x5 days and CLODERM CM. Even after 2 weeks an itchy red rash 1 1/2 x 3" remains.
Age: 26.0
Sex: M
Vaccine: MMR, TD
Symptoms: Ear pain, Headache, Nodule
Clinical narrative: Pt received MMR vaccine on 8/19/09 and began to fill pressure, pain and developed pain behind ears.  Pt also with nodules at site of pain.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right deltoid swollen, red, warm to touch (61/2 cm x 7 1/2 cm).  Reminded father to apply ice pack Q2 hrs for 15 min.  Then warm compress @ 24 hrs.  If redness swelling increase to comeback.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Chills, Decreased appetite, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: By the evening. Child had redness, pain and swelling at injection site.  The next day pt had fever to 103.  Chills, sore neck & body aches.  By 818 fever, chills, resolved, no appetite & activities per Dr.  On 8/23 child c/o of neck pain rating 5/10 intensity.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Neck pain, Pain, Pyrexia
Clinical narrative: By the evening. Child had redness, pain and swelling at injection site.  The next day pt had fever to 103.  Chills, sore neck & body aches.  By 818 fever, chills, resolved, no appetite & activities per Dr.  On 8/23 child c/o of neck pain rating 5/10 intensity.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Back pain, Eye pain, Musculoskeletal stiffness, Pyrexia, Throat tightness
Clinical narrative: By the evening. Child had redness, pain and swelling at injection site.  The next day pt had fever to 103.  Chills, sore neck & body aches.  By 818 fever, chills, resolved, no appetite & activities per Dr.  On 8/23 child c/o of neck pain rating 5/10 intensity.
Age: 11.0
Sex: F
Vaccine: HPV4
Clinical narrative: None stated. 9/15/09 PCP Medical records received DOS 8/12/09 to 9/8/09. Assessment: Muscle pain/Myalgia. Patient c/o decreased movement left arm. Point tenderness left shoulder, reduced shoulder flexion, reduced shoulder external rotation. Fine after ibuprofen. Rash on back, chest, breast, axilla. Rash red, raised, itching.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: With erythema, redness to (L) lateral/posterior forearm. No fever, no SOB, received ZOSTAVAX 8/27/09.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dysarthria, Oedema peripheral, Oxygen saturation normal, Pain in extremity, Pharyngeal oedema
Clinical narrative: Within 1 hour of receiving the injection, the patient complained of painful arm.  Within a few hours, the arm was swollen, more painful and patient complained of sinus congestion, then slurred speech.  Mom gave patient BENADRYL, went to ER for a "sense of her throat swelling".
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Sinus congestion
Clinical narrative: Within 1 hour of receiving the injection, the patient complained of painful arm.  Within a few hours, the arm was swollen, more painful and patient complained of sinus congestion, then slurred speech.  Mom gave patient BENADRYL, went to ER for a "sense of her throat swelling".
Age: 12.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Head injury, Loss of consciousness, Skin laceration
Clinical narrative: Pt passed out while in hall after receiving vaccines.  Hit back of head- small 1/4 " laceration.  Given juice to drink & allowed to recover with feet up.  Sent to ER for stitch eval.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blister, Herpes zoster, Pain, Rash
Clinical narrative: Pt diagnosed with shingles 9-1-09.  Rash left upper thigh.  Crusted over vesicles, painful.  W/L/Q & LL back pain.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab
Clinical narrative: Pt diagnosed with shingles 9-1-09.  Rash left upper thigh.  Crusted over vesicles, painful.  W/L/Q & LL back pain.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Petechiae
Clinical narrative: Soon after vaccines petechial rash neck and shoulders - resolving in 24 hr.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient had redness and itching at the injection site for days following immunization and reported it to me 8/29/09.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Urticarial rash beginning 2 days after ADACEL injection, treated with oral PREDNISONE and BENADRYL 8/31/09.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Injection site urticaria, Urticaria
Clinical narrative: Mother reported hive-like eruption around neck, at injection site, on thighs immediately following injection. Child also stated some difficulty breathing that passed.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Erythema of upper arm & few vesicles at the site of VARIVAX administration.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Hives and slight shortness of breath.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Lymph node pain, Skin warm
Clinical narrative: Given Td on 8/28/09 along with PPD. Came into office 8/31 for reading PPD. C/o area of Td: (+) red (+) hot (+) hard area extending from deltoid to back of arm. Tenderness in lymph nodes (L) axillary only.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash - 17 days post vaccination consistent with varicella.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Convulsion, Intensive care, Vomiting
Clinical narrative: Received 12 month immunizations on 8/28/09. Next day presented to ER with temp 103.2 and seizures. Was hospitalized in PICU. Treated with ATIVAN, DILANTIN, VALIUM. Potential aspiration pneumonia after vomiting x 2. 9/24/09 Discharge summary received for date of service 8/30/09 to 9/3/09: Tactile fever noted by caregiver. Later arrived to ED via EMS in status epilepticus. Fever 103.2F, vomiting, chest congestion.  DX: Febrile seizures, status epilepticus. ICD9 codes: 345.3, 345.3, 348.39, 079.99
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Eyelid oedema, Tension headache
Clinical narrative: 8-14-09 - 8-19-09 pt c/o eye lids being swollen. 8-15-09 - 8-19-09 pt c/o tension like headache. Pt took TYLENOL and BENADRYL. Talked to pt on 8/25/09 and she stated symptoms had subsided.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large area of redness surrounding injection site approx 2 inches in diameter, warm to touch, mildly sore & raised, no other symptoms - occurred within a day of injection.
Age: 1.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dysphonia
Clinical narrative: Hoarseness, diarrhea - 24 hours after vx given.