chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Ultrasound abdomen normal, Vomiting, Vomiting projectile, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Received DTaP (1), HIB (1), Prevnar (1), and Rotateq (1) on 6/26/07. On 7/23/07 seen in office with C/O vomiting with each feeding starting after administration of Rota vaccine. Occasionally projectile. Positive hematochezia. Began alimentum and Zantac and Abd U/S ordered. Adm for vomiting/dehydration 7/24/07; D/C 7/25/07. 9/11/07 Reviewed hospital medical records which reveal patient experienced vomiting, watery stools, excessive crying & arching in pain & poor weight gain x 1 month.  Episode of pallor, difficulty breathing & limpness after vomiting on day of admit.  Admitted 7/24-7/25/07.     FINAL DX: Rotavirus; GERD
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Iodine allergy
Clinical narrative: Pt given vaccine Adacel 7/23/07 (L) deltoid, now at area approx 4" diameter red, warm and tender at injection site. Pt to take Keflex 500mg one tab po every hr x 7d. Also prn HCT po Benadryl po top. daily
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Cold compress therapy, Dizziness, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: after injection given-patient reported feeling faint-sl. diaphoretic c/o nausea-passed out for approx 1"- supine position-legs elevated cool compress/fluid given.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, IPV, MMR, TDAP, VARCEL, DTAP, HPV4, IPV, MMR, UNK, VARCEL
Symptoms: Anaphylactic reaction, Bronchospasm, Cough, Flushing, Ocular hyperaemia
Clinical narrative: Client developed anaphylactic rxn within 10 min. of receiving vaccines-AEB hives, flushed skin, blood shot eyes, bronchospasm, cough and tightness in throat. ER protocols initiated per health dept policy as well as doctor and immunization supervisor notified. At 11:30 AM 0-8 ml of Benadryl given at 11:45 am 0.4 ml of Epi given by RN. CT discharged to hosp in good condition for further follow-up. 8L of O2 per NC was initiated at 11:35 am. Vitals monitored throughout.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, IPV, MMR, TDAP, VARCEL, DTAP, HPV4, IPV, MMR, UNK, VARCEL
Symptoms: Throat tightness, Urticaria
Clinical narrative: Client developed anaphylactic rxn within 10 min. of receiving vaccines-AEB hives, flushed skin, blood shot eyes, bronchospasm, cough and tightness in throat. ER protocols initiated per health dept policy as well as doctor and immunization supervisor notified. At 11:30 AM 0-8 ml of Benadryl given at 11:45 am 0.4 ml of Epi given by RN. CT discharged to hosp in good condition for further follow-up. 8L of O2 per NC was initiated at 11:35 am. Vitals monitored throughout.
Age: 1.01
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash at 15 days post vaccine seen in office with rash 7/17/07
Age: 37.0
Sex: M
Vaccine: ANTH, HEP, IPV, SMALL
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness, swelling to (R) arm 32 x 12 cm cover from injection site with itching Atarax 1 mg qhs. Keflex 500 mg BID, Naproxen 500 mg BID Tylenol 325 mg BID
Age: 43.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Throat tightness
Clinical narrative: Tightness of airway, feeling of something caught in throat. Tx: Benadryl 50 mg, Solumedrol 125mg IM (1452).
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash papular, Rash pustular, Skin lesion
Clinical narrative: Received smallpox vaccination 7/06/07. 7/18/07 noted lesions on chest arms and back. 7/18-15 papules/pustules noted by Dr. (chest/back) 7/19 "small erythematous lesions <1cm in size, "Rt and left shoulder/chest. Felt well, educated by provider
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, White blood cell count normal
Clinical narrative: 2 Days after vaccine developed occipital adenopathy and stiff neck.
Age: 46.0
Sex: F
Vaccine: TYP
Symptoms: Cough, Dyspnoea, Hypersensitivity, Urticaria
Clinical narrative: 9pm hives, general allergy, cough progressing to difficulty breathing. To E.R.-IV Benadryl and steroids. D.C with Prednisone decreasing dose pack.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Cold compress therapy, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: red, swollen, painful (L) arm was induration vaccine site Tx Keflex/ice
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Blood electrolytes, Computerised tomogram normal, Dizziness
Clinical narrative: Pt received Rabies #2 vaccine 7/10/07 7/11/07 woke up felt dizzy went to ER negative work-up -normal electrolytes, neg CT head time of antivent, did not help sys. 7/13/07 ra med clinic
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Crying, Erythema, Induration, Swelling
Clinical narrative: Patient received vaccine at 1:30 pm (L) thigh red, swollen, hard to touch. Inconsolable crying x 4 hrs. Seen by Dr. at 7:10pm.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Fever, significant swelling and induration bilateral thighs left more than right 4 days after vacc. and redness left only
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Skin warm, Tenderness
Clinical narrative: Large cellulitis left thigh extending up into femoral area. Hot tender erythemic
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Induration, Injection site reaction
Clinical narrative: Induration Rt deltoid area - 1 1/2 diameter red - Pt. is able to use Rt arm freely. Warm compress, Zyrtec (pt is already on.) Pt. had no fever. "Local reaction only."
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Ankle fracture, Eye pain, Fall, Herpes zoster, Pain
Clinical narrative: Information has been received from a 77 year old female with osteoporosis, high blood pressure and amoxicillin allergy who in April 2007, was vaccinated with a dose of ZOSTAVAX. Concomitant therapy included SYNTHROID, alendronate sodium (MSD), calcium (unspecified), TOPROL XL TABLETS, CRESTOR, PAXIL and VICODIN. IN end of June 2007, the patient experienced fractured ankle and was hospitalized. It was reported that the in end of June 2007 patient was walking down steps and fell resulting in a broken ankle. The patient was currently in a rehabilitation hospital and having daily physical therapy. The patient's son thought the fall was because she was taking VICODIN. on approximately 27-JUN-2007 the patient developed shingles on her face from her cheekbone into her hair line. The patient stated that the pain was excruciating and her eyeball hurts. No diagnostic laboratory tests were performed. At the time of report the patient was not recovered. A product quality complaint was not involved. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Convulsion, Injection site irritation, Syncope
Clinical narrative: Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with GARDASIL (lot # Unknown). Concomitant secondary suspect therapy included VARIVAX (Lot # 654811/1260F) for prophylaxis (duration and dose not reported). On an unspecified date post-vaccination the patient fainted and had seizures. The patient also complained of burning at the injection site. Medical attention was sought. The outcome was not reported. No other information was available. The reported felt that the events required intervention to prevent serious criteria (other important medical event). Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Throat tightness, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning an 18 year old female patient with no medical history or allergies who on 25-JUN-2007, was vaccinated IM into the left deltoid with a first 0.5ml dose of Gardasil (Lot # 658100/0525U). There was no concomitant medication. On 30-JUN-2007 5 days later, the patient developed hives all over the body and her throat felt like it was closing. It was reported that the patient went to the emergency room and was given in IV and unspecified steroids. The patient was discharged on steroids and BENADRYL. Subsequently, the patient recovered. No product quality complaint was involved. The reporter felt that the hives all over the body and throat closing were considered to be immediately life-threatening and other important medical events. Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Pain, Skin warm, Swelling
Clinical narrative: Right arm became painful, red, swollen and warm to touch 2 days after receiving vaccinations. Pt presented to office 3 days after onset of symptoms - diagnosed with cellulitis. Treated with Augmentin 875 BID.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Fall, Pallor, Syncope
Clinical narrative: Patient received 3 vaccines, MCV4, Varivax, and HPV and after 115 min she fainted (fell to the floor) became pale and awoke within seconds. Brought to an examining table, apple juice given observed for 20 min, she was well then.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: DTaP immunization given IM left deltoid on 7/18/07. In AM on 7/20/07, parents noted swelling and redness in left upper arm. Was seen in clinic at 2:15 PM - redness, warmth, swelling and hardness noted from mid left upper arm extending to left shoulder. No other symptoms present. No fever
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: Swollen right leg, warmth, and local pain. Apply ice and give Ibuprofen, return if fever.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Cell death, Musculoskeletal pain
Clinical narrative: Severe shoulder pain lasting 2 weeks after shot. Doctor believes it may be cell death.
Age: 7.0
Sex: F
Vaccine: IPV, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Tdap ordered and given on 5/4/07 in place of Td as required by age. No known SFX.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Blood human chorionic gonadotropin negative, Full blood count normal, HIV test negative, Injection site reaction, Rash papular
Clinical narrative: 1) Major reaction at site of vaccinia vaccination 2) papules over rt distal forearm and (L) hand; 7-2007 -> 7-23-07 (resolved)
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccinia
Clinical narrative: 1) Major reaction at site of vaccinia vaccination 2) papules over rt distal forearm and (L) hand; 7-2007 -> 7-23-07 (resolved)
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Full blood count normal, HIV test negative, Injection site cellulitis, Molluscum contagiosum
Clinical narrative: 1) Cellulitis around vaccinia site, treated and resolved with Z-Pack. 2) Concurrent molluscum contagiosum conformed by dermatologist.
Age: 0.5
Sex: M
Vaccine: DTPPHIB, HEP, PNC, RV5
Symptoms: Computerised tomogram normal, Fontanelle bulging, Lumbar puncture normal
Clinical narrative: Bulging fontanelle morning following vaccines. Doctors recommended visit to ER. Had CAT scan to check for fluid on brain/brain swelling. Spinal tap to check for meningitis. Bulging lasted approx. 24 hours. No remaining side effects
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Temp 99.1 3 days later pt. has redness, swelling, induration and warmth, pain, itch to (L) deltoid. Calamine lotion applied. Started on Augmentin x 5 days, Motrin
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site - which started approx. 24 hours after DTaP injection. Ice to area, Tylenol for discomfort. Is considering Benadryl, but has not given any yet.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Blindness, Cold compress therapy, Deafness, Dizziness, Headache
Clinical narrative: Client expressed fear with injection. Given in (L) arm. She reported pain in (L) arm. She began pallor and lightheaded, reported loss of hearing and vision, then had loss of consciousness along with body twitching. Within 2 seconds she required consciousness though remained distant in consciousness for several more seconds. She was given juice. given ice for her neck. She was moved to table to lie down. She c/o headache, lips returned to pink. Client walked to care nurse.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Loss of consciousness, Muscle twitching, Pain, Pallor
Clinical narrative: Client expressed fear with injection. Given in (L) arm. She reported pain in (L) arm. She began pallor and lightheaded, reported loss of hearing and vision, then had loss of consciousness along with body twitching. Within 2 seconds she required consciousness though remained distant in consciousness for several more seconds. She was given juice. given ice for her neck. She was moved to table to lie down. She c/o headache, lips returned to pink. Client walked to care nurse.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 2" area-solid red, raised and itchy. Benadryl given -> improved
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Right deltoid edema, induration, pain (injection site). Started night of 25 June. (2) "Rash" over neck, ant and post thorax - started 30 June 07 AM. Pruritic - was indurated by ED,told by nurse to take diphenhydramine and Ranitidine. (3) C/O something stuck in my throat, no dyspnea, chest respirations dysphonic on exam on 2 July - Right deltoid still indurated, tender. Difficult to move c/o pain - only cluster of papules in packed area - seen the other eruptions. No signs of pharyngeal closing 9 July 2007.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Rash papular
Clinical narrative: Right deltoid edema, induration, pain (injection site). Started night of 25 June. (2) "Rash" over neck, ant and post thorax - started 30 June 07 AM. Pruritic - was indurated by ED,told by nurse to take diphenhydramine and Ranitidine. (3) C/O something stuck in my throat, no dyspnea, chest respirations dysphonic on exam on 2 July - Right deltoid still indurated, tender. Difficult to move c/o pain - only cluster of papules in packed area - seen the other eruptions. No signs of pharyngeal closing 9 July 2007.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMRV
Symptoms: Eye swelling, Vomiting
Clinical narrative: Reported vomiting 5 or 6 times evening after receiving vaccines. Also, mother of patient reported patient had swelling around eyes. stated no redness or swelling at injection sites.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient received first GARDASIL vaccination at 430 PM 7/19/07. Five minutes after injection experienced syncope and again experienced syncopy 10 minutes after vaccination.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Headache, Nausea, Pain in extremity, Photophobia
Clinical narrative: Sore arm then severe headache with nausea and light sensitivity. Pain medication PRN headache.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 2" round erythema , positive heat at injection site
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 2 1/2" erythema at inject site with heat
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Fatigue, Oedema peripheral
Clinical narrative: 1. Tiredness 2. Severe swelling of entire upper leg
Age: 63.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Rash, Skin necrosis, Skin warm
Clinical narrative: Very painful - soon after shot. Got sore redness swelling hard, hot to touch. Felt like it was burning all the way home, rash. Very very uncomfortable, went back to get it checked. I was told to keep cool compress on it. TC 2 days later it was not better. I went back and ask to see the Dr. He wanted to give me steroid or a counteract shot I refused. Both at this I just wanted it to get better so I left I took Ibuprofen and wrapped a cool pack on it for 4 days. Yes it did get better. I sure don't want to go through that again.
Age: 63.0
Sex: F
Vaccine: TD
Symptoms: Swelling
Clinical narrative: Very painful - soon after shot. Got sore redness swelling hard, hot to touch. Felt like it was burning all the way home, rash. Very very uncomfortable, went back to get it checked. I was told to keep cool compress on it. TC 2 days later it was not better. I went back and ask to see the Dr. He wanted to give me steroid or a counteract shot I refused. Both at this I just wanted it to get better so I left I took Ibuprofen and wrapped a cool pack on it for 4 days. Yes it did get better. I sure don't want to go through that again.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Swelling, Tenderness
Clinical narrative: 2"x3" area of solid red raised, blistery skin. Tender to touch.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pruritus, Tenderness
Clinical narrative: 3" diameter area of solid red - tenderness, itchy skin.
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site necrosis, Injection site warmth
Clinical narrative: Site very red warm to touch and hard
Age: 1.1
Sex: F
Vaccine: HEPA, HIBV, IPV, PNC
Symptoms: Erythema, Skin nodule
Clinical narrative: Left ant. thigh knot persistent x 8 days. Slight red x 2 days. No temp, no pain.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: 12cm erythema, sl. edema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Elbow to shoulder - erythema and swelling
Sex: F
Vaccine: HEP
Symptoms: Haemolytic anaemia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of hemolytic anemia in a female subject of unspecified age who was vaccinated with Hepatitis B for prophylaxis. The healthcare professional received the information about this case from a consumer, who is the grandmother of the subject. The consumer mentioned the event to the healthcare professional during an office visit. On an unspecified date the subject received unspecified dose of Hepatitis B vaccine (unknown). At an unspecified time after vaccination with Hepatitis B vaccine, the subject experienced hemolytic anemia. The consumer reported to the healthcare professional that the subject, "had her picture taken and was written up in a medical journal." At the time of reporting the outcome of the event was unspecified. The healthcare professional considered the event was probably related to vaccination with Hepatitis B vaccine. Comment: Hemolytic anemia was assessed as medically serious by GSK.
Sex: F
Vaccine: HEP
Symptoms: Colitis ulcerative
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of ulcerative colitis in a female subject of unspecified age who was vaccinated with Hepatitis B vaccine for prophylaxis. The healthcare professional received the information about this case from a consumer, who is the mother of the subject. The consumer mentioned the event to the healthcare professional during an office visit. On an unspecified date the subject received an unspecified dose of Hepatitis B vaccine (unknown). The consumer reported on 23 July 2007 to the healthcare professional that the subject received hepatitis B vaccine "several years ago." At an unspecified time after vaccination with Hepatitis B vaccine, the subject experienced ulcerative colitis. At the time of reporting the outcome of the event was unspecified. Comment: Ulcerative colitis was assessed as medically serious by GSK.
Age: 21.0
Sex: F
Vaccine: IPV, MMR, TDAP, TYP, YF
Symptoms: Medication error, No adverse effect
Clinical narrative: Pt. had Tdap 2-13-07 and did not remember receiving Td or Tdap on travel immunization appointment 7-24-07 so another Tdap was given 7-24-07. No C/O's. Clinic informed pt. her arm may be red, swollen and sore.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Albumin CSF normal, CSF culture negative, CSF glucose normal, CSF protein normal, CSF white blood cell count negative
Clinical narrative: Flu like symptoms with meningeal signs. Fever to 102 within a few hours with headaches. Pt seen at office next day with neck soreness, positive Kunig and positive Brudzinski. To ER R/O meningitis. LP WNL. 8/30/07-records received for DOS 7/20-7/21/07-DC DX: Headaches. Acute febrile illness, viral etiology. Positive meningeal signs on exam. Kernig and Brudzinksi signs positive. Temp 100.4. Neck pain.  Follow-up: Patient already had a diagnosis of migraines before the event. Currently beinig eval by Neurologist for further management.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Hepatic enzyme, Influenza like illness, Meningeal disorder, Neck pain
Clinical narrative: Flu like symptoms with meningeal signs. Fever to 102 within a few hours with headaches. Pt seen at office next day with neck soreness, positive Kunig and positive Brudzinski. To ER R/O meningitis. LP WNL. 8/30/07-records received for DOS 7/20-7/21/07-DC DX: Headaches. Acute febrile illness, viral etiology. Positive meningeal signs on exam. Kernig and Brudzinksi signs positive. Temp 100.4. Neck pain.  Follow-up: Patient already had a diagnosis of migraines before the event. Currently beinig eval by Neurologist for further management.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Red blood cells CSF positive, Scan brain
Clinical narrative: Flu like symptoms with meningeal signs. Fever to 102 within a few hours with headaches. Pt seen at office next day with neck soreness, positive Kunig and positive Brudzinski. To ER R/O meningitis. LP WNL. 8/30/07-records received for DOS 7/20-7/21/07-DC DX: Headaches. Acute febrile illness, viral etiology. Positive meningeal signs on exam. Kernig and Brudzinksi signs positive. Temp 100.4. Neck pain.  Follow-up: Patient already had a diagnosis of migraines before the event. Currently beinig eval by Neurologist for further management.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: CSF glucose normal, CSF protein normal, CSF test abnormal, CSF white blood cell count increased, Convulsion
Clinical narrative: Fever, meningismus, seizure activity. He prescribed to ED on 7/18 w/ meningismus and fever. Treated w/ Ceftriaxone, Vancomycin, and Acyclovir. Developed seizure on 7/20, transferred to ICU from ID, treated w/ Dilantin and completed 7 day course Ceftriaxone, Acyclovir and Vancomycin discontinued.  7/31/07 Received vax records from pcp which confirm RO lot & dose #as reported.  9/14/07 Reviewed hospital medical records which reveal patient experienced irritability, decreased oral intake, fever.  Seen in ER on 7/17, labs done, given IM antibiotic & D/C to home.  Seen by PCP again on 7/18 w/o improvement & sent back to ER.  Found to have bulging anterior fontanelle.  LP done & 2nd dose of IM antibiotics given.   Admitted 7/18-7/26/06 to peds ID.  Neurology consult done.  Developed status epilepticus on 7/20 & had to be emergently intubated.  Extubated next day.  LP repeated on 7/25.  D/C to home on antiseizure med. FINAL DX: Aseptic  meningitis; convulsions.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: Inappropriate schedule of drug administration, Intensive care, Meningism, Nuclear magnetic resonance imaging brain abnormal, Pyrexia
Clinical narrative: Fever, meningismus, seizure activity. He prescribed to ED on 7/18 w/ meningismus and fever. Treated w/ Ceftriaxone, Vancomycin, and Acyclovir. Developed seizure on 7/20, transferred to ICU from ID, treated w/ Dilantin and completed 7 day course Ceftriaxone, Acyclovir and Vancomycin discontinued.  7/31/07 Received vax records from pcp which confirm RO lot & dose #as reported.  9/14/07 Reviewed hospital medical records which reveal patient experienced irritability, decreased oral intake, fever.  Seen in ER on 7/17, labs done, given IM antibiotic & D/C to home.  Seen by PCP again on 7/18 w/o improvement & sent back to ER.  Found to have bulging anterior fontanelle.  LP done & 2nd dose of IM antibiotics given.   Admitted 7/18-7/26/06 to peds ID.  Neurology consult done.  Developed status epilepticus on 7/20 & had to be emergently intubated.  Extubated next day.  LP repeated on 7/25.  D/C to home on antiseizure med. FINAL DX: Aseptic  meningitis; convulsions.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: Red blood cells CSF positive
Clinical narrative: Fever, meningismus, seizure activity. He prescribed to ED on 7/18 w/ meningismus and fever. Treated w/ Ceftriaxone, Vancomycin, and Acyclovir. Developed seizure on 7/20, transferred to ICU from ID, treated w/ Dilantin and completed 7 day course Ceftriaxone, Acyclovir and Vancomycin discontinued.  7/31/07 Received vax records from pcp which confirm RO lot & dose #as reported.  9/14/07 Reviewed hospital medical records which reveal patient experienced irritability, decreased oral intake, fever.  Seen in ER on 7/17, labs done, given IM antibiotic & D/C to home.  Seen by PCP again on 7/18 w/o improvement & sent back to ER.  Found to have bulging anterior fontanelle.  LP done & 2nd dose of IM antibiotics given.   Admitted 7/18-7/26/06 to peds ID.  Neurology consult done.  Developed status epilepticus on 7/20 & had to be emergently intubated.  Extubated next day.  LP repeated on 7/25.  D/C to home on antiseizure med. FINAL DX: Aseptic  meningitis; convulsions.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Chills, Headache, Injection site erythema, Vomiting
Clinical narrative: Lt. arm reddened where Tdap was given. Vomited 2x's in the PM on 7/23/07 and vomited 4x's on 7/24/07 in the PM. Also c/o severe H/A and chills. Went to Dr. on 7/24/07 and was advised alternate Tylenol and Aleve of 4 hours. No further tx per Dr.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site nodule, Injection site pain
Clinical narrative: 7/24/07 Yesterday AM had Tdap - L. deltoid. Wed, 7/25/07 - felt tired and bump/soreness of L. arm at inj. site. Feverish, chills, sweats. Pt took Advil last night. Ice - ibuprofen pain/fever
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 7/24/07 Yesterday AM had Tdap - L. deltoid. Wed, 7/25/07 - felt tired and bump/soreness of L. arm at inj. site. Feverish, chills, sweats. Pt took Advil last night. Ice - ibuprofen pain/fever
Age: 22.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever with body aches and chilling for 2 days, headache
Age: 22.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever with body aches and chilling for 2 days, headache
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Rash generalised, Urticaria
Clinical narrative: Pt states on 7/25/07 she developed hives/rash all over body. On 7/26/07 it worsened all over body. Referred to Primary MD for treatment.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, MMRV, PNC
Symptoms: Oedema peripheral
Clinical narrative: Swelling to L deltoid/R deltoid
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: SM c/o redness, swelling, pain and pruritus at smallpox vaccination site x 1 day. He c/o chills, headache, body ache x2 day - rec'd smallpox on 7/16/07 on lt arm. Was seen by medical provider.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site swelling, Pain
Clinical narrative: SM c/o redness, swelling, pain and pruritus at smallpox vaccination site x 1 day. He c/o chills, headache, body ache x2 day - rec'd smallpox on 7/16/07 on lt arm. Was seen by medical provider.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site erythema, Skin warm
Clinical narrative: Has redness extending from edges of smallpox site across chest about 9 inches, warm, red.
Age: 18.0
Sex: M
Vaccine: HEPA, IPV, TDAP
Symptoms: Chills, Enuresis, Head injury, Loss of consciousness, Tremor
Clinical narrative: 7/24/07 Vaccines administered at 3:50 PM. 7/25/07 Chills, shaking violently, wet bed 1 AM. 7/25/07 Went to get a drink, legs collapsed, passed out? 7/25/07 ED visit needed 7 stitches to head, hydrate and take ibuprofen PRN.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Event occurred within 5 minutes of receiving vaccines. Patient was standing next to her mother, tapped her mother's shoulder, and fell backward to the floor. She was responsive after hitting her head, but does not remember the fall. Patient was observed and had no further difficulty.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever of 103
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: After receiving Gardasil vaccine pt felt dizzy/faint - placed in supine position. B/P and pulse monitored and doctor examined pt. Sent home after B/P ok and pt. improved
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pruritus, Injection site rash, Pruritus, Skin lesion, Urticaria
Clinical narrative: Received Menactra 5/4/07 - per patient and mother. A few days after Menactra administered into the right upper arm, pt began to develop "reddish - purple bumps" that look like mosquito bites or welts; and was associated with pruritus. Itching tx with OTC Benadryl and lesions resolved. These transient itchy lesions only occur on the right upper arm near the site of vaccine administration. No other skin sites involved. These occurred at least 1 time per week since 5/4/07. The last episode approx 1 week prior to office visit on 7/25/07.
Age: 1.8
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Client developed a fever 103 within 12 hours of administration and continued to run fever. Was seen in ER on 7/24/07.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash all over.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Patient received vaccines, nurse left room, Dad came out of room stating child was seizing. Patient seized x2. Diastat administered by Dr. Patient then seized 1 more time. Patient transported to hospital via ambulance.
Age: 57.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Headache, Influenza, Injected limb mobility decreased, Pain
Clinical narrative: Received Hep A immun. 7/23/07. C/O pain left arm, can't lift arm x 2 days (48 hrs). Flu symptoms, fever, headache, tiredness, body aches x 2 days.
Age: 57.0
Sex: F
Vaccine: HEPA
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Received Hep A immun. 7/23/07. C/O pain left arm, can't lift arm x 2 days (48 hrs). Flu symptoms, fever, headache, tiredness, body aches x 2 days.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR
Symptoms: Agitation, Pyrexia, Rash
Clinical narrative: Had vaccine 7/17/07. Rash appeared 7/24/07 with fever. Highest temp. 105.3 R. Not eating well, fussy. Treating with Ibuprofen and Benadryl. Plenty of fluids. Seen in office 7/26/07 for RXN.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Rash pruritic
Clinical narrative: Itchy rash started over waist spreading downward then up trunk. Resolved w/ Benadryl 25mg IM and PO Benadryl.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Acute tonsillitis, Rash macular, Skin lesion
Clinical narrative: Pt was seen in clinic 7-24-2007 for an acute tonsillitis and I noticed a macular rash developing under both axilla, and hands.  Pt. was seen in clinic again 7-26-2007 and this macular rash had extended on the torso, back, arms, and legs to the knees.  Primarily a macular rash, blanches to pressure, non-pruritic, with some coalescing of lesions at the right knee.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 45 minutes after received 4 month vaccination (DTaP, HIB) patient was asleep then began seizing (all extremities started shaking). Patients eyes were open and rolled back. Tongue was out and there were lip smacking.  The patient was unresponsive.  There was no rigidity or stiffening.  Mother did not look at time, but states that the whole incident might have taken about 10 minutes from start to finish. Event resolved in own.  Prior to incident mother claims that child had no fever, chills, cough, runny nose, vomiting, diarrhea.  Patient was admitted to hospital where the child had another event in the morning. 8/8/07-records received for DOS 7/24-7/26/07-DC DX: Complex febrile seizures. New onset seizures on morning of 7/24. According to mother, 45 minutes after vaccinations patient started to have bilateral arm and leg shaking, eyes were  opened and rolled back. Unresponsive. Aftewards patient was limp and poorly responsive with unfocused eyes for another 10 minutes. Fever spiked at 38.5.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Blood urea normal, Carbon dioxide normal, Convulsion, Dyskinesia, Gaze palsy
Clinical narrative: 45 minutes after received 4 month vaccination (DTaP, HIB) patient was asleep then began seizing (all extremities started shaking). Patients eyes were open and rolled back. Tongue was out and there were lip smacking.  The patient was unresponsive.  There was no rigidity or stiffening.  Mother did not look at time, but states that the whole incident might have taken about 10 minutes from start to finish. Event resolved in own.  Prior to incident mother claims that child had no fever, chills, cough, runny nose, vomiting, diarrhea.  Patient was admitted to hospital where the child had another event in the morning. 8/8/07-records received for DOS 7/24-7/26/07-DC DX: Complex febrile seizures. New onset seizures on morning of 7/24. According to mother, 45 minutes after vaccinations patient started to have bilateral arm and leg shaking, eyes were  opened and rolled back. Unresponsive. Aftewards patient was limp and poorly responsive with unfocused eyes for another 10 minutes. Fever spiked at 38.5.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Haematocrit normal, Haemoglobin normal, Tardive dyskinesia, Tremor, Unresponsive to stimuli
Clinical narrative: 45 minutes after received 4 month vaccination (DTaP, HIB) patient was asleep then began seizing (all extremities started shaking). Patients eyes were open and rolled back. Tongue was out and there were lip smacking.  The patient was unresponsive.  There was no rigidity or stiffening.  Mother did not look at time, but states that the whole incident might have taken about 10 minutes from start to finish. Event resolved in own.  Prior to incident mother claims that child had no fever, chills, cough, runny nose, vomiting, diarrhea.  Patient was admitted to hospital where the child had another event in the morning. 8/8/07-records received for DOS 7/24-7/26/07-DC DX: Complex febrile seizures. New onset seizures on morning of 7/24. According to mother, 45 minutes after vaccinations patient started to have bilateral arm and leg shaking, eyes were  opened and rolled back. Unresponsive. Aftewards patient was limp and poorly responsive with unfocused eyes for another 10 minutes. Fever spiked at 38.5.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: White blood cell count normal
Clinical narrative: 45 minutes after received 4 month vaccination (DTaP, HIB) patient was asleep then began seizing (all extremities started shaking). Patients eyes were open and rolled back. Tongue was out and there were lip smacking.  The patient was unresponsive.  There was no rigidity or stiffening.  Mother did not look at time, but states that the whole incident might have taken about 10 minutes from start to finish. Event resolved in own.  Prior to incident mother claims that child had no fever, chills, cough, runny nose, vomiting, diarrhea.  Patient was admitted to hospital where the child had another event in the morning. 8/8/07-records received for DOS 7/24-7/26/07-DC DX: Complex febrile seizures. New onset seizures on morning of 7/24. According to mother, 45 minutes after vaccinations patient started to have bilateral arm and leg shaking, eyes were  opened and rolled back. Unresponsive. Aftewards patient was limp and poorly responsive with unfocused eyes for another 10 minutes. Fever spiked at 38.5.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Abdominal pain upper, Asthenia, Cough, Decreased appetite, Fatigue
Clinical narrative: High fever, rash, weakness, fatigue, stomach ache, sore legs, no appetite, cough, green bugars, swollen throat, threw up.  Now on Day 17 from vaccines & high fever again/sick.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Pain in extremity, Pharyngeal oedema, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: High fever, rash, weakness, fatigue, stomach ache, sore legs, no appetite, cough, green bugars, swollen throat, threw up.  Now on Day 17 from vaccines & high fever again/sick.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Vomiting
Clinical narrative: High fever, rash, weakness, fatigue, stomach ache, sore legs, no appetite, cough, green bugars, swollen throat, threw up.  Now on Day 17 from vaccines & high fever again/sick.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Barium double contrast, Barium enema, Intussusception
Clinical narrative: Intussusseption on 5/21/7-reduced by air contrast enema.   8/31/07 Received vax record from pcp which confirmed RO dose & lot as reported.  9/28/07 Vax records faxed to CDC.  10/2/07 Reviewed hospital medical records which reveal patient experienced reduced oral intake, decreased urine output, irritability, bloody stool x 1.  Admitted 5/21-5/22/2007 for overnight observation s/p IS reduction.  Progressed well & d/c to home. FINAL DX: Intussusception, enema reduced.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Body temperature increased, C-reactive protein increased, Grip strength decreased, Headache
Clinical narrative: Hurt at site(left upper arm) immediately, slept all night.  Woke up at 5:30 am - arm hurt(9 on scale of 1-10), had decreased range of motion in arm, warm and red at injection site, had a headache.  At 7:30 am arm stiff/sore-alll joints stiff-noticed singnificant decreased grip, all skin hurt. To MD - 7/21 Temp=102, diagnosed serum sickness.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: Hurt at site(left upper arm) immediately, slept all night.  Woke up at 5:30 am - arm hurt(9 on scale of 1-10), had decreased range of motion in arm, warm and red at injection site, had a headache.  At 7:30 am arm stiff/sore-alll joints stiff-noticed singnificant decreased grip, all skin hurt. To MD - 7/21 Temp=102, diagnosed serum sickness.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Joint stiffness, Pain in extremity, Serum sickness, Skin discomfort
Clinical narrative: Hurt at site(left upper arm) immediately, slept all night.  Woke up at 5:30 am - arm hurt(9 on scale of 1-10), had decreased range of motion in arm, warm and red at injection site, had a headache.  At 7:30 am arm stiff/sore-alll joints stiff-noticed singnificant decreased grip, all skin hurt. To MD - 7/21 Temp=102, diagnosed serum sickness.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cold compress therapy, Erythema, Skin warm, Tenderness
Clinical narrative: INCREASED REDNESS, WARMTH, TENDERNESS DESPITE COOL COMPRESSES. BENADRYL AND KEFLEX TIMES 2 DOSES.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Pyrexia, Weight decreased
Clinical narrative: High Fever consistantly for weeks from March thru April 2007.  Weight loss, eyes are not as bright since vaccine, eneryg level not the same since vaccination
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Pyrexia, Tremor, Unresponsive to stimuli, Vomiting
Clinical narrative: CHILD DEVELOPED HIGH FEVER DURING THE NIGHT FOLLOWING IMMUNIZATIONS AND VOMITED TIMES ONE AND HAD SHAKING OF ARMS AND LEGS, EYES LOOKED FUNNY AND DID NOT RESPOND TO PARENTS AND THEN IMMEDIATELY FELL ASLEEP. CHILD TAKEN TO EMERGENCY ROOM AND DOCUMENTED FEVER OF 104 (DAD REPORTED A FEVER OF 105. TYLENOL AND IBUPROFEN WERE GIVEN WITH RESOLUTION OF THE FEVER. CHILD SEEN THE FOLLOWING DAY IN CLINIC AND WAS REPORTED TO PROVIDER AND EXAM WAS NORMAL. NO FEVER. PARENTS WERE ALTERNATING TYLENOL AND IBUPROFEN EVERY 3 HOURS.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Eye rolling, Grunting, Loss of consciousness
Clinical narrative: Received a Gardasil shot.  Was talking for about 20 secs, said she was going down and she was out.  Nurse ran to get ammonia capsule.  Eyes rolled back in her head, arms drew up, making grunting sounds, was out around 45 secs.  Took about 20 secs to get her back with the ammonia.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Aspiration joint, C-reactive protein increased, Culture wound positive, Diarrhoea, Drooling
Clinical narrative: 6/25/07: received MMR, varicella & Hep A vaccines in thighs  7/3: diarrhea x4, excessive drooling  7/4: runny nose, drooling  7/5:fever increasing to 103.6F despite tylenol/ibuprophen  7/7: pediatrician checked ears, etc. said treat fever 7/8: unable to move left elbow ER visit x-ray, aspirated pus, surgery to clean joint, IV vancomycin and rocephin started; noticed red spot on left thigh and corner of mouth and on tongue 7/11: culture grew gram-neg-rod, identified as alcaligenes faecalis 7/13: received PICC line & discharged with rocephen 900mg/day for 2 weeks 7/23: vomiting 6x 7/24: fever 102.8F  7/26: seen by infectious disease MD who encouraged reporting 7/30: to see orthopeadic surgeon follow up surgery site, expected removal of PICC line 8/2/07-records received-Child noted to not use left arm. Fever 103.Impression:X-ray revealed evidence of elbow joint effusion, infected left elbow. Septic arthritis. Irrigation and debridement.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Full blood count, Hypokinesia, Joint lock, Oral soft tissue disorder
Clinical narrative: 6/25/07: received MMR, varicella & Hep A vaccines in thighs  7/3: diarrhea x4, excessive drooling  7/4: runny nose, drooling  7/5:fever increasing to 103.6F despite tylenol/ibuprophen  7/7: pediatrician checked ears, etc. said treat fever 7/8: unable to move left elbow ER visit x-ray, aspirated pus, surgery to clean joint, IV vancomycin and rocephin started; noticed red spot on left thigh and corner of mouth and on tongue 7/11: culture grew gram-neg-rod, identified as alcaligenes faecalis 7/13: received PICC line & discharged with rocephen 900mg/day for 2 weeks 7/23: vomiting 6x 7/24: fever 102.8F  7/26: seen by infectious disease MD who encouraged reporting 7/30: to see orthopeadic surgeon follow up surgery site, expected removal of PICC line 8/2/07-records received-Child noted to not use left arm. Fever 103.Impression:X-ray revealed evidence of elbow joint effusion, infected left elbow. Septic arthritis. Irrigation and debridement.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Red blood cell sedimentation rate normal, Rhinorrhoea, Skin lesion, Surgery
Clinical narrative: 6/25/07: received MMR, varicella & Hep A vaccines in thighs  7/3: diarrhea x4, excessive drooling  7/4: runny nose, drooling  7/5:fever increasing to 103.6F despite tylenol/ibuprophen  7/7: pediatrician checked ears, etc. said treat fever 7/8: unable to move left elbow ER visit x-ray, aspirated pus, surgery to clean joint, IV vancomycin and rocephin started; noticed red spot on left thigh and corner of mouth and on tongue 7/11: culture grew gram-neg-rod, identified as alcaligenes faecalis 7/13: received PICC line & discharged with rocephen 900mg/day for 2 weeks 7/23: vomiting 6x 7/24: fever 102.8F  7/26: seen by infectious disease MD who encouraged reporting 7/30: to see orthopeadic surgeon follow up surgery site, expected removal of PICC line 8/2/07-records received-Child noted to not use left arm. Fever 103.Impression:X-ray revealed evidence of elbow joint effusion, infected left elbow. Septic arthritis. Irrigation and debridement.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: 6/25/07: received MMR, varicella & Hep A vaccines in thighs  7/3: diarrhea x4, excessive drooling  7/4: runny nose, drooling  7/5:fever increasing to 103.6F despite tylenol/ibuprophen  7/7: pediatrician checked ears, etc. said treat fever 7/8: unable to move left elbow ER visit x-ray, aspirated pus, surgery to clean joint, IV vancomycin and rocephin started; noticed red spot on left thigh and corner of mouth and on tongue 7/11: culture grew gram-neg-rod, identified as alcaligenes faecalis 7/13: received PICC line & discharged with rocephen 900mg/day for 2 weeks 7/23: vomiting 6x 7/24: fever 102.8F  7/26: seen by infectious disease MD who encouraged reporting 7/30: to see orthopeadic surgeon follow up surgery site, expected removal of PICC line 8/2/07-records received-Child noted to not use left arm. Fever 103.Impression:X-ray revealed evidence of elbow joint effusion, infected left elbow. Septic arthritis. Irrigation and debridement.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Pt presented with throbbing pain to left extremity with numbness and tingling about 2 hours after receiveing a Thyphoid vaccination. Pt complained of 8/10 pain throughout the arm with generalized weakness to the extremity. Pulses equal and no neurological impairment. Pt received 1ml of Benadryl IM in right arm.
Age: 4.0
Sex: M
Vaccine: DTP
Symptoms: Enuresis, Micturition urgency, Paraesthesia, Urinary incontinence
Clinical narrative: 1/17/97 Given DPT. At that time had achieved toilet training with day and night dryness since 3/96. Just after that began with recurrence of nocturnal enuresis, from 50-90% of nights. This did not remit. 1/21/98 noted by then to also have some daytime wetting and urgency. On this date had MMR. Within a few days began with intermittent B lower extremity paresthesias happening 3-5 x/day and lasting 4 months. Saw neurologist. This eventually resolved but nocturnal enuresis and daytime urgency did not. 1/11/2010 Continues with nocturnal enuresis which began after immunization.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt stated numbness and tingly left arm x 7 days on 7-16-07 that radiates to palm (left).
Age: 59.0
Sex: M
Vaccine: MNQ
Symptoms: Blister, Chills, Inappropriate schedule of drug administration, Lethargy, Off label use
Clinical narrative: Evening of 7-9-07 had fever, arm hurt, body aches. For next 4 days was lethargic, had chills, blisters inside of mouth.
Age: 59.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Evening of 7-9-07 had fever, arm hurt, body aches. For next 4 days was lethargic, had chills, blisters inside of mouth.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: 2"x2" spot - solid red, swollen, tender right thigh
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: 2 reactions - (1) 4cmx10cm, (2) 8cmx10cm red, swollen, and painful. Rx Augmentin.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: 8.5cmx4.5cm area of erythema - tenderness. Rx Augmentin.
Sex: M
Vaccine: HEPA, MMR, MNQ, VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Mild papular erythematous rash on chest, upper back, started 7-22-07, without pharyngitis or productive cough or fever.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: 6x7 cm area of redness, warmth, mild tenderness (L) deltoid area