chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Pollakiuria, Polydipsia, Polyuria, Protein urine absent, Thirst
Clinical narrative: Administered June 8 2006 Lost weight Thirsthy Anxiety Frequent urination Diagnosed with type 1 diabetes July 7 2006Notes for 7/6/06-2 week history of increased urination, drinking more fluids. Anxious when he worries. Dizzy morning of visit. Weight los. DX: polydipsia and polyuria with hyperglycemia. Sent to ER and consult. 11/15/06-records received and reviewed from physician.  Notes for 6/8/06 for well baby visit. Vaccine administered Adacel C2454AA. Notes for 7/6/06-2 week history of increased urination, drinking more fluids. Anxious when he worries. Dizzy morning of visit. Weight los. Urine DIP glucose over 1000mg/dL, ketones 40mg/dL, negative protein. Fingerstick high.  DX: polydipsia and polyuria with hyperglycemia. Sent to ER and consult.  12/145/06-DC DX: type I Diabetes Mellitus. DOS 7/6-7/10/06 Diabetes type I  Per 60 day follow up: He developed Type I diabetes that is a chronic condition.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Type 1 diabetes mellitus, Urine ketone body present, Weight decreased
Clinical narrative: Administered June 8 2006 Lost weight Thirsthy Anxiety Frequent urination Diagnosed with type 1 diabetes July 7 2006Notes for 7/6/06-2 week history of increased urination, drinking more fluids. Anxious when he worries. Dizzy morning of visit. Weight los. DX: polydipsia and polyuria with hyperglycemia. Sent to ER and consult. 11/15/06-records received and reviewed from physician.  Notes for 6/8/06 for well baby visit. Vaccine administered Adacel C2454AA. Notes for 7/6/06-2 week history of increased urination, drinking more fluids. Anxious when he worries. Dizzy morning of visit. Weight los. Urine DIP glucose over 1000mg/dL, ketones 40mg/dL, negative protein. Fingerstick high.  DX: polydipsia and polyuria with hyperglycemia. Sent to ER and consult.  12/145/06-DC DX: type I Diabetes Mellitus. DOS 7/6-7/10/06 Diabetes type I  Per 60 day follow up: He developed Type I diabetes that is a chronic condition.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Hypoaesthesia
Clinical narrative: Telephone call received from patient on 11/10/2006 at 10:30AM, reporting the following reaction to the Influenza Fluzone vaccine: numbness in joaw and erythema in neck, face, and jaw. Denies any other anaphylactic reactions.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Nausea, Pyrexia
Clinical narrative: received vaccine 11/4 11/5 had nausea, fever, chills, very painful arm where she received the injection Felt better by 11/8
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure increased, Palpitations
Clinical narrative: 3 days after the flu shot vaccine my blood pressure was much higher than it usually is(bp taken at rest 130/70 on this instance).   I could feel my heart beating even while sitting down and resting. Symptoms lasted for aprox. 24 hrs.  E-mailed my primary NP for advice regarding high bp (did not mention flu vaccine); no action taken.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Erythema, warmth, induration from shoulder to upper portion of lower arm c/w cellulitis developed on day 3 after administration (given 10/31/06, seen my myself on 11/2/06).  Treated with Keflex 500mg 4/day for 7 days.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Erythema, warth, induration from just below shoulder to mid lower arm develpoed the night after vaccine was given.  I saw the patient the following morning, diagnosed him with cellulitis, and started Keflex 500mg 4/day for 7 days.  Note that vaccines from 2 lots are listed below--this is due to the first lot was a multidose vial that did not have enough for a full dose in it.  This was wasted and a single dose vial (second lot #) was used, but was drawn up in the same syringe as the first vial/lot.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Client received flu vaccine 11/8/06. Mother noted RT. deltoid become redden and swelling Thursday pm. Friday morning redness had increased with swelling. Child seen by pvt md and dx with cellulitis at injection site and placed on keflex. Monday  11/13/06 mother states his arm is improving. Client is being followed up by pvt md.
Age: 59.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: I developed a fever to 101.5, pain at injection site, area of erythema measuring 6 inches x 2 inches.  The symptoms persisted for 3 days.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: 11-12-06 11:00 AM - MOM NOTICED T.102.7. LIGHT PINK PINPOINT SPOTS ON ABDOMEN. BY THE AFTERNOON, THE SPOTS HAD SPREAD TO HER BACK. T.>102 DEGREES WITH MOTRIN. 11-13-06 RASH IS NOW ALL OVER HER BODY EXCEPT HER ARMS AND UPPER FACE.T.102.6. THE RASH NEVER DID ITCH NOR IS IT RAISED.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Pt developed fever and redness at injection site the day following the vaccination.  Went to ER and was admitted.  Cultures were negative.  Pt had an MRI of affected arm; PICC line placed for administration of abx. 12/29/06 Received medical records from hospital which reveal patient admitted to hospital 10/28/06-11/1/06 with fever, chills & left arm cellulits & hereditary xerocytosis s/p splenectomy remotely at age 3 years.  Patient received both flu & pneumovax in left arm.  ID consult notes that site of flu vax was unremarkable but site of pneumovax was red, tender, angry, inflammed & very painful.  Temp max 102.7 Treated with IV antibiotics, pain meds & continued on oral antibiotics at d/c.  Consult by ID & ortho. FINAL DX: Severe left arm cellulitis; anemia; asplenia secondary to remote splenectomy for hereditary xerocytosis; PCN allergy; & severe leukemoid reaction.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Cellulitis, Dyspnoea, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt developed fever and redness at injection site the day following the vaccination.  Went to ER and was admitted.  Cultures were negative.  Pt had an MRI of affected arm; PICC line placed for administration of abx. 12/29/06 Received medical records from hospital which reveal patient admitted to hospital 10/28/06-11/1/06 with fever, chills & left arm cellulits & hereditary xerocytosis s/p splenectomy remotely at age 3 years.  Patient received both flu & pneumovax in left arm.  ID consult notes that site of flu vax was unremarkable but site of pneumovax was red, tender, angry, inflammed & very painful.  Temp max 102.7 Treated with IV antibiotics, pain meds & continued on oral antibiotics at d/c.  Consult by ID & ortho. FINAL DX: Severe left arm cellulitis; anemia; asplenia secondary to remote splenectomy for hereditary xerocytosis; PCN allergy; & severe leukemoid reaction.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site reaction, Pyrexia, White blood cell count increased
Clinical narrative: Pt developed fever and redness at injection site the day following the vaccination.  Went to ER and was admitted.  Cultures were negative.  Pt had an MRI of affected arm; PICC line placed for administration of abx. 12/29/06 Received medical records from hospital which reveal patient admitted to hospital 10/28/06-11/1/06 with fever, chills & left arm cellulits & hereditary xerocytosis s/p splenectomy remotely at age 3 years.  Patient received both flu & pneumovax in left arm.  ID consult notes that site of flu vax was unremarkable but site of pneumovax was red, tender, angry, inflammed & very painful.  Temp max 102.7 Treated with IV antibiotics, pain meds & continued on oral antibiotics at d/c.  Consult by ID & ortho. FINAL DX: Severe left arm cellulitis; anemia; asplenia secondary to remote splenectomy for hereditary xerocytosis; PCN allergy; & severe leukemoid reaction.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pruritus
Clinical narrative: c/o feeling tingly and itchy one hour after the shot- arms, face, all over. No SOB. On further questioning, pt has "reacted to eggs once with similar symptoms."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Anorexia, Cellulitis, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: After vaccine was cranky. Next day by 1pm right arm very swollen, lack of appetite, low grade fever called doctor who advised ice for swelling and Motrin for fever. Called again by evening because there was more swelling, area hand, spread all the way to wrist. Taken to DR on 11/10 and sent to specialist for possible cellulitis. Specialists confirmed that it was a severe case of cellulitis at the time area was red and hard as rock. Admitted to hospital on 11/10 by 2pm given IV antibiotics and finally discharged on 11/12 3pm. Pt continues antibiotic treatment (oral) 11/13 seen by doctor again for checkup. Swelling has decreased. Records received and reviewed DX: cellulitis Trauma induced soft tissue swelling No history of trauma) cat scratch disease (but no lymphandenopathy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injury, Irritability, Laboratory test abnormal, Oedema, Pyrexia
Clinical narrative: After vaccine was cranky. Next day by 1pm right arm very swollen, lack of appetite, low grade fever called doctor who advised ice for swelling and Motrin for fever. Called again by evening because there was more swelling, area hand, spread all the way to wrist. Taken to DR on 11/10 and sent to specialist for possible cellulitis. Specialists confirmed that it was a severe case of cellulitis at the time area was red and hard as rock. Admitted to hospital on 11/10 by 2pm given IV antibiotics and finally discharged on 11/12 3pm. Pt continues antibiotic treatment (oral) 11/13 seen by doctor again for checkup. Swelling has decreased. Records received and reviewed DX: cellulitis Trauma induced soft tissue swelling No history of trauma) cat scratch disease (but no lymphandenopathy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Swelling, White blood cell disorder
Clinical narrative: After vaccine was cranky. Next day by 1pm right arm very swollen, lack of appetite, low grade fever called doctor who advised ice for swelling and Motrin for fever. Called again by evening because there was more swelling, area hand, spread all the way to wrist. Taken to DR on 11/10 and sent to specialist for possible cellulitis. Specialists confirmed that it was a severe case of cellulitis at the time area was red and hard as rock. Admitted to hospital on 11/10 by 2pm given IV antibiotics and finally discharged on 11/12 3pm. Pt continues antibiotic treatment (oral) 11/13 seen by doctor again for checkup. Swelling has decreased. Records received and reviewed DX: cellulitis Trauma induced soft tissue swelling No history of trauma) cat scratch disease (but no lymphandenopathy.
Age: 32.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anxiety, Hyperglycaemia, Hypersensitivity, Inflammation, Leukocytosis
Clinical narrative: Hives, progress to welts, progress lower extremities inflammation, progress facial swelling, including eyes, lips tongue, to eventually include torso, face and limbs.  11/28/06 Received medical records from hospital which reveal patient admitted 10/29-11/03/06.  Rash had developed day after flu shot & progressed to severe itching & SOB.  Seen in ER, treated w/steroids & d/c to home on oral steroids.  Continued to worsen & returned to hospital within 24 hours & ws admitted.  Treated with IV steroids, Benadryl & epi & rash & swelling completely resolved.  She was d/c to home to be followed by allergist. FINAL DX: Severe allergic reaction to flu shot; anxiety; & hyperglycemia.
Age: 32.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Swelling, Swelling face, Urticaria, Vaccination complication
Clinical narrative: Hives, progress to welts, progress lower extremities inflammation, progress facial swelling, including eyes, lips tongue, to eventually include torso, face and limbs.  11/28/06 Received medical records from hospital which reveal patient admitted 10/29-11/03/06.  Rash had developed day after flu shot & progressed to severe itching & SOB.  Seen in ER, treated w/steroids & d/c to home on oral steroids.  Continued to worsen & returned to hospital within 24 hours & ws admitted.  Treated with IV steroids, Benadryl & epi & rash & swelling completely resolved.  She was d/c to home to be followed by allergist. FINAL DX: Severe allergic reaction to flu shot; anxiety; & hyperglycemia.
Age: 32.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Inflammation, Oedema, Urticaria
Clinical narrative: Hives, progress to welts, progress lower extremities inflammation, progress facial swelling, including eyes, lips tongue, to eventually include torso, face and limbs.  11/28/06 Received medical records from hospital which reveal patient admitted 10/29-11/03/06.  Rash had developed day after flu shot & progressed to severe itching & SOB.  Seen in ER, treated w/steroids & d/c to home on oral steroids.  Continued to worsen & returned to hospital within 24 hours & ws admitted.  Treated with IV steroids, Benadryl & epi & rash & swelling completely resolved.  She was d/c to home to be followed by allergist. FINAL DX: Severe allergic reaction to flu shot; anxiety; & hyperglycemia.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pyrexia, Tremor
Clinical narrative: (per patient) soreness, swelling, no redness at site of injection.  (Chills, shakiness, low temperature next day).  Seen at facility, prescribed antibiotic and BENADRYL. Four days later returned to facility and PREDNISONE prescribed.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and erythema in forearm in arm of vaccination.
Age: 0.78
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: One day after Flu hot patient developed temperature 100.0, vomiting and diarrhea. All symptoms now resolved except diarrhea.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Skin exfoliation
Clinical narrative: Was given Fluarix vaccine IM 10/19/06 at workplace by RN on site. Has reported today pain in arm since and peels as if worsening. Didn't note any swelling/hot/redness or hardening of skin muscle. Hurts when using arm to dress, move, etc.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Pain, Pyrexia, Swelling
Clinical narrative: Pain in right arm, swelling gradually radiated to fingers. Back at doctor's by 3:30 pm; was given antihistamines condition did not improve overnight back to the doctor's by morning: was given Ibuprofen for pain and fever. Couldn't raise arm for a while. Feeling better by first week of November, today is back to normal.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Feeling hot, Injection site erythema, Joint swelling
Clinical narrative: An eleven year old male patient with no significant past medical history except for allergy to Penicillin, had received a first, right deltoid dose of Menactra on 04/Oct/2006.  The lot number and route of administration was not reported.  Approximately eight hours post-immunization, the patient developed a rash on his trunk, buttocks, thigh, ankle and a red, warm, swollen, right middle finger joint.  The patient was evaluated by a physician and diagnosed with poison ivy.  Treatment received was not reported.  The recovery status of the patient was reported as unknown. The mother requests that the responsible facility not be contacted for follow-up information.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Lethargy
Clinical narrative: Initial report received on 13 October 206 from a health care professional.  A 17 year old male patient had received an injection of Menactra, lot number not reported, route and site of administration not reported, on 16 September 2006.  At the time of vaccination, the patient was complaining of a sore throat and fatigue.  Physical examination revealed significant pharynigitis and a possible pharynocal abscess. He was started on antibiotics "until a strep screen returned negative."  He was treated with predinose 40 milligrams per use daily.  (However, his parent discontinued it after only one dose secondary to concern about the use of predinose.)  Per the reporter, the patient was also "sent to ENT for evaluation of a possible pharynagcal abscess." On 27 September 2006, eleven days post-vaccination, the patient " continued with intermittent low grade temp but profound lethargy." The patient, who has an aggressive personality and strong student goals, "continues to push himself in spite of fatigue." On 05 October 2006, the patient developed diarrhea, joint pains and chills. Per the reporter, "GBS, Mono, Lymes-everything is negative." The physician had "tranalently thought of GBS early on but does not feel that the patient has GBS." CBC was unremarkable, and liver function tests were essentially normal. Testing for CMV, a rheumatology workup and a thyroid panel were planned as well as additional medical consultations as appropriate. At the time of this report, the patient had not recovered.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Initial report received on 13 October 206 from a health care professional.  A 17 year old male patient had received an injection of Menactra, lot number not reported, route and site of administration not reported, on 16 September 2006.  At the time of vaccination, the patient was complaining of a sore throat and fatigue.  Physical examination revealed significant pharynigitis and a possible pharynocal abscess. He was started on antibiotics "until a strep screen returned negative."  He was treated with predinose 40 milligrams per use daily.  (However, his parent discontinued it after only one dose secondary to concern about the use of predinose.)  Per the reporter, the patient was also "sent to ENT for evaluation of a possible pharynagcal abscess." On 27 September 2006, eleven days post-vaccination, the patient " continued with intermittent low grade temp but profound lethargy." The patient, who has an aggressive personality and strong student goals, "continues to push himself in spite of fatigue." On 05 October 2006, the patient developed diarrhea, joint pains and chills. Per the reporter, "GBS, Mono, Lymes-everything is negative." The physician had "tranalently thought of GBS early on but does not feel that the patient has GBS." CBC was unremarkable, and liver function tests were essentially normal. Testing for CMV, a rheumatology workup and a thyroid panel were planned as well as additional medical consultations as appropriate. At the time of this report, the patient had not recovered.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Rash
Clinical narrative: Rash developed over entire body 11 days after MMR-V immunization
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Convulsion
Clinical narrative: Patient received Tdap and Varicella #1 on 8-17-06, returned to clinic 10/18/2006 to receive Varicella #2, However parent explained that 24 hours after 8/17/06 injections his daughter had a seizure.  Family took patient to emergency room was examined by neurologist. No treatment given.  Family to follow up with pediatrician.
Age: 0.75
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Apnoea, Dyspnoea, Syncope
Clinical narrative: Episode of apnea, difficulty breathing, fainting.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site rash
Clinical narrative: Received HIB, PCV7 right arm. Right arm red, hot, tender. TID Keflex and Benadryl, to follow-up in 10 days.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth
Clinical narrative: Received HIB, PCV7 right arm. Right arm red, hot, tender. TID Keflex and Benadryl, to follow-up in 10 days.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of tremor in a 49 year old female subject who was vaccinated with influenza virus vaccine (FluLaval) for prophylaxis. The subject had received influenza virus in previous years with in subsequent adverse events. On 11/9/06 at 8:21am, the subject received a dose of FluLaval. On 11/9/06 at 8:50am, 29 minutes after vaccination with FluLaval, the subject experienced tremor, dizziness, and sweating. The subject returned to the health care professional who had administered FluLaval. the subjects blood pressure was elevated at 170/110mm Hg and her blood sugar was decreased at 60. The subject received juice, crackers and diphenhydramine hydrochloride (Benadryl). The subject then went to the ER and was released the same day. The healthcare professional considered the events were clinically significant (or requiring intervention) (OMIC). The outcome of the events was not reported.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Blood pressure increased, Dizziness, Hyperhidrosis, Tremor
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of tremor in a 49 year old female subject who was vaccinated with influenza virus vaccine (FluLaval) for prophylaxis. The subject had received influenza virus in previous years with in subsequent adverse events. On 11/9/06 at 8:21am, the subject received a dose of FluLaval. On 11/9/06 at 8:50am, 29 minutes after vaccination with FluLaval, the subject experienced tremor, dizziness, and sweating. The subject returned to the health care professional who had administered FluLaval. the subjects blood pressure was elevated at 170/110mm Hg and her blood sugar was decreased at 60. The subject received juice, crackers and diphenhydramine hydrochloride (Benadryl). The subject then went to the ER and was released the same day. The healthcare professional considered the events were clinically significant (or requiring intervention) (OMIC). The outcome of the events was not reported.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Diagnosed with chicken pox at primary care.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Tachycardia, Tremor
Clinical narrative: Fever X 2 days, highest 104.6 right (11/13/06). Shaky, tachycardia, fussy, very irritable. Gave Motrin in office; mom treated fever at home with Tylenol.
Age: 24.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Depressed level of consciousness, Dizziness, Dyspnoea, Nausea
Clinical narrative: Immediately after application of Hepatitis B vaccine, employee began to complain of feeling lightheaded, nauseated, and loss level of consciousness, and contacted 911. Employee began to experienced difficulty breathing and was administered epinephrine 0.15mg and began breathing without difficulty and was transported to ER for further evaluation.
Age: 0.34
Sex: F
Vaccine: HBHEPB, IPV, PNC, TDAP
Symptoms: Medication error
Clinical narrative: Patient was inadvertently given Tdap (Adacel) instead of DTaP. Discussed recommendations with infectious disease doctor who recommended giving normal 4 doses of DTaP and counting Tdap as invalid for primary serious. No other adverse events known at this time.
Age: 21.0
Sex: M
Vaccine: FLU3, HEPA, IPV, TYP, YF
Symptoms: Feeling cold, Headache, Hot flush, Rash
Clinical narrative: 7 days after vaccine, developed rash over neck. Progressed to inner arms, lower back, buttocks, inner thighs and back of knees. Hot and cold feelings, headaches. We are checking labs and close observation.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Asthma, Hypoacusis, Rash, Skin exfoliation, Visual acuity reduced
Clinical narrative: Skin peeling like a fungus, rash on arms and feet. DX:  Hearig loss tinea pedis asthma-normal PFT 3/05 tobacco use refraction error. PMH: fall from a 2nd floor 10/03. c/o low back pain.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Hypotension, Pallor
Clinical narrative: Pt complained of dizziness, diaphoresis, pallor; felt feverish, hot to touch. Pulse Ox ITR stable. Mild hypotension 70/50. Recovered to 100-110/70 at time of discharge.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Rash, Urticaria
Clinical narrative: Developed "bumps" on face, neck as of day after vaccination. Persisted for 1 week; probably congruent with "hives".
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Febrile convulsion, Otitis media, Pneumonia
Clinical narrative: Febrile seizure possible flu vaccine related. 12/13/06-records reviewed. ER visit 11/7/06- DX:Febrile illness and febrile seizure Pneumonia Bilateral otitis. Temp at home after seizure 100. Temp in ER 103 (R) Transferred to Hospital ovenight stay Follow up visit with PCP on 11/9/06-mild congestion. lungs CTA
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: Redness, swelling and itching 4"x6" area left upper arm 24 hours after shot, fever 99.6. I saw him 48 hours after the shot and thought this was likely a reaction but the red area was more painful and larger and not helped by Benadryl, so I wanted to cover the possibility of cellulitis (Rx Keflex). T 97.6; improvement by 11/07/06.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Blood glucose increased, Cardiomegaly, Cough, Dyspnoea
Clinical narrative: Received flu vaccine 10/25/06. Noted increased shortness of breath, cough for over a week prior to receiving vaccine, but more acute 10/27/2006. Pneumonia, on vent, small pneumo, GI bleed. H&P HX of weakness, COPD. MD indicates that a flu vaccince administered 3 days prior to admission and then developed generalized symptoms of SOB, cough and malaise one day prior to admission is likely coincidental.  On ventilator, trached. DC Summary received for DOS 10/28-12/5/06- MRSA positive sputum DC DX: respiratory failure bilateral pneumonitis known left pneumothorax massive GI bleeding anemia secondary to blood loss malnutrition.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Gastrointestinal haemorrhage, Pneumonia, Pneumonitis, Respiratory failure, White blood cell disorder
Clinical narrative: Received flu vaccine 10/25/06. Noted increased shortness of breath, cough for over a week prior to receiving vaccine, but more acute 10/27/2006. Pneumonia, on vent, small pneumo, GI bleed. H&P HX of weakness, COPD. MD indicates that a flu vaccince administered 3 days prior to admission and then developed generalized symptoms of SOB, cough and malaise one day prior to admission is likely coincidental.  On ventilator, trached. DC Summary received for DOS 10/28-12/5/06- MRSA positive sputum DC DX: respiratory failure bilateral pneumonitis known left pneumothorax massive GI bleeding anemia secondary to blood loss malnutrition.
Age: 18.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain, Nausea, Pain, Vomiting
Clinical narrative: Administered FluMist vaccine, Monday 10/30/06. Developed abdominal pain, body aches, nausea about 24 hours later. Had emesis/vomiting 11/1, 11/2.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Pt became pale, sweaty and diaphoretic within 2-3 minutes after influenza vaccine was given in left vastus lateralis (IM). Pt was Rx with epinephrine 0.1cc SC injection; Benadryl 25mg IM injection. Patient is presently evaluated by pediatric cardiologist for dilated cardiomyopathy.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site induration, Pain, Skin nodule, Tremor
Clinical narrative: 11/3/06 Soreness right arm, chills, shakes, knot (right) arm started out golf-ball sized - baseball sized to softball size; felt hard. Unable to move arm. Saturday/Sunday, called mom, knot in arm smaller. Still feel hard. Able to move arm. Monday, no treatment.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Medication error
Clinical narrative: Nasal FluMist accidentally sprayed into eyes when child suddenly moved her head back. Family was contacted again 11/6/06; child is fine.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Hypoacusis, Vision blurred
Clinical narrative: Dizzy/lightheaded, blurred vision, muffled hearing, weak.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left thigh red and swollen, warm to touch, redness size of approx 3cm x 3cm. No fever/treatment-symptom care.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration
Clinical narrative: 7x20 cm area of erythema and induration at and distal to site of vaccination.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Received flu vaccine 11-6-06 at 15:15pm and patient awoke on 11-7-06 she had reddened rash on both arms, legs and torso. And itching at those sites. Denies respiratory difficulty.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Depression, Diabetes mellitus, Eye disorder, Eye pain
Clinical narrative: Awaken  2:00 am next am face and mouth felt funny not able to hold water in mouth. Grew worse Left eye unable to close by 6 am on 11-04-06. Head left side face left side severe headache severe pain left eye and behind left ear and entire left head. Symptoms remained 11-8-06. 11/15/06-records received from facility: DX acute maxillary sinusitis. Bellys Palsy, IDDM, hyperlipidemia, peripheral neuropathy, depression, hypokalemia, chronic pain right hip, emphysema, urinary stress incontence, chronic right knee pain, GERD.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Gastrooesophageal reflux disease, Headache, Hyperlipidaemia, Hypokalaemia
Clinical narrative: Awaken  2:00 am next am face and mouth felt funny not able to hold water in mouth. Grew worse Left eye unable to close by 6 am on 11-04-06. Head left side face left side severe headache severe pain left eye and behind left ear and entire left head. Symptoms remained 11-8-06. 11/15/06-records received from facility: DX acute maxillary sinusitis. Bellys Palsy, IDDM, hyperlipidemia, peripheral neuropathy, depression, hypokalemia, chronic pain right hip, emphysema, urinary stress incontence, chronic right knee pain, GERD.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Neuropathy peripheral, Sinusitis, Urinary incontinence
Clinical narrative: Awaken  2:00 am next am face and mouth felt funny not able to hold water in mouth. Grew worse Left eye unable to close by 6 am on 11-04-06. Head left side face left side severe headache severe pain left eye and behind left ear and entire left head. Symptoms remained 11-8-06. 11/15/06-records received from facility: DX acute maxillary sinusitis. Bellys Palsy, IDDM, hyperlipidemia, peripheral neuropathy, depression, hypokalemia, chronic pain right hip, emphysema, urinary stress incontence, chronic right knee pain, GERD.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus
Clinical narrative: pneumococcal immunization given 9/13/06. Received email from patient on 11/2/06. Complained of itching at injection site since injection was given.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Face oedema, Lacrimation increased, Nasal congestion
Clinical narrative: Exactly 2 weeks after flu shot patient had a hacking cough, bad head cold, some fever, a few days later patient developed mump like swelling on left side of face and neck. Weakness. Could not get out of bed, tearing eyes.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Exactly 2 weeks after flu shot patient had a hacking cough, bad head cold, some fever, a few days later patient developed mump like swelling on left side of face and neck. Weakness. Could not get out of bed, tearing eyes.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Headache, Influenza like illness, Lacrimation increased
Clinical narrative: 2 weeks after flu shot my husband had headache, sore throat, hacking cough and phlegmy cough, stuffy and runny nose, tearing eyes, weakness all over, couldn't get out of bed.
Age: 0.36
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives from vaccines one week ago.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Throat tightness, Vomiting, Wheezing
Clinical narrative: Received Influenza vaccine at approx 0830AM. Remained under observation for 20 minutes then returned to work. At 9:50AM he returned to clinic site complained of difficulty taking a deep breath, felt like he was wheezing and that his throat was tight and had just vomited. B/P  /HR R-20. Epinephrine 0.1ml given SQ and Benadryl 50mg given IM at 9:52am. 10:10 reported relief in shortness of breath and throat tightness. EMS dispatched 9:52 immediately and arrived at 10:20A. He was assessed and declined transport to hospital. 10:30A- transported home. Instructed to seek immediate medical attention if symptoms returned.
Age: 1.17
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives
Age: 92.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Application site reaction, Erythema, Feeling hot, Tenderness
Clinical narrative: Local reaction redness, warmth, erythematous plaque, tenderness. Empiric treatment with Augmentin in case of _________process but not likely-resolved in 3 days.
Age: 0.19
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Lethargy, Pallor
Clinical narrative: 10 second period of lethargy. Pale appearance while sleeping-found by father and responded after 10 second stimulation.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Erythema, Oedema, Pyrexia, Swelling, Urticaria
Clinical narrative: Ears became thick and red, appeared as though they itched.  He also had a rash on trunk, legs and arms (wheal type lesions through out trunk, legs and arms). VS: Temp 37.8.  Tylenol was given 10 mg/kg and Benadryl 10 mg. 11/22/06 Received medical records from hospital which reveal patient seen in ER on 11/7/06 with rash & fever.  Had been seen in AM at PCP for well child visit & vax.  Ears became thick & red in afternoon & appeared itchy.  Also developed rash on trunk & extremities.  Low grade fever of 100.3 at home w/o treatment.  In ER temp was 100.0.  Exam revealed reddened, warm & mildly swollen ears.  There were several urticarial wheal type lesions throughout trunk, legs & arms.  Tx w/Benadryl & Tylenol in ER & symptoms resolved. Final DX: possible vaccine reaction vs environmental exposure to new shampoo & foods.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Erythema multiforme
Clinical narrative: Patient had erythema multiforme and arthralgia.
Age: 1.78
Sex: M
Vaccine: FLU3
Symptoms: Crying, Irritability, Lethargy, Pyrexia
Clinical narrative: Fever and lethargy. Fussiness and cried all night.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Uper arm soreness after 28 days.
Age: 37.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Developed rash all over body gradually subsided after few days.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: On 11/1/06 Patient noted raised, slightly pink rash develop on Right side of back. Complained of "severe itching", stated rash "not open". Stated rash continued to develop to behind ear and to scalp, progressing to chest. Instructed to notify MD
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Difficulty in walking, Hypoaesthesia
Clinical narrative: 2 1/2 hours after getting the shot patient legs went numb and she couldn't walk due to throbbing, anything aching. Large red spots on her body.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Received MMR vaccine 10-26-06. Developed rash over entire body 11-6-06, had fever for 2 days prior.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Developed rash on trunk, legs, arms. No itching, fever, aches.
Age: 1.49
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV
Symptoms: Febrile convulsion
Clinical narrative: Was given vaccines at approximately 9:30 am. At 8:30 pm had a fever and generalized seizure lasting 10-15 minutes. 11/21/06-office note for visit 11/8/06-febrile seizure at home temp 102. Previous seizure . Assessment viral versus febrile seizure.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Left arm with painful, local swelling involving entire upper arm began within 12 hours of immunization.
Age: 8.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Erythema, Eye irritation, Eye pain, Headache, Pain
Clinical narrative: 11/8/06 Complained of soreness right arm. 11/8 awakened with redness, soreness, pain, itchy (size of dime). Developed fever 103 - 11/9 around 3 PM, headache, eyes burn, hurt. Alternating Tylenol, Motrin. TC from Mom - 11/13 - Ok. 11/10 - playing, no fever. Today arm still red - slightly itchy - in school. No PCP involvement.
Age: 8.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Pruritus, Pyrexia
Clinical narrative: 11/8/06 Complained of soreness right arm. 11/8 awakened with redness, soreness, pain, itchy (size of dime). Developed fever 103 - 11/9 around 3 PM, headache, eyes burn, hurt. Alternating Tylenol, Motrin. TC from Mom - 11/13 - Ok. 11/10 - playing, no fever. Today arm still red - slightly itchy - in school. No PCP involvement.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Afebrile localized reaction left upper arm - reddened, hot to touch, swollen - underside left arm. Checked 5 hours later and redness. Tylenol/Ice; doctor notified. Reaction subsided 11/10/06 with itching only.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Shot hurt when given. Did not feel well by 17:00. 21:00 temp 102.8 F through Sunday. Arm red, bruised (20cm), swollen at site (80cmX90CM) on Monday. Temp 97.5. Monday AM, took tylenol 2 tabs 500mg/eq. Ice applied.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Eye oedema, Malaise, Nausea, Pyrexia, Urticaria
Clinical narrative: Vaccination given at 1420. That evening she developed increased temp, nausea, and hives. Swollen eyes and general malaise. She took Tylenol. At 0900 the next day she still had allergy symptoms. 25mg of Benadryl given. Symptoms decreased.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Large local inflammatory response 7cmX8cm with low grade temp 99. Tenderness to touch and increased warmth to touch. Patient had similar reaction last year.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Received FluMist on 11/3/06. Started breaking out in hives on 11/4/ and 11/5. Treated with Benadryl. DX: for DOS 11/16/06-urticaria, rule out strep. Possible reaction to FluMist. Strep negative. Note on 11/7/06-hives resolved. Entered note in patient chart allergy to FluMist.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Pain, Pruritus
Clinical narrative: Developed shingles; pain, itching, and blisters under breast and on back about 4 days after receiving the vaccine shot. Rx Famvir 500mg, Tylenol and Codeine.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: Hives, low grade temp, body aches.
Age: 14.0
Sex: F
Vaccine: HEP, MMRV, TD
Symptoms: Medication error
Clinical narrative: MMR-V given instead of varicella - total of 3 MMR's for pt. No side effects reported from pt.
Age: 62.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: About 9 hours after immunization, rather sudden fatigue, severe generalized myalgia with a sense of rigors though afebrile lasting about 6 hours. Never had similar reaction to prior flu or Td shots. Tdap was now this year shot site soreness was slight.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives all over 3 days after injection. No treatment.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site warmth, Pain, Swelling
Clinical narrative: Pt called 11/10 to report evening before was getting ready for bed. Noticed arm red, hot , hard and swollen. Today 11/10 arm is sore and red - no fever. Just hurts a lot; difficult to move. Advised ice, Tylenol - monitor for a day if worse or fever have evaluated. 11/14 Talked to Pt; symptoms resolved by 11/12; no problems since.
Age: 3.0
Sex: F
Vaccine: HBHEPB, HEPA
Symptoms: Pyrexia, Urticaria
Clinical narrative: High fever 102 with Tylenol. Hives all over body on 10/24/06. (Immunizations given 10/23/06.)
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Varicella breakthrough in a previously immunized child. Febrile; approximately 20 lesions.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash
Clinical narrative: 8.5cmX10cm erythema rash on left anterior thigh. Appeared 24 hours after vaccinations received for DTaP, IPV, MMR.
Age: 1.06
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Rash all over body, high fever lasted a week. Resembled measles.
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Medication error
Clinical narrative: Given DTaP instead of Hep A. Hep A then given to correct error.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Nasal congestion, Pyrexia, White blood cell count increased
Clinical narrative: Fever up to 101.8 few hours after immunization. May have had higher fever the night before seen by MD but Mom did not take temp. PE ok, WBC 14.5, 62% Lymph. Fever gone 11/9/06 and patient with congestion.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Injection site erythema, Injection site inflammation, Myalgia, Pyrexia
Clinical narrative: Fever topped at 103F about a 6 inch red inflammed area around injection site, general tiredness, muscle aches. Symptoms are slowly going away.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Myalgia, Pain
Clinical narrative: Complained of soreness right deltoid. Td given 8-23-06 & complained of soreness and intermittent pain Right upper arm. No redness, no swelling. Pain persistent  more than 3 months.
Age: 72.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Cellulitis
Clinical narrative: Cellulitis developed at injection site within 24h. Responded well to Keflex 500mg every 10 hours for 10 days.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis developed at injection site within 24 hours. Responded well to KEFLEX 500 gram PO for 10 days.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Bacterial test positive, Blood culture negative, Blood ketone body, Culture urine, Cytomegalovirus antibody positive
Clinical narrative: Cellulitis developed at injection site within 2 hours. Responded well to Clindamycin HCL and Benadryl. Pt received 2 day hospital admission. DC DX: Allergic reaction-pneumovax. Fever. Vomiting/Dehydration PMH: Positive for allergy for penicillin, clindamycin.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Dehydration, Eosinophil percentage decreased, Glucose urine, Hypersensitivity, Injection site cellulitis
Clinical narrative: Cellulitis developed at injection site within 2 hours. Responded well to Clindamycin HCL and Benadryl. Pt received 2 day hospital admission. DC DX: Allergic reaction-pneumovax. Fever. Vomiting/Dehydration PMH: Positive for allergy for penicillin, clindamycin.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test abnormal, Lymphocyte percentage decreased, Monocyte percentage, Neutrophil percentage increased, Pyrexia
Clinical narrative: Cellulitis developed at injection site within 2 hours. Responded well to Clindamycin HCL and Benadryl. Pt received 2 day hospital admission. DC DX: Allergic reaction-pneumovax. Fever. Vomiting/Dehydration PMH: Positive for allergy for penicillin, clindamycin.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Toxoplasma serology positive, Toxoplasmosis, Vaccination complication, Vomiting, White blood cell count increased
Clinical narrative: Cellulitis developed at injection site within 2 hours. Responded well to Clindamycin HCL and Benadryl. Pt received 2 day hospital admission. DC DX: Allergic reaction-pneumovax. Fever. Vomiting/Dehydration PMH: Positive for allergy for penicillin, clindamycin.
Age: 1.25
Sex: F
Vaccine: FLU3, MMRV
Symptoms: Febrile convulsion
Clinical narrative: Two febrile seizures within 10 days of the MMR/V. 01/25/07-ER records received. Temp in ER 96.5. In usual state of health except for some mild URI symptoms. In ER after 2 suspected febrile seizures. Seen initially at Arlington ED with temp 104.3, urine and blood tests negative. DC home late last night, at 2:00 am medicated with Tylenol at home, began seizure movement. Rash at injection site. ER notes indicates in FH recent chicken pox. DC summary not included.  01/25/07-Additional progress notes received,  Assessment:fever most likely either viral or secondary to the MMRV. Questionable febrile seizure first event much less typical second much more classic.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Headache, Myalgia, Nausea
Clinical narrative: Severe chills, lot of pain all muscles-lasted 2 days. Headache, nausea.
Age: 1.35
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pyrexia, Rash papular, Urticaria
Clinical narrative: Received DTAP and HEP A #1 in left thigh on 11/09-on  11/12 developed urticartial papular rash mostly left leg and low grade fever.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pyrexia, Swelling
Clinical narrative: Shot given 11/12/06 at 12:20 pm, by 8pm arm swollen by 11/14/06. Red arm swelling, chills, fever and achiness went to primary doctor. Doctor gave antibiotics and Benadryl.
Age: 77.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Cough, Dysphonia, Headache
Clinical narrative: Client arrived at health department on 11-14-06 1pm to report: Had Influenza and Td vaccination on 11-07-2006, on Friday 11-10-06 approximately 1 am, started having bad cough, drainage from sinus, hoarseness, slight headache, this lasted until 11-13-06.
Age: 6.0
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Patient in the office, mom stated child had not received Flu vaccine, stated no illness, no allergies, no meds today. Vaccine given per protocol. Mom doesn't speak English, a paper was given to interpreter at end of visit. The paper stated that the child received Flumist on 11-13-06. Mom stated via interpreter that because the child did not receive a "shot" she did not think the child had the vaccine. Agency was contacted per agency, no adverse reaction should occur, 11-14-06 Fluvirin dose is void. Child is to receive dose #2 in 28 days from Flumist. Doctor and patients mother aware.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: 24 yo male seen on 10-26 for smallpox immunization screen. Immunization applied to right arm.  Reaction began about day 7 with redness and swelling at primary site. Fever (did not task temp) and malaise developed by day 9. Seen at 0700 temp 100.5 po, thought to have cellultitis on right arm with localized swelling redness and red streaking toward shoulder. Stared onm Amoxicillin 875 mg po BID, Acetominophen 325 mg po q6h and Naprosyn BID. Swelling in arm has improved over last three days.  Skin symptoms; noted pustular eruption on arms and trunk that began on Monday 11-06 at time of cellulits sick call visit. No change in pattern with Amoxicillin. Tues-WED was last day with emergence of new lesions. Still feelng warm with malaise this week. No shaking chills since 11-05-06   No neck symptoms No stiff neck  °  No previous history of concerns about reproductive health  °  No musculoskeletal symptoms  °  No neurological symptoms  °  No psychological symptoms    Generalized smallpox vaccination reaction (self-limited): Lesions c/w follicular eruption of small pox vaccination. Lesions are not suggestive of generalized vaccinia. This occurs in approximately 2% of patients with the vaccination. pt educated on contact precautions, wound care and follow up.  Pt received small pox vaccine on 26Oct2006.  f/up on rxn to vaccine.  no symptoms today.  reports lesions all dry and initial site improved dramatically  Skin: lesions on torso and upper arms - all are either resolved or dry with no erythema.  lesion of right arm from initial immunizations site now shows 4mm by 4m dry eschar with no erythema or induration. Normal except as noted.