chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site urticaria, Pruritus
Clinical narrative: Two days after Tdap received, child developed red welt covering half of upper arm.  Also has pruritis (this began one day afterwards); redness began two days after vaccine given.
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Two days after Tdap received, child developed red welt covering half of upper arm.  Also has pruritis (this began one day afterwards); redness began two days after vaccine given.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, C-reactive protein increased, Diet refusal, Irritability, Lethargy
Clinical narrative: Overly long nap (3+ hours) woke with 103.5* fever.  Cried unconsolably all night.  Following day he had a fever of 105* and was lethargic & unresponsive.  Sent to the hospital and admitted.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Screaming
Clinical narrative: Overly long nap (3+ hours) woke with 103.5* fever.  Cried unconsolably all night.  Following day he had a fever of 105* and was lethargic & unresponsive.  Sent to the hospital and admitted.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Blood culture, C-reactive protein, Crying, Culture urine, Full blood count
Clinical narrative: Overly long nap (3+ hours) woke with 103.5* fever.  Cried unconsolably all night.  Following day he had a fever of 105* and was lethargic & unresponsive.  Sent to the hospital and admitted.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Lethargy, Lumbar puncture, Pyrexia, Somnolence, Unresponsive to stimuli
Clinical narrative: Overly long nap (3+ hours) woke with 103.5* fever.  Cried unconsolably all night.  Following day he had a fever of 105* and was lethargic & unresponsive.  Sent to the hospital and admitted.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Urine analysis
Clinical narrative: Overly long nap (3+ hours) woke with 103.5* fever.  Cried unconsolably all night.  Following day he had a fever of 105* and was lethargic & unresponsive.  Sent to the hospital and admitted.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Diarrhoea, Intestinal resection, Intussusception, Lethargy, Vomiting
Clinical narrative: Pt developed vomiting and diarrhea and lethargy. Dx of intussusception. Tx bowel resection.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Angiogram, Biopsy lung, Diabetes mellitus, Dyspnoea, Wheezing
Clinical narrative: shortness of breathe and wheezing
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, No reaction on previous exposure to drug, Vomiting
Clinical narrative: 12 hours after the pt was vaccinated he started experiencing vomiting/diarrhea lasting for about 6-8 hours. Pt was seen by a health care provider, this was the pt's second dose of anthrax, no problems with previous dose.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Blood test normal, Fatigue, Feeling abnormal, Gingival pain
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Glossodynia, Hypoaesthesia, Muscle fatigue, Oropharyngeal pain, Paraesthesia
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Renal disorder
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Back pain, Blood test, Cognitive disorder, Condition aggravated
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Culture throat, Fatigue, Hypoaesthesia, Oropharyngeal pain, Paraesthesia
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Renal pain
Clinical narrative: I experienced severe fatigue and muscle fatigue, joint pain in shoulder, fingers, knees toes all on the injection side of my body. Also, numbness and tingling in arm and leg, kidney problems, brain fog, and severe sore throat with gum and tongue pain.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Fatigue
Clinical narrative: Patient had chills and fatigue for two day following vaccination
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: L deltoid and shoulder area swelling, warmth, and achy.  Recommed to use Benadryl and Tylenol.
Age: 0.49
Sex: F
Vaccine: DTAP, DTAPHEPBIP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Patient was given a PEDIARIX vaccine and a normal DTaP on 9-22-2008. No reaction.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), HEPA, TYP
Symptoms: Gaze palsy, Nausea, Opisthotonus, Unresponsive to stimuli
Clinical narrative: Approximately 20 minutes following vaccines x 3 guest felt nauseated, eyes dilated, rolled back, arched neck / back X 15-20 seconds, no response; then alert oriented X 3. No further symptoms.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 1 1/2 diameter indurated red raised area - Right deltoid area. Cool compresses & Benadryl.
Age: 20.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPAB, PPV, TDAP
Symptoms: Chills, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Within 2 hours of administration client was having chills, fever, and a sore (L) arm. Patient called nurse line and 3/30/10 advised to see his Dr. Patient did not see Dr that day but came into our clinic on 4-1-10 complaining of same symptoms along w/vomiting. Patient advised to see Dr. and app was set up for 4-1-10 AM.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Pain in extremity
Clinical narrative: Patient gives hx of bilateral arm pain and back pain. Rx ibuprofen 800 mg.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site induration, Injection site pain, Irritability, Pyrexia, Rhonchi
Clinical narrative: Patient developed fever 100-101, fussiness, and tenderness at immunization sites (both legs) and refused to bear weight on evening of 3/31/2010. Patient seen 4/1/10 in clinic; 101.3F, fussy & upper airway rhonchi, ears (-), lungs (-), (+) induration of thighs. (R) thigh: 3cm induration, no redness, mild tenderness. (L) thigh 5x3cm induration (both injection sites centered within induration), mild warmth, minimal redness, mild tenderness, no fluctuance. Neuro exam: alert, nl DTR's (normal), refused to bear weight.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Weight bearing difficulty
Clinical narrative: Patient developed fever 100-101, fussiness, and tenderness at immunization sites (both legs) and refused to bear weight on evening of 3/31/2010. Patient seen 4/1/10 in clinic; 101.3F, fussy & upper airway rhonchi, ears (-), lungs (-), (+) induration of thighs. (R) thigh: 3cm induration, no redness, mild tenderness. (L) thigh 5x3cm induration (both injection sites centered within induration), mild warmth, minimal redness, mild tenderness, no fluctuance. Neuro exam: alert, nl DTR's (normal), refused to bear weight.
Age: 61.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Blister, Discomfort, Hypoaesthesia, Rash
Clinical narrative: Received ZOSTAVAX 3/25/10. On 3/29/10 with numbness & L low rib cage area -> progressed to L back. 4/2/10 appearance of rash / blistery- L ribs and L back. Appt. this AM 4/5/10 to verify blistery rash and discomfort.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Accidental exposure, Chest discomfort, Dyspnoea, Erythema, Nausea
Clinical narrative: Injection eyes; Erythema face trunk extremities. SOB, chest tightness, nauseated, pruritus.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Pruritus
Clinical narrative: Injection eyes; Erythema face trunk extremities. SOB, chest tightness, nauseated, pruritus.
Age: 34.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Oropharyngeal pain, Pyrexia, Streptococcus test negative
Clinical narrative: Sore throat, shortness of breath, fever
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: redness at site, itching, warmth to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Mom reporting rednes/swelling (lg area)/pain/site warm to touch. Giving Tylenol X1 dose which has helped with the pain. Advised to apply cool compress and give Tylenol Q 4 hrs. Followed up with parent 4/8/2010 at 9:30 AM, Mom reporting swelling/redness/pain has decreased and only giving Tylenol BID. Sending child back to school. Advised to keep monitering.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lip swelling
Clinical narrative: Swelling in upper lip. Took 50mg Benadryl. Seen in Emergency Department at 4:02 PM given 125 mg Solu Medrol IV, Zyrtec 10mg, p.o. with Pepcid 20mg
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: My arm started hurting right after the flu shot but got worse the next day.  It is 7 months later and my arm still hurts just as much.  the pain is often bad enough to wake me up or keep me from sleeping.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pruritus
Clinical narrative: Left upper arm has swollen, red, warm area approx. 4in.X3in. Client also complaining of itchiness and pain. Suggested use of cool compresses and motrin prn.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Ear pain, Facial palsy, Herpes zoster
Clinical narrative: Information has been received from a consumer concerning his 72 year old wife with rheumatoid arthritis and morphine allergy (rash), soma allergy (unspecified reaction) and TOLECTIN allergy (unspecified reaction) who on approximately 01-DEC-2009 ("about 4 months ago") was vaccinated with a dose of ZOSTAVAX (Merck) (lot# not reported). Concomitant therapy included methotrexate, prednisone and propranolol HCl and "several other unspecified medications". On approximately 31-JAN-2010 ("about two months after receiving vaccine"), the patient developed an ear ache, shingles and BELLs Palsy and was hospitalized. It was stated that "wife first experienced an ear ache in her left ear, then developed shingles on the left side of her face, and then developed BELLs Palsy that was affecting the left side of her face after receiving ZOSTAVAX (Merck)". "Blood work" was performed with no results reported. The patient was hospitalized for 4-5 days. At the time of this report, the patient had not recovered. No further information is available.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), TDAP, FLU(H1N1), TDAP
Symptoms: Caesarean section, Drug exposure during pregnancy, Premature labour, Ultrasound scan normal
Clinical narrative: Initial report received on 24 November 2009 via telephone conversation with a health care professional. A pregnant 22-year-old female patient was vaccinated via intramuscular injection with ADACEL (Sanofi Pasteur, lot number UF500BA) and Influenza A (H1N1) 2009 Monovalent vaccine (Sanofi Pasteur, lot number UP012AA) on 29 October 2009. The patient's medical history includes asthma, migraines and depression. Concomitant medications include PROZAC 20 mg and prenatal vitamins. Past obstetric history included one prior pregnancy with full term delivery (cesarean section for possible fetal distress). The patient's current pregnancy includes an unremarkable ultrasound from 27 August 2009. The patient's estimated due date for delivery is 01 January 2010 (corrected). The patient has not experienced any adverse events since being vaccinated. Follow-up information was received from the reporter on 29 March 2010. Based upon this new information, it was determined that the event met serious criteria, and has been upgraded to serious. The patient's last menstrual period was 05 April 2009, with an estimated delivery date of 10 January 2010. On 16 December 2009, at 36.2 weeks gestation, the patient experienced pre-term labor (reported as "repeat"). She was treated with Terbutaline, and delivered an infant weighing 6 pounds 2 ounces via C-section. Apgars scores were 8. No additional information was reported. Documents held by sender: None.
Age: 33.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Drug exposure during pregnancy, Ectopic pregnancy, Laparotomy, Pregnancy test urine positive, Ruptured ectopic pregnancy
Clinical narrative: Initial report was received 09 June 2009 from a health care professional. A 33-year-old pregnant female patient with a history of asthma and no prior pregnancies, had received a 0.5 mL intramuscular injection of ADACEL, lot number C3029AA on 03 June 2009. She had also been taking SINGULAIR 10mg and an unspecified inhaler concomitantly for her pre-existing condition of asthma. The patient's last menstrual period occurred on 12 May 2009 and she had been approximately three weeks pregnant at the time of vaccination. It was further noted that the patient had received ADACEL because she was a health care worker. On 8 June 2009, the patient had urine and blood serum pregnancy tests performed; results for both tests were provided on 09 June 2009 which confirmed a positive pregnancy. The patient's expected date of confinement was unknown at the time of the report. According to the reporter, the patient had not experienced any adverse events since receiving ADACEL. Follow-up information was received 05 April 2010 from a healthcare professional. Upon receipt of this information, it was determined that the case meets seriousness criteria and it has been upgraded to serious. The patient had a tubal ectopic pregnancy on an unspecified date and was treated with methotrexate. Subsequently, an emergency laparotomy was performed for a ruptured ectopic on an unspecified date. No further information was provided. Documents held by sender: None.
Age: 33.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Drug exposure during pregnancy, Ectopic pregnancy, Laparotomy, Pregnancy test positive, Pregnancy test urine positive
Clinical narrative: Initial report was received 09 June 2009 from a health care professional. A 33-year-old pregnant female patient with a history of asthma and no prior pregnancies, had received a 0.5 mL intramuscular injection of ADACEL, lot number C3029AA on 03 June 2009. She had also been taking SINGULAIR 10mg and an unspecified inhaler concomitantly for her pre-existing condition of asthma. The patient's last menstrual period occurred on 12 May 2009 and she had been approximately three weeks pregnant at the time of vaccination. It was further noted that the patient had received ADACEL because she was a health care worker. On 8 June 2009, the patient had urine and blood serum pregnancy tests performed; results for both tests were provided on 09 June 2009 which confirmed a positive pregnancy. The patient's expected date of confinement was unknown at the time of the report. According to the reporter, the patient had not experienced any adverse events since receiving ADACEL. Follow-up information was received 05 April 2010 from a healthcare professional. Upon receipt of this information, it was determined that the case meets seriousness criteria and it has been upgraded to serious. The patient had a tubal ectopic pregnancy on an unspecified date and was treated with methotrexate. Subsequently, an emergency laparotomy was performed for a ruptured ectopic on an unspecified date. No further information was provided. Documents held by sender: None.
Age: 33.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Ruptured ectopic pregnancy
Clinical narrative: Initial report was received 09 June 2009 from a health care professional. A 33-year-old pregnant female patient with a history of asthma and no prior pregnancies, had received a 0.5 mL intramuscular injection of ADACEL, lot number C3029AA on 03 June 2009. She had also been taking SINGULAIR 10mg and an unspecified inhaler concomitantly for her pre-existing condition of asthma. The patient's last menstrual period occurred on 12 May 2009 and she had been approximately three weeks pregnant at the time of vaccination. It was further noted that the patient had received ADACEL because she was a health care worker. On 8 June 2009, the patient had urine and blood serum pregnancy tests performed; results for both tests were provided on 09 June 2009 which confirmed a positive pregnancy. The patient's expected date of confinement was unknown at the time of the report. According to the reporter, the patient had not experienced any adverse events since receiving ADACEL. Follow-up information was received 05 April 2010 from a healthcare professional. Upon receipt of this information, it was determined that the case meets seriousness criteria and it has been upgraded to serious. The patient had a tubal ectopic pregnancy on an unspecified date and was treated with methotrexate. Subsequently, an emergency laparotomy was performed for a ruptured ectopic on an unspecified date. No further information was provided. Documents held by sender: None.
Age: 46.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Rash
Clinical narrative: 1. Rash - 2. RASH.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: (R) arm area of redness, warmth, pain, fever to 103 degrees - Lasted X 3-4 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Antinuclear antibody negative, Biopsy skin abnormal, Blood creatinine normal, Blood test normal, Blood urea normal
Clinical narrative: The patient received the ZOSTAVAX vaccine on 3/16/2010 in the left deltoid. Two days later she returned, complaining of a large -2 cm- local reaction at the site of the injection. Over the next few days she developed a new rash on the right foot, ankle, and both legs and arms with severe pain in the fingers and a sensation of heat in her palms. There were no oral erosions. On physical examination there were multiple urticarial wheals on the arms and legs. On the right foot there was purpuric semicircular patch that spread between the inner aspect of the great toe and second toe. My diagnosis was serum sickness-like reaction possibly due to ZOSTAVAX. Confounding the history however, she had also taken a course of trimethropim-sulfamethoxasole on 3/19/10. It seems possible that BACTRIM was the cause of the entire picture. She was treated with prednisone -40 mg tapering over 12 days-and fexofenadine with excellent results.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: C-reactive protein normal, Eosinophil count increased, Feeling hot, Full blood count normal, Immunology test
Clinical narrative: The patient received the ZOSTAVAX vaccine on 3/16/2010 in the left deltoid. Two days later she returned, complaining of a large -2 cm- local reaction at the site of the injection. Over the next few days she developed a new rash on the right foot, ankle, and both legs and arms with severe pain in the fingers and a sensation of heat in her palms. There were no oral erosions. On physical examination there were multiple urticarial wheals on the arms and legs. On the right foot there was purpuric semicircular patch that spread between the inner aspect of the great toe and second toe. My diagnosis was serum sickness-like reaction possibly due to ZOSTAVAX. Confounding the history however, she had also taken a course of trimethropim-sulfamethoxasole on 3/19/10. It seems possible that BACTRIM was the cause of the entire picture. She was treated with prednisone -40 mg tapering over 12 days-and fexofenadine with excellent results.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Liver function test normal, Pain in extremity, Rash, Red blood cell sedimentation rate increased
Clinical narrative: The patient received the ZOSTAVAX vaccine on 3/16/2010 in the left deltoid. Two days later she returned, complaining of a large -2 cm- local reaction at the site of the injection. Over the next few days she developed a new rash on the right foot, ankle, and both legs and arms with severe pain in the fingers and a sensation of heat in her palms. There were no oral erosions. On physical examination there were multiple urticarial wheals on the arms and legs. On the right foot there was purpuric semicircular patch that spread between the inner aspect of the great toe and second toe. My diagnosis was serum sickness-like reaction possibly due to ZOSTAVAX. Confounding the history however, she had also taken a course of trimethropim-sulfamethoxasole on 3/19/10. It seems possible that BACTRIM was the cause of the entire picture. She was treated with prednisone -40 mg tapering over 12 days-and fexofenadine with excellent results.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Serum sickness, Urine analysis normal, Urticaria
Clinical narrative: The patient received the ZOSTAVAX vaccine on 3/16/2010 in the left deltoid. Two days later she returned, complaining of a large -2 cm- local reaction at the site of the injection. Over the next few days she developed a new rash on the right foot, ankle, and both legs and arms with severe pain in the fingers and a sensation of heat in her palms. There were no oral erosions. On physical examination there were multiple urticarial wheals on the arms and legs. On the right foot there was purpuric semicircular patch that spread between the inner aspect of the great toe and second toe. My diagnosis was serum sickness-like reaction possibly due to ZOSTAVAX. Confounding the history however, she had also taken a course of trimethropim-sulfamethoxasole on 3/19/10. It seems possible that BACTRIM was the cause of the entire picture. She was treated with prednisone -40 mg tapering over 12 days-and fexofenadine with excellent results.
Age: 28.0
Sex: M
Vaccine: ANTH, HEP, HEPA, TYP
Symptoms: Amnesia, Arthralgia, Disturbance in attention, Sleep disorder, Tuberculin test
Clinical narrative: Ache joints, concentration difficulty and loss, memory loss, failure and trouble remembering recent, sleep problem.
Sex: U
Vaccine: HEP
Symptoms: Product container issue
Clinical narrative: April 4, 2010, RN withdrew contents of ENGERIX-B made by GlaxoSmithKline. The dose is to be 10mcg/0.5ml but vial only contained 0.4 to 0.45mL. Both vials wasted and another vial obtained that contained the full dose. Lot #AHBVB817AA exp date 5/11/12. This same product problem was reported directly to GSK in February 2010 but not reported. Given this second occurrence, we felt we should report it.
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: erythema, edema, and tenderness spreading through upper arm where vaccination given
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperhidrosis, Pallor, Syncope
Clinical narrative: Became diaphoretic, pale and experience syncopal episode. Blood Pressure 100/60 pulse 50-60. Was laid flat and feet elevated and client became stable
Age: 22.0
Sex: F
Vaccine: DTAP, HEPA, HPV4, MNQ
Symptoms: Fall, Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a medical assistant and a physician concerning a 22 year old female with no medical history or drug allergies who on 01-APR-2010 was vaccinated with the first dose of GARDASIL (lot # 661954/0075Y), 0.5ml, IM. Concomitant therapy included MENACTRA and HAVRIX. The medical assistant reported that on 01-APR-2010 the patient experienced a seizure within seconds after receiving GARDASIL. The patient was taken to an emergency room and was given intravenous fluid. However, when intravenous fluid was stopped, another seizure occurred and she fell to the floor. The patient recovered on 01-APR-2010 and went home. The physician confirmed that the patient fell on her head after receiving GARDASIL. The patient went to the emergency room and was given an IV. The IV was removed and the patient got up to leave and fell on the back of her head. The patient had syncope occur twice in a 24 hour period. The patient recovered on 01-APR-2010. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Blindness unilateral
Clinical narrative: Initial and follow-up information has been received from a 21 year old female office worker concerning herself who in March 2009, was vaccinated with the first 0.5 mL dose of GARDASIL (LOT# not reported). On 01-APR-2009 the patient woke up and had loss of vision in her right eye. At this time of reporting, the patient's loss of vision had not recovered. Upon internal review, loss of vision was determined to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy test positive, Urine analysis
Clinical narrative: Information has been received from a physician for GARDASIL, a Pregnancy Registry product, concerning a 13 year old female patient who was vaccinated with the first, second and third dose of GARDASIL separately on 17-NOV-2008, 04-FEB-2009 and 04-JUN-2009. The physician did not know the patient was pregnant until an appointment in July 2009. The patient had done urinary test to confirm pregnancy. It was found out at this time the patient was pregnant for 5 months. The patient's date of last menstrual period was approximately on 01-FEB-2009 and estimated delivery date is 08-NOV-2009. Follow up information has been received indicating the patient had an elective abortion in August 2009. Upon internal review, the patient's elective abortion was considered an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Caesarean section, Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: Information has been received from a physician for the Pregnancy Registry for HPV vaccine concerning a 15 year old female with no pertinent medical history who on 12-AUG-2008 was vaccinated with the first dose of GARDASIL and ADACEL. At the time of vaccination with  GARDASIL the patient was pregnant. On 02-SEP-2008, the patient came to the gynecologist office for annual physical exam and because she was missed her period, a pelvic ultrasound was performed that revealed a pregnancy of 14 weeks and 2 days. The patient's LMP was 9-JUN-2008 and EDD 16-MAR-2009. No adverse event occurred. Additional information has been received from a nurse concerning the patient. The nurse reported that the patient had a Cesarean section on 13-MAR-2009 and delivered a normal baby with "no problems", who weighed 9lbs, 13 oz. The nurse could not confirm the indication for the Cesarean. "It was possible it was due to the baby's size, but the nurse can't say for sure". The patient came back to the office at 2 weeks and 4 weeks postpartum for incision checks, but did not return for her "regular 6 week postpartum visit". The patient's incision was doing fine at the time and she was recovering from her Cesarean section. Upon internal review, Cesarean section was considered to be an other important medical event. Additional information is not expected.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Fall, Loss of consciousness, Nausea, Pain in extremity
Clinical narrative: Sore arm the day of shot, 18 hrs after injection started feeling nauseated. When she left the bathroom, she passed out and fell against the wall. She was taken to a 24 hr. urgent care until transported to hospital and admitted for 2 days. All test came back normal. No cause found.
Age: 2.0
Sex: M
Vaccine: HIBV
Symptoms: Full blood count, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 8 x 9 cm red, hot to touch area on right thigh where vaccine given. Tender to touch. Put on antibiotic.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood creatine phosphokinase normal, Blood pressure increased, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Symptoms began approx 1 hours after administration vaccine. Chest pain, chest and throat tightness, nausea, vomiting, elevated B/P. Seen in ER/IV fluids Zofran.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Electrocardiogram normal, Full blood count normal, Metabolic function test, Nausea, Throat tightness
Clinical narrative: Symptoms began approx 1 hours after administration vaccine. Chest pain, chest and throat tightness, nausea, vomiting, elevated B/P. Seen in ER/IV fluids Zofran.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Symptoms began approx 1 hours after administration vaccine. Chest pain, chest and throat tightness, nausea, vomiting, elevated B/P. Seen in ER/IV fluids Zofran.
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site mass
Clinical narrative: small knot on right leg
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: Inconsolable crying for 5 hours
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Crying, Fall, Gaze palsy, Muscle tightness, Muscle twitching
Clinical narrative: Pt. fell to floor and became unresponsive, twitching slightly, eyes rolled back, muscles tight for 10 seconds. Mother and RN at side calling her name. Pt quickly started crying and stood up to hug her mother.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt. fell to floor and became unresponsive, twitching slightly, eyes rolled back, muscles tight for 10 seconds. Mother and RN at side calling her name. Pt quickly started crying and stood up to hug her mother.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Infection, Joint swelling, Surgery
Clinical narrative: severe pain and swelling in right knee, started on jan.7 in the late afternoon. by sat, jan 9th 2010 emegergency treatment was needed. patient had to leave work early due to extreme pain, surgery, therapy iv antibiotics
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Pt complained of itchiness on both arms the afternoon of 4/7/2010.  The itchiness progressed to swelling and redness of both deltoids.  Pt was seen in our office today 4/8/2010 at 0815 the redness had improved.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site swelling, Pain, Rash
Clinical narrative: Pt had redness and swelling at site of injection.  Pt. developed rash and pain across right side of face and scalp. Dr. diagnosed shingles and gave pt acylovir.  Pt. still had rash but less pain when she showed me a week later.
Age: 65.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Guillain-Barre syndrome
Clinical narrative: ascending paralysis
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Chills, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Symptoms: Fever, malaise, chills, night sweats, slight cough, some shortness of breath, palpitations, watery diarrhea, decreased appetite, nausea, toothache, earache, body aches, headache, weakness.  Developed hives 4 days after those symptoms. Treatments used: Bedrest, Tylenol, Advil, Pepto Bismol, prednisone, cephalexin, halobetasol cream
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Ear pain, Headache, Malaise, Nausea
Clinical narrative: Symptoms: Fever, malaise, chills, night sweats, slight cough, some shortness of breath, palpitations, watery diarrhea, decreased appetite, nausea, toothache, earache, body aches, headache, weakness.  Developed hives 4 days after those symptoms. Treatments used: Bedrest, Tylenol, Advil, Pepto Bismol, prednisone, cephalexin, halobetasol cream
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Night sweats, Pain, Palpitations, Pyrexia, Toothache
Clinical narrative: Symptoms: Fever, malaise, chills, night sweats, slight cough, some shortness of breath, palpitations, watery diarrhea, decreased appetite, nausea, toothache, earache, body aches, headache, weakness.  Developed hives 4 days after those symptoms. Treatments used: Bedrest, Tylenol, Advil, Pepto Bismol, prednisone, cephalexin, halobetasol cream
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Symptoms: Fever, malaise, chills, night sweats, slight cough, some shortness of breath, palpitations, watery diarrhea, decreased appetite, nausea, toothache, earache, body aches, headache, weakness.  Developed hives 4 days after those symptoms. Treatments used: Bedrest, Tylenol, Advil, Pepto Bismol, prednisone, cephalexin, halobetasol cream
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Very, very painful site, lump. No redness.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Soreness of Rt upper arm began 4-7-10 in a.m. Progressed with warmth, redness and swelling of area. Symptoms remain, with confirming swelling 4-8-10 p.m. from shoulder to elbow.
Sex: M
Vaccine: HEP
Symptoms: Chest X-ray abnormal, Local swelling, Pneumothorax
Clinical narrative: Nurse administered hepatitis B vaccine to baby at 1010 on 4/8/10 -> baby developed bilateral pneumothorax, neck swelling. Pt transferred emergently to another facility.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Crying, Dark circles under eyes, Disturbance in attention, Feeling abnormal, Lethargy
Clinical narrative: High pitched crying in the middle of the night off and on. Very sleepy the next day, lethargic, very pale, lifeless, vomiting, dark circles under his eyes, unable to get his attention, shock-like state for a couple of hours, then pinked up and started to get better and nurse. Was doing better by the time we got to the doctor that afternoon.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pallor, Somnolence, Vomiting
Clinical narrative: High pitched crying in the middle of the night off and on. Very sleepy the next day, lethargic, very pale, lifeless, vomiting, dark circles under his eyes, unable to get his attention, shock-like state for a couple of hours, then pinked up and started to get better and nurse. Was doing better by the time we got to the doctor that afternoon.
Age: 1.33
Sex: M
Vaccine: IPV
Symptoms: Body temperature increased, Fatigue, Respiratory syncytial virus test negative, Restlessness, Skin warm
Clinical narrative: Felt warm on 3-26 and 3-27. Checked temp at 8PM on 3-27. Temp was 103 (R) (M) put him in tub of room temp. H2O and alternated Ibuprofen and TYL q. 4hrs. At 8:30PM temp was 99 (R) (M) kept sponging him prn. Temp would spike up to 103 degrees (R) but would come down. Saw Dr. on 3-29 and gave him antibiotic. On 3-27, he was very tired when awake, but restless when he slept. "Clingy" (3-26) antibiotic given for resp. symptoms.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Cyanosis, Death, Pyrexia, Unresponsive to stimuli, Vomiting
Clinical narrative: Started getting really clingy, really tired and fever of 102.  Stayed with her all night long and into the next morning.  I treated her with Tylenol but it had no effect, stayed around 101-102.  She was cranky throughout the day but nothing seemed out of the ordinary.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Autopsy, Brain oedema, Cardiac disorder, Death, Fatigue
Clinical narrative: Started getting really clingy, really tired and fever of 102.  Stayed with her all night long and into the next morning.  I treated her with Tylenol but it had no effect, stayed around 101-102.  She was cranky throughout the day but nothing seemed out of the ordinary.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Irritability, Pyrexia
Clinical narrative: Started getting really clingy, really tired and fever of 102.  Stayed with her all night long and into the next morning.  I treated her with Tylenol but it had no effect, stayed around 101-102.  She was cranky throughout the day but nothing seemed out of the ordinary.
Age: 0.01
Sex: F
Vaccine: MMR, TDAP, VARCEL, VARCEL
Symptoms: Culture positive, Polymerase chain reaction, Skin lesion, Varicella
Clinical narrative: Patient developed a vesicular rash on 2/17 (age 26 days).  She was afebrile & mildly symptomatic only.  CBC was normal.  One day later rash had increased to 60 lesions & original swab was VARICELLA positive.  Rash was classic for VARICELLA.  ACYCLOVIR 15 mg / kg PO QID was started.  She improved significantly, rash was improving in 24 hours, resolved 72 hours.
Age: 0.01
Sex: F
Vaccine: MMR, TDAP, VARCEL, VARCEL
Symptoms: Full blood count normal, Genotype drug resistance test positive, Polymerase chain reaction, Rash vesicular, Skin lesion
Clinical narrative: Patient developed a vesicular rash on 2/17 (age 26 days).  She was afebrile & mildly symptomatic only.  CBC was normal.  One day later rash had increased to 60 lesions & original swab was VARICELLA positive.  Rash was classic for VARICELLA.  ACYCLOVIR 15 mg / kg PO QID was started.  She improved significantly, rash was improving in 24 hours, resolved 72 hours.
Age: 0.01
Sex: F
Vaccine: MMR, TDAP, VARCEL, VARCEL
Symptoms: Varicella post vaccine, Varicella virus test positive
Clinical narrative: Patient developed a vesicular rash on 2/17 (age 26 days).  She was afebrile & mildly symptomatic only.  CBC was normal.  One day later rash had increased to 60 lesions & original swab was VARICELLA positive.  Rash was classic for VARICELLA.  ACYCLOVIR 15 mg / kg PO QID was started.  She improved significantly, rash was improving in 24 hours, resolved 72 hours.
Age: 37.0
Sex: F
Vaccine: HEPAB
Symptoms: Asthenia, Diarrhoea, Lethargy, Oropharyngeal pain, Sleep disorder
Clinical narrative: 4/7/10 Woke in the night with severe sore throat. Took 2 ibuprofen, vitamin C, B and multi. Woke again at 8am with throat still very sore, but higher in the throat. Used Netti pot with salt water and gargled with salt water 2 or 3 times during the day and before bed. Continued to take vitamins and 2 more ibuprofen later in the day. No fever present. Very low energy/lethargic, but not sleepy.  At 10:30pm had diarrhea.  4/8/10 Woke with slight sore throat. Was fine by mid-morning.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated
Clinical narrative: I had localized granuloma annulare on my hands (top of hands). I have shingles vaccine - and within 2 weeks I had generalized granuloma annulare on both arms, upper chest, both legs, front and back of all arms and all legs.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Activated partial thromboplastin time prolonged, Irritability, Prothrombin time prolonged, Purpura, Rash papular
Clinical narrative: 1-2 weeks after MMR and VARIVAX imm. Developed spots on face and irritability for 1 week; No BM changes. 2 wks later present with palpable purpura on legs, arms and mild on face. -No irritability and aching well.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: Describes adverse event(s) (symptoms, signs, time course) and treatment, if any.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Computerised tomogram normal, Decreased appetite, Fontanelle bulging, Irritability
Clinical narrative: Fever, irritability, lack of appetite, vomiting. Temp. 102F - 103F for 3-4 days with an ER visit on 3/28/06 with a bulging fontanel. No treatment, seemed to get better after 4 days.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, irritability, lack of appetite, vomiting. Temp. 102F - 103F for 3-4 days with an ER visit on 3/28/06 with a bulging fontanel. No treatment, seemed to get better after 4 days.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema - Right upper thigh red raised warm area. Feb at 101.1 axillary - Cephalexin 250 mg PO TID x 7 days.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt had localized edema and erythema to rt thigh. Edema was 12cm X 8 cm.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Decreased appetite, Dizziness, Pyrexia
Clinical narrative: Fever began on 4/5/10 with associated dizziness and decreased appetite. Tmax=103.6 degrees vaccine administered 4/1/10.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abasia, Blood test abnormal, Computerised tomogram abnormal, Dysstasia, Immunoglobulin therapy
Clinical narrative: Sudden numbness in legs (ascending from toes), loss of ability to walk or stand, hospital diagnosis of GUILLAIN-BARRE Syndrome, 5 day course of IV immunoglobulin treatment, required inpatient acute physical therapy (currently ongoing for at least 2-4 weeks).
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Conjunctivitis, Erythema, Measles, Pyrexia, Rash maculo-papular
Clinical narrative: Fever, erythema, maculopapular rash face, trunk and extremities, mild conjunctival infection, runny nose - Measle-like syndrome.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Rhinorrhoea
Clinical narrative: Fever, erythema, maculopapular rash face, trunk and extremities, mild conjunctival infection, runny nose - Measle-like syndrome.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Headache, Paraesthesia
Clinical narrative: Received vaccine 5:10/pm, developed at 6:00/pm headache, dizzy, tingling sensation in hands and feet.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Ear infection, Injection site erythema, Injection site induration, Laboratory test abnormal, Pharyngeal erythema
Clinical narrative: (1) Vaccine administered in RA by medical assistant. Patient not examined by MD. (2) Patient returned 1 day later with erythema and induration of 5 x 4cm at vaccine site. Pt noted to also have a red throat and infected ear lobe. KEFLEX started.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Streptococcus test
Clinical narrative: (1) Vaccine administered in RA by medical assistant. Patient not examined by MD. (2) Patient returned 1 day later with erythema and induration of 5 x 4cm at vaccine site. Pt noted to also have a red throat and infected ear lobe. KEFLEX started.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache, Hypoaesthesia, Vomiting
Clinical narrative: Vomit last night, HA last night after receiving mist patient states numbness all over and nausea, lightheaded. Cap refill immediate. Alert: Oriented x3. 110/64 12RR 65 HR no whez no SOB
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: Lightheaded, nausea, SOB "Hard to Breathe" states patient. Cap refill immediate. 11/79 20RR 68HR no wheezing AIO x 3
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Left arm "is muscle weakness, hurts to move". Patient feels hot, dizzy cap refill normal, can feel sharpness in finger tips 120/80 18RR 74HR alert:oriented x3.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rash, Swelling face
Clinical narrative: Child itching face and rash noted by child's teacher after the Flumist was given. Rash noted by school nurse on neck, bridge of nose, forehead and rash and some swelling on both cheeks. Tsp Benadryl given and parents notified. Rash gone the next day.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug hypersensitivity, Dyspnoea
Clinical narrative: Child monitored for 15 min after injection due to "gentamycin allergy" reported on form. Child states she feels short of breath. Child does no appear to be in distress. Lungs GA. Child reports improvement in condition and returned to class. School nurse and teachers aware of above and will continue to monitor.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Redness, swelling at injection site-Blocked-hives note on chest and arms. Benadryl 25mg given at 0923 Epipen given at 0930. Parent called and picked up.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Rash, Rash macular
Clinical narrative: IM H1N1 Adm, 1 1/2 hrs later developed rash on arms, blotchy rash on upper back & chest, no itching. States she developed this blotchy rash when she gets "hot" BP 120/90 no shortness of breath lungs clear.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm
Clinical narrative: Reaction to DAPTACEL - Redness 103.2 cm X 10 cm. Started 4/030/10 - and progressively worsened. Warmth to touch slightly.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 5"X5" area of flat redness, & warmth no induration, around left deltoid muscle.
Age: 26.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Rash macular
Clinical narrative: Received pneumococcal vaccine in left deltoid 3/15/10. On 3/18/10 noted red macular rash (about 6 lesions) on left arm. No other symptoms. No other explanation for macular rash. Resolved by 3/19/10.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Rash 10-15 lesions, temp X 2-3 days.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 11 x 11 cm area of swelling, erythema, induration over right thigh.
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Onset left arm swelling/ Erythema 1 day after vaccine administration - improved 1 day later.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles, Pain
Clinical narrative: Vaccination on Mon 4/5, that night general aches arms & legs, next day injection site very tender & red. On exam 4/8, 3 cm area of vesicles L arm @ injection site with 6 cm surround by erythema.
Age: 1.16
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Skin lesion, Varicella post vaccine
Clinical narrative: Varicella like rash > 50 umbilicated lesions diffusely on body, scalp. In different stages of healing. Began week (7) days following vaccine. Worsened over following week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Redness, edema, pain left deltoid area tender to touch, warm to touch.  Treated with TYLENOL, BENADRYL with relief.
Age: 14.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Possible cellulitis (R) posterior arm after VARIVAX vaccine.
Age: 33.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Pt returned to clinic for PPD read, c/o redness, sore arm X 1-2 days, upon exam red area at site of injection very warm to touch.  Advised pt to see physician pt refused.  No treatment administered.  Advised pt if worsens to go to ER.