chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HEP, VARCEL, VARCEL
Symptoms: Abnormal labour, Alpha 1 foetoprotein amniotic fluid normal, Caesarean section, Drug exposure during pregnancy, Ultrasound scan abnormal
Clinical narrative: Information has been received from a physician through a Merck pregnancy registry for VARIVAX (Oka/Merck) concerning a 23 year old female with no pertinent medical history or drug allergies who on 05-DEC-2007 at 23 weeks gestation was vaccinated SC with a 0.5 ml dose of VARIVAX (Oka/Merck) (lot# 659204/1470U) when already pregnant (LMP 26-JUN-2007, EDD 01-APR-2008). Suspect vaccination administered on that same day included a dose of RECOMBIVAX HB (duration and dose not reported). No other symptoms were noted. Medical attention was sought through a physician office visit. Lab diagnostic studies performed included a positive pregnancy ultrasound. There was no product quality complaint. Follow-up information from the reporting physician and obstetrician indicated that the 23 year old female (LMP 26-JUN-2007, EDD 01-APR-2008) with morbid obesity had a pregnancy history of 2 previous full-term deliveries, no pre-term births with no complications during pregnancies delivered a normal live-born female (7lbs., 6oz.) on 08-FEB-2008 at 38.5 weeks from LMP. On 05-DEC-2007 the patient experienced an upper respiratory infection (bronchitis) and was treated with clarithromycin extended release (BIAXIN XL) for a 10 day duration. Prenatal diagnostic testing included on 04-OCT-2007 included a maternal-serum-alpha-fetoprotein test (MSAFP) with a negative result, four ultrasound for growth. The last ultrasound on 18-JAN-2008 showed a normal 37 week, 4 day fetus. No amniocentesis was performed. On 08-FEB-2008 during delivery/labor, a primary cesarean section was performed for failure to progress (FTP) and non-reassuring fetal heart trace (NRFHT). No infant adverse event occurred. No maternal adverse events occurred at the time of pregnancy. Upon internal review, Caesarian-section for failure to progress and non-reassuring fetal heart pattern were determined to be other important medical events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/16/2008. Information has been received through the Merck pregnancy registry from a 23 year old pregnant (31 weeks) female consumer with seasonal allergies and no other pertinent medical history who on 05-DEC-2007 was vaccinated with a 0.5 ml dose of VARIVAX (Oka/Merck). Concomitant therapy included antimiscrobial (unspecified). Illness at the time of vaccination included a cold. On 05-DEC-2007 the patient had a red bump on her arm at the injection site which lasted for about one week. Medical attention was not sought. There was no product quality complaint involved. No further information was provided. It has been determined that WAES 0712USA07106 is a duplicate of WAES 0801USA00953. Therefore, WAES0712USA07106 is being deleted from our files and the reports consolidated into WAES 0810USA00953 for VARIVAX (Oka/Merck). No further information is expected.
Age: 23.0
Sex: F
Vaccine: HEP, VARCEL, VARCEL
Symptoms: Upper respiratory tract infection
Clinical narrative: Information has been received from a physician through a Merck pregnancy registry for VARIVAX (Oka/Merck) concerning a 23 year old female with no pertinent medical history or drug allergies who on 05-DEC-2007 at 23 weeks gestation was vaccinated SC with a 0.5 ml dose of VARIVAX (Oka/Merck) (lot# 659204/1470U) when already pregnant (LMP 26-JUN-2007, EDD 01-APR-2008). Suspect vaccination administered on that same day included a dose of RECOMBIVAX HB (duration and dose not reported). No other symptoms were noted. Medical attention was sought through a physician office visit. Lab diagnostic studies performed included a positive pregnancy ultrasound. There was no product quality complaint. Follow-up information from the reporting physician and obstetrician indicated that the 23 year old female (LMP 26-JUN-2007, EDD 01-APR-2008) with morbid obesity had a pregnancy history of 2 previous full-term deliveries, no pre-term births with no complications during pregnancies delivered a normal live-born female (7lbs., 6oz.) on 08-FEB-2008 at 38.5 weeks from LMP. On 05-DEC-2007 the patient experienced an upper respiratory infection (bronchitis) and was treated with clarithromycin extended release (BIAXIN XL) for a 10 day duration. Prenatal diagnostic testing included on 04-OCT-2007 included a maternal-serum-alpha-fetoprotein test (MSAFP) with a negative result, four ultrasound for growth. The last ultrasound on 18-JAN-2008 showed a normal 37 week, 4 day fetus. No amniocentesis was performed. On 08-FEB-2008 during delivery/labor, a primary cesarean section was performed for failure to progress (FTP) and non-reassuring fetal heart trace (NRFHT). No infant adverse event occurred. No maternal adverse events occurred at the time of pregnancy. Upon internal review, Caesarian-section for failure to progress and non-reassuring fetal heart pattern were determined to be other important medical events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/16/2008. Information has been received through the Merck pregnancy registry from a 23 year old pregnant (31 weeks) female consumer with seasonal allergies and no other pertinent medical history who on 05-DEC-2007 was vaccinated with a 0.5 ml dose of VARIVAX (Oka/Merck). Concomitant therapy included antimiscrobial (unspecified). Illness at the time of vaccination included a cold. On 05-DEC-2007 the patient had a red bump on her arm at the injection site which lasted for about one week. Medical attention was not sought. There was no product quality complaint involved. No further information was provided. It has been determined that WAES 0712USA07106 is a duplicate of WAES 0801USA00953. Therefore, WAES0712USA07106 is being deleted from our files and the reports consolidated into WAES 0810USA00953 for VARIVAX (Oka/Merck). No further information is expected.
Age: 23.0
Sex: F
Vaccine: HEP, VARCEL, VARCEL
Symptoms: Drug exposure during pregnancy, Injection site erythema, Injection site mass
Clinical narrative: Information has been received from a physician through a Merck pregnancy registry for VARIVAX (Oka/Merck) concerning a 23 year old female with no pertinent medical history or drug allergies who on 05-DEC-2007 at 23 weeks gestation was vaccinated SC with a 0.5 ml dose of VARIVAX (Oka/Merck) (lot# 659204/1470U) when already pregnant (LMP 26-JUN-2007, EDD 01-APR-2008). Suspect vaccination administered on that same day included a dose of RECOMBIVAX HB (duration and dose not reported). No other symptoms were noted. Medical attention was sought through a physician office visit. Lab diagnostic studies performed included a positive pregnancy ultrasound. There was no product quality complaint. Follow-up information from the reporting physician and obstetrician indicated that the 23 year old female (LMP 26-JUN-2007, EDD 01-APR-2008) with morbid obesity had a pregnancy history of 2 previous full-term deliveries, no pre-term births with no complications during pregnancies delivered a normal live-born female (7lbs., 6oz.) on 08-FEB-2008 at 38.5 weeks from LMP. On 05-DEC-2007 the patient experienced an upper respiratory infection (bronchitis) and was treated with clarithromycin extended release (BIAXIN XL) for a 10 day duration. Prenatal diagnostic testing included on 04-OCT-2007 included a maternal-serum-alpha-fetoprotein test (MSAFP) with a negative result, four ultrasound for growth. The last ultrasound on 18-JAN-2008 showed a normal 37 week, 4 day fetus. No amniocentesis was performed. On 08-FEB-2008 during delivery/labor, a primary cesarean section was performed for failure to progress (FTP) and non-reassuring fetal heart trace (NRFHT). No infant adverse event occurred. No maternal adverse events occurred at the time of pregnancy. Upon internal review, Caesarian-section for failure to progress and non-reassuring fetal heart pattern were determined to be other important medical events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/16/2008. Information has been received through the Merck pregnancy registry from a 23 year old pregnant (31 weeks) female consumer with seasonal allergies and no other pertinent medical history who on 05-DEC-2007 was vaccinated with a 0.5 ml dose of VARIVAX (Oka/Merck). Concomitant therapy included antimiscrobial (unspecified). Illness at the time of vaccination included a cold. On 05-DEC-2007 the patient had a red bump on her arm at the injection site which lasted for about one week. Medical attention was not sought. There was no product quality complaint involved. No further information was provided. It has been determined that WAES 0712USA07106 is a duplicate of WAES 0801USA00953. Therefore, WAES0712USA07106 is being deleted from our files and the reports consolidated into WAES 0810USA00953 for VARIVAX (Oka/Merck). No further information is expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Ultrasound scan abnormal
Clinical narrative: Initial and follow-up information has been received from the Merck Pregnancy Registry via a registered nurse concerning an 18 year old white female with a urinary tract infection and a previous full term delivery who on 23-MAR-2007 was vaccinated with a first dose of GARDASIL (Lot #657006/0188U). On 22-MAY-2007 the patient was vaccinated intramuscularly with a 0.5 ml second dose of GARDASIL (Lot #657006/0188U) On 10-JUL-2007, the patient began therapy with prenatal vitamins (unspecified). On 17-AUG-2007, the patient was vaccinated with a third dose of GARDASIL (Lot #658556/1060U). Subsequently, the patient was 10 weeks pregnant when she received the last dose of GARDASIL. The patient's last menstrual period was in May of 2007 and the estimated date of delivery will be on 07-MAR-2008. On 12-JUL-2007, the patient was seen in the office and an early obstetrical ultrasound revealed the gestational age to be 5 weeks and 6 days. The patient was going to have an amniocentesis. On 05-MAR-2008, the child was delivered via cesarean section (indication not reported). Upon internal review, child was delivered via cesarean section was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Gastrointestinal inflammation
Clinical narrative: Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil.  On 06-MAR-2008 after receiving Gardasil the patient was admitted to the hospital with an intestinal inflammation and (the length of the stay was unknown).  Further
Age: 22.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Cold sweat, Dizziness
Clinical narrative: Patient received the vaccines (Typhoid, Hep A, Yellow Fever, & PPD).  After receiving the vaccines the patient became light-headed and clammy but stayed alert and oriented.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Dizziness, Dysphagia, Throat irritation, Tremor
Clinical narrative: 9:30 Developed dizziness after left office - hadn't eaten breakfast prior to injection - Mom got her breakfast.  Went back to Middle School started getting shaky, wrist pain and then throat felt funny and she had trouble swallowing.  School nurse called hospital staff - staff recommended AMC ED - was seen in ED and given Benadryl 25mg IM at 11.
Age: 29.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Hypoaesthesia, Local swelling, Rash macular
Clinical narrative: 2PM T.C. from client stating she noted swelling, redness of index finger and middle finger left hand at 12NOON 3-7-08.  Skin on hand is blotchy.  c/o slight numbness.  Denies problems w/ range of motion, denies fever.  Instructed her to take ibuprofen.  Called her at 4:30.  No answer.  LM to call her MD if hand/fingers swell more.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Induration, Pain in extremity, Skin warm
Clinical narrative: Positive arm pain worsening x2d after immunization given with appearance of redness/heat on day 2 that spontaneously resolved on day 3 - still some induration day 3.
Age: 44.0
Sex: M
Vaccine: HEPAB, IPV, MMR, MNQ, TD, TYP, YF
Symptoms: Blood culture, Full blood count, Headache, Influenza serology, Laboratory test
Clinical narrative: C/O very stiff neck, headache and fever starting 2/21/08 AM. Pt went to ER 2/22/08 at 4:00 PM. Stated in ER, he also had a sore throat. Temp 100.3 in ER. Dx: Acute/strep pharyngitis. Treatment 1 gm IV, Amoxicillin 875 mg BID x 10d.
Age: 44.0
Sex: M
Vaccine: HEPAB, IPV, MMR, MNQ, TD, TYP, YF
Symptoms: Musculoskeletal stiffness, Pharyngitis streptococcal, Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test
Clinical narrative: C/O very stiff neck, headache and fever starting 2/21/08 AM. Pt went to ER 2/22/08 at 4:00 PM. Stated in ER, he also had a sore throat. Temp 100.3 in ER. Dx: Acute/strep pharyngitis. Treatment 1 gm IV, Amoxicillin 875 mg BID x 10d.
Age: 44.0
Sex: M
Vaccine: HEPAB, IPV, MMR, MNQ, TD, TYP, YF
Symptoms: White blood cell count increased
Clinical narrative: C/O very stiff neck, headache and fever starting 2/21/08 AM. Pt went to ER 2/22/08 at 4:00 PM. Stated in ER, he also had a sore throat. Temp 100.3 in ER. Dx: Acute/strep pharyngitis. Treatment 1 gm IV, Amoxicillin 875 mg BID x 10d.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Colonoscopy, Computerised tomogram, Computerised tomogram abnormal, Diarrhoea haemorrhagic, Facial palsy
Clinical narrative: 24 hours after vaccine developed diarrhea, after 1 mo became bloody.  All stool tests neg.  CT Abd, GI consult, colonoscopy; LGI, UGI no SB series; CT pelvis showed thickening of wall of rectosigmoid colon.  Treated with Immuran->developed Bell's palsy 1/22/08.  D/c'd Immura.  Currently on Asacol & Pentasa.  Still with diarrhea +/- 10/day. 3/24/08-records received-11/23/07-presented to PCP office with 2 month history of diarrhea which began after out of state travel and a few days after her vaccintion. Weight loss. Mild abdominal cramping in lower half of abdomen, stools have unusual odor. Seen on 3/3/08-History of colitis and diarrhea continues. States she also had Bell's Palsy.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Stool analysis abnormal, Thyroid function test abnormal, X-ray with contrast lower gastrointestinal tract, X-ray with contrast upper gastrointestinal tract
Clinical narrative: 24 hours after vaccine developed diarrhea, after 1 mo became bloody.  All stool tests neg.  CT Abd, GI consult, colonoscopy; LGI, UGI no SB series; CT pelvis showed thickening of wall of rectosigmoid colon.  Treated with Immuran->developed Bell's palsy 1/22/08.  D/c'd Immura.  Currently on Asacol & Pentasa.  Still with diarrhea +/- 10/day. 3/24/08-records received-11/23/07-presented to PCP office with 2 month history of diarrhea which began after out of state travel and a few days after her vaccintion. Weight loss. Mild abdominal cramping in lower half of abdomen, stools have unusual odor. Seen on 3/3/08-History of colitis and diarrhea continues. States she also had Bell's Palsy.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Colonoscopy, Computerised tomogram, Diarrhoea haemorrhagic, Facial palsy, Stool analysis normal
Clinical narrative: 24 hours after vaccine developed diarrhea, after 1 mo became bloody.  All stool tests neg.  CT Abd, GI consult, colonoscopy; LGI, UGI no SB series; CT pelvis showed thickening of wall of rectosigmoid colon.  Treated with Immuran->developed Bell's palsy 1/22/08.  D/c'd Immura.  Currently on Asacol & Pentasa.  Still with diarrhea +/- 10/day. 3/24/08-records received-11/23/07-presented to PCP office with 2 month history of diarrhea which began after out of state travel and a few days after her vaccintion. Weight loss. Mild abdominal cramping in lower half of abdomen, stools have unusual odor. Seen on 3/3/08-History of colitis and diarrhea continues. States she also had Bell's Palsy.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: 24 hours after vaccine developed diarrhea, after 1 mo became bloody.  All stool tests neg.  CT Abd, GI consult, colonoscopy; LGI, UGI no SB series; CT pelvis showed thickening of wall of rectosigmoid colon.  Treated with Immuran->developed Bell's palsy 1/22/08.  D/c'd Immura.  Currently on Asacol & Pentasa.  Still with diarrhea +/- 10/day. 3/24/08-records received-11/23/07-presented to PCP office with 2 month history of diarrhea which began after out of state travel and a few days after her vaccintion. Weight loss. Mild abdominal cramping in lower half of abdomen, stools have unusual odor. Seen on 3/3/08-History of colitis and diarrhea continues. States she also had Bell's Palsy.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Labyrinthitis, Nasal congestion
Clinical narrative: Nasal congestion- 4 day after injection. Dizziness, Fatigue- 3/9/08. Labyrinthitis-3/11/08 Dx at Dr
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Formication, Rash
Clinical narrative: Injection administered 2/25/08 at Safeway pharmacy.  Patient states fine first week.  Second week rash on upper chest; she treated with Lidx cream.  Now has "rash" on right temple by eye and has "crawling" sensation under skin on face.  No pain experienced.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, RV5
Symptoms: Diarrhoea
Clinical narrative: Loose stools, about 15 per day, starting 2 days after receiving ROTATEQ vaccine and lasting 2 weeks.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia
Clinical narrative: Joint pain > generalized.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Peripheral coldness
Clinical narrative: Dizziness, sweaty, skin cold to touch, weakness.
Age: 2.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: None; Tdap given instead of DTaP to 24 mo. old.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Public Health Nurse provided me a written report from a patient that had an adverse reaction after receiving the Influenza vaccine. The PHN's written pt. complaint described the symptoms as (L) upper arm pain with redness and warmth to touch which current extends to (L) breast. Pt. also noticed rash from (L) deltoid area to above the elbow. Denies rash in breast. Pain got progressively worse since 2/19/08 but localized to (L) arm and (L) breast. Pt denies any flu like symptoms. Pt advised to see PMD /emergency room as soon as possible. Pt education given in common side effects lasting 1-2 days. Concern regarding rash; body aches. Pt verbalized understanding
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Public Health Nurse provided me a written report from a patient that had an adverse reaction after receiving the Influenza vaccine. The PHN's written pt. complaint described the symptoms as (L) upper arm pain with redness and warmth to touch which current extends to (L) breast. Pt. also noticed rash from (L) deltoid area to above the elbow. Denies rash in breast. Pain got progressively worse since 2/19/08 but localized to (L) arm and (L) breast. Pt denies any flu like symptoms. Pt advised to see PMD /emergency room as soon as possible. Pt education given in common side effects lasting 1-2 days. Concern regarding rash; body aches. Pt verbalized understanding
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea haemorrhagic, X-ray abnormal
Clinical narrative: Bloody diarrhea
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site urticaria
Clinical narrative: 3/10 "Welts" in upper arm surrounding the site of injection. 3/11 Numerous urticarial lesion surrounding the site, with about 4 cm diameter of rancid erythema. Rash appeared and cleared and reappeared over 24 hour period. 3/12 Examined in office - no urticaria; about 4 cm diameter induration.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hypoaesthesia, Neuralgia, Pain in extremity, Tenderness
Clinical narrative: Received HPV in left deltoid on 3/3/08. On 3/5/08 patient dev. painful left arm and then on 3/10/08 numbness of arm. Seen in clinic 3/10/08 for continued pain and numbness with tenderness to light touch from biceps to wrist. Diagnosed with neuropathic pain. Treated with ice, hot packs and elevation.
Age: 14.0
Sex: U
Vaccine: MNQ, VARCEL
Symptoms: Oedema peripheral, Pain, Skin warm
Clinical narrative: Day of vaccine- (R) arm swollen- Next day- Oblong, swollen area size of an egg Soreness-warm to touch no fever
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, MNQ
Symptoms: Cold sweat, Syncope, Unresponsive to stimuli
Clinical narrative: After injections, 18 year old male with cool, moist skin, did not respond when spoken to, slumped into arms of immunization nurse. No respiratory distress. Doctor was summoned, immediately responded. Within 5 minute period child was talking and taking fluids. BP 114/70, color improved - observed 10 min and left hospital. Re-examined by doctor before leaving with guardian.
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Decreased appetite, Disturbance in attention, Hypersomnia, Pyrexia, Rash
Clinical narrative: Fever x 7 days, rash x 5 days - resolved. Decreased appetite and weight loss of 6 oz - worsening. Decreased attention span. Increased sleep daytime - worsening.
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Weight decreased
Clinical narrative: Fever x 7 days, rash x 5 days - resolved. Decreased appetite and weight loss of 6 oz - worsening. Decreased attention span. Increased sleep daytime - worsening.
Age: 19.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Lip swelling, Pruritus, Rash, Rash maculo-papular, Rash papular
Clinical narrative: Patient states onset of itchiness of skin and lips within 24 hours of vaccine administration, with onset of rash shortly after. Patient has swelling of the lips with numerous 2-3mm papules on upper and lower lips but few on face, neck. Skin rash primarily on arms - red maculopapular rash of variable size lesions 3-4mm - 12-15mm, some with a tiny central pustule (1mm). Skin lesions scattered, mainly on arms, with few lesions on abd, neck; Patient seen for rash 3/9/08 and 3/10 ; no fever, SOB, respiratory symptoms; Itching treated with Diphenhydramine
Age: 19.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Rash pustular, Skin lesion
Clinical narrative: Patient states onset of itchiness of skin and lips within 24 hours of vaccine administration, with onset of rash shortly after. Patient has swelling of the lips with numerous 2-3mm papules on upper and lower lips but few on face, neck. Skin rash primarily on arms - red maculopapular rash of variable size lesions 3-4mm - 12-15mm, some with a tiny central pustule (1mm). Skin lesions scattered, mainly on arms, with few lesions on abd, neck; Patient seen for rash 3/9/08 and 3/10 ; no fever, SOB, respiratory symptoms; Itching treated with Diphenhydramine
Age: 2.0
Sex: F
Vaccine: HEPA, HIBV, PNC, TDAP
Symptoms: No adverse reaction, Wrong drug administered
Clinical narrative: Patient received Adacel instead of DTaP for her 4th immunization. The child tolerated well, no adverse reaction.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient said LMP - 2-08 (last Na) x 4 days- Vaccine Gardasil given on 2-08- A couple of days later; mom did home pregnancy test positive x2; child now says she hid doesnt LMP.
Age: 71.0
Sex: M
Vaccine: PPV, TD, VARZOS
Symptoms: Blister, Erythema, Pain in extremity, Pruritus
Clinical narrative: Soreness in arm, vesicular rx with itching and redness.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Injection site induration, Injection site pain, Injection site swelling, Performance status decreased
Clinical narrative: This case was reported by a pharmacist (the subject's brother) and described the occurrence of hardness at the injection site in a 60-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline) for prophylaxis. The subject's medical history included breast surgery. The subject receives unspecified concurrent medications. On 2 November 2007 the subject received 1st dose of Fluarix at 1 ml in an unknown arm. At an unspecified time after vaccination with Fluarix, the subject experienced hardness at the injection site, injection site pain, injection site swelling and injection site discomfort. This was considered to be a local reaction. The pharmacist considered the events were disabling as the subject has had difficulty performing her job. At the time of reporting the events were unresolved. The pharmacist considered the events were probably related to vaccination with Fluarix.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy, Local swelling, Lymphoma
Clinical narrative: This case was reported by physician and described the occurrence of swelling of the left side of the neck in a 75-year-old male subject who was vaccinated with FLUARIX (GlaxoSmithKline) for prophylaxis. The subject's medical history included gout. Concurrent medical conditions included asthma, degeneration joint disease, diabetes, gastrooesophageal reflux disease, hypertension, hypothyroidism and obesity. Concurrent medications included Lovastatin, Allopurinol, Thyroxine sodium (Levoxyl), Metformin hydrochloride (Metformin), Lisinopril, Fluticasone propionate+salmeterol xinafoate (Advir) and Mometasone furoate (Nasonex). On 27 November 2007 the subject received 1st dose of Fluarix in an unknown arm. On 17 December 2007, 3 weeks after vaccination with Fluarix, the subject experienced swelling of the left side of the neck. The subject was referred to an Ear Nose and Throat doctor. A biopsy was performed on an unknown date and the subject was diagnosed with lymphoma on 16 January 2008. The subject was referred to an oncologist. The outcome of neck swelling was not known. The lymphoma was unresolved at the time of reporting. This case was assessed as medically serious by GSK. The physician considered the events were possibly related to vaccination with Fluarix.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blood culture negative, CSF culture negative, CSF white blood cell count increased, Cough, Headache
Clinical narrative: 3/10 - achy, low grade fever. 3/12 - fever 102-103, cough. 3/13 - emesis, HA, photophobia. 3/14 - stiff neck, worse HA. 3/16 - seen in ER, admitted. Given Vancomycin, Rocephin x 48 hrs until CSF, blood csx negative. 3/18 - D/C home - feeling well.  4/1/08 Reviewed hospital medical records of 3/16-3/18/2008. FINAL DX: Viral meningitis Records reveal patient experienced muscle aches approx 1 week prior which progressed to cough, mild SOB, fever, HA, vomiting/diarrhea, stiff neck, photophobia.  Tx w/IV antibiotics, steroids & pain meds.  LP done.  Improved quickly & d/c to home.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Musculoskeletal stiffness, Pain, Photophobia, Pyrexia, Vomiting
Clinical narrative: 3/10 - achy, low grade fever. 3/12 - fever 102-103, cough. 3/13 - emesis, HA, photophobia. 3/14 - stiff neck, worse HA. 3/16 - seen in ER, admitted. Given Vancomycin, Rocephin x 48 hrs until CSF, blood csx negative. 3/18 - D/C home - feeling well.  4/1/08 Reviewed hospital medical records of 3/16-3/18/2008. FINAL DX: Viral meningitis Records reveal patient experienced muscle aches approx 1 week prior which progressed to cough, mild SOB, fever, HA, vomiting/diarrhea, stiff neck, photophobia.  Tx w/IV antibiotics, steroids & pain meds.  LP done.  Improved quickly & d/c to home.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mother reported left arm red and swollen for 4 days (incident reported on 3/11/08)
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dehydration, Dizziness, Laboratory test, Orthostatic hypotension
Clinical narrative: Dizziness, weakness, orthostatic B/P- ? dehydration sent to hospital ER
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Convulsion, Nausea, Pallor
Clinical narrative: After HPV administered client apparently had a seizure. Lasted approx 5 min. B/P 100/60, color appeared pale. Had sluggish capillary refill. After 5 minutes, client coherent and said she felt nauseous, and she needed to use restroom. Also to return next week accompanied per mother/sister. On their way she found physician.
Age: 1.3
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Pruritus, Rash, Skin lesion
Clinical narrative: Rash began on back, then spread to buttocks and chest. Lesions are itchy. To do Benadryl and gave script for Acyclovir by mouth.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Headache, Skin lesion, Swelling face
Clinical narrative: Two days after immunization with ZOSTAVAX, patient noted one lesion on left upper forehead that she thought was an insect bite.  There was swelling down to temple area and by next two day swelling worsened around eye.  She took Benadryl.  It resolved over a weeks time.  Mild headache persists.  Unknown if lesion was Zoster.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Pain
Clinical narrative: 3-12-08 TdaP given at well dx arm - patient a sx; 3-13-08 Onset chills, fever 102.0, vomiting, given Tylenol and Albuteral; 3-15-08 Right arm 4cm Traic erythema, tender; 3-17-08 Redness - increased redness, swelling much of right upper arm of vaccine site.  Decreased fever to 97.3, decreased BPI sx, still tired, achy.  Dx vaccine, prescribed Prednisone.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Tenderness, Vomiting
Clinical narrative: 3-12-08 TdaP given at well dx arm - patient a sx; 3-13-08 Onset chills, fever 102.0, vomiting, given Tylenol and Albuteral; 3-15-08 Right arm 4cm Traic erythema, tender; 3-17-08 Redness - increased redness, swelling much of right upper arm of vaccine site.  Decreased fever to 97.3, decreased BPI sx, still tired, achy.  Dx vaccine, prescribed Prednisone.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation delayed
Clinical narrative: My menstrual cycle has been always been regular.  After I recieved the Gardasil vaccine, I did not get my period when I was supposed to.  I took a pregnancy test but it came back negative.  I still have not had my period.  It is now two weeks late.  There are many forums on the internet that describe the same symptoms as me.  Please look into it.  A lot of sexually active women are getting very stressed out because of this unknown side effect of a late or missed period.
Age: 20.0
Sex: F
Vaccine: ANTH, TTOX, TYP
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Inadvertent vaccination with anthrax, typhoid and tetanus during early pregnancy.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Erythema, Pyrexia, Rash generalised
Clinical narrative: BODY RASH- FINE RASH. LOW GRADE FEVER. RED CHEEKS, THE RASH APPEARED AFTER WARM BATH WAS GIVEN.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Noticed redness and swelling on left forearm close to where TB test (Aplisol; lot# 41720, exp. 02/09) was placed soon after with redness around the induration read 2 days later, increasing in size with warmth to touch by 7 days. Notice additional areas of redness and itching in abdominal area by day 8.  Itching but no myalgia, fever or pain. In the interim, she received Td (Decavac; lot# U2077AA, exp. 04May09) 2 days after having the PPD placed and when the PPD was read at 12mm.  She did not feel any aches or pain to vaccination site (left deltoid).
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Noticed redness and swelling on left forearm close to where TB test (Aplisol; lot# 41720, exp. 02/09) was placed soon after with redness around the induration read 2 days later, increasing in size with warmth to touch by 7 days. Notice additional areas of redness and itching in abdominal area by day 8.  Itching but no myalgia, fever or pain. In the interim, she received Td (Decavac; lot# U2077AA, exp. 04May09) 2 days after having the PPD placed and when the PPD was read at 12mm.  She did not feel any aches or pain to vaccination site (left deltoid).
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Injection site induration, Injection site vesicles, Otitis media, Rash, Sinusitis
Clinical narrative: Rash present to upper arms and chest starting on 3/16/08. Had smallpox vaccination on 6Mar08. Had missed take check that was scheduled for 3/15/08. MD evaluation noted Greater than 15 skin lesions noted on chest, upper arms and back. Single vesicle of 8cm induration noted on L deltoid d/t smallpox vaccination. Also diagnosed with sinusitis and Otitis Media to both ears.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Skin lesion
Clinical narrative: Rash present to upper arms and chest starting on 3/16/08. Had smallpox vaccination on 6Mar08. Had missed take check that was scheduled for 3/15/08. MD evaluation noted Greater than 15 skin lesions noted on chest, upper arms and back. Single vesicle of 8cm induration noted on L deltoid d/t smallpox vaccination. Also diagnosed with sinusitis and Otitis Media to both ears.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Neuralgic amyotrophy
Clinical narrative: The patient developed a painful brachial neuritis (Parsonage Turner syndrome) in the left arm three days after administration of Tdap in the left deltoid.  Slight improvement to date on prednisone therapy; ultimate recovery unknown.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, TYP
Symptoms: Mass, Pain in extremity
Clinical narrative: Presented to Medical Clinic on 3/17/08 with c/o knot to lower right shin times one week. MD evaluated. 4-5cm lump on medial aspect of right tibia. MD believes associated with smallpox vaccination.
Age: 57.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Blood culture negative, Body temperature increased, Chest X-ray, Culture negative
Clinical narrative: 1830 hours after injection of Tdap, joints hurt and increased temp.  Took Excedrin.  Next Am called back to say temp still elevated 104 degree.  1830 next day spoke with family physician, advised to go to ER.  Blood work, cultures nasal swab done.  All negative advised to report incidence to Health Dept as reaction to vaccination. Temp broke 3/6/08 in evening.  NKDA reported.
Age: 57.0
Sex: M
Vaccine: TDAP
Symptoms: Electrocardiogram, Laboratory test
Clinical narrative: 1830 hours after injection of Tdap, joints hurt and increased temp.  Took Excedrin.  Next Am called back to say temp still elevated 104 degree.  1830 next day spoke with family physician, advised to go to ER.  Blood work, cultures nasal swab done.  All negative advised to report incidence to Health Dept as reaction to vaccination. Temp broke 3/6/08 in evening.  NKDA reported.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Fainted after receiving vaccine.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Asthma, Condition aggravated, Cough, Crepitations, Dyspnoea
Clinical narrative: Patient developed severe shortness of breath, wheezing, crackles and coughing.  She had to receive emergency breathing treatment of Albuterol and Atrovent as well as oral steroids.  She had to be transfered from emergency room to PICU where she spent 1 day.  After that she spent 2 more days in hospital.  Upon discharge she was diagnosed with asthma from which she never recovered.  04/08/08 Reviewed hospital medical records of 6/14-6/15/2006. FINAL DX: RAD exacerbation. Records reveal patient experienced cough, wheezing, respiratory distress, increased work of breathing, SOB x 1 day after vaccinations. Went to outlying ER & tx w/nebs, antibiotics & steroids.  O2 sats 89-91 on 2L O2.  Temp 100.6.  CXR there revealed pneumonia.  Transferred to higher level of care.  Exam revealed belly breathing w/mild retractions, wheezing, coarse breath sounds.  Continued tx w/steroids, nebs & O2.    4/8/08 Reviewed Peds allergy consult of 12/7/2007. FINAL DX: mild to mod asthma, allergy & non-allergy triggers. Records reveal symptom onset 1/2006 w/exposure to cats.  Seen in ER for nebs & did well until current episode.  3rd episode 11/06 s/p URI & hospitalization.  Meds were adjusted. 01/25/2010 She still has asthma exacerbations just like after the vaccination.  My daughter got an asthma attach 6 hour after vaccination and has asthma since. She did not have asthma before.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Lymphocyte count abnormal, Neutrophil count, Neutrophil percentage increased, Upper respiratory tract infection, Virus serology test
Clinical narrative: Patient developed severe shortness of breath, wheezing, crackles and coughing.  She had to receive emergency breathing treatment of Albuterol and Atrovent as well as oral steroids.  She had to be transfered from emergency room to PICU where she spent 1 day.  After that she spent 2 more days in hospital.  Upon discharge she was diagnosed with asthma from which she never recovered.  04/08/08 Reviewed hospital medical records of 6/14-6/15/2006. FINAL DX: RAD exacerbation. Records reveal patient experienced cough, wheezing, respiratory distress, increased work of breathing, SOB x 1 day after vaccinations. Went to outlying ER & tx w/nebs, antibiotics & steroids.  O2 sats 89-91 on 2L O2.  Temp 100.6.  CXR there revealed pneumonia.  Transferred to higher level of care.  Exam revealed belly breathing w/mild retractions, wheezing, coarse breath sounds.  Continued tx w/steroids, nebs & O2.    4/8/08 Reviewed Peds allergy consult of 12/7/2007. FINAL DX: mild to mod asthma, allergy & non-allergy triggers. Records reveal symptom onset 1/2006 w/exposure to cats.  Seen in ER for nebs & did well until current episode.  3rd episode 11/06 s/p URI & hospitalization.  Meds were adjusted. 01/25/2010 She still has asthma exacerbations just like after the vaccination.  My daughter got an asthma attach 6 hour after vaccination and has asthma since. She did not have asthma before.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Wheezing, White blood cell count increased
Clinical narrative: Patient developed severe shortness of breath, wheezing, crackles and coughing.  She had to receive emergency breathing treatment of Albuterol and Atrovent as well as oral steroids.  She had to be transfered from emergency room to PICU where she spent 1 day.  After that she spent 2 more days in hospital.  Upon discharge she was diagnosed with asthma from which she never recovered.  04/08/08 Reviewed hospital medical records of 6/14-6/15/2006. FINAL DX: RAD exacerbation. Records reveal patient experienced cough, wheezing, respiratory distress, increased work of breathing, SOB x 1 day after vaccinations. Went to outlying ER & tx w/nebs, antibiotics & steroids.  O2 sats 89-91 on 2L O2.  Temp 100.6.  CXR there revealed pneumonia.  Transferred to higher level of care.  Exam revealed belly breathing w/mild retractions, wheezing, coarse breath sounds.  Continued tx w/steroids, nebs & O2.    4/8/08 Reviewed Peds allergy consult of 12/7/2007. FINAL DX: mild to mod asthma, allergy & non-allergy triggers. Records reveal symptom onset 1/2006 w/exposure to cats.  Seen in ER for nebs & did well until current episode.  3rd episode 11/06 s/p URI & hospitalization.  Meds were adjusted. 01/25/2010 She still has asthma exacerbations just like after the vaccination.  My daughter got an asthma attach 6 hour after vaccination and has asthma since. She did not have asthma before.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Atrial fibrillation, Cardiac enzymes, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: Zostavax was given at approx. 10am. Pt called at 3pm to say that she was having heart palpatations that started at 2pm. She was also c/o fatigue. Advised to go to ER for eval. Daughter drove her to hospital. They arrived at approx 5pm. She was in atrial fibrillation. AFib resolved with IV Diltiazem. 5/22/08-records received for DOS 3/14-3/17/08- DC DX: Atrial fibrillation. Presented to ED with symptoms of palpitations, not feeling well, lightheadedness, some heaviness in chest. Has had a productive cough with green sputum and cold for past 2 weeks, rhinorrhea, nasal congestion. HR 162.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations
Clinical narrative: Zostavax was given at approx. 10am. Pt called at 3pm to say that she was having heart palpatations that started at 2pm. She was also c/o fatigue. Advised to go to ER for eval. Daughter drove her to hospital. They arrived at approx 5pm. She was in atrial fibrillation. AFib resolved with IV Diltiazem. 5/22/08-records received for DOS 3/14-3/17/08- DC DX: Atrial fibrillation. Presented to ED with symptoms of palpitations, not feeling well, lightheadedness, some heaviness in chest. Has had a productive cough with green sputum and cold for past 2 weeks, rhinorrhea, nasal congestion. HR 162.
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Irritability, Pyrexia, Rash
Clinical narrative: Mom reports infant developed fever night of immunization that lasted for 4 days. Also reports mild irritability and diarrhea. Child developed mild rash on back and abdomen on day 4. Mom treated symptomatically.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Erythematous, swollen, tender, warm, and itchy localized reaction 10 cm diameter around injection site, began within 12 hours of injection.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin reaction
Clinical narrative: Erythematous, swollen, tender, warm, and itchy localized reaction 10 cm diameter around injection site, began within 12 hours of injection.
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Injection site rash, Pruritus
Clinical narrative: Client called afterhours on 3/14/2008 to report "hivelike rash on arm where shot was" Started >24 hours after immunization.  Denies fever.  Taking OTC Benadryl for itch.  "Not bad enough to go to the Dr."  Client was contacted a.m. 3/17/2008 and sxs were resolving but client wanted RN to see it.  Client is a night shift worker and was going to do a walkin clinic and see nurse.  Client contacted 3/18/2008.  Symptoms almost totally resolved.
Age: 1.64
Sex: M
Vaccine: DTAP, HBHEPB, HEPA
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm
Clinical narrative: Received Dtap and Hep A in right thigh on 2/25/08.  Mother called 2/26/08 stated that swelling in leg since last night.  Examined in clinic right anterior thigh with erythema, edema, warmth.  Treated for cellulitis with Bactrim 40/200/5ml 1 1/2 tsp bid x 10 days.  Mother states swelling redness resolved in 3 days.
Age: 10.0
Sex: F
Vaccine: HEPA, IPV, PPV
Symptoms: Basophil percentage, Blood culture negative, Cellulitis, Erythema, Full blood count
Clinical narrative: Patient developed low grade fever & erythema/pain/swelling in subcutaneous tissue of left upper arm.  Her erythema, pain and swelling increased as of 04-12-07 & she presented to clinic with significant cellulitis of left upper arm, intense pain with any movement, and a temperature 102° Blood culture drawn, started on IV antibiotics:  vancomycin & ceftazidime; Ultrasound of left arm; CBC and CHEM7.                                   After 48 hours of IV antibiotics, she began to have resolution of that site.  There was some concern as to whether or not it was an actual cellulitis or a local reaction to her immunizations however, with resolution of her symptomatology during this hospital admission, she was discharged home with no additional antibiotic therapy and instructed to monitor that area for progression of swelling, erythema and/or pain. 4/7/08-records received for DOS 4/12-4/15/07 DC DX: Resolving left upper arm cellulitis likely related to immunizations. Received immunization sooner than scheduled. Developed low grade fever with erythema and pain at site of her injection. Fever to 102. Cellulitis at injection site.
Age: 10.0
Sex: F
Vaccine: HEPA, IPV, PPV
Symptoms: Haematocrit decreased, Haemoglobin decreased, Injected limb mobility decreased, Lymphocyte percentage, Mean cell haemoglobin
Clinical narrative: Patient developed low grade fever & erythema/pain/swelling in subcutaneous tissue of left upper arm.  Her erythema, pain and swelling increased as of 04-12-07 & she presented to clinic with significant cellulitis of left upper arm, intense pain with any movement, and a temperature 102° Blood culture drawn, started on IV antibiotics:  vancomycin & ceftazidime; Ultrasound of left arm; CBC and CHEM7.                                   After 48 hours of IV antibiotics, she began to have resolution of that site.  There was some concern as to whether or not it was an actual cellulitis or a local reaction to her immunizations however, with resolution of her symptomatology during this hospital admission, she was discharged home with no additional antibiotic therapy and instructed to monitor that area for progression of swelling, erythema and/or pain. 4/7/08-records received for DOS 4/12-4/15/07 DC DX: Resolving left upper arm cellulitis likely related to immunizations. Received immunization sooner than scheduled. Developed low grade fever with erythema and pain at site of her injection. Fever to 102. Cellulitis at injection site.
Age: 10.0
Sex: F
Vaccine: HEPA, IPV, PPV
Symptoms: Mean cell volume normal, Monocyte percentage, Neutrophil count, Oedema peripheral, Pain in extremity
Clinical narrative: Patient developed low grade fever & erythema/pain/swelling in subcutaneous tissue of left upper arm.  Her erythema, pain and swelling increased as of 04-12-07 & she presented to clinic with significant cellulitis of left upper arm, intense pain with any movement, and a temperature 102° Blood culture drawn, started on IV antibiotics:  vancomycin & ceftazidime; Ultrasound of left arm; CBC and CHEM7.                                   After 48 hours of IV antibiotics, she began to have resolution of that site.  There was some concern as to whether or not it was an actual cellulitis or a local reaction to her immunizations however, with resolution of her symptomatology during this hospital admission, she was discharged home with no additional antibiotic therapy and instructed to monitor that area for progression of swelling, erythema and/or pain. 4/7/08-records received for DOS 4/12-4/15/07 DC DX: Resolving left upper arm cellulitis likely related to immunizations. Received immunization sooner than scheduled. Developed low grade fever with erythema and pain at site of her injection. Fever to 102. Cellulitis at injection site.
Age: 10.0
Sex: F
Vaccine: HEPA, IPV, PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Patient developed low grade fever & erythema/pain/swelling in subcutaneous tissue of left upper arm.  Her erythema, pain and swelling increased as of 04-12-07 & she presented to clinic with significant cellulitis of left upper arm, intense pain with any movement, and a temperature 102° Blood culture drawn, started on IV antibiotics:  vancomycin & ceftazidime; Ultrasound of left arm; CBC and CHEM7.                                   After 48 hours of IV antibiotics, she began to have resolution of that site.  There was some concern as to whether or not it was an actual cellulitis or a local reaction to her immunizations however, with resolution of her symptomatology during this hospital admission, she was discharged home with no additional antibiotic therapy and instructed to monitor that area for progression of swelling, erythema and/or pain. 4/7/08-records received for DOS 4/12-4/15/07 DC DX: Resolving left upper arm cellulitis likely related to immunizations. Received immunization sooner than scheduled. Developed low grade fever with erythema and pain at site of her injection. Fever to 102. Cellulitis at injection site.
Age: 20.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Wrong drug administered
Clinical narrative: Patient administered expired pediatric dose of Hep B, expiration was 11/07 - no reaction.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Medication error
Clinical narrative: None - patient was given MMR #3 and Varicella #3.  She didn't need either one.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eye movement disorder, Tic
Clinical narrative: Patient developed eye blinking.  TIC approximately 1 week after kindergarten vaccinations on 1/25/2008.