chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: DPP, HBHEPB, IPV, PNC, RV5
Symptoms: Body temperature increased, Infantile spitting up, Pyrexia
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 9-week-old female who on 08-AUG-2006 was vaccinated by mouth with the first 2.0 mL dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot #653981/0411F). Concomitant vaccinations administered on the same day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of poliovirus vaccine inactivated (unspecified), a dose of hepatitis B virus vaccine rHBsAg (yeast) (+) Hib conj vaccine and a dose of pneumococcal 46B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR). The RN reported that on 11-AUG-2005 the patient experienced a fever of 100.5 F that was "on and off". On 15-aug-2005, the patient started vomiting "chunky pieces". As of 15-AUG-2006, the patient's vomiting persisted and she still had an "on and off" fever of 100.5 F.  This is in follow-up to report(s) previously submitted on 9/8/2006. Follow-up information was received from the RN who reported the patient did not have any "out of the ordinary reactions". The RN indicated that the patient was not vomiting for a week, but was spitting up for a day and her temperature was a low-grade immunization temperature. The patient subsequently recovered. Additional information has been requested.
Age: 0.45
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 23-week-old patient who on 05-JUL-2006 was vaccinated by mouth with the first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653915/0389F). It was unknown if medical attention was sought and no adverse were reported.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/8/2006.  Information has been received from a licensed practical nurse (LPN) concerning a 23-week-old female with no medical history who on 05-JUL-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #6539315/0389F).  Concomitant vaccinations administered on that same day included the second IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA), the second IM dose in the right thigh of ACTHIB (Lot #UE793AA) and the second dose in the right thigh of PREVNAR (Lot #B08658C).  Medical attention was not sought and no adverse events were reported.  On 08-AUG-2006, the patient was vaccinated PO with the second dose of ROTATEQ (Lot #653915/0389F).  Additional information is not expected.
Age: 0.25
Sex: M
Vaccine: PNC, RV5
Symptoms: Constipation
Clinical narrative: Information has been received from a physician concerning a 13-week-old male with reflux and no allergies who on 20-JUL-2006 was vaccinated by mouth with a 20. ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653754/0139F).  Concomitant vaccinations administered on that same day included a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR).  Other concomitant therapy included famotidine (PECPID).  The physician reported that in July 2006, several days after being vaccinated, the patient developed constipation.  Unspecified medical attention was sought and the patient was treated with diluted prune juice.  No laboratory/diagnostic tests were performed.  Subsequently, the patient's constipation resolved.  Additional has been requested.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician concerning a 2-month-old patient who was vaccinated by mouth with a 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  The physician reported that the patient subsequently began to vomit within six hours of being vaccinated.  Unspecified medical attention was sought.  The vomiting continued for a period of 24 hours and then resolved.  Additional information has been requested.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: Choking
Clinical narrative: Information has been received from a physician concerning a 2-month-old patient who was vaccinated by mouth with the first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  The physician reported that the patient subsequently choked on the vaccine.  Unspecified medical attention was sought, but no laboratory/diagnostic were performed.  The patient recovered shortly after the vaccine was given.  Additional information has been requested.
Sex: U
Vaccine: DTAP, RV5
Symptoms: Rash
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated by mouth with a 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccinations included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid.  The physician reported that the patient subsequently developed a rash.  Unspecified medical attention was sought.  At the time of this report, the outcome was unknown.  Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Rash
Clinical narrative: Information has been received from a physician concerning a 4-month-old female who was vaccinated with a dose of rotavirus G1 G2 G3 P1 reassortant vaccine live (human-bovine).  The physician reported that the patient subsequently developed a rash.  Unspecified medical attention was sought.  Subsequently, the patient's rash resolved.  Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of rotavirus G1 G2 G3 G4 P1 vaccine live (human-bovine).  The physician reported that the patient subsequently developed moderate diarrhea.  It was unknown if medical attention was sought.  At the time of this report, the outcome was unknown.  Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Information has been received from a physician concerning a 4 month old female, who had been breast fed since birth, who, at 8 weeks of age, was vaccinated with a first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  It was reported by the physician that the patient had a change in consistency of her stools, which were described by the mother as chronic diarrhea.  There were two stools per day for the previous two months.  At the time of the report the patient had not recovered.  Unspecified medical attention was sought.  No product quality complaint was involved.  No other information was provided.  Additional information has been requested.
Age: 0.26
Sex: F
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a health professional concerning a 13 and half week old female who on 28-JUN-2006 was vaccinated with a first oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) due to a confusion with the birth date.  No problems were noted with administration.  There was no adverse event.  Unspecified medical attention was sought.  No product quality complaint was involved.  No other information was provided.  Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a health professional concerning a patient who was vaccinated with a second dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine (human-bovine) two days earlier than recommended, two days before four weeks.  No product quality complaint was involved.  Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a health professional concerning a 4-month-old female who on 28-JUN-2006 was vaccinated with a first dose of rotavirus G1 G 2G3 G4 P1 reassortant vaccine live (human-bovine).  No adverse symptoms were noted.  No additional information was provided.  Additional information has been requested. This is in follow up to report (s) previously submitted on 9/8/2006.  Information has been received from a registered nurse concerning a 4 month old female who on 28-JUN-2006 was vaccination with a first and second dose of ROTATEQ on 28-JUN-2006 and 28-AUG-2006, respectively.  Concomitant vaccines included a first, second, and third dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, Hib conj vaccine (OMPC) (manufacturer unknown) on 24-APR-2006, 28-JUN-2006, and 28-AUG-2006, respectively, a first and second dose of poliovirus vaccine inactivated (Vero) (IPOL) on 24-APR-2006 and 28-JUN-2006, respectively, a first, second, and third dose of hepatitis B vaccine, recomb (MSD) on 27-FEB-2006, 24-APR-2006, and 28-JUN-2006, respectively, and a first, second, and third dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (MSD) on 24-APR-2006, 28-JUN-2006, and 28-AUG-2006, respectively.  No adverse symptoms were noted.  No additional information was provided.  Additional information is not expected.
Age: 0.44
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 23-week-old male who on 06-JUL-2006 was vaccinated by mouth with the first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653915/0389F).  It was unknown if medical attention was sought and no adverse were reported.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/11/2006.  Information has been received from a licensed practical nurse (LPN) concerning a 23-week-old white male who on 06-JUL-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #653915/0389F).  Concomitant vaccinations administered on that same day included the second IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA), the second IM dose in the right thigh of ACTHIB (Lot #UE793AA) and the second dose in the right thigh of PREVNAR (Lot #B08558C).  It was unknown if medical attention was sought and no adverse events were reported.  On 03-AUG-2006, the patient was vaccinated PO with the second dose of ROTATEQ (Lot #853915/0389F).  Additional information is not expected.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: No adverse event, Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 6-month-old female patient who on 10-JUL-2006 was vaccinated by mouth with the first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653915/0389F).  Concomitant vaccinations administered on that same day included the third IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA), the third IM dose in the right thigh of ACTHIB (Lot #UE793AA) and the third dose in the right thigh of PREVNAR (Lot #B08658C). It was unknown if medical attention was sought and no adverse events were reported. On 07-AUG-2006, the patient was vaccinated with the second dose of ROTATEQ (Lot # 653915/0389F). Additional information is not expected.
Age: 0.43
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 22-week-old male who on 05-JUL-2006 was vaccinated by mouth with the first 2.0 ml dose or rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653915/0389F).  It was unknown if medical attention was sought and no adverse events were reported.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/8/2006.  Information has been received from a licensed practical nurse (LPN) concerning a 22-week old white male with no medical history who on 05-JUL-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #653915/0389F).  Concomitant vaccinations administered on the same day included the second IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA), the second IM dose in the right thigh of ACTHIB (Lot #UE793AA) and the second dose in the right thigh of PREVNAR (Lot #B08658C).  Medical attention was not sought and no adverse events were reported.  Additional information is not expected.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 17-week-old male who on 03-AUG-2006 was vaccinated by mouth with the first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653915/0389F).  It was unknown if medical attention was sought and no adverse events were reported. Additional information has been requested. 12/01/06 This is in follow-up to report(s) previously submitted on 9/8/2006. Information has been received from a licensed practical nurse (LPN) concerning a 17-week-old male with no medical history who on 03-AUG-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #653915/0389F). Concomitant vaccinations administered on that same day included the second IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA), the second IM dose in the right thigh of ACTHIB (Lot #UE856AA) and the second dose in the right thigh of PREVNAR (Lot #B08658C). Medical attention was not sought and no adverse events were reported. Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 22-week-old female who on 04-AUG-2006 was vaccinated by mouth with first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  It was unknown if medical attention was sought and no adverse events were reported.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/8/2006.  Information has been received from a registered nurse (LPN) concerning a 22-week-old female with no medical history who on 04-AUG0-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #653915/0389F).  Concomitant vaccinations administered on that same day included the second IM dose in the left thigh of PEDIARIX (Lot #AC21B065AA, the second IM dose in the right thigh of ACTHIB (Lot #UE858AA) and the second dose in the right thigh of PREVNAR (Lot #B08658C).  Medical attention was not sought and no adverse events were reported.  Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a health professional concerning a 5 month old female who was vaccinated with a first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Unspecified medical attention was sought.  No product quality complaint was involved.  No other information was provided.  Additional information is not expected.
Age: 0.17
Sex: U
Vaccine: DPP, HIBV, RV5
Symptoms: Agitation, Crying
Clinical narrative: Information has been received from a health professional concerning an 8-week-old patient who on 28-AUG-2006 was vaccinated with an oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccine included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of Hib conj vaccine. "About two hours post vaccination", on 28-AUG-2006, the patient's parents indicated that the patient was crying excessively.  Subsequently, the patient recovered.  Unspecified medial attention was sought.  No product quality was involved.  No other information was provided.  The health professional also reported a second patient that had a similar experience following vaccination with rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Information has been received from a health professional concerning her 20 week old niece who, "last week", on approximately 21-AUG-2006 was vaccinated with a first oral dose or rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccines included a dose of diphtheria toxoid (+) hepatitis B virus vaccine rHBsAg (yeast) (+) pertussis acellular 3-component (+) poliovirus vaccine inactivated (+) tetanus toxoid (PEDIARIX), a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR) and a dose of Hib conj vaccine (manufacturer unknown).  Subsequently, "last week", on approximately 21-AUG-2006, the patient experienced a fever.  It was reported that the patient recovered.  Unspecified medical attention was sought.  No product quality complaint was involved.  No other information was provided. Additional information is not expected.
Age: 0.25
Sex: U
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a licensed visiting nurse (LVN) concerning a 15-week-old patient who was vaccinated by mouth with the first 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  It was unknown if medial attention was sought.  No adverse experience was related to the event.  No further information is available.
Age: 0.17
Sex: U
Vaccine: DTAP, HIBV, RV5
Symptoms: Agitation, Crying
Clinical narrative: Information has been received from a health professional  concerning an 8 week old patient who on 28-AUG-2006 was vaccinated with an oral dose or rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccine included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (tetanus toxoid and a dose of Hib conj vaccine.  "About two hours post vaccination", on 28-AUG-2006, the patient's parents indicated that the patient was crying excessively. Subsequently, the patient recovered.  Unspecified medical attention was sought.  No product quality complaint was involved.  No other information was provided.  The health professional also reported a second patient that had a similar experience following vaccination with rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a registered nurse (RN) concerning an infant who in August 2006 was vaccinated by mouth with the first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) immediately after a feeding.  The RN reported that in August 2006, the patient vomited several times as the vaccine was given.  No other symptoms were noted.  It was unknown if medical attention was sought.  At the time of this report, the outcome was unknown.  Additional information has been requested.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician concerning a 2-month-old patient who was vaccinated with a dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  The physician reported that the patient subsequently developed severe vomiting six hours after being vaccinated.  Unspecified medical attention was sought.  At the time of this report, the outcome was unknown.  Additional information has been requested.
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Information has been received from a female licensed visiting nurse who "in the past few days", on approximately 29-AUG-2006, came in contact with rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) on her face while she was administering the vaccine orally to a child who regurgitated. "One day later", on approximately 30-AUG-2006, the nurse experienced symptoms of fever and diarrhea.  At the time of the report the nurse had not recovered.  Unspecified medical attention was sought.  No product quality was involved.  No other information was provided.  Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: RV5, UNK
Symptoms: Diarrhoea, Rotavirus test
Clinical narrative: This is in follow-up to report (s) previously submitted on 9/8/2006. Information has been received from a physician concerning a 2-month-old female with no medical history who on 19-AUG-2006 was vaccinated by mouth with the first 2.0 ml rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (lot number not reported).  Concomitant therapy included other vaccines (not further specified).  The physician reported that on 19-AUG-2006, the patient developed diarrhea and has been having 5-6 "loose movements" each day since onset".  Unspecified medical attention was sought and a "rotavirus test" was performed (results not provided). At the time of this report, the patient;s diarrhea persisted.  Follow-up information from a physician indicated that they changed the infant's formula to soy milk. Additional information has been requested.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Oedema, Pyrexia
Clinical narrative: 15 Aug 06 at 1030 received Anthrax left arm.  Signs and symptoms started approximately 0600 16 Aug 06, she noticed swelling at the site, 1800, 16 Aug 06 by mouth started BENADRYL/TYLENOL/warm compress. 18 Aug 06, 1900 190mm diameter of edema.  99.2 temperature
Age: 28.0
Sex: F
Vaccine: FLUX, HEPAB
Symptoms: Premature labour, Unintended pregnancy
Clinical narrative: A nurse prospectively reported that a 28 year old female subject was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) during an unspecified trimester of pregnancy. On an unspecified date in Oct 2005, the subject received 1st dose of Twinrix. The dated of the subjects last menstrual period and trimester of pregnancy were not reported. On the same day, the subject also received influenza virus vaccine (unknown manufacturer) and a Tuberculin skin test (unknown manufacturer). Follow up information received on 9/8/06 indicated that the subjects pregnancy was complicated by PSOL at 35 weeks. The subject was hospitalised for premature labor on 3/31/06 for less than 24 hours. She was also hospitalized on 4/1/06 and 4/2/06 for greater than or equal to 24 hours. The subject was successfully treated with IV hydration, oral terbutaline (2.5mg every four hours as needed) and oral hydroxyzine (50mg daily as needed). The etiology of the premature labor remains undetermined. Additional information indicated that the subject received multiple oral supplements during pregnancy including Henalmic formula (1 three times daily), enriching greens (1 three timed daily), vitamin A C E (1 two times daily) and prenatal vitamins 1 daily. The subject gave birth via spontaneous vaginal delivery to a normal, male infant on 5/23/06 (39 weeks gestation). The infant weighed 6 lbs and 13 oz's, was 19 3/4 inches in length with and APGAR score of 8 at one minute and 9 at five minutes. Oligohydramnios was noted during labor. No further details were provided.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister, Erythema, Injection site vesicles, Swelling
Clinical narrative: Complain of erythema progressing to small blisters.  Patient site of DTaP done two days ago.  Mom states it was improving.  Skin: firm red swollen area with small vesicles at injection site.  Assessment: adverse drug reaction.
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister, Erythema, Injection site vesicles, Swelling
Clinical narrative: Complain of erythema progressing to small blisters at site of DTaP done 2 days ago.  Skin: firm, red, swollen area with vesicles at injection site.  Assessment: adverse drug reaction
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Mom reports a rash starting 2 days after imm.starting on arms and chest, on 09/05/06 became worse  and by 09/09/06 MD put on prednison as developed into hives and welts all over body. MD extended the Rx on 09/12/06 as rash continues.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Erythema, Fatigue, Pyrexia, Swelling
Clinical narrative: Mild fever of 100. Tiredness and sore joints. There was redness and extreme swelling on the arm for two weeks. There was a bruise the size of a softball after the swelling went down. Extreme itching which was helped by Benadryl.   On Saturday September 2, a tendon on my finger of the arm that received the vaccine ruptured and ripped away from the bone. I have never broken anything or had any injury of any kind. I was doing an activity I normally do.   I received the vaccine (Tdap) on August 25 at 10:45 am.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Tendon rupture
Clinical narrative: Mild fever of 100. Tiredness and sore joints. There was redness and extreme swelling on the arm for two weeks. There was a bruise the size of a softball after the swelling went down. Extreme itching which was helped by Benadryl.   On Saturday September 2, a tendon on my finger of the arm that received the vaccine ruptured and ripped away from the bone. I have never broken anything or had any injury of any kind. I was doing an activity I normally do.   I received the vaccine (Tdap) on August 25 at 10:45 am.
Age: 0.64
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Dyskinesia, Electroencephalogram abnormal, Laboratory test abnormal, Myoclonus
Clinical narrative: At approximately 1630 on 9/7 the patient developed myoclonic jerks. At about 1700 the patient developed right arm and leg tonic posturing with head and eyes deviated to the right. This then progressed to full body clonic movements. This required Diastat, phenytoin, and phenobarbital. Patient's seizure lasted for about 1 hour and require respiratory support and transfer to the ICU. Patient was afebrile during this time. Patient had had a seizure with previous immunizations and another seizure that was unrelated to immunizations or other illness. Generalized clonic seizure on 9/3/06 at approximately 11:00.  PMH: 1st seizure @ 4months after vaccinations of Prevnar, PVT, DTP, Hep B Hib, lasted 45 minutes to 1 hour questionable fever prior to seizure.  FH: distant great, great, great relative with seizures.  Mom reports that "restless leg syndrome" when patient sleeps she moves jerks her legs and arms around. Admitting diagnosis: prolonged focal seizure with secondary generalization. Epilepsy focal seizure with secondary generalization, hypotonic. evaluate for new onset epilepsy, evaluate for hypotonic. EEG 9/5/06-normal. current medication Carbamazepine.  Medications: diazepam, phenobarbital, phosphenytoin and carbamazepine.  10/16/06-DC Summary requested.  10/31/06-DC Summary received for DOS 09/03-09/11/06 HX 8 1/2 month old with HX of generalized tonic-clonic seizure at 4 months of age after immunizations. HX of restless leg syndrome that she moves and jerks her legs around when she sleeps. Has multiple startles per week since her first seizure.  Feeding and language delay. At time of hospitalization mother requested child receive 6 month  immunizations which were administered. Afternoon after immunizations developed myoclonic jerks and generalized seizure with deviation of eys to right and right arm and leg in tonic positioning. Developed clonic movements. After seized now has right hemiparesis, required additional phenobar and bag mask for 30 minutes. In PICU required jaw thrust maneuver to maintain airway. Sedated, intubated and ventilated. Discharged on day 9 to home with mother.
Age: 0.64
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Similar reaction on previous exposure to drug, Strabismus
Clinical narrative: At approximately 1630 on 9/7 the patient developed myoclonic jerks. At about 1700 the patient developed right arm and leg tonic posturing with head and eyes deviated to the right. This then progressed to full body clonic movements. This required Diastat, phenytoin, and phenobarbital. Patient's seizure lasted for about 1 hour and require respiratory support and transfer to the ICU. Patient was afebrile during this time. Patient had had a seizure with previous immunizations and another seizure that was unrelated to immunizations or other illness. Generalized clonic seizure on 9/3/06 at approximately 11:00.  PMH: 1st seizure @ 4months after vaccinations of Prevnar, PVT, DTP, Hep B Hib, lasted 45 minutes to 1 hour questionable fever prior to seizure.  FH: distant great, great, great relative with seizures.  Mom reports that "restless leg syndrome" when patient sleeps she moves jerks her legs and arms around. Admitting diagnosis: prolonged focal seizure with secondary generalization. Epilepsy focal seizure with secondary generalization, hypotonic. evaluate for new onset epilepsy, evaluate for hypotonic. EEG 9/5/06-normal. current medication Carbamazepine.  Medications: diazepam, phenobarbital, phosphenytoin and carbamazepine.  10/16/06-DC Summary requested.  10/31/06-DC Summary received for DOS 09/03-09/11/06 HX 8 1/2 month old with HX of generalized tonic-clonic seizure at 4 months of age after immunizations. HX of restless leg syndrome that she moves and jerks her legs around when she sleeps. Has multiple startles per week since her first seizure.  Feeding and language delay. At time of hospitalization mother requested child receive 6 month  immunizations which were administered. Afternoon after immunizations developed myoclonic jerks and generalized seizure with deviation of eys to right and right arm and leg in tonic positioning. Developed clonic movements. After seized now has right hemiparesis, required additional phenobar and bag mask for 30 minutes. In PICU required jaw thrust maneuver to maintain airway. Sedated, intubated and ventilated. Discharged on day 9 to home with mother.
Age: 0.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Anorectal disorder, Anorexia, Anxiety, Arthralgia, Arthritis
Clinical narrative: Ache: Bones, Ache: joints, Ache: joints and muscle, acid reflux, anal fissure, appetite: loss, mood: anxiety, arthritis, balance: "dizziness, cold and flu-like symptoms, concentration loss, concentration difficulty.
Age: 0.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Balance disorder, Bone pain, Disturbance in attention, Dizziness, Gastrooesophageal reflux disease
Clinical narrative: Ache: Bones, Ache: joints, Ache: joints and muscle, acid reflux, anal fissure, appetite: loss, mood: anxiety, arthritis, balance: "dizziness, cold and flu-like symptoms, concentration loss, concentration difficulty.
Age: 0.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Influenza like illness, Myalgia, Pharyngitis, Rhinitis
Clinical narrative: Ache: Bones, Ache: joints, Ache: joints and muscle, acid reflux, anal fissure, appetite: loss, mood: anxiety, arthritis, balance: "dizziness, cold and flu-like symptoms, concentration loss, concentration difficulty.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Rash
Clinical narrative: Rash developed on trunk on 9/4/06, spread to rest of body and face by 95/06.  Reports no fever or other symptoms.  Took to Dr. at a walk in clinic who said it could be vaccination.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: I received a Hepatitis B shot (second series) and developed a severe rash on trunk, arms, legs. I was examined by the doctor on 8/15- she prescribe steroids and Benadryl.  I asked her to fill out this form and she said it was not a requirement.  I feel that the severe reaction I had needs to be prevented from happening again and it is important that this data is shared with other provides in order to prevent if from happening again.
Age: 1.24
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pruritus, Rash, Viral infection
Clinical narrative: Mild Varicella Like Syndrome. Characteristic rash, fewer than 100 lesions, mild pruritis, no fever or associated symptoms.
Age: 1.01
Sex: M
Vaccine: MMRV
Symptoms: Erythema, Injection site erythema, Injection site oedema, Rash
Clinical narrative: Within 10 minutes of receiving injection on right thigh pt developed redness and swelling, followed by fire red rash on hip, buttocks, back and neck. Child appeared to be in no distress.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Headache, Muscle spasms
Clinical narrative: A few hours after admin immunization pt c/o intense pain in all joints, HA, muscle cramps x 24 hours. no fever, no local reaction, no local pain at site of injection.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinorrhoea, Sinusitis, Sleep disorder
Clinical narrative: With relating to the vaccine of anthrax a seen suffering of much sinusitis, problems to sleep, and runny nose.
Age: 14.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Urticaria
Clinical narrative: Broke out in hives, lasted 2 days
Age: 1.36
Sex: F
Vaccine: HIBV, MMR
Symptoms: Rash
Clinical narrative: Mother called stating child had rash 2 weeks after MMR vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Tenderness
Clinical narrative: Developed half dollar red knot on right upper arm 9/6/06 on 9/7/06 redness worse c/o pain, came back to clinic where pt found to have 4x4 inch hot, firm, erythematous area right upper arm, very tender to touch, able to move arm with ease. Instructed to use ice, Benadryl. 9/8/06 most of redness gone, slight warmth, still firm, no tender.
Age: 11.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Vomiting
Clinical narrative: Fever 102, vomiting, injection site red, swollen x 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, swollen area (the size of a golf ball) warm to touch, left arm treated with Benadryl, Ibuprofen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site haemorrhage, Injection site induration, Pyrexia, Tenderness
Clinical narrative: 2 Days following DTaP vaccine to right thigh. Area with induration of 8cm x 6cm. Center area positive for hematoma. Mild tenderness to touch. Temp 100.1 axillary possibly related to unk illness.
Age: 1.02
Sex: M
Vaccine: MMRV, PNC
Symptoms: Rash maculo-papular
Clinical narrative: Rash, maculopapular rash on extremities 1 week after vaccines.
Age: 1.01
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Rash
Clinical narrative: 8/1/06 child had rash on right thigh and knee getting worse over 4 days. Seen in clinic 8/4/06 Aveeno bath topical meds PRN.
Age: 0.47
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Mother called 9/7/06. Stated child had many hives. No difficulty breathing advised to give Benadryl.
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site oedema, Injection site reaction, Skin burning sensation
Clinical narrative: Site of varicella injection has slight swelling and redness, 9/7/06 arm burns swelling and redness size of quarter, able to stay in school, 9/8/6 11:30am school calls mother. Large 5" area of redness, tenderness on right side of neck.
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Tenderness
Clinical narrative: Site of varicella injection has slight swelling and redness, 9/7/06 arm burns swelling and redness size of quarter, able to stay in school, 9/8/6 11:30am school calls mother. Large 5" area of redness, tenderness on right side of neck.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema left thigh, SX started 9/7/06. Benadryl given.
Age: 40.0
Sex: M
Vaccine: UNK, HEP
Symptoms: Dizziness, Fatigue, Hepatic enzyme abnormal, Injection site oedema, Irritability
Clinical narrative: Symptoms started about 7-10 days after shot, symptoms were worse around a month after shot. Symptoms started wearing out around 8/31/06. Symptoms included irritability, fatigue, swelling at injection site, malaise, nausea and vomiting, vertigo and dizziness, shoulder pain, neck pain and stiffness, liver enzymes elevations, jet lag like effect and light headedness. No treatment. Episode lasted around 2 months.
Age: 40.0
Sex: M
Vaccine: UNK, HEP
Symptoms: Malaise, Musculoskeletal stiffness, Nausea, Neck pain, Shoulder pain
Clinical narrative: Symptoms started about 7-10 days after shot, symptoms were worse around a month after shot. Symptoms started wearing out around 8/31/06. Symptoms included irritability, fatigue, swelling at injection site, malaise, nausea and vomiting, vertigo and dizziness, shoulder pain, neck pain and stiffness, liver enzymes elevations, jet lag like effect and light headedness. No treatment. Episode lasted around 2 months.
Age: 40.0
Sex: M
Vaccine: UNK, HEP
Symptoms: Vertigo, Vomiting
Clinical narrative: Symptoms started about 7-10 days after shot, symptoms were worse around a month after shot. Symptoms started wearing out around 8/31/06. Symptoms included irritability, fatigue, swelling at injection site, malaise, nausea and vomiting, vertigo and dizziness, shoulder pain, neck pain and stiffness, liver enzymes elevations, jet lag like effect and light headedness. No treatment. Episode lasted around 2 months.
Age: 40.0
Sex: M
Vaccine: UNK, HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dizziness, Hepatic enzyme abnormal, Laboratory test abnormal
Clinical narrative: Symptoms started about 7-10 days after shot, symptoms were worse around a month after shot. Symptoms started wearing out around 8/31/06. Symptoms included irritability, fatigue, swelling at injection site, malaise, nausea and vomiting, vertigo and dizziness, shoulder pain, neck pain and stiffness, liver enzymes elevations, jet lag like effect and light headedness. No treatment. Episode lasted around 2 months.
Age: 40.0
Sex: M
Vaccine: UNK, HEP
Symptoms: Musculoskeletal stiffness, Nausea, Shoulder pain, Vertigo, Vomiting
Clinical narrative: Symptoms started about 7-10 days after shot, symptoms were worse around a month after shot. Symptoms started wearing out around 8/31/06. Symptoms included irritability, fatigue, swelling at injection site, malaise, nausea and vomiting, vertigo and dizziness, shoulder pain, neck pain and stiffness, liver enzymes elevations, jet lag like effect and light headedness. No treatment. Episode lasted around 2 months.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red area on left deltoid 5cm in diameter area is hot and red and painful x 2 DA. Pt advised to contact this office if s/s do not subside on its own.
Age: 1.0
Sex: M
Vaccine: DTAP, PNC, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Pyrexia
Clinical narrative: Per mom pt developed a fever and redness at site right thigh, varicella was given, fever subsided and redness went away. No other problems.
Age: 1.13
Sex: F
Vaccine: HIBV, PNC
Symptoms: Contusion, Injection site induration, Injection site reaction
Clinical narrative: Pt had bruised area on surface of skin where shots were given. She also had a quarter sized firm knot on the left side and dime sized firm knot on the right side under the skin surface. Pt was walking fine and had full ROM.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right thigh red, swollen, warm to touch area 8x5". right leg above knee 11 1/4", left leg above knee 10 1/2", no fever no pain.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 0800 6/13/06 swelling and redness left arm at site, 6/14/06 severe pain, swelling to approx 3 inch diameter, 6/15/06 severe pain, swelling, fever, ice pack and Tylenol, 6/16/06 same adverse reaction, visit Dr, ice and Tylenol #3 for 2 weeks. 8/28/06 final swelling gone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Redness, swelling, warm to touch on 8/26/06. DTaP given on 8/24/06. Instructed to use Benadryl.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Eye disorder, Inflammation, Retinal disorder
Clinical narrative: Retinal inflammation, acute multifocal pigmented placoid epitheliopathy.
Age: 1.26
Sex: M
Vaccine: DTAP, MMR
Symptoms: Acne, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom states injection site developed redness, warm to touch slightly raised with small pimples, approx size fifty cent piece, went away on its own. per mom pt had same reaction with 5/15/06 immuz same leg. Left thigh immuz at that time left Varicella, right Comvax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Left thigh 3 1/2 x 3 1/2 redness, swelling and warmth present, DTaP site.
Age: 1.05
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: 8/31 pt was seen 9/1/06 diagnosis varicella, rash started 8/31/06.
Age: 1.02
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site induration, Rash vesicular, Tenderness
Clinical narrative: Vesiculo-Pustular eruption with induration lateral left thigh at site of injection. Mom reported tenderness. Reaction resolving.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Cough, Laboratory test abnormal, Pyrexia, Upper respiratory tract infection
Clinical narrative: Fever, seizure, T max 102, generalized tonic seizure. Records indicate cough & cold symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Following vaccine, given left thigh 8/30/2006 RTC on 9/1/06 with erythematous, tender, indurated left ant thigh area at least 10x12cm, uncharacteristically beyond localized inj site reaction. Tx Keflex antibiotics, warm compresses, re evaluated 9/5/06 Asymptomatic.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Decreased appetite, Lethargy, Pyrexia, Rash
Clinical narrative: On Aug 21 child developed fever in afternoon, decreased appetite, fever developed every day Aug 21-24 in afternoon, temp maxed 103-104 F, Accompanied by decreased appetite and lethargy. No other SX. Developed 4 bumps together on left FA and 2-3 others scattered, never blistered, went away by Aug 27th. No spots/bumps at inj site.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Pt states had large reddened knot to right deltoid Friday evening with fever.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left deltoid 8x11 cm induration erythema.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Injection site oedema, Irritability, Screaming
Clinical narrative: Swelling at injection sites, abnormal crying 3 hours after immunizations, mom unable to console infant, crying lasting 6 hours, fussy for 2 days after vaccines.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 11cm. erythema and induration.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Local 1x11 of left upper arm with redness, swelling, tenderness.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Crying, Lymphadenopathy, Pyrexia, Rash morbilliform, Screaming
Clinical narrative: Fever, high pitched scream, excessive crying for 5 days, measles type rash over trunk, face x 3 days, swollen lymph nodes neck slowly resolving Tylenol and cool baths.
Age: 53.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Arm swelling, entire humeral area reddened and edematous.
Age: 60.0
Sex: F
Vaccine: TTOX
Symptoms: Muscle spasms, Rash
Clinical narrative: Night of tetanus shot cramps in both legs and arms, then weeks later rash at tetanus area of liver of liver right below left rib, much worse.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Joint range of motion decreased
Clinical narrative: Pain in the axilla left chest wall, Decreased movement of arm.
Age: 0.43
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 3 days with rash all over body and 2 days with fever 101.5 F.
Age: 0.74
Sex: M
Vaccine: HEP, PNC
Symptoms: Muscle disorder
Clinical narrative: The day after vaccination of Prevnar and Hepatitis, child showed evidence of decrease muscle tone.  He was unable to sit upright.  Referred to medical center.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Swelling
Clinical narrative: Rash on face with slight swelling noted morning of 8-12-2006.  Mom gave BENADRYL, but saw no improvement.  Saw medical doctor on 8-15-2006, was given DECADRON IV intramuscularly.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Right deltoid red, swollen and warm to touch for 2 days.  Treatment: warm soaks/MOTRIN.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Swollen, warm to touch, erythema left arm/shoulder.  Warm compresses/MOTRIN
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Redness, swelling, warmth left deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Presented swelling, erythema and tenderness at right thigh, lasted for one week, required AUGMENTIN, did not improve with BENADRYL/TYLENOL.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site mass, Pruritus, Swelling
Clinical narrative: 9/7/06 Patient called to report adverse reaction to Td received on 09/05/06.  Noticed yesterday upon arising at 0530 site was itching and swelled and red.  Stated had a knot already but worse.  Applied over the counter BENADRYL cream to site and helped and took BENADRYL by mouth at bedtime the night before.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Swelling, Tenderness
Clinical narrative: 9-7-06 am right upper arm red, hot and tender.  9-7-06 9:00 pm after showering right upper arm red/purple, swollen, warm to touch and hard.  Patient was seen in emergency room by physician assistant.  Patient was placed on KEFLEX 250 mg four times a day for 10 days, MOTRIN and TYLENOL.  Follow-up with emergency room 9-9-06 and request medical doctor 9-11-06.
Sex: M
Vaccine: DT, HEPA
Symptoms: Dyspnoea, Erythema, Pruritus, Vomiting
Clinical narrative: 750 am gave vaccine (see below) approximately 20 mm later developed itching at localized left arm, mild redness.  BENADRYL 25 mg gave by mouth.  850 still itching, took BENADRYL 50mg by mouth (was not in clinic). 915 emesis face and armpits itching.  Went to emergency department treated monitored and released within 24 hours.  Returned to emergency department later that early following morning difficulty breathing-per patient treated and released.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swollen, red, entire left arm?, without evidence of infection or cellulitis
Age: 1.2
Sex: F
Vaccine: HEP, MMR
Symptoms: Dermatitis bullous, Drug ineffective, Viral infection
Clinical narrative: Patient presented today in office with greater than 50 poxes - over entire body.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Myalgia
Clinical narrative: Client given immunization on 9/8/06.  Parents called nurse on call 9/9/06.  Child complain of sore arm.  RN called doctor (doctor was on call). He had me tell parents to give child BENADRYL and TYLENOL. 9/11 Telephone conference to parents today-child has no redness or swelling.
Sex: F
Vaccine: TD
Symptoms: Pain, Shoulder pain
Clinical narrative: At night had deep muscular pain in shoulder more in the underarm area than at injection site.  Pain continued until yesterday, improving gradually each day.  Advil provided relief but only made pain more tolerated.  Called doctor and emergency room for advice.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypokinesia, Lymphadenopathy, Skin nodule
Clinical narrative: Enlarged nodes in the clavicle area.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Lymphadenopathy
Clinical narrative: Enlarged nodes in the clavicle area.