chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood pressure increased, Hypoaesthesia, Nausea, Rash
Clinical narrative: Employee given a flu shot at 1030 AM on 11/13/06. She was staying for observation about 15 minutes. I began to feel tingly and flush. Checked B/P and it was 180/88. Employee stated she didn't feel well. Rash noted on arms. Continued to feel sick and was given Benadryl 50mg PO now.  B/P at 1040 AM 148/70 and at 1045 shot up to 180/90. Discharged morning has to check and O2 at 2 hours given. No complaints of difficulty breathing noted. BP at 1115 shot up to 200/100 and employee transported via ambulance to hospital. Employee given Decadron IV. Continue to have reaction on 11/14/06 and went back to doctor. She was given Decadron IV, Medrol dose pack, Zyrtec and Benadryl PRN and advised to stay home for 5 days. Diagnosis: anaphylaxis sustained reaction from flu shot.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Local adverse reactions on arm i.e. swelling at injection site, red spots, feverish in arm, patient better in 3-4 days.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site swelling, Injection site warmth, Loss of consciousness, Pyrexia
Clinical narrative: Patient flu shot 11/16/2006 on LD.  Patient reports 11/17/06 left arm was swollen at the injection site.  Are was red and warm and "the size of her hand".  Patient reports running fever but did not take temp.  Patient reports "top part of stomach felt like it was on fire".  Patient reports " passing out" around 7pm that evening.  Patient called to report symptoms on 11/21/06 and reports feeling fine today.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: 11/14 pm-welts on legs-itchy-resolved in 24 hours.  11/15 swollen lower lip.
Age: 0.18
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient received Rotateq on 11-13-06 and 5 days later had bilious emesis. Seen in ED, had (-) upper gastrointestinal.  Also with diarrhea. Also has milk protein sensitivity.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Vaccine was administered at approx 9:45am on 11/13/06. at 12:50pm pt came back to the office and reported bad itchiness on hands and soles of feet, spread to legs and face. Areas were all erythematic. 50mg of Diphenhydramine (1cc) Deep IM in right hip given. The itchiness had started at approx 12 noon. By 1:10 pm S/S were subsiding by 1:30 pm they resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Received 4 yr old immunizations on 11/14/06. 11/16/06 swelling and redness in left arm came in for appt 1/17/06 DX with left arm cellulitis treated with Omnicef.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Rec'd flu vaccine 11/07/2006. Woke up 1/08/2006 arm red, swollen, warm to touch. Seen in office diagnosed with cellulitis treated with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Pyrexia
Clinical narrative: Rec'd 4 yo immunization on 11/13/06 developed fever 11/14/06 and red arm seen in office diagnosed with cellulitis treated with Keflex.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Rec'd flu vaccine 11/16/06 that evening developed sore arm with increased redness, increase swelling. Seen in our office 11/17/06. Diagnosed with cellulitis and prescribed Omnicef.
Age: 81.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth, Skin discolouration
Clinical narrative: Received Td and Flu on 11/08/06 right arm. On Fri 11/10/06 in the evening one noticed 50 cent hard deep lump, on outer back of right arm. A couple inches from the shot area warm to touch slight discolored skin, lump seems to be resolving and is less hard. Enc to Seek medical attention if increased redness and swelling.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Neck pain, Vomiting
Clinical narrative: 4 days after Flu shot developed neck stiffness, nausea, vomiting, headache neck pain. Treated by PCP IV pain meds IV fluids.
Age: 25.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Hypertension, Injection site reaction, Laboratory test abnormal, Myalgia
Clinical narrative: Systemic SX with fever, myalgia, tachycardia, hypertension, near syncope, large local reaction at site of administration 4x6 cm Rt arm.
Age: 25.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Tachycardia, White blood cell count increased
Clinical narrative: Systemic SX with fever, myalgia, tachycardia, hypertension, near syncope, large local reaction at site of administration 4x6 cm Rt arm.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV
Symptoms: Urticaria
Clinical narrative: Large hives on whole body. Benadryl given for 5 days. No other symptoms or respiratory distress.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Dysphagia, Pruritus, Wheezing
Clinical narrative: within 10-15 minutes of injection my mouth was dry and the back of my throat started to constrict. Patient had difficulty swallowing and some wheezing. Minimal itching to chest. Benadryl 50mg taken po and symptoms went away in 1 hour.
Age: 83.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Patient states having pain in arm and shoulder for 6 days.  Thinks may have had a fever the first night.  Taking nonsteriodal anti-inflammatory drugs.
Age: 1.5
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Injection site induration, Injection site warmth, Tenderness
Clinical narrative: Quarter size area erythema, heat, tender, hard at injection site.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Arm swelling and redness.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Feeling hot, Hypersensitivity, Injection site swelling
Clinical narrative: Left arm localized reaction to Menactra. 3inx 2in red raised hot to the touch. Diagnosis: Allergic. Prescribed treatment: Benadryl.
Age: 1.04
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Injection site rash, Rash macular
Clinical narrative: Developed red rash at injection site day after administration. Subsequently developed widespread maculopapular rash.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site reaction
Clinical narrative: Patient had bruising of left upper arm where injection occurred. Bruise lasted for 2 weeks. Went away for a couple days and returned again.
Age: 46.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Injection site erythema, Myalgia, Pyrexia, Skin burning sensation
Clinical narrative: Woke up AM of 11/16/06 with chills, fever, L forearm soreness and a red raised area on the L Deltoid. L deltoid had a burning discomfort, worse with range of motion or particularly with lifting. No itching, no shortness of breath, any other symptoms were negative.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site inflammation, Injection site mass, Pain, Pyrexia
Clinical narrative: Onset fever: 10/19/06 5:30am 103F; duration: 3hours. By 10/20 6:30am; 99F. Left arm pain at 9:15pm on 10/19/06, warmth, inflammation, lump at site.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site mass, Neck pain, Pain
Clinical narrative: 3"x3" lump under skin at injection site still 10/13/06. Headache & left side body/neck pain on 10/10 lasting few hours.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Injection received at 10/18/06 09:45 with no problems. 3 hours after vaccine suddenly developed large swelling, itching and redness at injection site.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Muscle spasms, Pyrexia
Clinical narrative: Severe cramping, chills, fever.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt received 0.5 ml Flu vaccine and she should have received Fluzone.
Age: 48.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: MMR administered SC in left arm 11/13/06, returned 2 days later 11/15/06. Slight redness, warm to touch, size of 50 cent piece reaction. Referred to MD treated with Benadryl 1 steroids PRN, no known allergies.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Headache, Injection site oedema, Pyrexia
Clinical narrative: Pt was vaccinated 11/15/06, 11/17/06 at 2am started with headache, chills, aching joints and temp 102-103, 11/16/06 swelling at site of injection.
Age: 1.09
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Rash, Vomiting
Clinical narrative: Mom started childs lip became swollen about 1-2 hours after receiving vaccination. 11/28/06 Received medical records from provider which reveal patient developed swollen lips approx 1 hour s/p vax along with emesis.  Developed a rash on outside of cheek & inside cheek swelling.  Referred for allergy testing & no further flu shots/new foods were to be given until testing completed.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Arm at shot reddened after 24 hours then hives around area.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Arm at shot reddened, hard after 24 hours continued.
Age: 5.0
Sex: M
Vaccine: FLU3, MMR
Symptoms: Hallucination, Headache, Pyrexia
Clinical narrative: Fever d 4-5 post immunizations T 101-103 degrees. Visual hallucinations d 4-5 with and without fever - sleeping and garbe headache d 3-5
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache
Clinical narrative: Frequency headache, pain in the joint
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Overall fine body rash for past 2 days. Pt has a concomitant tonsillitis onset 2 days ago - negative strep
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Redness and swelling at site.  Warm to touch.  Returned in 24 hours swollen left arm no redness underarm only at injection site.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Agitation, Anger, Crying, Depression, Pain
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received from the pts mother via a health care professional, on 11/14/06. A 14 year old female pt, received on 11/9/06, Menactra (lot number U2119AA), into the right deltoid (dose and route of administration not reported). The pt received on the same day (11/9/06) Gardasil (lot number 0688F) into the left deltoid, as concomitant vaccination (dose and route of administration not reported). The pt had no history of depression. At the eve of vaccination, 11/9/06, the pt had arm soreness (the reporter was unsure which arm). The pt also became very depressed, frustrated, angered, crying and attempted to cut her wrists with scissors. The wrist site described as scratch by the reporter. At the time of this report, 11/14/06, there had been no ER or medical doctor MD visits for the pt and the pts outcome was unk. No corrective treatment was reported.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Suicide attempt
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received from the pts mother via a health care professional, on 11/14/06. A 14 year old female pt, received on 11/9/06, Menactra (lot number U2119AA), into the right deltoid (dose and route of administration not reported). The pt received on the same day (11/9/06) Gardasil (lot number 0688F) into the left deltoid, as concomitant vaccination (dose and route of administration not reported). The pt had no history of depression. At the eve of vaccination, 11/9/06, the pt had arm soreness (the reporter was unsure which arm). The pt also became very depressed, frustrated, angered, crying and attempted to cut her wrists with scissors. The wrist site described as scratch by the reporter. At the time of this report, 11/14/06, there had been no ER or medical doctor MD visits for the pt and the pts outcome was unk. No corrective treatment was reported.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Agitation, Crying, Depression, Depression suicidal, Injury
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received from the pts mother via a health care professional, on 11/14/06. A 14 year old female pt, received on 11/9/06, Menactra (lot number U2119AA), into the right deltoid (dose and route of administration not reported). The pt received on the same day (11/9/06) Gardasil (lot number 0688F) into the left deltoid, as concomitant vaccination (dose and route of administration not reported). The pt had no history of depression. At the eve of vaccination, 11/9/06, the pt had arm soreness (the reporter was unsure which arm). The pt also became very depressed, frustrated, angered, crying and attempted to cut her wrists with scissors. The wrist site described as scratch by the reporter. At the time of this report, 11/14/06, there had been no ER or medical doctor MD visits for the pt and the pts outcome was unk. No corrective treatment was reported.
Sex: F
Vaccine: TDAP
Symptoms: Anaphylactic reaction, Blood pressure decreased, Heart rate decreased, Hyperhidrosis, Pallor
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/20/06 from a health care professional. A female of unk age (demographics not reported, who has food allergies, had received a dose of Adacel, on 11/14/06. The lot number, route and site of administration were not reported. Twenty four hours post immunization, the pt experienced a decreased pulse (50), decreased blood pressure (value not reported), was pale, and diaphoretic. The normal pulse and blood pressure values for the pt were not reported. The pt was evaluated in the ER and diagnosed with anaphylaxis presumed due to foods eaten. A myocardial infarction was being ruled out. The reporter is sending more information in a few days. Treatment received and diagnostics performed were not reported. At the time of this report, the pt had recovered. The reporter for this case is the same as for case 200603200.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Abortion spontaneous, Unintended pregnancy
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 7/17/06 from a physician. A 32 year old female pat whose past medical history included the current pregnancy, and one previous pregnancy that was a normal full term delivery, and allergy to sulfa drugs had received an IM dose of Adacel, lot number C2492BA, in the left deltoid, and a dose of Tubersol 5TU, lot number C2214AB, on 7/14/06 as a pre employment requirement. The route and site of administration of the Tubersol was not reported. The date of the pts last menstrual period was on 7/18/06, and her expected date of delivery is 3/25/07. At the time of this report, the pt was taking prenatal vitamins and was seeing her primary care physician. The pt had not established an OBGYN physician to follow her pregnancy care. Per the reporter, the pt had no experienced any adverse events since the Adacel and Tubersol administration on 7/14/2006. Follow up information received on 9/21/06. Per the reporter, the pt did not have any illnesses at the time of the vaccination on 7/14/06. The Tubersol 5 TU was administered Intra dermally on 7/14/06. The site of administration was not reported. Follow up information received on 11/20/06. The pt received the Tubersol 5 TU vaccine in the left forearm. On 9/3/06, 51 day post immunization, the pt experienced a spontaneous abortion at less than 20 weeks gestation. An ultrasound performed that day, showed a non viable pregnancy and a suction D and C was performed. The recovery status of the pt is unk.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/16/06 from a health care provider. A fiver year old female pt, with a history of asthma, had received a right deltoid injection of Fluzone SV 2006-2007, lot number unk, on 11/6/06. Initially the pt had redness and a lump at the site. Four to five day post vaccination, the pts entire upper arm was swollen but not red or discolored. The event required a doctor visit. There was no illness at the time of vaccination. At the time of this report, the pt had not recovered.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: I was called by pts coworker stating she developed a high fever the day after the vaccine was administered and was hospitalized for possible encephalitis. 11/27  received update from coworker that doctors did not feel she had reaction to vaccine.  2/6/07 Received medical records from hospital which reveal patient experienced fever, sore throat & diarrhea s/p flu shot.  Admitted 11/16-11/22/06.  ID & GI consults done & w/u revealed c diff.  Improved on Flagyl & was d/c to home on Flagyl for 2 more weeks. FINAL DX: clostridium difficile diarrhea, hx of recent flu shot & hx IBS.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient states she awoke around 2:30 am with itching on her face and back.  When she got up that morning for work she noticed hives on her face and back.  Denies any other symptoms.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Fatigue
Clinical narrative: Vaccinated wednesday, symptoms of exhaustion and dizziness appeared friday night/saturday morning. Symptoms of exhaustion continue today [monday].
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Irritability, Urticaria
Clinical narrative: My daughter was given the flu shot at around 11:45 a.m. on Saturday, November 25.  Within hours, she broke out in hives on her face, stomach and chest. She has been extremely irritable for the last two days.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient received flu vaccine on 11/1 afternoon.  One hour later experienced fleeting nausea.  That same evening after dinner around 7pm, pt had nauasea & vomited once.  At 1am on 11/2, pt woke up vomiting.  She was hospitalized 11/2 to 11/3.  Pt reported chills, had fever 101-103F.  Head CT, CXR & abd X ray were done to R/O obstruction, which were all negative.  Pt was pancultured, and given a dose of IV cefotaxime.  Pt tolerated liquid diet, was ambulating & afebrile on day of discharge.  Pt was discharged on PO Cipro for possible urosepsis.  Final blood & urine cultures all negative.  Pt had no further F/C/N/V.  2/16/07 Received medical records from hospital which reveal patient admitted 11/2-11/3/06 after experienced one day history of malaise, N/V, fevers & chills. Also complained of chest pain radiating to neck intermittently x 1-2 wks.  Temp in ER 101 & was pan cultured.  Tx w/IV antibiotics.  Improved & was d/c home to continue oral antibiotics. FINAL DX: febrile illness w/dysuria, possible UTI vs cystitis.
Age: 2.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Pharyngitis, Pyrexia, Rash
Clinical narrative: PT DEVELOPED RASH AND FEVER ON 11/22/06, ALSO WITH PHARYNGITIS AT TIME OF VISIT.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Vomiting
Clinical narrative: 01/07/06 Presented to ED with right arm swelling and pain. Area was marked an patient was started on Keflex 250mg QID and discharged. Patient received two doses of Keflex and returned to ED 01/08/06 with increased swelling outside marking and warm to touch. No fever. Admitted and discharged 01/09/06. Patient then returned to ED 01/10/06 refusing to take antibiotics. During this admit vomited repeatedly. Admitted and discharged 01/10/06 on Augmentin and Benadryl.  MR received detailing 3 separate ER visits between 01/07/2006 and 01/10/2007. Visit 01/07/2006-For c/o Right arm erythema and tenderness. DX: Cellulitis  Treated with Keflex and discharged on PO Keflex. Visit 01/08/2006- For c/o worsening erythema with marginal markings greater than at previous visit.  Admitted for IV antibiotics and discharged next day on Benadryl and po abx. DX: Cellulitis Visit 01/10/2006-For c/o repeated vomiting and refusal to take po abx.  Admitted for IV abx. Erythema reported to be 80% improved. D/C home on po abx and Benadryl. DX: Cellulitis. Per 60 day follow up: Polio virus vaccine noted and confirmed as allergy in patient's information.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Dysgeusia, Fatigue, Headache, Pharyngolaryngeal pain
Clinical narrative: Patient developed a "metalic taste in mouth." Also complained of feeling tired, initially with headache and burning on the inside of body. Also complained of itching in back of throat and roof of mouth. Symptoms began approximately 5 minutes after injection given.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Coma, Fall, Loss of consciousness, Pallor, Syncope
Clinical narrative: Syncopic event in student vaccinated as part of Meningococcal carriage study in high school gymnasium.  Student was standing, lost consciousness and fell to floor. Remained supine and unresponsive for 5-10 seconds with eyes open. Appeared pale. Alert and oriented upon awakening. Positioned supine with legs elevated and then taken to school nurse's office in wheelchair. Reported nauseous, otherwise no discomfort.  Returned to class after short time in nurse's office.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Neck pain, Pain
Clinical narrative: Patient 1st complained on 11/16/06 of severe pain in her right arm, which had spread to her neck and couldn't move her arm above shoulder level.  She still complains on 11/22 of not being able to lift her arm after 2 weeks of receiving the injection.
Age: 62.0
Sex: M
Vaccine: HEPA, IPV, TDAP, TYP, YF
Symptoms: Injection site pain, Pain
Clinical narrative: Clients son called today to report that client was found deceased in his home this am.  His son reported knowing his father received vaccines to go overseas and wanted to make sure Health Department was aware.  His son reported that his father had been feeling fine, only had "sore arm" after shots but no other side effects reported.  Wife of deceased reported to his son that client was fine this morning.  Son was very calm and felt like it would be good to let us know if anything was related.  He knows that HD can't confirm seeing his father.   11/30/06 Received death certificate from coroner.  Also received v/m from coroner that no autopsy was performed. COD stated as probable acute myocardial infarction due to atherosclerotic cardiovascular disease & hyperlipidemia per death certificate. 1/2/07 Received medical records from PCP which consisted only of a visit of 8/1/06 for ear wax removal.  CXR done 11/13/06 was WNL.  WBC 7.9, H/H 16.4/47.5, plts 252.  Slightly elevated cholesterol at 163 & low HDL of 34.  Globulin elevated at 3.6.  PSA 2.37 is WNL.  T/C to PCP office to determine is any other visit made in 2006.  Stated that patient was scheduled to return to PCP the day after he died & had gotten his labs & CXR in preparation for that visit for a complete PE.  Stated that patient was essentially in very good health when last seen in 8/01 & that labs were WNL.  Requested that they at least send the most current med list. 1/2/07 Received patients med list which included only Pravachol, Zyrtec D & tetracycline for folliculitis. 1/12/06 Received EKG from PCP.  States the only EKG they have was done 11/13/06 & revealed normal sinus rhythm, rate 70.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral
Clinical narrative: Red arm red, swollen, hot from shoulder to elbow. Pneumonia shot.  Contacted by phone 11/27/06 took BENADRYL-Improved by Friday 11/24/2006.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Dyspnoea, Injection site erythema, Pyrexia, Rash macular
Clinical narrative: Temp 103 arm red blotchy, trouble breathing, 24 hours later, discomfort in arm later same day.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Blister, Face oedema, Herpes simplex, Oedema peripheral, Rash
Clinical narrative: Lips and legs were swollen, even got fever blister swelling went down on 11/25. Rash on shin bone on 11/22, lasted for 3 days. Doctor visit today problems have subsided, only fever blister on lip remains.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Balance disorder, Blindness, Blood potassium increased, Blood test, Blood urea nitrogen/creatinine ratio increased
Clinical narrative: Slept more than normal Saturday and Sunday. Monday morning left eye was completely turned in, balance and coordination was off. pediatrician sent us to ER, Diagnosed with Guillian Barre, Ataxia transferred to Hospital, pressure in brain.  5/10/07 Received partial medical records from hospital.  No D/C Summary done.  No labs done.  T/C to medical records to confirm d/c date & request MRI report.   Admitted 11/14/06-11/16/06.  Handwritten medical records very difficult to read but reveal patient experienced crossing of eyes, unsteady gait & excessive sleepiness x 3 days.  Neuro consult done but unable to read it.  Had been seen at outlying hospital & had CT of head & LP done there.  Will request those medical records also. FINAL DX: None given. 5/10/07Received medical records from initial hospital which reveal patient experienced crossed eyes, excessive sleepiness & unsteady gait.  LP done in ER & noted to have less crossed eyes s/p LP.  Transferred to higher level of care. FINAL ER DX: possible GBS; opthalmoplegia; ataxia. Information received from the annual follow up indicated patient had not recovered. Had acute left esoptropia after being given the flue vaccine. She had a medical rectus muscle repair surgery in July 2007. She still has some residual problems with her eye after the surgery. Information received from annual indicates patient had not recovered. Her vision is still impaired, had to have eye surgery, still having regular appts. & MRI. Eyes still cross. Per 60 day follow up: Increased intracranial hypertension, vision loss due to pressure build up, chronic headaches. Follow-up: Sudden eyes crossed, head aches, intracranial hypertension.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Coordination abnormal, Haematocrit normal, Haemoglobin normal, Haemolysis, Headache
Clinical narrative: Slept more than normal Saturday and Sunday. Monday morning left eye was completely turned in, balance and coordination was off. pediatrician sent us to ER, Diagnosed with Guillian Barre, Ataxia transferred to Hospital, pressure in brain.  5/10/07 Received partial medical records from hospital.  No D/C Summary done.  No labs done.  T/C to medical records to confirm d/c date & request MRI report.   Admitted 11/14/06-11/16/06.  Handwritten medical records very difficult to read but reveal patient experienced crossing of eyes, unsteady gait & excessive sleepiness x 3 days.  Neuro consult done but unable to read it.  Had been seen at outlying hospital & had CT of head & LP done there.  Will request those medical records also. FINAL DX: None given. 5/10/07Received medical records from initial hospital which reveal patient experienced crossed eyes, excessive sleepiness & unsteady gait.  LP done in ER & noted to have less crossed eyes s/p LP.  Transferred to higher level of care. FINAL ER DX: possible GBS; opthalmoplegia; ataxia. Information received from the annual follow up indicated patient had not recovered. Had acute left esoptropia after being given the flue vaccine. She had a medical rectus muscle repair surgery in July 2007. She still has some residual problems with her eye after the surgery. Information received from annual indicates patient had not recovered. Her vision is still impaired, had to have eye surgery, still having regular appts. & MRI. Eyes still cross. Per 60 day follow up: Increased intracranial hypertension, vision loss due to pressure build up, chronic headaches. Follow-up: Sudden eyes crossed, head aches, intracranial hypertension.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Intracranial pressure increased, Lumbar puncture, Neutrophil count increased, Nuclear magnetic resonance imaging, Ophthalmoplegia
Clinical narrative: Slept more than normal Saturday and Sunday. Monday morning left eye was completely turned in, balance and coordination was off. pediatrician sent us to ER, Diagnosed with Guillian Barre, Ataxia transferred to Hospital, pressure in brain.  5/10/07 Received partial medical records from hospital.  No D/C Summary done.  No labs done.  T/C to medical records to confirm d/c date & request MRI report.   Admitted 11/14/06-11/16/06.  Handwritten medical records very difficult to read but reveal patient experienced crossing of eyes, unsteady gait & excessive sleepiness x 3 days.  Neuro consult done but unable to read it.  Had been seen at outlying hospital & had CT of head & LP done there.  Will request those medical records also. FINAL DX: None given. 5/10/07Received medical records from initial hospital which reveal patient experienced crossed eyes, excessive sleepiness & unsteady gait.  LP done in ER & noted to have less crossed eyes s/p LP.  Transferred to higher level of care. FINAL ER DX: possible GBS; opthalmoplegia; ataxia. Information received from the annual follow up indicated patient had not recovered. Had acute left esoptropia after being given the flue vaccine. She had a medical rectus muscle repair surgery in July 2007. She still has some residual problems with her eye after the surgery. Information received from annual indicates patient had not recovered. Her vision is still impaired, had to have eye surgery, still having regular appts. & MRI. Eyes still cross. Per 60 day follow up: Increased intracranial hypertension, vision loss due to pressure build up, chronic headaches. Follow-up: Sudden eyes crossed, head aches, intracranial hypertension.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Strabismus, Surgery, Visual impairment, White blood cell count normal
Clinical narrative: Slept more than normal Saturday and Sunday. Monday morning left eye was completely turned in, balance and coordination was off. pediatrician sent us to ER, Diagnosed with Guillian Barre, Ataxia transferred to Hospital, pressure in brain.  5/10/07 Received partial medical records from hospital.  No D/C Summary done.  No labs done.  T/C to medical records to confirm d/c date & request MRI report.   Admitted 11/14/06-11/16/06.  Handwritten medical records very difficult to read but reveal patient experienced crossing of eyes, unsteady gait & excessive sleepiness x 3 days.  Neuro consult done but unable to read it.  Had been seen at outlying hospital & had CT of head & LP done there.  Will request those medical records also. FINAL DX: None given. 5/10/07Received medical records from initial hospital which reveal patient experienced crossed eyes, excessive sleepiness & unsteady gait.  LP done in ER & noted to have less crossed eyes s/p LP.  Transferred to higher level of care. FINAL ER DX: possible GBS; opthalmoplegia; ataxia. Information received from the annual follow up indicated patient had not recovered. Had acute left esoptropia after being given the flue vaccine. She had a medical rectus muscle repair surgery in July 2007. She still has some residual problems with her eye after the surgery. Information received from annual indicates patient had not recovered. Her vision is still impaired, had to have eye surgery, still having regular appts. & MRI. Eyes still cross. Per 60 day follow up: Increased intracranial hypertension, vision loss due to pressure build up, chronic headaches. Follow-up: Sudden eyes crossed, head aches, intracranial hypertension.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Strabismus
Clinical narrative: Slept more than normal Saturday and Sunday. Monday morning left eye was completely turned in, balance and coordination was off. pediatrician sent us to ER, Diagnosed with Guillian Barre, Ataxia transferred to Hospital, pressure in brain.  5/10/07 Received partial medical records from hospital.  No D/C Summary done.  No labs done.  T/C to medical records to confirm d/c date & request MRI report.   Admitted 11/14/06-11/16/06.  Handwritten medical records very difficult to read but reveal patient experienced crossing of eyes, unsteady gait & excessive sleepiness x 3 days.  Neuro consult done but unable to read it.  Had been seen at outlying hospital & had CT of head & LP done there.  Will request those medical records also. FINAL DX: None given. 5/10/07Received medical records from initial hospital which reveal patient experienced crossed eyes, excessive sleepiness & unsteady gait.  LP done in ER & noted to have less crossed eyes s/p LP.  Transferred to higher level of care. FINAL ER DX: possible GBS; opthalmoplegia; ataxia. Information received from the annual follow up indicated patient had not recovered. Had acute left esoptropia after being given the flue vaccine. She had a medical rectus muscle repair surgery in July 2007. She still has some residual problems with her eye after the surgery. Information received from annual indicates patient had not recovered. Her vision is still impaired, had to have eye surgery, still having regular appts. & MRI. Eyes still cross. Per 60 day follow up: Increased intracranial hypertension, vision loss due to pressure build up, chronic headaches. Follow-up: Sudden eyes crossed, head aches, intracranial hypertension.
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Malaise
Clinical narrative: On 11/17 was not feeling well.  On the 25th felt really sick, couldn't breath, coughing.  On the 26th went to the doctor and was prescribed ERYTHROMYCIN and feels much better now. Took MUCINEX for cough.
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Right arm of injection, right swelling. Treated with ice.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Woke up early a.m. after Flu shot given-with hands itching- palms, in between all fingers, front of hands as if I had hives.  Checked hands and they were not red, not nay hives.  Itching continued until around 6:00 a.m. at times almost intolerable.  Ran hands under cold water for 30 minutes or so trying to stop the itching.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Abnormal behaviour, Asthenia, Confusional state, Dizziness, Dysphonia
Clinical narrative: Dizziness, fever, behavior changes, hoarseness, paleness, weakness, confusion
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Pallor, Pyrexia
Clinical narrative: Dizziness, fever, behavior changes, hoarseness, paleness, weakness, confusion
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Malaise, Periorbital oedema, Pruritus, Swelling face
Clinical narrative: Pt suddenly did not feel well at 9:30 am 11/15 went to bathroom, noticed face very red, followed by intense itching - presented to clinic 1 hr after sxs started, developed swollen lips, edema around eyes and throat constriction. Epi 0.05 ml SQ immediately. 3 min later, pt improved.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Throat tightness
Clinical narrative: Pt suddenly did not feel well at 9:30 am 11/15 went to bathroom, noticed face very red, followed by intense itching - presented to clinic 1 hr after sxs started, developed swollen lips, edema around eyes and throat constriction. Epi 0.05 ml SQ immediately. 3 min later, pt improved.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling hot, Hyperhidrosis, Lethargy, Malaise
Clinical narrative: 35 minutes after immunization, "not feeling good". 45 minutes - nausea. That evening vomited 3-4 times. Then chills, body aches, lethargy. After 24 hr sweating and hot. 72 hrs later felt normal.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: 35 minutes after immunization, "not feeling good". 45 minutes - nausea. That evening vomited 3-4 times. Then chills, body aches, lethargy. After 24 hr sweating and hot. 72 hrs later felt normal.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Patient was administered 0.5 cc Influenza vaccine IM R deltoid at 12 noon, returned to clinic site 1320 c/o rash itching on R hand/wrist and bilateral on lower jaws. Instructed him the call family physician, go home, take Benadryl. Patient had no overt symptoms of respiratory distress.
Age: 13.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Had Varivax vaccine on 11/14/06. Returned 11/16/06 with a 9.5 cm x 10 cm area of erythema on right arm at site of injection. There was also a 4 cm x 4 cm area of erythema and induration that was tender on palpation. Treated with Duricef 500 mg capsule - 1 capsule bid for 10 days.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Platelet count increased, Pyrexia, White blood cell count increased
Clinical narrative: High fever to 104 18 hours after taking shot. Also erythema, pain, induration of scalp, face and ears that varied in location from day to day. After Solumedrol and Prednisone, sxs slowly improved over next two weeks.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Hypoaesthesia, Swelling face
Clinical narrative: Numbness of mouth, chin, redness of neck and upper portion of chest, no SOB, no hives, sensation of warmth of face and neck. Some swelling of lips - symptoms resolved spontaneously took 25 mg Benadryl at 3:00 pm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Hypoaesthesia, Injection site mass, Swelling
Clinical narrative: Half hour after injection broke into cold sweat for approx 45 minutes. Then between 6-6:30 pm baseball size knot surrounding injection site. The arm went numb and numbness remained for 1.5 days. Took Benadryl at 7:15 pm and swelling gone by next morning. Only able to lift arm over head after 2 days.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hypoaesthesia, Muscular weakness, Stomatitis
Clinical narrative: About 30 min post vaccination got a call from staff members. Employee waiting to clock in sitting in Bistro. C/o numbness back of throat, dizziness, lips and mouth burning. Weakness bilateral leg.
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Petechiae, Rash, Urticaria
Clinical narrative: Raise red petechiae noted on abdomen trunk. Also red rash welt are over navel area.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Dizziness, Haematemesis, Tongue disorder
Clinical narrative: Pt c/o being light headed, BP 80/50, P 64, RR 16, Color good, lung sounds clear, no stridor feels her tongue is heavy, this is not visibly swollen, denies chest pain/tightness. Pt placed flat/supine, 911 called, arrival of Paramedic transported to medical center. Pt states through an interpreter that she had peptic ulcers and ran out of meds at 2 weeks ago. This past week she had been vomiting blood.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Infection, Injection site erythema, Injection site pain
Clinical narrative: Lab worker - Smallpox placed 10/27/06; Read major reaction 11/2/06, on 11/5/06 Pt noted increased redness, tenderness at vaccine site. Afebrile. Seen 11/6/06 positive LA left axilla, 3" erythematous warm tender area left deltoid surrounding pusting, myalgia afebrile: 11/8/06 follow up redness now subsided after Levaqan 750 mg TPO qd x 5d - infection resolved 11/11/06.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Myalgia, Tenderness
Clinical narrative: Lab worker - Smallpox placed 10/27/06; Read major reaction 11/2/06, on 11/5/06 Pt noted increased redness, tenderness at vaccine site. Afebrile. Seen 11/6/06 positive LA left axilla, 3" erythematous warm tender area left deltoid surrounding pusting, myalgia afebrile: 11/8/06 follow up redness now subsided after Levaqan 750 mg TPO qd x 5d - infection resolved 11/11/06.
Age: 12.0
Sex: U
Vaccine: MNQ
Symptoms: Cellulitis, Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Cellulitis to L arm with swelling, redness, pain. Mild temperature increase (99.2). Started on oral antibiotics, warm compress and antihistamine today.
Age: 20.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Received Hep A and Tdap at health department 11/6/06. 1-2 hours later developed sharp, intense, localized headache about 7-8 on a 1-10 pain scale. Lasted 5-10 minutes before subsiding. Dizziness and nausea with headache. Similar headache 11/7/06 with dizziness and nausea. No history of severe headaches.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Agitation, Pyrexia, Vomiting
Clinical narrative: Patient had 2 month old check-up w/ routine vaccines on Nov 16 2006. Patient received vaccines about 10:30am. Mom called to speak w/ nurse at 4:30pm same day stating patient was crying and unconsolable for 1/2 hour. Tylenol was given at 10:30 am and 2:30pm. Temp 98.2. Taken by mom at 4:30pm. Drinking and voiding within normal limits. Dr. consulted with mom and advised ice pak, given Tylenol and call if not improving. 11/18/06 seen in office for rash. Low grade temp and vomiting.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Laboratory test abnormal
Clinical narrative: Guillian Barre Syndrome.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Feeling hot, Pain
Clinical narrative: Received 3 vaccines on 11/6/06 that evening around 6pm. Client complained of pain and redness in area of varicella injection. By AM on 11/7/06 area was 41/2 in long x 2 1/2 wide, very red, hot, swollen and painful. Was taken to ER. Diagnosed with cellullitis placed on antibiotic.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia, Intussusception, Lethargy, Vomiting
Clinical narrative: Onset of vomiting and bloody stool 3-4 hours after administration of vaccines. Patient seen in emergency room and diagnosed with intussusception, reduced with air enema. 12/19/06 Received medical records from ER which reveal patient seen 11/06/06 s/p vomiting & bloody stool on day of vax.  Afebrile.  Lethargic.  Hypoactive bowel sounds & palpable soft mass in RUQ with tenderness to palpation.  Seen in ER at outlying hospital then transferred to facility which could provide air contrast enema.  Kept in that ER for several hours s/p successful reduction for continued observation. Final DX: Intussusception, reduced by air enema.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, PNC
Symptoms: Eye swelling, Skin ulcer, Urticaria
Clinical narrative: Urticarial lesion noted on Right lower eyelid, behind Right ear, on right shoulder and right upper back. Mild swelling of eyelid in area where urticarial lesion present. No respiratory symptoms, no facial edema, no swallowing difficulty. Advised to take Benadryl and be seen if respiratory symptoms, edema, other concerns.
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Swelling, Throat tightness
Clinical narrative: Severe swelling and tightening of the throat for a period of about 24 hours.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Throat tightness
Clinical narrative: Severe soreness & tightening of the throat for a period of about 36 hours.
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Grand mal convulsion, Laboratory test abnormal
Clinical narrative: 11/22 Report taken from mom. Mom stated patient had a grand mal seizure on 11-12-06. Was taken by ambulance to ER and was seen by Dr. a neurologist on 11/13. Per mom, MRI was done and within normal limits and EEG was abnormal. Patient was put on Lamictal and has not had another seizure. Mom has currently called patients doctor to discuss the seizure episode.
Age: 28.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Myalgia
Clinical narrative: Patient reported that left arm sore last eve but thought it was from the tetanus. Around 10:00pm 11/7 after returning home from school, noted left arm redness in mirror. This AM came to health department, red area indurated 55cm. Received Motrin and cold compresses.
Age: 44.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Dizziness, Headache, Nausea, Pain
Clinical narrative: Pain in arms where vaccine was administered. Headaches, dizziness and nausea. Patient has been drinking Motrin 800.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site mass, Oedema
Clinical narrative: flu shot given 11/14/06 245pm. Mom called MD 11/15/06 8:20am to report tennis ball sized warm red lump at shot site. Has received flu shot in past without incident. Benadryl and Motrin given seen in office 11/15/06 and 11/16/06 now taking Zyretec. The marked area increased slightly in size 2nd day otherwise no complaints.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Urticaria
Clinical narrative: edema, redness at site. Flu shot given 11/14/06 2:45pm. Mom called doctor 11/15/06 8:20am to report welts at injection site. Patient has received flu shot in past without incident. Benadryl given when seen in office 11/15/06.  11/16/06 now taking Zyrtec.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Pyrexia
Clinical narrative: After 10 hours after receiving Influezea vaccine, patient complained of confusion and Temp of 103. Treated in ER with Tylenol and observation. Regained coherence and normal temp within 3 hours.
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site induration
Clinical narrative: Patient received Dtap, HIB, MMR, Hep A and Prevnar, as well as PPD on 11/13/2006. Today came in with large area hot, red, indurated cellulitis Left thigh and indurated only Right  thigh
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, HEPA, HIBV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Varicella Zoster
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast pain, Erythema, Rash
Clinical narrative: onset 11/19/06 red rash. Complained of pain center of back radiating around breast. Zoster like rash. Patient went to family care 11/14/06 was prescribed Zovirax.
Age: 1.4
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness around area, warm, swollen, no fever.
Age: 13.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Rash, fever, headache x 2-3 days when dx sx care
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Somnolence
Clinical narrative: Increased silence around 5 minutes after shots were given. Arousable but goes back to sleep for 9 hours. Fussiness also present.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at injection site. Cephalexin po 500 q 8 hours x 10 days
Age: 0.34
Sex: F
Vaccine: HIBV, PNC
Symptoms: Contusion, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Vaccines admin Afternoon of 11/16/06. Mother reports redness and swelling from hip to knee (lateral thigh). Child was very fussy. Mom applied ice that evening. When child woke in AM 11/17/06 only small bruise remained. Activity was wnl at this time.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site nodule, Rash pruritic
Clinical narrative: Large pruritic, burning subcutaneous nodule. Possibly migrating from deltoid to elbow. Resolved at time of medical doctor evaluation (onset after immunization).
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Cellulitis, Feeling hot, Hyperaemia, Skin ulcer
Clinical narrative: 10 x 6 cm hyperemia warm lesion right thigh - non tender around injection site cellulitis right thigh
Age: 1.29
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash macular
Clinical narrative: Fine 1-2 mm size rash blanches on pressure/ maculapapular type of rash