chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Contusion, Fall, Joint injury, Phobia
Clinical narrative: 11/1/07 1715 Prob: Fainting episode; Fall trauma 2hours to the above; S: Patient has "needle phobia". Received Gardasil without problems in the left upper arm (deltoid region)....left the room after the mother agreed to watch her. ...went to retrieve the patient's chart and the patient fainted while sitting on exam table. The patient then impacted with the floor injuring her right knee and her left infra orbital cheek bone: using an. ammonia capsule the patient was revived. She was alert and 0 x 3. no seizure  or activity. She was normally reactive when the paramedics arrived. Transported to med ctr's ER to evaluate injury or injuries with a C-collar in place. She was stable on departure no seizures observed, no anaphylactic reaction noted! She was transported in stable and satisfactory condition. 11/12/07 Called to check on progress of patient. She stated her left cheek was perfectly fine, her left knee still hurts and is bruised. I told the patient to notify her mother that I called.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: 11/1/07 1715 Prob: Fainting episode; Fall trauma 2hours to the above; S: Patient has "needle phobia". Received Gardasil without problems in the left upper arm (deltoid region)....left the room after the mother agreed to watch her. ...went to retrieve the patient's chart and the patient fainted while sitting on exam table. The patient then impacted with the floor injuring her right knee and her left infra orbital cheek bone: using an. ammonia capsule the patient was revived. She was alert and 0 x 3. no seizure  or activity. She was normally reactive when the paramedics arrived. Transported to med ctr's ER to evaluate injury or injuries with a C-collar in place. She was stable on departure no seizures observed, no anaphylactic reaction noted! She was transported in stable and satisfactory condition. 11/12/07 Called to check on progress of patient. She stated her left cheek was perfectly fine, her left knee still hurts and is bruised. I told the patient to notify her mother that I called.
Age: 13.0
Sex: M
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Incorrect route of drug administration
Clinical narrative: Varicella given Left deltoid IM instead of subcutaneous.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Culture negative, Hypovolaemic shock, Renal failure acute, Rotavirus test positive
Clinical narrative: Acute renal failure secondary to hypovolemic shock. See attached history and physical 1/15/08-Discharge summary received with report for DOS 12/15-12/17/07-DC DX: Hypovolemic shock, resolved. Acute renal failure, secondary to hypovolemic shock resolved. Acute gastroenteritis, sepsis ruled out. Gastroesophageal reflux disease. Presented to ED with one day history of persistent vomiting, diarrhea, irritability and low grade fever. Day after immunizations developed diarrhea, 25 episodes, no blood or mucus. Vomiting. Temperature 99.1.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture, Culture urine, Diarrhoea, Pyrexia, Renal failure
Clinical narrative: Acute renal failure secondary to hypovolemic shock. See attached history and physical 1/15/08-Discharge summary received with report for DOS 12/15-12/17/07-DC DX: Hypovolemic shock, resolved. Acute renal failure, secondary to hypovolemic shock resolved. Acute gastroenteritis, sepsis ruled out. Gastroesophageal reflux disease. Presented to ED with one day history of persistent vomiting, diarrhea, irritability and low grade fever. Day after immunizations developed diarrhea, 25 episodes, no blood or mucus. Vomiting. Temperature 99.1.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Acute renal failure secondary to hypovolemic shock. See attached history and physical 1/15/08-Discharge summary received with report for DOS 12/15-12/17/07-DC DX: Hypovolemic shock, resolved. Acute renal failure, secondary to hypovolemic shock resolved. Acute gastroenteritis, sepsis ruled out. Gastroesophageal reflux disease. Presented to ED with one day history of persistent vomiting, diarrhea, irritability and low grade fever. Day after immunizations developed diarrhea, 25 episodes, no blood or mucus. Vomiting. Temperature 99.1.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Fever, pain in the arm, redness above & around injection site, swelling & firmness & tenderness.  Started the same day as the injection and became worse over 2 days.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever, pain in the arm, redness above & around injection site, swelling & firmness & tenderness.  Started the same day as the injection and became worse over 2 days.
Age: 28.0
Sex: F
Vaccine: FLU3, HEP, MMR
Symptoms: Feeling abnormal, Tongue disorder
Clinical narrative: Approximately 10 minutes after receiving MMR, hepatitis B & influenza vaccines employee felt "thick tongued" & "loopy".  "Loopy" feeling lasted about 30 minutes. "Thick-tongued" for 1 hour.  History of several allergies (food, seasonal allergies & Type I, latex allergy).
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Frequent bowel movements, Mucous stools, Occult blood negative
Clinical narrative: 1 - 2 days after vaccines (including Rotateq) were administered, patient experienced an increased frequency of stool from 2 -3 a day to 8 - 10 a day with mucus.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Excoriation, Rash papular
Clinical narrative: Scattered papules, sl, vesicular, few excoriated, thick on back, few on legs, face, thighs.
Age: 64.0
Sex: U
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: LOCALIZED ZOSTER RASH ON ONE FINGER, ABOUT 1 MONTH AFTER ZOSTAVAX (RIGHT FINGER)
Age: 30.0
Sex: F
Vaccine: FLUN3
Symptoms: Migraine, Tremor, Urticaria, Vomiting
Clinical narrative: By about 9:00 pm, the night the flu mist was given, I started throwing up, shaking, migraine headache, then hives showed up by next morning.  Hives lasted 3 days.
Age: 57.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Dysgeusia
Clinical narrative: Joint pain, metallic taste.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness, swelling, heat, hardness around inj site.  Temp 99.8.  Pt. drinking fluids well & active.  Tylenol administered.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Pain, redness, swelling, heat, hardness around inj site.  Temp 99.8.  Pt. drinking fluids well & active.  Tylenol administered.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Patient received Pneumonia vaccine 10/1/07. Reported to ER; 10/2/07 swelling and redness to Right arm
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Red, raised baseball size area to right thigh. Site hot to touch.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Injection site swelling
Clinical narrative: Taken to ER, L leg swollen and child crying.  Given Motrin at ER.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR
Symptoms: Full blood count, Measles antibody, Mumps antibody test, Pyrexia, Rash
Clinical narrative: Rash. fever
Age: 1.2
Sex: M
Vaccine: DTAP, MMR
Symptoms: Red blood cell sedimentation rate, Rubella antibody test
Clinical narrative: Rash. fever
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Grandmother states 1 hour after immunizations child went to itching around ears and it moved on down trunk area and he broke out.  Went to hospital and was given Benadryl.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Patient vomited with the first Rotateq but no other problems.  She took half of the 2nd dose of Rotateq and then vomited forcefully twice.  She had no associated coughing or gagging.
Age: 1.02
Sex: M
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: ERYTHEMA & INDURATION 1 X 1.5 IN OVER RIGHT ARM (PCV7) NO TREATMENT EXCEPT FOR WARM COMPRESSES.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy, Inappropriate schedule of drug administration
Clinical narrative: Tdap given to a 34yr old preg female site: LD on January 8, 2008.  Pt informed of incident and told to inform her Doctor.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Platelet count decreased
Clinical narrative: PATIENT DEVELOPED SEVERE JOINT PAIN A COUPLE OF DAYS AFTER VACCINE WAS ADMINISTERED.  PATIENT EVENTUALLY WAS ADMITTED TO HOSPITAL WITH NO PLATELETS.  WAS IN HOSPITAL UNTIL PLATELETS RESTORED. MD AND HEMATOLOGIST BELIEVE THAT FLU SHOT STARTED THE CASCADE OF EVENTS.  03/21/2008  MR received for DOS 12/16-23/2007 with D/C DX:  Severe Thrombocytopenia, presumed ITP. Pt presented to local ER with c/o several day hx of bleeding mouth sores and melena. Platelet count noted to be 0 (zero) and pt transfered to current facilty for eval and tx. PE (+) for purpuric raised rash on arms, submucosal bleeding and black pigmented rash noted in mouth, on tongue and lips.  Pt txd with Solumedrol, IVIG and platelet transfusions. D/C to home on prednisone
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Shot given: Tdap, in Right deltoid, on December 21, 2007.  Still having deep, aching pain in upper arm.  Range of motion slightly limited.  Pain is still present.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Retching, Urine analysis normal, Vomiting
Clinical narrative: Pt received 4th anthrax injection, felt nauseated 30 minutes afterward and went to sleep. She did not take any meds for it. She woke up the next day, nauseated, this time vomiting to the point of dry heaves. She reports that was 6 hours after her injection. The symptoms eventually went away on their own. No meds were administered.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, VARCEL
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 24 HOURS AFTER VACCINE MOTHER NOTICED REDNESS, SWELLING, WARMTH AND TENDERNESS ABOUT 5 INCHES IN DIAMETER AROUND SIGHT OF INJECTION. THIS HAS GRADUALLY IMPROVED BUT THE CHILD COMPLAINS OF NUMBNESS OF THE SAME FOREARM. TESTING IN THE OFFICE SHOWS ABNORMAL COLD/HEAT AND DULL/SHARP DISCRIMINATION ON THE EXTENSER SURFACE OF LEFT FOREARM. FOLLOW UP IN TWO WEEKS.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, VARCEL
Symptoms: Sensory disturbance
Clinical narrative: 24 HOURS AFTER VACCINE MOTHER NOTICED REDNESS, SWELLING, WARMTH AND TENDERNESS ABOUT 5 INCHES IN DIAMETER AROUND SIGHT OF INJECTION. THIS HAS GRADUALLY IMPROVED BUT THE CHILD COMPLAINS OF NUMBNESS OF THE SAME FOREARM. TESTING IN THE OFFICE SHOWS ABNORMAL COLD/HEAT AND DULL/SHARP DISCRIMINATION ON THE EXTENSER SURFACE OF LEFT FOREARM. FOLLOW UP IN TWO WEEKS.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Nerve stimulation test abnormal
Clinical narrative: 24 HOURS AFTER VACCINE MOTHER NOTICED REDNESS, SWELLING, WARMTH AND TENDERNESS ABOUT 5 INCHES IN DIAMETER AROUND SIGHT OF INJECTION. THIS HAS GRADUALLY IMPROVED BUT THE CHILD COMPLAINS OF NUMBNESS OF THE SAME FOREARM. TESTING IN THE OFFICE SHOWS ABNORMAL COLD/HEAT AND DULL/SHARP DISCRIMINATION ON THE EXTENSER SURFACE OF LEFT FOREARM. FOLLOW UP IN TWO WEEKS.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, VARCEL
Symptoms: No reaction on previous exposure to drug, Paraesthesia
Clinical narrative: 24 HOURS AFTER VACCINE MOTHER NOTICED REDNESS, SWELLING, WARMTH AND TENDERNESS ABOUT 5 INCHES IN DIAMETER AROUND SIGHT OF INJECTION. THIS HAS GRADUALLY IMPROVED BUT THE CHILD COMPLAINS OF NUMBNESS OF THE SAME FOREARM. TESTING IN THE OFFICE SHOWS ABNORMAL COLD/HEAT AND DULL/SHARP DISCRIMINATION ON THE EXTENSER SURFACE OF LEFT FOREARM. FOLLOW UP IN TWO WEEKS.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial palsy
Clinical narrative: Patient with Bells Palsy 4 months after Zostavax vaccine.  02/12/2008 MR received for DOS 12/28-29-/2007 with D/C DX: Lower motor neuron pattern R facial weakness most likely 2' to ischemic infarct. Paroxysmal Atrial Fibrillation.  Transient Iscemic attack-amaurosis fugax.  L eye blindness since childhood infection.  Prior to admit pt noted drooling of H2O on drinking, H/A, and R facial droop with dysarthria. PE (+) for R upper motor neuron pattern facial droop, mild dysarthria, decreased vibration sensation of lower extremities, 1+ pitting edema, Ankle DTRs 0. Idiopathic Bell's Palsy was included in the differential dx however given hx of A-fib, pt was treated as such.  2/20/08 spoke with reporter who states DX is Bell's Palsy confirmed by later facial MRI. Facial weakness was not due to an infarct, and the hospital reports were incorrect per reporter. 02/22/2008 Additional records received from reporter including records from above admission. F/u appts confirm DX: Bell's Palsy. MRI of the face and brain 1/9/08 (+) for facial nerve enhancement c/w Bell's Palsy.  PE (+) severe R 7th cranial nerve palsy. Pt reports onset of headache since DX of Bell's Palsy with R sided neck and facial pain. F/U 2/5 with BP somewhat improved. Per 60 day follow up: Residual facial weakness.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Blood blister, Choking, Head injury, Metal poisoning, Nasopharyngitis
Clinical narrative: Loss of all verbal skills for 1.5 months, some loss of motor skills in legs for 1 month, internal blood blister towards right eye still present at 2 years of age, and shook head back and forth while sleeping for 1 month.  Loss of verbal skills transitioned into severe speech delay (only 2-3 words spoken at 18 months old).  Continued speech delay at 2 years of age.  02/19/2006 MR received from PCP.  WCC on 4/5/2006 showing normal growth and development and PE with resolving AGE.  WCC 6/7/06 with normal growth and dev.  Parental concern over vaccine ingredients. Several sick visits for mild head trauma, choking, cold sx. 9 mon WCC with normal growth and dev and PE. AGE in 11/06.  12 mon WCC noting behavior and sleep problems and lack of interest in solid food. Normal growth and dev noted. 03/10/2008 Records received from current PCP  beginning with WCC 7/17/07(Age 1 yr 7 mon) through 10/31/07.  Speech delay noted on 1st exam.  Sent for speech eval 7/31/07 showing moderate/severe expressive language skills. Receptive language-no concerns. 1/20/2009 Continued negative symptoms from mercury poisioning (behavior issues, bacterial infection) in gut, food intolerances.  Follow-up: Speech delay and sleep issues continue to this day.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Speech disorder developmental
Clinical narrative: Loss of all verbal skills for 1.5 months, some loss of motor skills in legs for 1 month, internal blood blister towards right eye still present at 2 years of age, and shook head back and forth while sleeping for 1 month.  Loss of verbal skills transitioned into severe speech delay (only 2-3 words spoken at 18 months old).  Continued speech delay at 2 years of age.  02/19/2006 MR received from PCP.  WCC on 4/5/2006 showing normal growth and development and PE with resolving AGE.  WCC 6/7/06 with normal growth and dev.  Parental concern over vaccine ingredients. Several sick visits for mild head trauma, choking, cold sx. 9 mon WCC with normal growth and dev and PE. AGE in 11/06.  12 mon WCC noting behavior and sleep problems and lack of interest in solid food. Normal growth and dev noted. 03/10/2008 Records received from current PCP  beginning with WCC 7/17/07(Age 1 yr 7 mon) through 10/31/07.  Speech delay noted on 1st exam.  Sent for speech eval 7/31/07 showing moderate/severe expressive language skills. Receptive language-no concerns. 1/20/2009 Continued negative symptoms from mercury poisioning (behavior issues, bacterial infection) in gut, food intolerances.  Follow-up: Speech delay and sleep issues continue to this day.
Age: 58.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Audiogram, Deafness unilateral, Pyrexia
Clinical narrative: Fever 3 days after administration; followed by profound unilateral hearing loss 12/10/2007. 3/26/08-records received-for DOS 12/10/07-Complete loss of hearing left ear, onset uncertain.  DX: conductive hearing loss unilateral. Migraine.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Hypoaesthesia, Injection site anaesthesia, Injection site erythema, Lymphadenopathy
Clinical narrative: Numbness on injection site arm -especially in lower arm thumb. Small red spot at injection site. Swollen gland on inner left arm patient - saw doctor Rash (spots) problem and on chest and upper arms (possible shingles)
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Neurological examination normal, Rash
Clinical narrative: Numbness on injection site arm -especially in lower arm thumb. Small red spot at injection site. Swollen gland on inner left arm patient - saw doctor Rash (spots) problem and on chest and upper arms (possible shingles)
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Injection site rash, Pruritus, Rash generalised, Streptococcal identification test negative
Clinical narrative: Rash began on Thur am around injection site on leg going to mid thigh.  By Friday pm still same.  By Saturday am all over body of arms, legs, face and bottom bright red, hot to the touch and itchy.  Patient miserable from listing above.  Treated with Benadryl, 3 ml every 6 hours.  Did for 3 days.
Age: 5.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: 3 1/2 x 5 cm redness and induration, painful and warm to the touch.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash all over face and front of neck starting the night of immunization. Patient took Benadryl
Age: 15.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP, VARCEL
Symptoms: Dyspnoea, Eye swelling
Clinical narrative: Patient Recived Immunizations Below approximately 510pm. Returned to clinic approximately 610pm complained of swelling around both eyes and diff breathing through nose no shortness of breath no swelling of lips
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Herpes zoster
Clinical narrative: Shingles R c8 distribution Oral
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Induration, Injection site pain, Local reaction
Clinical narrative: localized reaction involving erythema and mild induration directly from injection site (approximately 3 inches) Patient complained of significant tenderness at site that increased following the injection for approximately 2-3 days
Age: 1.28
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Coma, Convulsion, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Approximately, 14 hours after Immunizations: Child had acute onset of prolonged seizures activity was transported to hospital ER (in ambulance) then Life Lifted to "another" hospital. Approximately 24 hours of coma - no vent support.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Skin nodule
Clinical narrative: 1/4/2008 Over last couple days has nodular density popping up in the lateral left thigh. Same are varicella vaccine on Dec 20. Seen by MD Instructed if gets worse can use over the counter Tylenol and Benadryl
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Lethargy, Musculoskeletal stiffness, Pyrexia, Rash
Clinical narrative: Administered 12-26-07; rash 1-6-08; large welts, joint pain, stiffness, lethargy, fever, etc. follow 1 week after rash.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria
Clinical narrative: Administered 12-26-07; rash 1-6-08; large welts, joint pain, stiffness, lethargy, fever, etc. follow 1 week after rash.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint swelling, Lethargy, Musculoskeletal stiffness, Rash, Serum sickness
Clinical narrative: Administered 12-26-07; rash 1-6-08; large welts, joint pain, stiffness, lethargy, fever, etc. follow 1 week after rash.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Bronchitis, Bronchitis chronic, Chest X-ray, Cough, Dysphonia
Clinical narrative: Sore throat turned into a head cold and cough.  Took over the counter medication but symptoms came back.  On 11/17 visited doctor who gave medication for wheezing, chronic bronchitis and hoarseness.  Began treatment with Azythromicin, Benzonate, Prednisone, Nasanex.  Days later general practitioner confirmed diagnosis.  1/9/07 visited doctor for recurring sore throat, wheezing in center of chest, prescribed antibiotic (cephalexin).
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Nasopharyngitis, Pharyngolaryngeal pain, Wheezing
Clinical narrative: Sore throat turned into a head cold and cough.  Took over the counter medication but symptoms came back.  On 11/17 visited doctor who gave medication for wheezing, chronic bronchitis and hoarseness.  Began treatment with Azythromicin, Benzonate, Prednisone, Nasanex.  Days later general practitioner confirmed diagnosis.  1/9/07 visited doctor for recurring sore throat, wheezing in center of chest, prescribed antibiotic (cephalexin).
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: lightheaded and dizziness; Rev'd Sprite
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt was given Boostrix when she doesn't fall into recommended age group.
Age: 1.1
Sex: M
Vaccine: DTAPH, HEPA, MMRV, PNC
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Shot given 12-20-07 - Had fever of 103 for 3days 4th day Rash - was taken to ER - Still has Red bumps on right leg
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Redness & swelling & induration of 1 cm x 1 cm & 0.5 cm x 1 cm noted in R thigh (site of Hib & Prevnar).  Fever 102 degrees associated.  Seen at clinic 1/10/08 & office 1/11/08.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: After receiving Gardasil patient report site felt "fine" for 3 days.  On Monday 11/5/07 felt pain axillary area.  PMD ordered sonogram which found increased lympnadenopathy both axillary, pain stopped about 2 hours later.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eye pain, Lymphadenopathy, Nasal congestion, Ultrasound scan, Ultrasound scan abnormal
Clinical narrative: After receiving Gardasil patient report site felt "fine" for 3 days.  On Monday 11/5/07 felt pain axillary area.  PMD ordered sonogram which found increased lympnadenopathy both axillary, pain stopped about 2 hours later.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: emesis x2, loose stool x 5-6 over last 2 days. No Fever
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Contusion, Face injury, Injury, Syncope
Clinical narrative: 11/1/07 Prob. fainting episode.  Fall trauma secondary to the above.  Patient has "needle phobia".  Received Gardasil without problem in the left upper arm (deltoid region).  Nurse left the room after the mother agreed to watch her.  Nurse went to retrieve the patient's chart and the patient fainted while sitting on the exam table.  The patient then impacted with the floor injuring her right knee and her left infra orbital cheek bone.  Using an ammonia capsule the patient was revived.  She was alert and 0x3.  No seizure history or activity.  She was normally reactive when the paramedics arrived.  Transported to medical center's ER to evaluate injury or injuries with a C-collar in place.  She was stable on departure.  No seizures observed, no anaphylactic reaction noted.  She was transported in stable & satisfactory condition.  11/12/07 called to check on progress of patient.  She states her left cheek is perfectly fine, her left knee still hurts and is bruised.  I told the patient to notify the NIO there that I called.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fussy, Fever 101-102 on the am.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Rash all over body, fever.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Body temperature increased
Clinical narrative: Fever 102.5 off and on for 3 days.  Reported fevers with prior vaccines.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site streaking, Injection site swelling, Pain
Clinical narrative: Soreness & redness started evening on day of injection & worsened over 2 days, 4 x 6 cm area of erythema & swelling around site with medial streaking.  Already on Zithromax for resp infection.  Given Prednisone 20 mg BID x5d.
Age: 28.0
Sex: M
Vaccine: TTOX
Symptoms: Pain in extremity
Clinical narrative: Received Td in right arm 23 Oct.  Patient states painful with movement after 1 month.
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Discomfort, Erythema, Pruritus, Rash papular
Clinical narrative: 2 inch diameter raised rash on left thigh.  Itchiness, discomfort, redness visible, afebrile.  Came into office on 1/10/08 to show leg and irritation prominent.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Skin irritation
Clinical narrative: Mom noticed 1/13/07 (Sunday) swelling left arm - some irritation Redness induration about 8x9cm no fever.
Age: 16.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: No adverse reaction
Clinical narrative: No Adverse Effects
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Burning sensation, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Back of Rt arm swollen, red, >golf ball.  c/o burning & itching.  Started sx last night.  Informed can use Benadryl lrg & topical.  If gets worse go to ER or clinic.  F/u Monday with Dr.  1/7/08 spoke with g-mother, doing fine.  Arm much better.
Age: 79.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: no adverse event occured, Dtap given instead of adult tetanus - notified on call immunization branch nurse. not necessary to revaccinate patient
Age: 27.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Headache
Clinical narrative: Reported 12/13 dizziness and headache.  Took BP and was elevated.  Reports SOB also at that time.  Continues to have problems today since 12/13.  BP 166/100, no SOB noted.  Leaving here to go to ER.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site bruising, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: 10 days after varicella vaccine client suddenly noticed pain at site of injection; 1) sore, bruised at site; 2) burning and itching at site Lasted 7 days
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Syncope
Clinical narrative: Dizzy spells, faint.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse reaction
Clinical narrative: No adverse events
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain, Cough, Flushing, Rash macular, Sneezing
Clinical narrative: 10-15 minutes after giving vaccines child started to sneeze numerous times, began coughing c/o with throat itching began crying c/o with throat, Benadryl 25 mg liquid given by mouth, skin Blotchy c/o with intermittent abd pain, 30 mins after po Benadryl no coughing or throat itching, skin very flushed advised Dr, advised foster mom to continue with po Benadryl every 4 hours and seek ER if symptoms worsened.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Throat irritation
Clinical narrative: 10-15 minutes after giving vaccines child started to sneeze numerous times, began coughing c/o with throat itching began crying c/o with throat, Benadryl 25 mg liquid given by mouth, skin Blotchy c/o with intermittent abd pain, 30 mins after po Benadryl no coughing or throat itching, skin very flushed advised Dr, advised foster mom to continue with po Benadryl every 4 hours and seek ER if symptoms worsened.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Induration
Clinical narrative: Erythema and induration at the PCV-7 site (1 x 1.5 in).  No treatment except warm compresses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Asthenia, Lethargy, Vomiting
Clinical narrative: Lacking energy/lethargic, vomiting x5 48 hours after immunization; no treatment.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Pyrexia
Clinical narrative: Fever 100.7 within 3 hours of administration. Patient took Tylenol and fever resolved after 2 hours and never reoccurred. Patient with 8cm x 10cm red indurated area from 3 hours and still present on 1-11-08
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Full blood count, International normalised ratio, No reaction on previous exposure to drug, Platelet count decreased, Prothrombin time
Clinical narrative: Information has been received from a registered nurse concerning a female who in May 2007, was vaccinated with Gardasil.  Six months later, on 06-NOV-2007, the patient was dosed with her second dose.  There were no problems reported.  Additional information has been requested.  Follow-up information has been received from a physician concerning a 13 year old white female with no pertinent medical history or drug reactions/allergies and no illness at the time of the vaccination who on 12-SEP-2007 was vaccinated with a first dose of Gardasil (lot# 658558/1061U) IM in the left arm at 8:00 AM.  Concomitant therapy included a second dose of VARIVAX (lot# unknown) subcutaneous in the right arm and a first dose of MENACTRA (lot# U2408AA) IM in the right arm at 8:00 AM.  On 15-SEP-2007 also reported as 17-SEP-2007, the patient's platelet count was 57K.  On 19-Sep-2007 blood platelet count was 100 L and on 19-Nov-2007 the blood platelet count was 139 L.  Subsequently, the patient recovered from platelet count 57k in December 2007.  Additional information is not expected. This is in follow-up to report (s) previously submitted on 01/07/2008.  Information has been received from a registered nurse concerning a female who in May 2007, was vaccinated with GARDASIL.  Six months later, on 06-NOV-2007, the patient was dosed with her second dose.  There were no problems reported. Follow-up information has been received from a physician concerning a 13 year old female with no pertinent medical history or drug reaction/allergies and no illness at the time of the vaccination who on 12-SEP-2007 was vaccinated with a first dose of GARDASIL (lot# 658558/1061U) IM in the left arm at 8:00 AM.  Concomitant therapy included a second dose of VARIVAX (lot# unknown) subcutaneous in the right arm and a first dose of MENACTRA (lot# U2408AA) IM in the right arm at 8:00 AM.  Concomitant therapy included a second dose of VARIVAX (lot# unknown) subcutaneous in the right arm and a first dose of MENACTRA (lot # U2408AA) IM in the right arm at 8:00 AM.  On 15-SEP-2007 also reported as 17-SEP-2007, the patient's platelet count was 57K.  On 19-Sep-2007 blood platelet count was 100 L and on 19-Nov-2007 the blood platelet count was 139 L.  Subsequently, the patient recovered from platelet count 57k in December 2007.  Follow-up information was also received on request from the FDA under the Freedom of Information Act .  The origianl reporting source was not provided.  The VAERS ID number is 297443.  No further information is available.  This is a consolidation of two reports concerning the same patient.  It has been determined that WAES # 0802USA02159 is a duplicate of WAES # 0711USA01682.  Therefore, WAES # 0802USA02159 is being deleted from our files and the reports consolidated into WAES # 0711USA01682.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Information has been received from a health professional concerning a female patient who was vaccinated with a dose of GARDASIL (lot# unspecified). There was no concomitant medication. The nurse had indicated that the patient experienced rash on the back of her arm and torso. The patient's outcome was not reported. No further information is available. This is a follow-up report previously submitted on 01/7/2008. Information has been received from a health professional concerning a female atient who was vaccinated with a dose of GARDASIL (lot# unspecified). There was no concomitant medication. The nurse had indicated that the patient's outcome was not reported. Follow-up information was obtained. The health care professional reported that the 25 year old female patient weighing 144 pounds and height 63 inches with sulfa allergies was vaccinated in the left arm with the second dose of GARDASIL (lot: 659435/12650). On 30-NOV-2007 the patient complaint of rash on torso spreading down to legs. The patients saw a dermatologist which diagnosed her with pityriasis rosea. On an unspecified date the patient recovered. No further information is available.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Injection site pain, Injection site swelling, Pain
Clinical narrative: Information has been received from a physician concerning a 10 year old female who on 20-NOV-2007 was vaccinated IM with the second dose of Gardasil (Lot # 659437/1266U). Per the reporter, 3 minutes after the patient received the shot, the patient experienced light headedness.  Subsequently, the patient recovered from her light headedness. The reporter felt that light headedness was not related to therapy with Gardasil.  No further information was provided.  Additional information has been requested. This is in follow-up to report(s) previously submitted on 1/7/2008. Information has been received from a physician concerning a 10 year old female who on 20-NOV-2007 was vaccinated IM in the left arm with the second dose of GARDASIL (Lot # 659437/1266U). Concomitant therapy included SQ vaccination in the left arm with her second dose of VARIVAX (lot# 658414/1026U). Per the reporter, 3 minutes after the patient received the shot, the patient experienced light headedness and ringing in the ears. Subsequently, the patient recovered from her light headedness. The patient's blood pressure was 90/60 and the patient's pulse was 70. The patient is reported as recovered. Additional information has been requested. Information has been received that the same patient, now 11 years old, was IM vaccinated in the left arm with the third dose of GARDASIL (Lot # 660387/1967U) on 03-Apr-2008. On 19-Apr-2008, the patient experienced soreness and swelling of her left deltoid. The physician reported the patient has tenderness and is sore greater than 1 week but has no limited range of motion. It is unknown if the patient recovered. Additional information is not expected.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Tinnitus
Clinical narrative: Information has been received from a physician concerning a 10 year old female who on 20-NOV-2007 was vaccinated IM with the second dose of Gardasil (Lot # 659437/1266U). Per the reporter, 3 minutes after the patient received the shot, the patient experienced light headedness.  Subsequently, the patient recovered from her light headedness. The reporter felt that light headedness was not related to therapy with Gardasil.  No further information was provided.  Additional information has been requested. This is in follow-up to report(s) previously submitted on 1/7/2008. Information has been received from a physician concerning a 10 year old female who on 20-NOV-2007 was vaccinated IM in the left arm with the second dose of GARDASIL (Lot # 659437/1266U). Concomitant therapy included SQ vaccination in the left arm with her second dose of VARIVAX (lot# 658414/1026U). Per the reporter, 3 minutes after the patient received the shot, the patient experienced light headedness and ringing in the ears. Subsequently, the patient recovered from her light headedness. The patient's blood pressure was 90/60 and the patient's pulse was 70. The patient is reported as recovered. Additional information has been requested. Information has been received that the same patient, now 11 years old, was IM vaccinated in the left arm with the third dose of GARDASIL (Lot # 660387/1967U) on 03-Apr-2008. On 19-Apr-2008, the patient experienced soreness and swelling of her left deltoid. The physician reported the patient has tenderness and is sore greater than 1 week but has no limited range of motion. It is unknown if the patient recovered. Additional information is not expected.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Idiopathic Thrombocytopenia Purpura platelet count 8,000. Following WinRho platelet count recovered to 234,000.  1/22/08 Reviewed pcp medical records which reveal patient experienced rash x 3 days when seen 12/31/07 w/o fever or other signs of illness.  Exam revealed petechia on extremities, trunk & back & multiple purple bruises on shins & left forehead.  Labs done revealed decreased plts.  Hospitalized 12/31/07-1/1/08 & received WinRo.  Plts increased from 8,000 to 58,000 & microscopic hematuria improved.  Consult by peds heme/onc while hospitalized.  Plts count repeated on visit 1/4 & were 234,000.  Having mild diarrhea & diaper rash.  Petechia & bruises were resolving.  Was to continue serial labs & heme/onc f/u. FINAL PCP DX: ITP, resolving; anemia secondary to WinRo. 1/22/08 Reviewed hospital medical records which reveal patient experienced rash, bruising, irritability & sleepiness x 3 days.  Transient diarrheal illness in pt & parents 1-2 wks & URI 1 mo prior to admit.  Both parents w/viral URI.  Admitted 12/31/07-1/1/08.  Responded well to WinRo & d/c to home w/heme  & lab f/u. FINAL DX: Immune thrombocytopenic purpura & benign hyperalkaline phosphotase (qcquired vx familial), microscopic hematuria, resolving.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Light headed, dizziness, hands tingling.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Ultrasound scan normal
Clinical narrative: (R) arm deltoid swelling, erythema, low grade fever. ER visit on 11/17/07 - Keflex IV, Prednisone and Keflex P.O.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Dizziness, Fatigue, Insomnia, Malaise
Clinical narrative: Given 1/11/08, Tdap.  Sore and fatigue that night.  1/12/08 fever, fatigue.  1/13/08 chills, malaise, nausea, "wooziness".  Still with problems today.  Difficulty sleeping.  Right arm swollen and tender.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Oedema peripheral, Pain, Pyrexia, Tenderness
Clinical narrative: Given 1/11/08, Tdap.  Sore and fatigue that night.  1/12/08 fever, fatigue.  1/13/08 chills, malaise, nausea, "wooziness".  Still with problems today.  Difficulty sleeping.  Right arm swollen and tender.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Sight of injection is swollen, red & tender.
Age: 0.3
Sex: F
Vaccine: FLUX
Symptoms: Convulsion, Drug exposure during pregnancy, Gaze palsy, Head injury, Tremor
Clinical narrative: Seriousness criteria: other-medically significant.  Initial case was received on 02 January 2008 from a health care professional affiliated with an organization under reference number 0712031485, who received this information from the patient's parent.  A 4-month-old female infant with no reported medical history, had experienced a seizure 397 days after she had received a transplacental dose of influenza vaccine (manufacturer and lot number not reported) on 01 October 2006.  The infant's reported date of conception was 11 September 2006.  The infant had also received the following concomitant medications transplacentally which consisted of Arava 20 mg q.d., prenatal vitamins q.d., and an iron supplement q.d.  The infant was born full-term on 02 June 2007.  The infant's mother had a past history of anemia which was diagnosed during childhood and "rheumatoid" which had been diagnosed when she was 18 years of age.  The mother of the infant reported that the infant had three seizures.  On (approximately) 02 November 2007, 397 days after receiving the vaccine, the infant experienced a seizure.  On 23 December 2007, the mother reported that the infant started shaking, her eyes rolled back and she began vomiting.  The infant was taken to the emergency room and was positive for a urine infection.  The infant was not admitted to the hospital.  On 01 January 2008, the mother reported that the infant had been shaking a lot and that the infant hit her head.  At the time of the report, the infant had not been fully evaluated by a physician and their recovery status was not provided.  The reporter for this case (infant case) is the same as was reported for case number 2008-00066 (no adverse effect for the mother).
Age: 0.3
Sex: F
Vaccine: FLUX
Symptoms: Urinary tract infection, Vomiting
Clinical narrative: Seriousness criteria: other-medically significant.  Initial case was received on 02 January 2008 from a health care professional affiliated with an organization under reference number 0712031485, who received this information from the patient's parent.  A 4-month-old female infant with no reported medical history, had experienced a seizure 397 days after she had received a transplacental dose of influenza vaccine (manufacturer and lot number not reported) on 01 October 2006.  The infant's reported date of conception was 11 September 2006.  The infant had also received the following concomitant medications transplacentally which consisted of Arava 20 mg q.d., prenatal vitamins q.d., and an iron supplement q.d.  The infant was born full-term on 02 June 2007.  The infant's mother had a past history of anemia which was diagnosed during childhood and "rheumatoid" which had been diagnosed when she was 18 years of age.  The mother of the infant reported that the infant had three seizures.  On (approximately) 02 November 2007, 397 days after receiving the vaccine, the infant experienced a seizure.  On 23 December 2007, the mother reported that the infant started shaking, her eyes rolled back and she began vomiting.  The infant was taken to the emergency room and was positive for a urine infection.  The infant was not admitted to the hospital.  On 01 January 2008, the mother reported that the infant had been shaking a lot and that the infant hit her head.  At the time of the report, the infant had not been fully evaluated by a physician and their recovery status was not provided.  The reporter for this case (infant case) is the same as was reported for case number 2008-00066 (no adverse effect for the mother).
Age: 51.0
Sex: F
Vaccine: DT, HEP
Symptoms: Abscess, Injection site pain, Pain in extremity
Clinical narrative: Seriousness criteria: other-medically significant.  Initial report received on 07 January 2008 from a patient.  A 51 year-old female patient, with no pre-existing medical conditions other than a needle stick injury to the right hand on 09 November 2007, had received an intramuscular, right deltoid dose of Decavac (Lot number U1759AA), and an intramuscular, left deltoid dose of hepatitis B vaccine (Trade name, manufacturer name, and lot number unknown) on 09 November 2007.  Four days later (reported as 14 November 2007), the patient experienced pain at the injection site on the right arm where the Decavac had been administered.  She also experienced additional symptoms of "pain under her right arm, below the armpit, and above the elbow".  The patient was subsequently evaluated by a physician in the emergency room and was treated with Cephalexin for one week.  She returned to the emergency room on 23 November 2007 for re-evaluation, and was further treated with Biaxin and Amoxicillin, and was diagnosed with an "abscess".  The patient did not report if any diagnostic testings were performed.  At the time of this report, the patient had not recovered.
Age: 18.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: MA was taking care of a nurse visit for vaccination only and the patient was supposed to be coming in for Gardasil Vaccine but we noticed that she also needed updated on her Tetanus also.  MA erroneously gave a Pediarix vaccine to the patient instead of Gardasil or Tdap.  The error was not noticed until the patient had left.  The patient was notified and I persoanally called the CDC Vaccine Hotline to make sure the patient would be OK.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Pallor, Pruritus, Rash macular
Clinical narrative: Local erythema, induration of 3-5cm and itching.  Central wrinkled, pale skin.  Surrounding blotchy erythema to 8cm on day 2.  Decreasing induration day 2.  Antihistamine and topical steroid.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Injection site swelling, Irritability
Clinical narrative: 3:45pm mother called to report daughter had been fussy (child was crying uncontrollably in background) since administration of vaccines this am.  Left leg swelling to below the knee.  Went to PMD who then referred to ER.  Per mother swelling had subsided some by time finally seen at ER & attributed to be only a mild reaction & no concern.  PMD is recommending to mother to not receive this vaccine again.  Per mother child had quite a lot of swellling with the vaccines received at the PMD earlier.  Mother reports swelling is better & doing okay this am.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pyrexia, Swelling
Clinical narrative: Initial report received from a health care professional on 02 January 2008. A five-year-old male patient with a medical history of sulfa allergy, as well as a cough at the time of vaccination, received a dose of Fluzone SV 2007-2008, lot number U2531AA, in the deltoid with a 3/8 inch needle on 27 December 2007. One day later, on 28 December 2007, the patient developed redness and swelling at the injection site that spread to his chest area. He was treated with Keflex and Motrin. He developed a fever of 101 degrees Fahrenheit and became "progressively worse" throughout the evening. He was admitted to the hospital (date not reported). It is unknown whether any laboratory testing was completed. The patient was reported to have spent two to three days in the hospital and may have been discharged on 31 December 2007. The patient recovered from the events.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus, Injection site warmth
Clinical narrative: Localized 3cm diameter area around injection site with erythema, edema, warmth, pruritis.
Age: 72.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Dr. felt pain at the time of the injection (but was not concerned) on 12/20; by that evening the left, around elbow & above, was swollen & stiff.  Had a slight fever (about 99 degrees F).  12/21-area above L elbow very warm, red, swollen.  12/22-redness traveled below elbow, very stiff, went to urgent care.  Was given Decadron IV & clindamycin.  On 12/24-also saw own infectious disease Dr. who agreed that there was no abscess, rec. d/c clindamycin (he took about 6-7 doses total).  As of 1/2/08, completely recovered.
Age: 72.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site warmth, Musculoskeletal stiffness, Pyrexia, White blood cell count normal
Clinical narrative: Dr. felt pain at the time of the injection (but was not concerned) on 12/20; by that evening the left, around elbow & above, was swollen & stiff.  Had a slight fever (about 99 degrees F).  12/21-area above L elbow very warm, red, swollen.  12/22-redness traveled below elbow, very stiff, went to urgent care.  Was given Decadron IV & clindamycin.  On 12/24-also saw own infectious disease Dr. who agreed that there was no abscess, rec. d/c clindamycin (he took about 6-7 doses total).  As of 1/2/08, completely recovered.