chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Fever of 100+ for 2 1/2 days.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: vaccine reaction with swollen and redness on (L) thigh. MOTRIN were given to take evry 6 hrs for pain and swollen and cold compressions. ( (L) 4 1/2 x 3 1/4 cm)
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: Rt. arm. 3 cm x 3 cm Erythema. BENADRYL
Age: 0.2
Sex: F
Vaccine: HIBV
Symptoms: Crying, Erythema, Feeling hot, Screaming, Swelling
Clinical narrative: Immunization at 11:45 am. At 4 pm, child became inconsolable. Continuous screaming. Right thigh red, hot, and swollen. Parents went to ER. TYLENOL administered.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Urticaria
Clinical narrative: Urticaria/cellulitis left thigh
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness and swelling on (L) arm 4 1/2 x 5 1/3 induration MOTRIN was given cold compressions to be applied.
Age: 0.2
Sex: M
Vaccine: HIBV
Symptoms: Erythema, Failure to thrive, Swelling
Clinical narrative: Pt only gets one vaccine at a time. Per mom - localized redness/swelling. Failure to thrive x 8 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Malaise, Pruritus, Urticaria
Clinical narrative: Approximately 10 minutes following vaccine administration, c/o itching of feet, hands and stated "I don't feel good". Hives were noted on neck and back which seemed to be increasing. Transported to ER across from clinic. Benadryl and Prednisone administered.
Age: 25.0
Sex: M
Vaccine: TTOX
Symptoms: Arthralgia, Back pain, Feeling cold, Movement disorder, Pain
Clinical narrative: My whole body hurts. My knees hurts real bad. They are cold. My back hurts. Both my arms hurts. Its just getting worse. It hurts when I move.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Induration, Skin nodule
Clinical narrative: (L) thigh large pink, indurated nodule.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: red, painful, induration (4.5 cm x 5.5 cm) on (R) upper outer arm at site of vaccine, evolved over 48 hr. Tx: CEPHALEXIN 25015 2 1/2 BP po E12 deg x 1 od.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Developed 5cm x 7cm area erythema at injection site w/in 24 hours of vaccine. (+) pruritis.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Feeling hot, Immediate post-injection reaction, Nausea
Clinical narrative: following HPV injection left deltoid, client c/o dizziness and nausea. Client positioned on the floor, lying on her back and cool compresses applied to forehead for two minutes. Clients stated she was "OK" I assisted her to her chair. Five minutes later, client c/o dizziness, nausea and being hot. Again positioned client on her side on the floor and applied cool compresses.  V.S. B/P 120/70, Pulse 80, Resp. 16, Skin warm and dry. Client stated she was "OK"-not dizzy or nauseous. Positioned client to sitting position for five minutes then to chair. Client's father helped her up. Client returned 1/2 hrs later and stated she felt fine. Client stated "I think it was an anxiety attack. I had one in high school".
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Febrile convulsion, Pyrexia, White blood cell count increased
Clinical narrative: Pt developed a febrile response to vaccines and progressed to febrile seizure. Seen at ED initially - f/u in office 9/29. Increased WBC and lingering fever (101 on 9/29).
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine, Muscle spasms, Nausea, Photophobia, Sensation of heaviness
Clinical narrative: On 9/24/08 pt's mother reported that after receiving her second GARDASIL vaccine pt experienced a migraine type headache with nausea and photophobia which lasted x 3 days. Pt also experienced a heaviness in both arms and leg cramps. This was not reported at the time the symptoms occurred. Mother called our office 7/24/08 with concerns about medic reports regarding deaths after pt received GARDASIL. Child's mother refused 3rd vaccine.
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, IPV, PNC, RV5
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Localized allergic reaction (L) thigh red and swelling.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Limb swelling involving entire right arm, within 24 hours of vaccination. Erythema from elbow to shoulder and down right flank. Rheumatologist prescribed Keflex treatment for 7 days on 09/25/2008. Improving by 09/29/2008
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh red, swelling
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Laceration, Suture insertion, Syncope, Tooth fracture, X-ray
Clinical narrative: RECEIVED SECOND GARDASIL INJECTION, AFTER WAITING 15 MINUTES, WALKED TO FRONT TO CHECK OUT, MY DAUGHTER FAINTED, CHIN AND JAW HIT FLOOR FIRST. CAUSING A LACERATION TO HER CHIN THAT REQUIRED 4 STITCHES. Broke a tooth.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Immunizations given on 9/19/08. Onset on 9/21/08 with rt deltoid region red swollen and hot to touch.  9/22/08 Water blister formed on rt deltoid region.  Pt was seen at Health Department on 9/22/08 with 20mmx20mm water blister 1 inch below Im injection site.
Age: 11.0
Sex: M
Vaccine: DTAP, HEPA, MNQ, VARCEL
Symptoms: Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: 11 YO MALE GIVEN A DTAP.  HE REPORTS SLIGHTLY SORE ARM ONLY.  MOM MASSAGED ARM.  HE WAS ABLE TO PLAY AS USUAL.  NO UNUSUAL ADVERSE REACTION REPORTED.
Age: 0.3
Sex: M
Vaccine: DTAP, DTP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Malaise, Pyrexia
Clinical narrative: The day after patient got his shots he was running a 102.0 fever.  I gave him Tylenol every four hours and by the next day he did not have a fever but he was still under the weather for that day.  So he was sick for about a total of 2 full days after the shots.
Age: 0.9
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Chest X-ray normal, Febrile convulsion, Pyrexia, Urine analysis normal
Clinical narrative: My daughter received 4 vaccines: DTaP, Hep B, pneumococcal, and polio. She ran a temperature around 100.4 for the first couple days. The morning of the reaction her fever started getting higher. I continued to give tylenol all day. By 7pm, I checked it and it was above 104. I gave more tylenol and within 5 minutes the siezure started. It lasted around 5 minutes. We called 911 and an ambulance was discharged to our home. She was taken to the hospital for tests. When we arrived they took her temperature at 104.4 and that was almost an hour after taking the tylenol.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Approximately 2 hours after TdaP vaccine, patient developed rash and itching to mid chest and face as well as feeling of puffiness to left cheek.  Patient stated she was fine except for the itching.  No difficulty breathing.  Mild redness noted to chest and neck.  She took 25 mg benadryl before returning to clinic. Patient followed up w/our clinic the next morning via telephone and stated the itching and redness resolved by 9pm and only experiences soreness to the touch at injection site.
Age: 52.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Asthenia, Chills, Erythema, Hyperhidrosis, Impaired work ability
Clinical narrative: I received the shots at a local drug store .  I got it on Thursday afternoon and Friday evening I started running a fever.Both shots were given in my right arm. I ask if it was okay before they did it and if there was a problem getting both at one time and in the same arm. I was told no.  After the fever started on Friday evening I had chills and aches.  I live by myself so I stayed in bed all day Saturday and Sunday and went to the doctor on Monday. I could not raise my right arm and it was very warm and red in a spot about the size of a baseball. My fever on Friday evening, all day Saturday, and Sunday ran about 101 to 104.  I could not hardly get out of bed.  I woke up both Friday night and Saturday night drenched and had to had to change clothes. Monday my fever stayed at about 100 all day. Today Tuesday)it is around 99 or a little above. I have missed work for two days because I am so weak and feel so bad. I am going to try to go back tomorrow. The doctor I saw on Monday prescribed Dexamethasone 1.5 mg for 7 days and Amox TR-K CLV 875-125 MG Tasan for 10 days. I am to follow up at the doctor tomorrow. I have had the flu shots yearly for probably 15 years and the pheumo every five years and never had a problem.I have a message at your office for someone to call me. I have questions and would appreciate talking with someone.
Age: 52.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injected limb mobility decreased, Malaise, Pain, Pyrexia, Skin warm
Clinical narrative: I received the shots at a local drug store .  I got it on Thursday afternoon and Friday evening I started running a fever.Both shots were given in my right arm. I ask if it was okay before they did it and if there was a problem getting both at one time and in the same arm. I was told no.  After the fever started on Friday evening I had chills and aches.  I live by myself so I stayed in bed all day Saturday and Sunday and went to the doctor on Monday. I could not raise my right arm and it was very warm and red in a spot about the size of a baseball. My fever on Friday evening, all day Saturday, and Sunday ran about 101 to 104.  I could not hardly get out of bed.  I woke up both Friday night and Saturday night drenched and had to had to change clothes. Monday my fever stayed at about 100 all day. Today Tuesday)it is around 99 or a little above. I have missed work for two days because I am so weak and feel so bad. I am going to try to go back tomorrow. The doctor I saw on Monday prescribed Dexamethasone 1.5 mg for 7 days and Amox TR-K CLV 875-125 MG Tasan for 10 days. I am to follow up at the doctor tomorrow. I have had the flu shots yearly for probably 15 years and the pheumo every five years and never had a problem.I have a message at your office for someone to call me. I have questions and would appreciate talking with someone.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left leg is swollen and 3 by 3 cm reddened in diameter. Warm to touch.
Age: 6.0
Sex: F
Vaccine: HEP, HEPA, MMR, VARCEL, HEP, HEPA, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Mom reports 2 inch area on right arm - red, swollen, itchy since vaccine administered yesterday.  No fever, no change in appetite, no change in activity, etc.  Reports no other complaints.
Age: 6.0
Sex: F
Vaccine: HEP, HEPA, MMR, VARCEL, HEP, HEPA, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Mom reports 2" area on rt arm - red, swollen, itchy since vac. adm yesterday. No fever, no change in appetite, no change in activity, etc. Reports no other complaints.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: PT mother presented with immunization card and said she was sent from school to get her kindergarden shots.  Saw on form blanks for Dtap #5, Polio #4, MMR #2, .  NCIR was not operating at that time. Did not realize pt was too old to need 5th Dtap.  No adverse reaction from pt.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Swelling
Clinical narrative: Pt developped extreme pain, soreness and swelling size of tennis ball. Pt will go to urgent care center immediately to be assessed by physician.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Lymphadenopathy, Oedema peripheral
Clinical narrative: 9/25/08 "Hours after reciving vaccine, I began to experience pain under my left armpit (lymph nodes enlarched) and some swelling on the same side/arm I received the vaccine".  9/30/08 "I still have the swelling and pain is increasing".  No other adverse reaction noticed, site of injection without redness or swelling at the time of filling out report.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Patient developed some urticaria after 1st injection on 6/27/08 but did not report this to anyone.  Then within hours of her second vaccine on 8/29/08 developed urticaria that persists today.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site urticaria
Clinical narrative: Erythema, edema, pain...(5 X 3.5 cm.) right deltoid. "Hive like lesion on injection site."
Age: 13.0
Sex: F
Vaccine: HPVX
Symptoms: Convulsion, Syncope
Clinical narrative: Fainting and Seizure after injection
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: CSF culture negative, CSF glucose normal, CSF protein increased, Chills, Computerised tomogram normal
Clinical narrative: 35 y/o WM, who received AVA#2 9/21/2008; was well prior to and day of vaccinations. On 9/22 he developed malaise, fatigue, joint stiffness; on 9/23 he developed fever (no temp taken) & chills; on 9/24 he awoke with severe headache & nausea w/o vomiting; headache was worsened with movement. He did have mild sore throat. On 9/25 he presented to ER and was admitted. Spinal tap was positive for viral meningitis. He was discharged 9/27/2008. As of 9/30 he is headache-free, but continues with mild joint stiffness and intermittent mild fatigue. SM has 2 children ages 2 & 4 y/o who were both ill w/nausea & vomiting from 9/18-9/19-2008 but recovered with 24 hrs. SM received AVA#1, HepB#2, & Flu Mist on 9/7/2008 w/o reactions. Symptoms: Headache, general, Nausea w/o vomiting, Fever, Chills, Fatigue, Malaise <60 Days, Joint Pain, multiple joints. 10/7/08 Reviewed medical records of 9/25-9/30/2008. FINAL DX: viral meningitis Records reveal patient hospitalized 9/25-9/27/08, 4 days s/p anthrax #2, after experiencing malaise, fatigue, joint stiffness, fever, chills, severe HA, nausea, mild neck stiffness, mild sore throat, small injection site nodule w/minimal redness.  ID consult included.  Patient w/2 young children who were ill w/vomiting 2-3 days prior to patient's vaccination.  No reaction to previous vaccines: anthrax #1, Hep B #2 & Flumist received on 9/7/08.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Joint stiffness, Liver function test, Lumbar puncture
Clinical narrative: 35 y/o WM, who received AVA#2 9/21/2008; was well prior to and day of vaccinations. On 9/22 he developed malaise, fatigue, joint stiffness; on 9/23 he developed fever (no temp taken) & chills; on 9/24 he awoke with severe headache & nausea w/o vomiting; headache was worsened with movement. He did have mild sore throat. On 9/25 he presented to ER and was admitted. Spinal tap was positive for viral meningitis. He was discharged 9/27/2008. As of 9/30 he is headache-free, but continues with mild joint stiffness and intermittent mild fatigue. SM has 2 children ages 2 & 4 y/o who were both ill w/nausea & vomiting from 9/18-9/19-2008 but recovered with 24 hrs. SM received AVA#1, HepB#2, & Flu Mist on 9/7/2008 w/o reactions. Symptoms: Headache, general, Nausea w/o vomiting, Fever, Chills, Fatigue, Malaise <60 Days, Joint Pain, multiple joints. 10/7/08 Reviewed medical records of 9/25-9/30/2008. FINAL DX: viral meningitis Records reveal patient hospitalized 9/25-9/27/08, 4 days s/p anthrax #2, after experiencing malaise, fatigue, joint stiffness, fever, chills, severe HA, nausea, mild neck stiffness, mild sore throat, small injection site nodule w/minimal redness.  ID consult included.  Patient w/2 young children who were ill w/vomiting 2-3 days prior to patient's vaccination.  No reaction to previous vaccines: anthrax #1, Hep B #2 & Flumist received on 9/7/08.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphocyte count normal, Malaise, Meningitis viral, Monocyte count normal, Nausea
Clinical narrative: 35 y/o WM, who received AVA#2 9/21/2008; was well prior to and day of vaccinations. On 9/22 he developed malaise, fatigue, joint stiffness; on 9/23 he developed fever (no temp taken) & chills; on 9/24 he awoke with severe headache & nausea w/o vomiting; headache was worsened with movement. He did have mild sore throat. On 9/25 he presented to ER and was admitted. Spinal tap was positive for viral meningitis. He was discharged 9/27/2008. As of 9/30 he is headache-free, but continues with mild joint stiffness and intermittent mild fatigue. SM has 2 children ages 2 & 4 y/o who were both ill w/nausea & vomiting from 9/18-9/19-2008 but recovered with 24 hrs. SM received AVA#1, HepB#2, & Flu Mist on 9/7/2008 w/o reactions. Symptoms: Headache, general, Nausea w/o vomiting, Fever, Chills, Fatigue, Malaise <60 Days, Joint Pain, multiple joints. 10/7/08 Reviewed medical records of 9/25-9/30/2008. FINAL DX: viral meningitis Records reveal patient hospitalized 9/25-9/27/08, 4 days s/p anthrax #2, after experiencing malaise, fatigue, joint stiffness, fever, chills, severe HA, nausea, mild neck stiffness, mild sore throat, small injection site nodule w/minimal redness.  ID consult included.  Patient w/2 young children who were ill w/vomiting 2-3 days prior to patient's vaccination.  No reaction to previous vaccines: anthrax #1, Hep B #2 & Flumist received on 9/7/08.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Neutrophil count increased, Pharyngolaryngeal pain, Polymerase chain reaction, Pyrexia, Scan brain
Clinical narrative: 35 y/o WM, who received AVA#2 9/21/2008; was well prior to and day of vaccinations. On 9/22 he developed malaise, fatigue, joint stiffness; on 9/23 he developed fever (no temp taken) & chills; on 9/24 he awoke with severe headache & nausea w/o vomiting; headache was worsened with movement. He did have mild sore throat. On 9/25 he presented to ER and was admitted. Spinal tap was positive for viral meningitis. He was discharged 9/27/2008. As of 9/30 he is headache-free, but continues with mild joint stiffness and intermittent mild fatigue. SM has 2 children ages 2 & 4 y/o who were both ill w/nausea & vomiting from 9/18-9/19-2008 but recovered with 24 hrs. SM received AVA#1, HepB#2, & Flu Mist on 9/7/2008 w/o reactions. Symptoms: Headache, general, Nausea w/o vomiting, Fever, Chills, Fatigue, Malaise <60 Days, Joint Pain, multiple joints. 10/7/08 Reviewed medical records of 9/25-9/30/2008. FINAL DX: viral meningitis Records reveal patient hospitalized 9/25-9/27/08, 4 days s/p anthrax #2, after experiencing malaise, fatigue, joint stiffness, fever, chills, severe HA, nausea, mild neck stiffness, mild sore throat, small injection site nodule w/minimal redness.  ID consult included.  Patient w/2 young children who were ill w/vomiting 2-3 days prior to patient's vaccination.  No reaction to previous vaccines: anthrax #1, Hep B #2 & Flumist received on 9/7/08.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Sick relative
Clinical narrative: 35 y/o WM, who received AVA#2 9/21/2008; was well prior to and day of vaccinations. On 9/22 he developed malaise, fatigue, joint stiffness; on 9/23 he developed fever (no temp taken) & chills; on 9/24 he awoke with severe headache & nausea w/o vomiting; headache was worsened with movement. He did have mild sore throat. On 9/25 he presented to ER and was admitted. Spinal tap was positive for viral meningitis. He was discharged 9/27/2008. As of 9/30 he is headache-free, but continues with mild joint stiffness and intermittent mild fatigue. SM has 2 children ages 2 & 4 y/o who were both ill w/nausea & vomiting from 9/18-9/19-2008 but recovered with 24 hrs. SM received AVA#1, HepB#2, & Flu Mist on 9/7/2008 w/o reactions. Symptoms: Headache, general, Nausea w/o vomiting, Fever, Chills, Fatigue, Malaise <60 Days, Joint Pain, multiple joints. 10/7/08 Reviewed medical records of 9/25-9/30/2008. FINAL DX: viral meningitis Records reveal patient hospitalized 9/25-9/27/08, 4 days s/p anthrax #2, after experiencing malaise, fatigue, joint stiffness, fever, chills, severe HA, nausea, mild neck stiffness, mild sore throat, small injection site nodule w/minimal redness.  ID consult included.  Patient w/2 young children who were ill w/vomiting 2-3 days prior to patient's vaccination.  No reaction to previous vaccines: anthrax #1, Hep B #2 & Flumist received on 9/7/08.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Areflexia, Dyspnoea, Endotracheal intubation, Hypokinesia, Neurological examination abnormal
Clinical narrative: 2 yr old with sudden onset of flaccid quadriplegia on 9/27/08. Pt awakened from a nap unable to move arm or legs. Pt had spontaneous respirations and was able to move head. Pt had received FLUMIST on 9/22/08 during her 2-yr well exam. Mom reported by Friday 9/27/08 she had a fever of 101. Around 12:30 pm pt was put to bed for a nap. The pt awoke at 2 pm screaming and unable to move. Neuro exam on 9/29 - abdominal and deep tendon reflexes are absent. Decreased chest wall movement, labored breathing noted - pt intubated. MRI - swelling of C-spine C2-C7.   1/22/09 MR received for DOS 9/28-~11/3/2008 with D/C DX: Longitudinally extensive Transverse Myelitis.  Flaccid Quadriplegia.  Respiratory Failure. S/P Tracheostomy.  Constipation.  UTI (enterococcus), resolved. Pt presented after abrupt onset of inability to move arms and legs. Pt had had 1 wk hx of rhinorrhea and cough & received Flumist 6 days prior to admission. Pt noted to have no movement in arms and legs in ED. Absent reflexes. 1 episode of emesis. T=101'F.  Initially able to breathe on own however developed respiratory difficulty requiring intubation and later a trach. Some fluctuations of HR due to autonomic instability. Tx with solumedrol and plasmapheresis with some improvement in lower extremities only. Developed anemia during plasmapheresis. D/C to rehab. Follow-up Information 05-NOV-2008: 2yo female present with sudden onset flaccid quadriplegia. No trauma - taken to hospital where head and spine CT nl. Approx 1 week hx of rhinorrhea and cough. Received FluMist vaccine 6 days PTA.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Nuclear magnetic resonance imaging abnormal, Paralysis flaccid, Pyrexia, Quadriplegia, Screaming
Clinical narrative: 2 yr old with sudden onset of flaccid quadriplegia on 9/27/08. Pt awakened from a nap unable to move arm or legs. Pt had spontaneous respirations and was able to move head. Pt had received FLUMIST on 9/22/08 during her 2-yr well exam. Mom reported by Friday 9/27/08 she had a fever of 101. Around 12:30 pm pt was put to bed for a nap. The pt awoke at 2 pm screaming and unable to move. Neuro exam on 9/29 - abdominal and deep tendon reflexes are absent. Decreased chest wall movement, labored breathing noted - pt intubated. MRI - swelling of C-spine C2-C7.   1/22/09 MR received for DOS 9/28-~11/3/2008 with D/C DX: Longitudinally extensive Transverse Myelitis.  Flaccid Quadriplegia.  Respiratory Failure. S/P Tracheostomy.  Constipation.  UTI (enterococcus), resolved. Pt presented after abrupt onset of inability to move arms and legs. Pt had had 1 wk hx of rhinorrhea and cough & received Flumist 6 days prior to admission. Pt noted to have no movement in arms and legs in ED. Absent reflexes. 1 episode of emesis. T=101'F.  Initially able to breathe on own however developed respiratory difficulty requiring intubation and later a trach. Some fluctuations of HR due to autonomic instability. Tx with solumedrol and plasmapheresis with some improvement in lower extremities only. Developed anemia during plasmapheresis. D/C to rehab. Follow-up Information 05-NOV-2008: 2yo female present with sudden onset flaccid quadriplegia. No trauma - taken to hospital where head and spine CT nl. Approx 1 week hx of rhinorrhea and cough. Received FluMist vaccine 6 days PTA.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Swelling
Clinical narrative: 2 yr old with sudden onset of flaccid quadriplegia on 9/27/08. Pt awakened from a nap unable to move arm or legs. Pt had spontaneous respirations and was able to move head. Pt had received FLUMIST on 9/22/08 during her 2-yr well exam. Mom reported by Friday 9/27/08 she had a fever of 101. Around 12:30 pm pt was put to bed for a nap. The pt awoke at 2 pm screaming and unable to move. Neuro exam on 9/29 - abdominal and deep tendon reflexes are absent. Decreased chest wall movement, labored breathing noted - pt intubated. MRI - swelling of C-spine C2-C7.   1/22/09 MR received for DOS 9/28-~11/3/2008 with D/C DX: Longitudinally extensive Transverse Myelitis.  Flaccid Quadriplegia.  Respiratory Failure. S/P Tracheostomy.  Constipation.  UTI (enterococcus), resolved. Pt presented after abrupt onset of inability to move arms and legs. Pt had had 1 wk hx of rhinorrhea and cough & received Flumist 6 days prior to admission. Pt noted to have no movement in arms and legs in ED. Absent reflexes. 1 episode of emesis. T=101'F.  Initially able to breathe on own however developed respiratory difficulty requiring intubation and later a trach. Some fluctuations of HR due to autonomic instability. Tx with solumedrol and plasmapheresis with some improvement in lower extremities only. Developed anemia during plasmapheresis. D/C to rehab. Follow-up Information 05-NOV-2008: 2yo female present with sudden onset flaccid quadriplegia. No trauma - taken to hospital where head and spine CT nl. Approx 1 week hx of rhinorrhea and cough. Received FluMist vaccine 6 days PTA.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature, Injection site pain, Pain in extremity
Clinical narrative: Sharp pains in area of shot when I move my arm. Arm unusually very sore.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Contusion, Injection site bruising, Injection site pain, Pain
Clinical narrative: On 9/29/08 patient reported severe bruise on entire upper right arm. Bruise is worse around injection site. She said it was painful when she touched the bruise area. Bruise appeared on 9/27/08 following vaccination. Patient is on coumadin and ASA.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: 9-29-2008 - Mother called and stated pt has tingling; achiness, numbness from shoulder to elbow, and arm is cool. Mother states these symptoms "come and go" since vaccination was given. States this is on right arm only. 9-30-2008 - Phone call to mother - States symptoms less each day. Encouraged mother to take pt to see PCP.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: The patient experienced severe pain, edema and erythema to region of left deltoid extending the entire circumference of her arm down to her distal humerous.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Immunosuppression, Varicella
Clinical narrative: Presented to medical clinic nurse Only Immun. requesting varicella and tetanus shots for school on 9/5/2008. Varicella and Tdap were administered by RN without reviewing contraindications for administration of varicella while on immuno suppressant. Notified per  children's 9/29/08, pt developed chicken pox, Acyclovir given.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Alopecia
Clinical narrative: Mom states child had hair loss after HPV shot. Refuses any more.
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Dysarthria
Clinical narrative: Approx 2 hrs after vaccine injection his speech was slurred and had a seizure. He was then taken to hospital.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Dizziness, Tinnitus, Vertigo
Clinical narrative: Patient claims that 48 hrs after flu shot she began to experience vertigo-like symptoms. Dizziness, light-headedness, ringing in ears, loss of balance. No treatment mentioned in phone conversation. Said symptoms are worsening.
Age: 20.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: C-reactive protein normal, Chest pain, Dyspnoea, Troponin T
Clinical narrative: Patient developed CP/SOB approx 10 days post vaccination with SPV, CP occurred mostly with running PT. Continues to have some CP and SOB with exertion. Symptoms: Chest Pain, Dyspnea (shortness of breath). 10/09/2008 Office records received.  Pt presented 9/5/08 with c/o sharp chest pain while running as well as knee pain. PE (+) for L pectoral tenderness to palpation. Assessment:  Muscloskeletal chest pain. Tx with Motrin. F/U 9/12/08 -feeling much better.
Age: 19.0
Sex: M
Vaccine: HEPA, SMALL
Symptoms: Erythema, Pruritus, Rash papular, Skin lesion
Clinical narrative: Sm noted erythematous, pruritic papules on chest that have now spread to his axillary area following vaccination with primary SPV. Actually date of SPV inoculation was 9/9/08. Symptoms: Lesions, papule, Erythema, Pruritus.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Rash generalised
Clinical narrative: Diffuse rash over body. Went to Dr office and they could find no reason for rash so they said it "may be shot?? Pt back to doctor office 9/29/03 states patient is fine no problem
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: Within 48 hours of injection of DTaP red swelling, heat, tenderness developed.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Pain, Pyrexia
Clinical narrative: "Orange" size redness, warm area around injection site. Low grade fever. "Achy" all over.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Urticaria, Vomiting
Clinical narrative: Urticaria began 1 day post vaccine, associated  with nausea, vomiting. Duration of illness 1 week.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypersensitivity, Nausea, Pyrexia, Rash generalised, Rash pruritic
Clinical narrative: Urticaria began 1 day post vaccine, associated  with nausea, vomiting. Duration of illness 1 week.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vomiting
Clinical narrative: Urticaria began 1 day post vaccine, associated  with nausea, vomiting. Duration of illness 1 week.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site vesicles, Urticaria
Clinical narrative: Redness at site of VARIVAX injection began 9/8/08 multiple (5) vesicles around injection site.  4 cm induration at DTaP site. 20 scattered vesicles on chest and upper extremities. Scattered urticarial lesions both thighs.
Age: 1.5
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Pruritus, Skin lesion
Clinical narrative: Developed 2 "welts" - itchy erythematous lesions in area of VARIVAX vaccine on left leg - dev. over past 24 hours about 8 days after vaccine.
Age: 10.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Pt had 1st dose of VARIVAX vaccine at age 5. Currently was diagnosed  with shingles
Age: 10.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Blister, Herpes zoster, Methicillin-resistant staphylococcal aureus test positive, Pruritus, Staphylococcal infection
Clinical narrative: Pt had 1st dose of VARIVAX vaccine at age 5. Currently was diagnosed  with shingles
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Developed a red macular eruption at injection site 6 days after injection not painful.
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure
Age: 13.0
Sex: F
Vaccine: DTAPHEPBIP, VARCEL, DTAPHEPBIP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None - Given Pediarix instead of Tdap
Age: 13.0
Sex: F
Vaccine: DTAPHEPBIP, VARCEL, DTAPHEPBIP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: None - Given Pediarix instead of Tdap
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Neuralgia, Rash
Clinical narrative: Patient had significant outbreak of shingles rash within 24 hours of administration of the vaccine cover the upper right arm and down to the T10 dermatone. Patient was started on Valacyclovir greater than 48 hours after administration of vaccine as well as pain medication. He had improvement in his rash but pretty severe neuralagia that was being only modestly improved with the narcotics
Age: 44.0
Sex: M
Vaccine: HEPAB
Clinical narrative: Initial report received from a health care provider on 22 September 2008.  A 44-year-old male patient had received doses of MENACTRA, ADACEL, YF VAX, IPOL and TWINRIX (manufacturer GlaxoSmithKline) on 05 September 2008 (lot numbers were unknown and routes/sites of administration were not reported for all vaccines).  On 21 September 2008, the patient called the vaccine clinic to cancel his next appointment, stating that he was hospitalized with spinal meningitis.  Patient outcome was unknown.  No additional details were provided.  10/24/08 Reviewed hospital medical records of 9/18-9/24/2008. FINAL DX: viral meningitis Records reveal patient experienced recurrent left eye conjunctivitis, generalized body aches, HA w/photophobia, fever, chills, nausea.  Patient's child w/URI.  Has frequent foreign travel for work.  Exam revealed unequal pupils.  Admitted to ICU & tx w/steroids, IV antibiotics & antivirals.  Neuro & ID consults done.
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: Initial information was received from another manufacturer health care professional on 23 September 2008.  The initial reporter to this manufacturer had been a health care professional.  A female patient with no reported past medical history developed an anaphylactic reaction after receiving an influenza vaccine "sometime in the past" (lot number, manufacturer, date, route and site of vaccination was not reported).  No further information was provided.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Initial report received on 21 August 2008 from a healthcare professional.  A 26 year old female patient, with allergies to penicillin and prednisone and no other medical history, received on 10 July 2008 a left forearm intradermal injection of ADACEL (lot number C2927AA) and a left deltoid intramuscular injection of APLISOL (Parke-Davis, lot number 62418).  The reporter stated that the syringes were used incorrectly and that the doses were given by incorrect route.  The doses of each vaccine were not reported.  The patient had no illness at the time of vaccination and no other vaccines had been given within four weeks prior.  On 11 July 2008, one day post-vaccination, the patient's left forearm showed a large area of redness, soreness, and had an itchy feeling.  Six weeks later, the patient had an itchy 2 cm lump in the injection area.  The patient's recovery status was reported as unknown.  Follow up information was received on 29 September 2008 from a health care professional.  The patient received a first time dose of 0.5 ml of ADACEL and APLISOL 0.01 ml.  The patient had received many doses of APLISOL in the past without reaction.  On 15 July 2008 the patient received another dose of APLISOL without any reaction.  On 27 August 2008 the patient developed itchiness and a small lump approximately 1/4 of an inch.  VALAZONE cream 1% was administered without relief.  On 17 September 2008 the lump was removed.  Based upon new information received, this case was upgraded to serious.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Immediately following the administrator had a syncopal episode. continued with symptoms of light-headedness, pale, coloring -> given PO fluids and sm snack, approx 1 hr after administration. another syncopal episode -> to ER
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt had fever over 102 deg for three days.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Pt received with pneumonia vaccine in (L) deltoid and called back the next morning stating she had pain at the site. She was instructed to use TYLENOL and cool compress. Called her 9/18/08 at 8:30 an and pt reports much less pain. Denies erythema.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Fatigue, Injection site swelling, Pain
Clinical narrative: Patient presented back to clinic one day after receiving a dose of pneumococcal vaccine, complaining of fatigue, body ache, and local swelling in the arm where the dose had been administered. Provider considered differential diagnosis of allergic reaction vs cellulitis and treated for both. Patient received an oral prednisone taper over 5 days, oral diphenhydramine 50mg TID x 1 week, and cephalexin 500mg TID x10 days. Upon followup by phone the next day, patient's symptoms had completely resolved. Patient last previous dose of pneumococcal vaccine had reportedly been given 2005 at another clinic. Syptoms: 1. fatigue, body ache, local swelling Treatment Drugs Used: 1- PREDNISONE Dose: 50 taper to 10mg Units: MG Freq: EVERY DAY Route: PO 2- DIPHENHYDRAMINE Dose: 50 Units: MG Freq: TID Route: PO 3-CEPHALEXIN Dose: 500 Units: MG Freq: TID Route: PO
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: No adverse event
Clinical narrative: No adverse events
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Erythema, Rash, Urticaria
Clinical narrative: 44 y/o w/p received MMR approximately 1 hour ago.  Developed whelps on arms, chest, back - fine rash.  No sub, tingling of lips.  Erythema whelp on arm, chest.  No SOB.  No resp.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Indurated area 5 cm x 5 cm at injection site warm and red
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Received 3rd Anthrax injection 26 Sep 08, right deltoid.  Next day injection site extremely red, inflamed, hot to touch, and painful with large raised knot.  In the evening of the next day, several small blisters appeared around injection site.  The second day several more blisters appeared all 1-3cm in size with increasing pain.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site vesicles
Clinical narrative: Received 3rd Anthrax injection 26 Sep 08, right deltoid.  Next day injection site extremely red, inflamed, hot to touch, and painful with large raised knot.  In the evening of the next day, several small blisters appeared around injection site.  The second day several more blisters appeared all 1-3cm in size with increasing pain.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Skin warm
Clinical narrative: Redness and warmth of right upper arm.
Age: 0.1
Sex: U
Vaccine: HPV4
Symptoms: Death neonatal, Drug exposure via breast milk
Clinical narrative: Information has been received from a physician concerning a 6-week-old patient who's 25-year-old mother was vaccinated with the first 0.5 mL dose of GARDASIL two days post-partum (it was noted that she was not pregnant when she received the first dose).  The patient was breast feeding.  Subsequently, the patient died at six weeks of age.  Autopsy results revealed that the patient died from suffocation.  According to the physician, the death was not related to GARDASIL.  Physician indicated that he had all dates and lot numbers of the vaccine (not reported at the time of this report).  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac monitoring, Convulsion, Electroencephalogram, Loss of consciousness, Postural orthostatic tachycardia syndrome
Clinical narrative: Information has been received from a registered nurse concerning her niece, a 17 year old female who about 2 years ago, in approximately 2006 was vaccinated with GARDASIL. It was reported that the patient had had seizure activity and had passed out since vaccination with GARDASIL. The niece had completed the GARDASIL series. The niece had been to the Emergency Room and may had been admitted to the hospital. She have been diagnosed with POTS syndrome (Postural Orthostatic Tachycardia Syndrome) . On unspecified dates, numerous tests including EEG and heart monitoring had been performed (no results reported). The patient had been seen by many doctors. At the time of the report, the patient had not recovered. Upon internal review, seizure activity was considered to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with the third dose of GARDASIL 0.5 mL, IM.  About one month after that vaccination, the patient developed syncope and had a seizure.  The patient sought unspecified medical attention.  Upon internal review, seizure was considered to be other important medical event.  Additional information has been requested. 10/09/08-records received for DOS 9/2-9/4/08-DC DX: Seizure and or syncope. Laceration and suture repair to forehead. Tachycardia. Drug dependence. Presented to ED status post syncopal episode followed by seizure activity on 9/2/08. Noted to have bit tongue and was postictal after event.  Orthostatics negative.  10/14/08-records received-date of 1st HPV4 vaccine 3/15/07-lot#1427F left arm, 2nd HPV4 6/1/07-Lot#0702F left arm. 2/20/08-C/O back problems and shoulder pain. HPV4 #3 lot#1427F right arm. Seen on 5/9/08-C/O depressed tried using parent's Prozac. Hallucinating in school. 9/10/08-new seizure meds making her sick, no appetite, nausea. 9/13/08-S/P seizure activity, injury to head. Stress. Neuro consult 9/22/08-uncertain as to whether the seizure caused the incident or the fall. PE: normal.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Electroencephalogram abnormal, Syncope
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with the third dose of GARDASIL 0.5 mL, IM.  About one month after that vaccination, the patient developed syncope and had a seizure.  The patient sought unspecified medical attention.  Upon internal review, seizure was considered to be other important medical event.  Additional information has been requested. 10/09/08-records received for DOS 9/2-9/4/08-DC DX: Seizure and or syncope. Laceration and suture repair to forehead. Tachycardia. Drug dependence. Presented to ED status post syncopal episode followed by seizure activity on 9/2/08. Noted to have bit tongue and was postictal after event.  Orthostatics negative.  10/14/08-records received-date of 1st HPV4 vaccine 3/15/07-lot#1427F left arm, 2nd HPV4 6/1/07-Lot#0702F left arm. 2/20/08-C/O back problems and shoulder pain. HPV4 #3 lot#1427F right arm. Seen on 5/9/08-C/O depressed tried using parent's Prozac. Hallucinating in school. 9/10/08-new seizure meds making her sick, no appetite, nausea. 9/13/08-S/P seizure activity, injury to head. Stress. Neuro consult 9/22/08-uncertain as to whether the seizure caused the incident or the fall. PE: normal.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Flushing, Respiratory distress, Swelling face, Urticaria
Clinical narrative: Employee received flu vaccine approx 11:30 am on 9/23/08.  Went to lunch outside, ate sardines.  After returning to work felt warm and flushed. Before leaving for home at 3:30-3:45, came to Employee Health.  Face was flushed and swollen,hives on neck, no respiratory distress.  She was taken down the hall to ACU(ambulatory Care)and treated.  Seen by MD.  Treated with solumedrol and benadryl, observed and sent home on prednisone and benadryl. Spoke with her 9/30 and she reported facial symptoms improved by 9/24 but hospitalized on 9/26 and admitted until 9/28 for respiratory distress.  10/02/2008 Ambulatory Services MR received for 9/23/08 with DX:  Anaphylactoid reaction with unknown allergen. Pt presented 4 hours s/p Flu shot with c/o red face, watery eyes, dry tickle type cough and some difficulty breathing. PE (+) for erythema of face and neck and mild conjunctival edema and erythema.  TX with Solumedrol IV, Benadryl and O2. D/C with Epipen and Medrol dosepak./pc 10/10/2008 MR received for DOS 9/26-28/2008 with D/C DX:  Acute Allergic Reaction.  Asthmatic Bronchitis. Reactive hyperglycemia.  Insomnia.  Allergic Diathesis. Pt presented several day after above incident with increased wheezing, tachypnea, and non-productive cough with chest discomfort after. Admitted due to RR 28 and wheezing despite nebs and steroid tx. Feeling of chest constriction continued despite tx. D/C on steroids, Combivent, Benadryl and with Epi-pen PRN.
Age: 36.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Dyspnoea, Pruritus, Rash erythematous, Rash papular, Respiratory distress
Clinical narrative: Reprted as "shortness of breath, a red bumpy rash that I could hardly stop itching, and I had the rash for a couple of days".  Rash allegedly intermittent for three to four days.  Respiratory distress continued intermittently for about five days.  Used P.O. Benadryl for rash and Albuterol inhaler and nebulizer for respiratory symptoms.
Age: 1.67
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Chicken pox all over body
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dyspnoea, Pruritus generalised
Clinical narrative: Shortness of breath, chest tightness.  No rash but "itchy all over".
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: SCHOOL NURSE CALLED CLINIC THIS AM, 10-01-08. NURSE STATES PT C/O TENDERNESS IN RA. SCHOOL NURSE DESCRIBES REDNESS AND SWELLING NOTED. SCHOOL NURSE STATES SHE HAS ADMINISTERED ACETAMINOPHEN AND HAS APPLIED AN ICE PACK.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Dizziness, Nasal congestion, Pyrexia
Clinical narrative: Fever within 4 hours of immunization. Nasal Congestion and dizziness.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Fatigue, Headache, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever within 4 hours of immunization. Nasal Congestion and dizziness.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Dizziness, Erythema, Induration, Nausea
Clinical narrative: Sept 23 and 24-Pt developed temp. of 101-103 degrees, nausea, and dizziness.  Lt arm red, swollen, hard and painful from shoulder to mid-upper arm.  Sept. 25-Temp. 99 degrees and pt. able to return to school.  Treatment-Ibuprofen, fluids and cool compress to arm.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Sept 23 and 24-Pt developed temp. of 101-103 degrees, nausea, and dizziness.  Lt arm red, swollen, hard and painful from shoulder to mid-upper arm.  Sept. 25-Temp. 99 degrees and pt. able to return to school.  Treatment-Ibuprofen, fluids and cool compress to arm.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 9/29/08: Pt reports noticed at 8pm that she had some soreness and redness to her R arm where pneumonia shot was given. 10/1/08: 1150am Pt reports that today she has more redness, soreness, warmth and swelling to inner R arm area above elbow.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blister, Herpes zoster
Clinical narrative: Received Zoster vaccine 8/29/2008.  Called administering clinic on 10/1/08 to inform that she was diagnosed by her physician on 9/30/2008 with Shingles.  Said she had been having back pain, used a heating pad, noticed blisters, causing her to go to her doctor.
Age: 36.0
Sex: F
Vaccine: MU
Symptoms: Arthralgia, Pyrexia
Clinical narrative: severe joint aching the day after the injection that lasted for 3 days. Also fever x 5 days still ongoing