chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Dyspnoea, Paraesthesia, Throat tightness, Tremor
Clinical narrative: Received Twinrix Vaccine @ 11:27 AM on 03/29/10.  At 1:00 PM  c/o arms tingling, shakiness and Trouble Breathing. Oxygen administered, B/P 145/75 Pulse 107. No Wheezing, no cough, respirations deep and slow, Medicated with Epinephrine 1:1000,  0.2 cc subcutaneously after c/o throat closing and difficulty breathing--Transported by ambulance to Hospital--while in ambulance received Respiratory Treatment and Benadryl--Remained in Hospital for several hours during which time she received repeat doses of Benadryl and Solu-Medrol.  She remained in stable condition and was discharged late that night with a Medrol Dosepack and instructions to use OTC Benadryl for the next couple of days and follow-up with PMD.  She was discharged in stable condition with No respiratory distress and hemodynamically stable.  According to patient, her symptoms resolved after she was given Pepcid in Emergency Department.  She stated that her symptoms returned early the next morning (3/20/10) while at home.  She drove to a Pharmacist who gave her Pepcid and instructed her to go to the Emergency Department.  Patient states that after taking the Pepcid, her symptoms began to resolve and had resolved completely by the time she drove to the Emergency Room.  She remained home and worked from home on Thursday 3/31/10 stating she felt much better but still a little shaky.  The Company closed for holiday beginning on Friday, 4/01/10.  Patient returned to work  on 4-05-10. She has voiced no complaints.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Discomfort, Pain, Pain in extremity
Clinical narrative: Aching legs during midnight Mass, during night severe pain, Sunday some discomfort much milder.  None on Monday.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Abdominal pain upper, Asthenia, Fatigue, Nausea, Pain
Clinical narrative: Aching legs during midnight Mass, during night severe pain, Sunday some discomfort much milder.  None on Monday.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Pain in extremity
Clinical narrative: Aching legs during midnight Mass, during night severe pain, Sunday some discomfort much milder.  None on Monday.
Age: 36.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Abdominal pain upper, Influenza like illness, Nausea, Rash
Clinical narrative: I had a flu-like symptom--sore stomach, nausea and then the rash started.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dry skin, Eczema, Exfoliative rash, Facial pain, Rash
Clinical narrative: Dry, scaly rash on back and abdomen. Described as mild.  Lasted a couple days then got better.  Rash came back 1-2 days from today.  Now also on face and described as worse.  Eczema-like rash.  Doesn't itch but client states that it is sore.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Swelling face
Clinical narrative: Severe redness at site of injection with hard mass and pain, swelling of area and also swelling of face (not tongue or lips, and NO breathing difficulty)
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash papular
Clinical narrative: Red raised rash appeared on upper legs, neck and face one day after vaccines given. Child given Benadryl.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin abnormal, Drug exposure during pregnancy, Haemorrhage, Intra-uterine death
Clinical narrative: cramping, bleeding, miscarriage - baby died
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Muscle spasms, Ultrasound abdomen abnormal
Clinical narrative: cramping, bleeding, miscarriage - baby died
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Anaphylactic shock, Dizziness, Dysphagia, Dyspnoea, Headache
Clinical narrative: Swollen tongue, shortness of breath, dizziness, light-headedness, shaky, difficulty swallowing, headache, muscle weakness, tingling in arms and legs
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Paraesthesia, Swollen tongue, Tremor
Clinical narrative: Swollen tongue, shortness of breath, dizziness, light-headedness, shaky, difficulty swallowing, headache, muscle weakness, tingling in arms and legs
Age: 0.48
Sex: F
Vaccine: DTAP, HIBV, PPV, RV5
Symptoms: Inappropriate schedule of drug administration, Urticaria
Clinical narrative: Information has been received from a physician concerning a 24 week old female who on 06-FEB-2009 at 10:00 was vaccinated with a dose of ROTATEQ vaccine (dose, route and lot number not provided). Concomitant therapy included diphtheria toxoid (+) pertussis acellular vaccine (+) tetanus toxoid (unknown manufacturer), Hib conj vaccine (unknown manufacturer). The physician reporter that several hours after administration on 06-FEB-2009, the patient developed hives all over her body. She came back at the office on the same day at 18:30 and was treated with BENADRYL and steroids (unspecified). The patient was not hospitalized. It was noted that the patient's baby formula had been changed the same day. Additional information has been requested.
Age: 0.36
Sex: F
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a Registered Nurse concerning a 16 weeks old female patient who on 20-MAR-2009 was vaccinated with a first dose of ROTATEQ (Lot # not reported).  No adverse reactions were reported.  This is one of two reports from the same source.  Follow up information has been received from a Registered Nurse who reported on 20-MAR-2009 patient received first dose of ROTATEQ (Lot # 661358/1522X) orally at AM.  On 08-JUN-2009 she received second dose of ROTATEQ (lot # not reported) orally at AM.  Concomitant therapy included PENTACEL, PREVNAR, hepatitis B virus vaccine (unspecified) (manufacturer unknown).  It was reported that the initial dose of ROTATEQ was given after 16 weeks of age.  No known adverse reaction.  There were no diagnostic laboratories studies performed.  Additional information is not expected.  Follow up information has been received from a Registered Nurse who reported on 20-MAR-2009 patient received first dose of ROTATEQ (Lot # 61258/1522X) orally at AM.  On 08-JUN-2009 she received second dose of ROTATEQ (lot # not reported) orally at AM.  Concomitant therapy PENTACEL, PREVNAR, hepatitis B virus vaccine (unspecified) (manufacturer unknown).  It was reported that the initial dose of ROTATEQ was given after 16 weeks of age.  No known adverse reaction.  There were no diagnostic laboratories studies performed.  Additional information is not expected.
Age: 0.69
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Important has been received from a health worker concerning an 8 month old patient. It was reported that the patient who was older that 32 weeks of age, was vaccinated with the third 2ml dose of ROTATEQ. The patient has not experienced any known symptoms. Follow-up information was received from a staff in the office concerning the 8 month and 10 days old male patient who on 27-MAR-2009 was vaccinated with the third dose of ROTATEQ (lot #: 660845/0289X). Vaccine received at the same day included the third dose of PREVENAR (lot #: C71571) at the left leg and third dose of PENCTACEL (lot #: C3230AA) at the right leg). It was reported that the ROTATEQ was given at 32 weeks and 10 days which was too late for the third dose to be given. No further information is available.
Age: 0.35
Sex: M
Vaccine: RV5
Symptoms: Body temperature increased, Diarrhoea, Irritability, No adverse event, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a Registered Nurse concerning a 16 weeks old patient who on 20-MAR-2009 was vaccinated with a first dose of ROTATEQ (Lot # not reported).  No adverse reactions were reported.  This is one of two reports from the same source.  Follow up information has been received from a Registered Nurse who reported on 20-MAR-2009 the patient, a 16 week old male, received first dose of ROTATEQ (lot # 661358/1522X) orally at AM.  On 17-APR-2009 he received second dose of ROTATEQ (lot # 661684/1034X) orally at AM.  Concomitant therapy included PENTACEL, PREVNAR and hepatitis B virus vaccine (unspecified) (manufacturer unknown).  After he received the third dose of ROTATEQ he developed diarrhea, vomiting, fussy, fever up to 102 degrees axillary and he slept when held by mom.  The symptoms lasted 2 days and he fully recovered.  No laboratory diagnostic studies were performed.  It was also reported that there were no problems after the first and second vaccinations.  At the time of vaccination he didn't have illness.  Additional information is not expected.
Age: 0.35
Sex: M
Vaccine: RV5
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a Registered Nurse concerning a 16 weeks old patient who on 20-MAR-2009 was vaccinated with a first dose of ROTATEQ (Lot # not reported).  No adverse reactions were reported.  This is one of two reports from the same source.  Follow up information has been received from a Registered Nurse who reported on 20-MAR-2009 the patient, a 16 week old male, received first dose of ROTATEQ (lot # 661358/1522X) orally at AM.  On 17-APR-2009 he received second dose of ROTATEQ (lot # 661684/1034X) orally at AM.  Concomitant therapy included PENTACEL, PREVNAR and hepatitis B virus vaccine (unspecified) (manufacturer unknown).  After he received the third dose of ROTATEQ he developed diarrhea, vomiting, fussy, fever up to 102 degrees axillary and he slept when held by mom.  The symptoms lasted 2 days and he fully recovered.  No laboratory diagnostic studies were performed.  It was also reported that there were no problems after the first and second vaccinations.  At the time of vaccination he didn't have illness.  Additional information is not expected.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Decreased appetite, Diarrhoea, Faeces discoloured, Gastrooesophageal reflux disease
Clinical narrative: Information has been received from a physician concerning a 9 weeks year old male patient with GERD who on 01-APR-2009 was vaccinated with a first dose of ROTATEQ (663144/1449X) 2ml, orally. At the same visit the patient received other vaccines. On 06-APR-2009 the patient experienced yellow water diarrhea. There were no laboratory diagnostics studies performed. At the time on the report on 09-APR-2009 the patient had not recovered. The patient sought unspecified medical attention. Follow up information has been received from a physician who reported that on 02-APR-2009 the patient had runny yellow diarrhea. Stools ever 3-4 hours. No vomiting, no fever no upper respiratory infection symptoms. The patient experienced decreased appetite for 2 days. The patient was tried with Pedialyte. For GERD the patient was treated with Axid. At the time on the report the patient had not recovered from diarrhea. Additional information has been requested.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Skin discolouration
Clinical narrative: Initial case received from a health care professional on 12 January 2010. A 6-month-old female patient received the following vaccinations on 29 January 2009: an intramuscular right leg third injection of ACTHIB (sanofi pasteur inc lot number UF533AC, sanofi pasteur lot number B0818); an intramuscular right leg third injection of DAPTACEL (lot number C3083AA); an intramuscular left leg third injection of IPOL (lot number B0009); and an intramuscular third left leg injection of PREVNAR (Wyeth, lot number D05881). After vaccination, the patient developed a black dot on her right thigh, which still persisted at the time of the report. No other symptoms or treatment were reported. This reporter has previously reported 10 other cases of black dot following vaccination. These events are captured in the following case numbers: 2008-00988, 2008-01333, 2008-01334, 2008-01335, 2008-01336, 2008-01338, 2008-01339, 2008-01427, 2008-01428, and 2008-01429.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Vomiting projectile
Clinical narrative: Information has been received from a registered nurse concerning a 6 month old female with no medical history and drugs allergies, who on 08-Dec-2008 was vaccinated with a first dose of ROTATEQ (lot # 662653/1273X). On 10-Feb-2009 the patient received a second dose of ROTATEQ (lot # 663146/1450X). On 14-Apr-2009 the patient received a 2 ml third dose of ROTATEQ (lot # 663674/0084Y) orally. Concomitant therapy included PREVNAR and PENTACEL. On 17-Apr-2009 the patient developed projectile vomiting that lasted 24 hours followed by watery diarrhea that lasted for 4 days, it was also reported that the patient did not develop fever. The patient sought medical attention through an office phone call. The patient had recovered. Follow up information received on 15-May-2009 from the registered nurse stated that it was a female patient with no medical history, allergies or illness at time of vaccination, who on 14-Apr-2000 was vaccinated with a third dose of ROTATEQ (lot # 663674/0084Y) orally. Concomitant therapy included third dose PREVNAR (lot # D3701-6), intramuscularly into the left anterolateral thigh, and PENTACEL (lot # C3203AB), intramuscularly into the right anterolateral thigh; both doses given on 14-Apr-2009. On 17-Apr-2009 the patient developed vomiting lasting 24 hours; then she had 4 days of watery diarrhea. The patient did not experience fever. The patient fully recovered on 23-Apr-2009. This is one of two reports from the same source. No further information is available.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dyspnoea, Fatigue, Productive cough, Sputum discoloured
Clinical narrative: Information has been received from a registered nurse concerning a 48 year old female with seasonal allergy (ragweed-August) and asthma who on 22-MAY-2009 was vaccinated with a first dose of RECOMBIVAX HB (thimerosal free) (lot number 656680/0043U) via intramuscular route.  There was no concomitant medication.  On 25-MAY-2009 the patient woke up with difficulty breathing, she used her mother's inhaler and got relief.  The patient also complained of a productive cough with green sputum.  It was reported that "No fever all day Monday she was tired and had no energy".  The patient had sought medical attention in the office.  There was no lab diagnostics study.  At the time of reporting, the patient did not recover.  Additional information has been requested.  Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature normal, Cough, Irritability, Nasal congestion, Poor quality sleep
Clinical narrative: Information has been received from a physician via medical records concerning a 12 weeks old female with click hip (WAES # 0806USA02242), lactose intolerance and constipation chronic and a history of breast lump, clicking hip, jaundice, group B betahaemolytic streptococcal positive, band neutrophil count increased and acne (all reported in WAES 0806USA02242) who on 24-MAR-2009 was vaccinated orally with a dose of ROTATEQ. Concomitant therapy included a dose of PRENTACEL and PREVENAR. On 22-APR-2009 the patient was taken to the office by her father with complaint of sneezing, stuffy nose, coughing, fussing,  not sleeping as well, fussy with bottle. The symptoms occurred 2-3 days before. Her temperature was 98.1 DegF. Physical examination showed nasal drainage was clear. She was diagnosed with upper respiratory infection. Treatments included using a humidifier or vaporizer, encouraging plenty of fluids. Specimen was sent out for respiratory syncytial virus test (results not provided). The outcome of the patient was not provided. This is one of several reports concerning the same patient. Additional information is not expected.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Respiratory syncytial virus test, Sinus operation, Sneezing, Upper respiratory tract infection
Clinical narrative: Information has been received from a physician via medical records concerning a 12 weeks old female with click hip (WAES # 0806USA02242), lactose intolerance and constipation chronic and a history of breast lump, clicking hip, jaundice, group B betahaemolytic streptococcal positive, band neutrophil count increased and acne (all reported in WAES 0806USA02242) who on 24-MAR-2009 was vaccinated orally with a dose of ROTATEQ. Concomitant therapy included a dose of PRENTACEL and PREVENAR. On 22-APR-2009 the patient was taken to the office by her father with complaint of sneezing, stuffy nose, coughing, fussing,  not sleeping as well, fussy with bottle. The symptoms occurred 2-3 days before. Her temperature was 98.1 DegF. Physical examination showed nasal drainage was clear. She was diagnosed with upper respiratory infection. Treatments included using a humidifier or vaporizer, encouraging plenty of fluids. Specimen was sent out for respiratory syncytial virus test (results not provided). The outcome of the patient was not provided. This is one of several reports concerning the same patient. Additional information is not expected.
Age: 0.34
Sex: F
Vaccine: PNC, RV5, PNC
Symptoms: Crying, Decreased appetite, Diarrhoea, Irritability, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning an 18 weeks old female baby with torticollis who on 30-JUN-2009 was vaccinated with a first dose of ROTATEQ (Lot number 663682/0015Y) 2 mL PO. Concomitant at the same time with a dose of PREVENAR. On 02-JUL-2009, the patient was irritable. The patient was treated with Tylenol. On 07-JUL-2009, the patient was fussy with vomiting and diarrhea, a febrile and this continued on 08-JUL-2009. On 07-JUL-2009, the patient was treated with Motrin. On an unknown date, the patient recovered. The patient sought unspecified medical attention. Therapy was discontinued, declined by mother. Follow-up information was received from a registered nurse who indicated that the 18 weeks old female baby, 19.6 pounds of weight, 29 inches tall, was vaccinated on 30-JUN-2009 with "initial" 2 mL oral dose of ROTATEQ (Lot number 663682/0015Y). On 01-JUL-2009 the patient became irritable and fussy. The patient was treated with Tylenol. On 02-JUL-2009, the "2nd day of vaccine administration", the patient experienced loss of appetite. On 03-JUL-2009, the "3rd day of vaccine administration:, the patient cried "a lot". The patient was treated with Motrin. On 07-JUL-2009 the patient experienced projectile vomiting. On 08-JUL-2009, the patient experienced diarrhea and groaning. Unspecified medical attention was sought, the physician thought the symptoms are "probably viral". The patient recovered from all symptoms on 10-JUL-2009. Follow up information was received from a registered nurse who indicated that the patient was vaccinated on 30-JUN-2009 with a first dose of ROTATEQ (Lot number 663682/0015y) and a first dose of PREVENAR (Lot No. D46874), intramuscularly. No further information is available.
Age: 0.34
Sex: F
Vaccine: PNC, RV5, PNC
Symptoms: Vomiting projectile
Clinical narrative: Information has been received from a registered nurse concerning an 18 weeks old female baby with torticollis who on 30-JUN-2009 was vaccinated with a first dose of ROTATEQ (Lot number 663682/0015Y) 2 mL PO. Concomitant at the same time with a dose of PREVENAR. On 02-JUL-2009, the patient was irritable. The patient was treated with Tylenol. On 07-JUL-2009, the patient was fussy with vomiting and diarrhea, a febrile and this continued on 08-JUL-2009. On 07-JUL-2009, the patient was treated with Motrin. On an unknown date, the patient recovered. The patient sought unspecified medical attention. Therapy was discontinued, declined by mother. Follow-up information was received from a registered nurse who indicated that the 18 weeks old female baby, 19.6 pounds of weight, 29 inches tall, was vaccinated on 30-JUN-2009 with "initial" 2 mL oral dose of ROTATEQ (Lot number 663682/0015Y). On 01-JUL-2009 the patient became irritable and fussy. The patient was treated with Tylenol. On 02-JUL-2009, the "2nd day of vaccine administration", the patient experienced loss of appetite. On 03-JUL-2009, the "3rd day of vaccine administration:, the patient cried "a lot". The patient was treated with Motrin. On 07-JUL-2009 the patient experienced projectile vomiting. On 08-JUL-2009, the patient experienced diarrhea and groaning. Unspecified medical attention was sought, the physician thought the symptoms are "probably viral". The patient recovered from all symptoms on 10-JUL-2009. Follow up information was received from a registered nurse who indicated that the patient was vaccinated on 30-JUN-2009 with a first dose of ROTATEQ (Lot number 663682/0015y) and a first dose of PREVENAR (Lot No. D46874), intramuscularly. No further information is available.
Age: 0.34
Sex: F
Vaccine: PNC, RV5, PNC
Symptoms: Decreased appetite, Irritability, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning an 18 weeks old female baby with torticollis who on 30-JUN-2009 was vaccinated with a first dose of ROTATEQ (Lot number 663682/0015Y) 2 mL PO. Concomitant at the same time with a dose of PREVENAR. On 02-JUL-2009, the patient was irritable. The patient was treated with Tylenol. On 07-JUL-2009, the patient was fussy with vomiting and diarrhea, a febrile and this continued on 08-JUL-2009. On 07-JUL-2009, the patient was treated with Motrin. On an unknown date, the patient recovered. The patient sought unspecified medical attention. Therapy was discontinued, declined by mother. Follow-up information was received from a registered nurse who indicated that the 18 weeks old female baby, 19.6 pounds of weight, 29 inches tall, was vaccinated on 30-JUN-2009 with "initial" 2 mL oral dose of ROTATEQ (Lot number 663682/0015Y). On 01-JUL-2009 the patient became irritable and fussy. The patient was treated with Tylenol. On 02-JUL-2009, the "2nd day of vaccine administration", the patient experienced loss of appetite. On 03-JUL-2009, the "3rd day of vaccine administration:, the patient cried "a lot". The patient was treated with Motrin. On 07-JUL-2009 the patient experienced projectile vomiting. On 08-JUL-2009, the patient experienced diarrhea and groaning. Unspecified medical attention was sought, the physician thought the symptoms are "probably viral". The patient recovered from all symptoms on 10-JUL-2009. Follow up information was received from a registered nurse who indicated that the patient was vaccinated on 30-JUN-2009 with a first dose of ROTATEQ (Lot number 663682/0015y) and a first dose of PREVENAR (Lot No. D46874), intramuscularly. No further information is available.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Abdominal pain
Clinical narrative: Information has been received from a registered nurse concerning a female patient with "urinary reflux" who on 04-AUG-2009 was vaccinated PO with the first dose of ROTATEQ vaccine (lot # 663682/0015Y). Concomitant vaccinations on 04-AUG-2009 included a dose of PREVNAR and a dose of PENTACEL. Concomitant therapy included ZANTAC and on 04-AUG-2009 the patient was started on amoxicillin for her pre-existing "urinary reflux" condition. Subsequently on an unspecified date the patient experienced abdominal pain and cramping after the first vaccination of ROTATEQ vaccine. The mother refused the second dose of ROTATEQ vaccine at the 4 month visit. On an unspecified date the patient recovered from abdominal pain and cramping. Additional information has been requested.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RUB
Symptoms: Crying, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 9 week old male who on 09-SEP-2009 was vaccinated orally with the first dose of ROTATEQ. Secondary suspect therapy included the first dose of RECOMBIVAX HB. Other concomitant medications included PENTACEL and PREVNAR. No lot number was reported. On 09-SEP-2009, after vaccination the patient was very irritable and cried for hours. Unspecified medical attention was sought. The symptoms improved on therapy. On an unspecified date the patient had recovered. The nurse reported that the patient had come back in to receive the second dose of ROTATEQ and was fine. Additional information has been requested.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RUB
Symptoms: Crying, Irritability
Clinical narrative: Information has been received from a registered nurse concerning a 9 week old male who on 09-SEP-2009 was vaccinated orally with the first dose of ROTATEQ. Secondary suspect therapy included the first dose of RECOMBIVAX HB. Other concomitant medications included PENTACEL and PREVNAR. No lot number was reported. On 09-SEP-2009, after vaccination the patient was very irritable and cried for hours. Unspecified medical attention was sought. The symptoms improved on therapy. On an unspecified date the patient had recovered. The nurse reported that the patient had come back in to receive the second dose of ROTATEQ and was fine. Additional information has been requested.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, HIBV, PNC, RV5, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Cyanosis, Hypotonia, Loss of consciousness, Pallor
Clinical narrative: Initial report was received on 19 January 2010 from a health care professional. A six-month-old female patient had received a third dose intramuscular left thigh injection of ACTHIB, lot number UF672AA (sanofi pasteur SA lot number D0551-1), and an intramuscular left thigh injection of PREVNAR (manufacturer Wyeth, lot number D81705) and an oral dose of ROTATEQ (manufacturer GlaxoSmithKline, lot number A41FA733A) on 18 January 2010 and immediately after receiving these vaccines, the patient's eyes rolled back, she became limp, pale, slightly cyanotic around the mouth, and she stopped crying for approximately 30 seconds to one minute. The patient then began to cry again and was monitored for 30 minutes afterwards. At that time, the patient recovered and was felt to be "ok" and she was then administered a dose of PEDIARIX (lot number AC21B209DA, manufacturer, route and site not reported). According to the reporter, the patient had no concurrent illness, no past medical history, and she had not been taking any concomitant medications. The patient had not experienced any adverse events following prior vaccinations. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, HIBV, PNC, RV5, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Crying, Cyanosis, Gaze palsy, Hypotonia, Immediate post-injection reaction
Clinical narrative: Initial report was received on 19 January 2010 from a health care professional. A six-month-old female patient had received a third dose intramuscular left thigh injection of ACTHIB, lot number UF672AA (sanofi pasteur SA lot number D0551-1), and an intramuscular left thigh injection of PREVNAR (manufacturer Wyeth, lot number D81705) and an oral dose of ROTATEQ (manufacturer GlaxoSmithKline, lot number A41FA733A) on 18 January 2010 and immediately after receiving these vaccines, the patient's eyes rolled back, she became limp, pale, slightly cyanotic around the mouth, and she stopped crying for approximately 30 seconds to one minute. The patient then began to cry again and was monitored for 30 minutes afterwards. At that time, the patient recovered and was felt to be "ok" and she was then administered a dose of PEDIARIX (lot number AC21B209DA, manufacturer, route and site not reported). According to the reporter, the patient had no concurrent illness, no past medical history, and she had not been taking any concomitant medications. The patient had not experienced any adverse events following prior vaccinations. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, HIBV, PNC, RV5, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Pallor
Clinical narrative: Initial report was received on 19 January 2010 from a health care professional. A six-month-old female patient had received a third dose intramuscular left thigh injection of ACTHIB, lot number UF672AA (sanofi pasteur SA lot number D0551-1), and an intramuscular left thigh injection of PREVNAR (manufacturer Wyeth, lot number D81705) and an oral dose of ROTATEQ (manufacturer GlaxoSmithKline, lot number A41FA733A) on 18 January 2010 and immediately after receiving these vaccines, the patient's eyes rolled back, she became limp, pale, slightly cyanotic around the mouth, and she stopped crying for approximately 30 seconds to one minute. The patient then began to cry again and was monitored for 30 minutes afterwards. At that time, the patient recovered and was felt to be "ok" and she was then administered a dose of PEDIARIX (lot number AC21B209DA, manufacturer, route and site not reported). According to the reporter, the patient had no concurrent illness, no past medical history, and she had not been taking any concomitant medications. The patient had not experienced any adverse events following prior vaccinations. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, HIBV, PNC, RV5, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Crying, Cyanosis, Hypotonia, Immediate post-injection reaction, Inappropriate schedule of drug administration
Clinical narrative: Initial report was received on 19 January 2010 from a health care professional. A six-month-old female patient had received a third dose intramuscular left thigh injection of ACTHIB, lot number UF672AA (sanofi pasteur SA lot number D0551-1), and an intramuscular left thigh injection of PREVNAR (manufacturer Wyeth, lot number D81705) and an oral dose of ROTATEQ (manufacturer GlaxoSmithKline, lot number A41FA733A) on 18 January 2010 and immediately after receiving these vaccines, the patient's eyes rolled back, she became limp, pale, slightly cyanotic around the mouth, and she stopped crying for approximately 30 seconds to one minute. The patient then began to cry again and was monitored for 30 minutes afterwards. At that time, the patient recovered and was felt to be "ok" and she was then administered a dose of PEDIARIX (lot number AC21B209DA, manufacturer, route and site not reported). According to the reporter, the patient had no concurrent illness, no past medical history, and she had not been taking any concomitant medications. The patient had not experienced any adverse events following prior vaccinations. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, HIBV, PNC, RV5, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Movement disorder, Pallor
Clinical narrative: Initial report was received on 19 January 2010 from a health care professional. A six-month-old female patient had received a third dose intramuscular left thigh injection of ACTHIB, lot number UF672AA (sanofi pasteur SA lot number D0551-1), and an intramuscular left thigh injection of PREVNAR (manufacturer Wyeth, lot number D81705) and an oral dose of ROTATEQ (manufacturer GlaxoSmithKline, lot number A41FA733A) on 18 January 2010 and immediately after receiving these vaccines, the patient's eyes rolled back, she became limp, pale, slightly cyanotic around the mouth, and she stopped crying for approximately 30 seconds to one minute. The patient then began to cry again and was monitored for 30 minutes afterwards. At that time, the patient recovered and was felt to be "ok" and she was then administered a dose of PEDIARIX (lot number AC21B209DA, manufacturer, route and site not reported). According to the reporter, the patient had no concurrent illness, no past medical history, and she had not been taking any concomitant medications. The patient had not experienced any adverse events following prior vaccinations. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PPV, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Haematochezia, Rash, Rash macular, Skin warm
Clinical narrative: Information has been received from a registered nurse concerning an 18 weeks old male with no medical history or drugs allergies, who on 20-NOV-2009 was vaccinated with a first dose of ROTATEQ (lot # 0613Y, lot # valid for HPV r11 6 11 16 18 VLP vaccine (MSD). On 01-FEB-2010 the patient received a second dose of ROTATEQ vaccine (lot # 664875/1442Y). Concomitant therapy included PREVNAR and PENTACEL. Five minutes after the patient received the vaccine his face became blotchy and warm to touch. No laboratory studies performed. The patient's symptoms resolved within 20 to 25 minutes. The patient sought unspecified medical attention. Additional information has been requested.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PPV, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash macular, Skin warm
Clinical narrative: Information has been received from a registered nurse concerning an 18 weeks old male with no medical history or drugs allergies, who on 20-NOV-2009 was vaccinated with a first dose of ROTATEQ (lot # 0613Y, lot # valid for HPV r11 6 11 16 18 VLP vaccine (MSD). On 01-FEB-2010 the patient received a second dose of ROTATEQ vaccine (lot # 664875/1442Y). Concomitant therapy included PREVNAR and PENTACEL. Five minutes after the patient received the vaccine his face became blotchy and warm to touch. No laboratory studies performed. The patient's symptoms resolved within 20 to 25 minutes. The patient sought unspecified medical attention. Additional information has been requested.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Ammonia increased, Blood immunoglobulin G increased, Electroencephalogram normal, Lumbar puncture normal, Nuclear magnetic resonance imaging abnormal
Clinical narrative: 10 Days after the administration of the H1N1, patient has the following symptoms:  trembles, paralysis from the waist to the feet, difficulty breathing.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging brain normal, Paralysis, Respiratory disorder, Tremor
Clinical narrative: 10 Days after the administration of the H1N1, patient has the following symptoms:  trembles, paralysis from the waist to the feet, difficulty breathing.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, CSF virus no organisms observed, Diplegia, Dyspnoea
Clinical narrative: 10 Days after the administration of the H1N1, patient has the following symptoms:  trembles, paralysis from the waist to the feet, difficulty breathing.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Echocardiogram normal, Electroencephalogram normal, Nuclear magnetic resonance imaging normal, Paralysis, Tremor
Clinical narrative: 10 Days after the administration of the H1N1, patient has the following symptoms:  trembles, paralysis from the waist to the feet, difficulty breathing.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: 10 Days after the administration of the H1N1, patient has the following symptoms:  trembles, paralysis from the waist to the feet, difficulty breathing.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site papule, Rash papular
Clinical narrative: 1 day post vaccine "bump appeared at vaccine site. Progressed to about 1" round raised rash. Examined 3 day post vaccine no vesicles, raised rash with surrounding cellulitis.
Age: 1.32
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site swelling, Rash maculo-papular, Skin lesion
Clinical narrative: Left arm where Varivax and DTaP were given became swollen.  Child then broke out in a diffuse maculopapular rash all over trunk and a few lesions on extremities.  No fever, no breathing issues.
Age: 34.0
Sex: F
Vaccine: HEP, IPV
Symptoms: Wrong drug administered
Clinical narrative: Pt was to receive Hep B #3, and PPD. Vaccines to be given written correctly on record. I accidentally wrote Hep B #3 and IPV. Corpsman forgot to verify vaccines and gave pt IPV. Pt is not adversely affected by this event. Accidental oversight and entry.
Age: 0.2
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received through the pregnancy registry for GARDASIL, from a registered nurse concerning a male baby who was born by C-section on 16-JAN-2010 and had maternal drug exposure to GARDASIL. On 13-MAY-2009, the patient's mother was vaccinated with her first dose of GADASIL (lot # 661953/1130X) (WAES # 0906USA03411). It was reported that on an unspecified date the baby was hospitalized; no other information was available regarding the baby event. At the time of the report the baby's outcome was not specified. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Brain injury, Encephalitis
Clinical narrative: Information has been received from a consumer concerning her 6 year old son with a sulfonamide allergy who in 2003 was vaccinated with the first dose of MMR II. Secondary suspect vaccination included VARIVAX (Merck). It was reported that the patient experienced encephalitis and subsequently permanent brain damage. The reporter reported that she "thought that giving four live vaccines in one day may have contributed to it". The patient sought unspecified medical attention. Unspecified laboratory diagnostic tests were performed (results not provided). It was reported that the patient had not recovered at the time of the report. Upon internal review, encephalitis was determined to be other important medical event. This is an amended report. Upon internal review, "permanent brain damage" was considered to be an other important medical event. No further information is available.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Pain in extremity
Clinical narrative: Got the shot on the 17th of Dec. Feet started hurting so went to doc who took blood test. Kidneys were up to 2.9. By new years eve they were 7.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Hypertrophy, Injection site swelling
Clinical narrative: Hypertrophic swelling at site of smallpox.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Electrocardiogram abnormal
Clinical narrative: Chest pain
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Facial palsy, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Tingling hands and feet, numbness in hands and feet, weakness in body, face partially paralyzed. Unable to walk for almost a month.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Tingling hands and feet, numbness in hands and feet, weakness in body, face partially paralyzed. Unable to walk for almost a month.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: 4 hrs after immunization mother noticed that child left lower anterior thigh was red and swollen. The mother administered MOTRIN. Child c/o itchiness, over the next couple day sx got worse so mother brought child to clinic. Red and indurated area 13 x 9 cm. Told to take BENADRYL, TYLENOL or MOTRIN.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Lethargy
Clinical narrative: Vaccine 3/30/10 felt chills tired and lethargic 3/31 developed headache, stomach ache 4/1 developed hives rash thru 4/2
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Rash, Urticaria
Clinical narrative: Vaccine 3/30/10 felt chills tired and lethargic 3/31 developed headache, stomach ache 4/1 developed hives rash thru 4/2
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Chest X-ray abnormal, Computerised tomogram normal, Crying, Eye rolling, Full blood count normal
Clinical narrative: Acute onset crying x 4 hrs. During cry - went limp, turned pale, eyes rolled. Mom called 911 > local ER. Normal CBC, BMP, UA and head CT without contrast, chest x-ray mild patchy infiltrate.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Hypotonia, Laboratory test normal, Pallor, Urine analysis normal
Clinical narrative: Acute onset crying x 4 hrs. During cry - went limp, turned pale, eyes rolled. Mom called 911 > local ER. Normal CBC, BMP, UA and head CT without contrast, chest x-ray mild patchy infiltrate.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash papular, Swelling
Clinical narrative: Patient had itching and raised bumps that started on top of left foot that spread to entire body, bumps still present 4 mos. post vaccination.
Age: 73.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Decreased appetite, Hepatitis B, Jaundice, Malaise, Nausea
Clinical narrative: Felt ill nausea decrease appetite, became jaundice and went to ER admitted into hosp at wk transferred 2/23/10 new dx Hep B.
Age: 1.28
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Blood culture, Chills, Computerised tomogram, Immunoglobulin therapy, Kawasaki's disease
Clinical narrative: 3/12 - Received MMR vaccination. 3/17 - woke at 630AM with fever and chills. 1200 noon. Swollen lymph node. Fever. Controlling with MOTRIN and TYLENOL. Pediatrician appt 130. CT scan of lymph node. ROCEPHIN IM, Blood cultures. 3/17 - 3/19 - Fever. Admitted 3/19 - Rash bilateral trunk, blood shot eyes lethargic. Hospitalization from 3/19 - 3/23. Kawasaki diagnosed. IVIG given and high dose ASA.
Age: 1.28
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Lethargy, Lymphadenopathy, Ocular hyperaemia, Pyrexia, Rash
Clinical narrative: 3/12 - Received MMR vaccination. 3/17 - woke at 630AM with fever and chills. 1200 noon. Swollen lymph node. Fever. Controlling with MOTRIN and TYLENOL. Pediatrician appt 130. CT scan of lymph node. ROCEPHIN IM, Blood cultures. 3/17 - 3/19 - Fever. Admitted 3/19 - Rash bilateral trunk, blood shot eyes lethargic. Hospitalization from 3/19 - 3/23. Kawasaki diagnosed. IVIG given and high dose ASA.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Fatigue, Irritability, Lacrimation increased, Lethargy
Clinical narrative: Temperature 105 started right after injection lasted x 4 days of temp > 101 increased lethargy fatigue. Excessive tearing, nasal congestion and sore throat. Swollen glands, fussiness and moodiness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Lymphadenopathy, Mood altered, Nasal congestion, Oropharyngeal pain
Clinical narrative: Temperature 105 started right after injection lasted x 4 days of temp > 101 increased lethargy fatigue. Excessive tearing, nasal congestion and sore throat. Swollen glands, fussiness and moodiness.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 3-22-10 client called - states spiked fever evening of 3-16-10 of 102.3. Left arm became very sore and swollen from elbow to shoulder. Saw pp. Sat 3-20-10 - diagnosed as cellulitis and put on KEFLEX x 10 days. Swelling decreased - states feeling better - still running a low grade fever. 3-24-10 hospitalized x2 days with IV antibiotics.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling noticed after receiving the TDAP. Area is circle 35mm x 20mm in size symptoms relieved with cold pack and Tylenol.
Age: 1.82
Sex: M
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Crying, Urticaria, Vomiting
Clinical narrative: Child received DTAP-IPV-HIB and Hep A on 3/34 at will 3 hr later developed vomiting, crying no fever then hives on chest and back. No known exposure to anything else. No fever.
Age: 1.92
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Patient received Hep A vaccine (HAVRIX) on 24 March 10 Patient broke out in hive 25 March 10. Patient was seeing in Pediatric Clinic 25 March and again on 26 March. Patient was prescribed Zyrtec and Orapred med.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Pain, Pruritus, Rash, Skin lesion
Clinical narrative: Patient noticed "chickenpox-like" rash started in hairline then spread behind ear and down neck. Has swollen lymph nodes. Lesions are itchy and painful. 3/30/10 ordered Valtrex 1000mg tid x 7 days and Vicoden 5/520 T-TT q 6 h PRN pain.
Age: 15.0
Sex: M
Vaccine: MNQ, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: On 3/25/10 patient was given ZOSTAVAX instead of VARIVAX. This was discovered on 3/26/10 when a physical count of vaccine indicated we were minus one ZOSTAVAX and plus one VARIVAX. There was no adverse event associated with MENACTRA.
Age: 6.0
Sex: M
Vaccine: TTOX
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Says had temp of 100.5, chills, fever and pain in arm on 3/24/10. Today say feels ok. Temp. 98.6, says tired but appetite normal. See DDC, DAE-a BR 3/25/10.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 4 cm red induration at site of shot.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5 yo with swelling at site of injection. No induration. There is slight erythema.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5 yo with redness and swelling at injection sites.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain/swelling/redness 11 x12 cm at site of injection. No Tx self treated.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Penile swelling, Scrotal swelling, Urticaria, Wheezing
Clinical narrative: 24 hrs after dose, scrotal and penile swelling, 36 hrs afterward- urticaria and wheezing.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Abdominal pain upper, Crying, Dyspnoea, Genital swelling, Malaise
Clinical narrative: 24 hrs after dose, scrotal and penile swelling, 36 hrs afterward- urticaria and wheezing.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Pain in extremity, Umbilical erythema, Urticaria
Clinical narrative: 24 hrs after dose, scrotal and penile swelling, 36 hrs afterward- urticaria and wheezing.
Age: 0.33
Sex: F
Vaccine: HEP, HIBV
Symptoms: Erythema, Ocular hyperaemia
Clinical narrative: 4:40pm pt. woke from nap mom states her stomach and eyes look red and I am afraid "she is having another reaction to immunizations she got today" advised to take child.
Age: 7.0
Sex: M
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Nasal ulcer, Pyrexia
Clinical narrative: Fever, nasal ulcers 48 hrs after seasonal FLUMIST.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Gaze palsy, Somnolence, Tonic clonic movements, Tremor
Clinical narrative: Patient received Tdap and MENACTRA and within 5 minutes had an episode where her eyes rolled back and she had 2-3 rhythmic GTC movements of upper extremities and stayed with her eyes rolled back x 5-10 seconds; patient afterward stated she felt shaky though did not appear post ictal.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Rash erythematous, Skin burning sensation
Clinical narrative: Red spots under skin, (arms) a week later, slight burning feeling. Sometimes tinglingly. Better after cortisone cream but some symptoms persist.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Convulsion, Febrile convulsion
Clinical narrative: Mom states had been having low grade (100) temps since shots. Mom states dad feeding her supper when she started the seizure. Took to hosp. per squad. Squad gave her oxygen, and temp at hosp 103.7. On 4-2-10 came into office stating that child had been getting TYLENOL/MOTRIN routinely, and temp in the am 103.4 rectally. ER states had a febrile seizure.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: The day after vaccine given, pt developed induration/swelling/warmth. Mild erythema that lasted at least 4 days-pt seen at approx day 5; area approx 2.5 cm diameter.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: Left arm with redness & swelling, hard to touch at injection site of DTAP.  Mom states "it is getting better."  Little girl c/o pain.