chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Lip haemorrhage, Lip swelling, Loss of consciousness, Mouth injury
Clinical narrative: Within 5 min of vaccine (GARDASIL) pt passed out onto the floor. Bruise to bridge of nose lower lip cut, scant bleeding, mild swelling.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anxiety, Immediate post-injection reaction, Pruritus, Wheezing
Clinical narrative: Pt was give MMR and Varicella sots. Had immediate reaction of itching and some difficulty with wheezing affect changed dramatically-anxiety look. Pt given Epinephrine with complete recovery. FU 24 hours-normal.
Age: 64.0
Sex: U
Vaccine: TDAP
Symptoms: Chills, Cough, Depressed level of consciousness, Dysphonia, Fatigue
Clinical narrative: Hoarseness - 1 day after. Fatigue, chills, sweating, slight PM cough.  General malaise and slow reaction time.
Age: 64.0
Sex: U
Vaccine: TDAP
Symptoms: Hyperhidrosis, Malaise
Clinical narrative: Hoarseness - 1 day after. Fatigue, chills, sweating, slight PM cough.  General malaise and slow reaction time.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis
Clinical narrative: (+) Pertussis 8/4/10.
Age: 0.79
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Unevaluable event
Clinical narrative: Possible pt did not receive DTAP + IPV from PENTACEL.
Age: 11.0
Sex: M
Vaccine: IPV, MNQ, TDAP
Symptoms: Erythema, Induration
Clinical narrative: Given injection of MENACTRA on 8/5/10 started with erythema 20 hrs later peaked at 98 degrees with erythema, induration (12 X 17 cm) receded spontaneously.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Dyspnoea, Tachycardia
Clinical narrative: Patient presented to office today (8-10-10) for GARDASIL #3 and reports she had difficulty breathing and tachycardia after receiving MCV-4 and HEP A #1 on 7-16-10.  States symptoms started about 30 min after shots. Went to doctor. No tx given.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Immediately after receiving GARDASIL #3 pt. became dizzy, lightheaded, and c/o nausea. Pt. was laid down, feet elevated. Pt. was given cheese crackers and juice, as she denied eating breakfast. Reported previous reaction with other vaccines.
Age: 3.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Skin tightness
Clinical narrative: (R) leg red and edematous from knee to hip. Skin taut. Tx at private clinic with SEPTRA 200/40/5mg 2 tsp BID; KEFLEX 250/5ml 1 tsp QID. 8/2/10 redness and edema down.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Skin reaction
Clinical narrative: Very severe localized reaction to the injection resulting in significant arm edema erythema. Rx: MOTRIN.
Sex: U
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth, and soreness at injection site.
Age: 1.02
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swollen around vaccine area. MOTRIN, TYLENOL, BENADRYL, amoxil.
Age: 72.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness & itching & raised area at site of vaccine.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Culture wound negative, Injection site swelling, Injection site vesicles, Pain
Clinical narrative: Vaccine administered 8/5/10. Patient had swelling and blisters at site of injection the next morning. On 8/6/10 a wound culture was obtained and patient placed on KEFLEX and BACTROBAN. Severity of pain and swelling was unusual.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear pain, Neck pain, Rash
Clinical narrative: Pt. presents 10 days after receiving varicella zoster vaccine given at our pharmacy's clinic. She reports ear pain that radiated down into neck and has rash on chest and back of neck up into hairline.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Fatigue, Musculoskeletal stiffness, Pain, Rash
Clinical narrative: Symptoms: Arthralgia, severe body aches, stiffness in neck, severe joint pain. Fatigue and rash on torso (hives) developed. Began early in February, increased in intensity after 2nd dose. Rash appeared in March. Notified Doctor. I declined final dose of vaccination.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Symptoms: Arthralgia, severe body aches, stiffness in neck, severe joint pain. Fatigue and rash on torso (hives) developed. Began early in February, increased in intensity after 2nd dose. Rash appeared in March. Notified Doctor. I declined final dose of vaccination.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13
Symptoms: Body temperature, Erythema, Oedema
Clinical narrative: Temperature, edema, redness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Lt deltoid redness, swelling and pain.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site pain, Injection site reaction, Myalgia, Pyrexia
Clinical narrative: Fever (approx. equal to 101 degrees). Soreness and muscle pain bilateral arms (site vaccines were administered).
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Swelling, Urticaria
Clinical narrative: Received TDAP and MCV on 8/4/10 at 330PM started with swelling and hives 20 hrs later Rxn 17 x 12 cm urticarial erythem patch on (L) upper arm.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Blood glucose, Hyperhidrosis, Syncope
Clinical narrative: Sweating, fainting.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Convulsion
Clinical narrative: Patient received MENACTRA vaccine on 7/28/2010. Patient had seizure episode on 8/4/2010 leading to hospitalization
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Blood test, Computerised tomogram, Convulsion, Electroencephalogram, Encephalitis viral
Clinical narrative: Patient received MENACTRA vaccine on 7/28/2010. Patient had seizure episode on 8/4/2010 leading to hospitalization
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture, Meningitis viral, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Patient received MENACTRA vaccine on 7/28/2010. Patient had seizure episode on 8/4/2010 leading to hospitalization
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Tremor
Clinical narrative: Patient received MENACTRA vaccine on 7/28/2010. Patient had seizure episode on 8/4/2010 leading to hospitalization
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Pt states upper (L) arm swollen starting day after TDAP vaccination has continued for almost 1 week. Redness swelling has not gotten worse. Advised ice/warm pack alternate and Ibuprofen for swelling. Discomfort has subsided. Still a bit itchy. Advised to monitor see MD if redness/swelling increases.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Condition aggravated, Malaise, Nausea, Pyrexia, Vertigo
Clinical narrative: 1 day after TDAP injection, pt had fever 101 degrees. C/o nausea and vertigo. General malaise. Worth noting; pt states same type of symptoms occurred 1 wk ago.
Age: 1.67
Sex: M
Vaccine: PNC13
Symptoms: Drug eruption, Pyrexia, Similar reaction on previous exposure to drug, Tympanic membrane hyperaemia, Urticaria
Clinical narrative: 20 mo male with hx of "slight fever" with prior immunizations had PCV 13 at 2:30 PM 7/22/10. Began with intermittent fever first 24 hrs then with increased temp to 104.2 degrees with emesis x 1 early AM (02:50 AM) 7/24/10. Given antipyretics. Taken to ER at 0247 7/25/10 with Temp to 101.7 degrees given Amox for "slightly red TM". Later developed hives - thought to be related to Amox.
Age: 1.67
Sex: M
Vaccine: PNC13
Symptoms: Vomiting
Clinical narrative: 20 mo male with hx of "slight fever" with prior immunizations had PCV 13 at 2:30 PM 7/22/10. Began with intermittent fever first 24 hrs then with increased temp to 104.2 degrees with emesis x 1 early AM (02:50 AM) 7/24/10. Given antipyretics. Taken to ER at 0247 7/25/10 with Temp to 101.7 degrees given Amox for "slightly red TM". Later developed hives - thought to be related to Amox.
Age: 13.0
Sex: F
Vaccine: HPV4, MEN, TDAP, VARCEL
Symptoms: Gait disturbance, Somnolence, Unresponsive to stimuli
Clinical narrative: After patient received vaccines she quietly laid back on couch, did not respond to questions, then woke up and said,"was I sleeping?" Child was given juice and it took approx 20 min before she was able to walk to car.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Chicken pox rash per Dr.
Age: 15.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea and lightheaded approximately ten hours post vaccine.
Age: 76.0
Sex: M
Vaccine: DT, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: left arm swelling by 2pm day of vaccine, red from upper arm to elbow, swollen and painful 8/3/10 arm was still painful but not red
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Convulsion
Clinical narrative: Woke up with a very bad headache, started shaking and had a seizure at approx. 1:00.  Was taken to the hospital and kept for due to fever.  Suffered a second seizure 08/07/2010.  Ran fevers of 100 degrees until 8/10/2010. Discharged from the hospital 8/10/2010.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Blood test, Computerised tomogram, Convulsion, Electroencephalogram, Encephalitis viral
Clinical narrative: Woke up with a very bad headache, started shaking and had a seizure at approx. 1:00.  Was taken to the hospital and kept for due to fever.  Suffered a second seizure 08/07/2010.  Ran fevers of 100 degrees until 8/10/2010. Discharged from the hospital 8/10/2010.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture, Meningitis viral, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Woke up with a very bad headache, started shaking and had a seizure at approx. 1:00.  Was taken to the hospital and kept for due to fever.  Suffered a second seizure 08/07/2010.  Ran fevers of 100 degrees until 8/10/2010. Discharged from the hospital 8/10/2010.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Tremor
Clinical narrative: Woke up with a very bad headache, started shaking and had a seizure at approx. 1:00.  Was taken to the hospital and kept for due to fever.  Suffered a second seizure 08/07/2010.  Ran fevers of 100 degrees until 8/10/2010. Discharged from the hospital 8/10/2010.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Electroencephalogram normal, Lethargy, Pyrexia, Somnolence, Tremor
Clinical narrative: For the first 2 days after the immunizations, pt had fever and lethargy.  After that resolved pt had 3 post-prandial episodes (the first 2 within the week after immunization administration) where she was falling asleep and then started rhythmic unsuppressible upper extremity shaking with unresponsiveness and fluttering eyelids lasting 30 seconds each.  After these episodes the pt would fall asleep.  The 3rd episode was on 8/9 and the pt was admitted to rule out seizures.  During these episodes she did not have any cyanosis, apnea, eye deviation, fevers during these episodes and was otherwise well.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Unresponsive to stimuli, Urine analysis normal
Clinical narrative: For the first 2 days after the immunizations, pt had fever and lethargy.  After that resolved pt had 3 post-prandial episodes (the first 2 within the week after immunization administration) where she was falling asleep and then started rhythmic unsuppressible upper extremity shaking with unresponsiveness and fluttering eyelids lasting 30 seconds each.  After these episodes the pt would fall asleep.  The 3rd episode was on 8/9 and the pt was admitted to rule out seizures.  During these episodes she did not have any cyanosis, apnea, eye deviation, fevers during these episodes and was otherwise well.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Irritability, Joint swelling, Pyrexia, Rash
Clinical narrative: Rash on elbows, knee and ankle joint rash and swelling. Spread to arms and legs. Had a fever one week prior 8/1 through 8/6. Baby seemed not content.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: RED ERYTHEMA TO BACK SIDE OF LEFT ARM APPROXIMATELY 6 CM IN DIAMETER. TREATED WITH BENADRYL 125/5ML 2CC PO Q 6 HRS X 3 DAYS, CEPHALEXIN 250MG 4CC PO Q 6HRS X 5 DAYS
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Pain/Redness at site, sore and difficult to move d/t nodule underneath skin at injection site specifically.
Age: 39.0
Sex: M
Vaccine: HEP, HEPA, PPV, TYP
Symptoms: Injection site cellulitis, Injection site pain, Pyrexia
Clinical narrative: fever, pain at injection site and cellulitis
Age: 59.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Aphonia, Dyspnoea, Lip swelling, Oropharyngeal pain, Swelling face
Clinical narrative: About a 1/2 hour after she had her typhoid and Twinrix vaccines at about 3:30PM she lost her voice, sore throat, swollen lips & face, SOB, and at 6:30 PM.
Age: 20.0
Sex: F
Vaccine: DTAP, VARCEL, TDAP, VARCEL
Symptoms: Anxiety, Asthenia, Dizziness, Nausea, Vomiting
Clinical narrative: Patient received a Varivax in left Deltoid received a second vaccine on her right deltoid which were a Tdap. After 1 minute patient c/o dizziness, nausea and weakness. Was very anxious, vomited yellowished matter (approximately 20cc ) Remained alert and oriented. Administered Epinephrin 0.3mg IM via auto-injector. VS: Pulse: 52, Resp: 22, O2sat 99% BP 90/60. Paramedics called. Patient recovered quickly.
Age: 20.0
Sex: F
Vaccine: DTAP, VARCEL, TDAP, VARCEL
Symptoms: Anxiety, Asthenia, Dizziness, Nausea, Vomiting
Clinical narrative: Patient received VARIVAX in left deltoid and second vaccine Tdap at (R) deltoid. After 1 minute patient c/o dizziness - nausea - and weakness. Was very anxious, vomited yellowish matter (approximately 20 cc). Remained at A & ) - administered epinephrine 0.3 mg IM. VS: P (5) - R: 22, BP 90/60. Paramedic called. Pt. recovered.
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Exposure to vaccinated person, Platelet count decreased, Rash, Rash erythematous, White blood cell count increased
Clinical narrative: Patient's son received varicella vaccine on 7/16/10.  Patient was out of town for few days after vaccine was given.  Upon returning home, patient noticed that son had small rash on his chest, that went away after few days.  On 8/1 pt noticed red rash on right arm near her elbow, which spread to her right upper arm, chest, rib cage, and flanks on both sides over next several days.  Patient had had last chemotherapy approximately 2 weeks prior to admission.  WBC on admission was 12.7 and platelet count was 125,000.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Convulsion, Syncope
Clinical narrative: This case was reported  by a physician and described the occurrence of syncope in a 32-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 21 July 2010 the subject received unspecified dose of BOOSTRIX (details unknown). On 21 July 2010, within 2 minutes after vaccination with BOOSTRIX, the subject experienced syncope, seizure and loss of muscle control. A call was placed to 911 and she was taken to the hospital emergency room. The extent of hospitalization was unknown. The subject was treated with oxygen, VALIUM and NARCAN. At the time of reporting the events were resolved.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Screaming
Clinical narrative: non-stop screaming for 2 hours
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Softball sized swollen area, red and itchy.  Pt treated w/Orapred 15mg/5mL; 5mL qd x 5 days, OTC Benadryl qd prn.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/swelling left arm from shoulder to elbow
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Swelling (50mm), redness and discomfort at the injection site of the Kinrix vaccine.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Condition aggravated, Tourette's disorder
Clinical narrative: Pt experienced full-blown Tourettes event which is continuing at the time of this report. he had not had a serious event since he had his DTaP booster in 3/03. in retrospect his mother reports that the very first event was following his 18mo booster.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Injection site hypersensitivity, Injection site pain, Myalgia
Clinical narrative: Dizziness/lightheadedness, muscle aches, shot site painful and sensitive.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Blood bicarbonate normal, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood culture negative
Clinical narrative: Patient developed pain, erythema, and swelling, initially localized to injection site (right deltoid) but this increased to involve the entire upper arm proximal to the elbow joint.  There was some weeping/oozing of thin clear-brown fluid as well.  Low-grade fever.  Concern for cellulitis so patient was admitted to the hospital and was started on parenteral antibiotics.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium decreased, Blood urea normal, Eosinophil percentage
Clinical narrative: Patient developed pain, erythema, and swelling, initially localized to injection site (right deltoid) but this increased to involve the entire upper arm proximal to the elbow joint.  There was some weeping/oozing of thin clear-brown fluid as well.  Low-grade fever.  Concern for cellulitis so patient was admitted to the hospital and was started on parenteral antibiotics.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Haematocrit normal, Haemoglobin normal, Injection site discharge, Injection site erythema, Injection site pain
Clinical narrative: Patient developed pain, erythema, and swelling, initially localized to injection site (right deltoid) but this increased to involve the entire upper arm proximal to the elbow joint.  There was some weeping/oozing of thin clear-brown fluid as well.  Low-grade fever.  Concern for cellulitis so patient was admitted to the hospital and was started on parenteral antibiotics.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site swelling, Laboratory test, Lymphocyte percentage decreased, Mean cell volume decreased, Neutrophil percentage increased
Clinical narrative: Patient developed pain, erythema, and swelling, initially localized to injection site (right deltoid) but this increased to involve the entire upper arm proximal to the elbow joint.  There was some weeping/oozing of thin clear-brown fluid as well.  Low-grade fever.  Concern for cellulitis so patient was admitted to the hospital and was started on parenteral antibiotics.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Platelet count normal, Pyrexia, White blood cell count increased
Clinical narrative: Patient developed pain, erythema, and swelling, initially localized to injection site (right deltoid) but this increased to involve the entire upper arm proximal to the elbow joint.  There was some weeping/oozing of thin clear-brown fluid as well.  Low-grade fever.  Concern for cellulitis so patient was admitted to the hospital and was started on parenteral antibiotics.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Headache, Hyperhidrosis, Nausea, Somnolence
Clinical narrative: Patient had nausea and sweating.  She felt feverish, but she has not had a fever when she took her temperature.  She had a headache.  She felt very sleepy.  She developed profuse and soft stools, although they were not watery.  She did not have actual vomiting.  She did not have any jaundice.  Symptoms were severe for about three days.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: COMPLAINS OF DIARRHEA, SEVERE HEADACHE, MUSCLE ACHES, FEVER
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Retching, Vomiting
Clinical narrative: FEVER OF 101 AND VOMITING (DRY HEAVES)
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling, redness and discomfort at injection site where Kinrix vaccine was given. Patient also had a low grade fever for 1 day.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthenia, Ataxia, Dysarthria, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Presented to Clinic on Monday, 8/9/10 with the following symptoms that started on 7/30/10: Walking funny, weakness, ataxia, talking funny, slurry speech, garbled words, affected fine muscle skills, restless-he just could not sit still, very sensitive-he cried easily, "he was just acting funny".  Parents reported that the symptoms did come and go. Dr. was unsure what was going on and the family was sent home to monitor. Parents reported that his symptoms did improve after the visit on 8/9/10, but returned to clinic today, 8/11/10, with complaints that his symptoms are worse. Dr. suspects he has Guillain-Barre`syndrome. Dr. is sending him to Hospital for evaluation.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Restlessness, Speech disorder
Clinical narrative: Presented to Clinic on Monday, 8/9/10 with the following symptoms that started on 7/30/10: Walking funny, weakness, ataxia, talking funny, slurry speech, garbled words, affected fine muscle skills, restless-he just could not sit still, very sensitive-he cried easily, "he was just acting funny".  Parents reported that the symptoms did come and go. Dr. was unsure what was going on and the family was sent home to monitor. Parents reported that his symptoms did improve after the visit on 8/9/10, but returned to clinic today, 8/11/10, with complaints that his symptoms are worse. Dr. suspects he has Guillain-Barre`syndrome. Dr. is sending him to Hospital for evaluation.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Her left leg (the leg which was injected with the vaccine), became swollen and had redness all over the thigh.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Electromyogram abnormal, Guillain-Barre syndrome, Headache, Lumbar puncture abnormal
Clinical narrative: Headache, vomiting, weakness.  Admitted to the hospital 03/08/2010 and was diagnosed with the Miller-Fisher variant of Guillain-Barre Syndrome.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Miller Fisher syndrome, Vomiting
Clinical narrative: Headache, vomiting, weakness.  Admitted to the hospital 03/08/2010 and was diagnosed with the Miller-Fisher variant of Guillain-Barre Syndrome.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm, Swelling
Clinical narrative: Pt complaining of pain, itching in upper left arm (underside).  Area is 10cmx8.5cm redness with swelling, warmth.  No other s/s present.  Pt to apply ice off/on, take Tylenol/Benadryl and come to clinic if changes.
Age: 27.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chills, Dysphonia, Injection site erythema, Lymphadenopathy, Pain
Clinical narrative: Fever, Chills, Aches, Swollen Lymph Nodes, Hoarse Voice, Arm extremely sore, Large red area around site of shot
Age: 27.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever, Chills, Aches, Swollen Lymph Nodes, Hoarse Voice, Arm extremely sore, Large red area around site of shot
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: First I was lightheaded. Then very dizzy. Next I thought I was going to faint. Became very nauseous. Needed assistance to walk because of the dizziness. Laid down and took 2 Advil. Then slept for 3 hours. Woke up and symptoms were gone.
Age: 1.24
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Intermittent hives.  Rash lasts about an hour then resolves and appears on another part of the body.  No medications given at home. When evaluated, recommended cetirizine (non-sedating antihistamine) for symptomatic relief.  Also had transient low grade fever on the night of vaccination (8/10/2010) which did not recur.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Activities of daily living impaired, Borrelia test, Cerebrovascular accident, Chest discomfort, Computerised tomogram normal
Clinical narrative: July 3, 2009- I woke up at 6:30 a.m. to use the bathroom. When I turned around my wife saw that my right eye had become enlarged and drooped. I then decided to take a shower and afterwards I was feeling weakness in my right leg and left arm. At that moment I needed assistance to be dressed. My wife then took me into the emergency room at the Hospital. While being screened by the nurse, my tongue became numb and weak and started to slur. The attending emergency doctor requested for a CT scan which showed no signs of abnormality. And since it was a holiday, he advised that we see our family doctor first thing Monday morning for an MRI. And so I was released and the doctor indicated on the discharge paper as having a "probable stroke". At home the weakness, slurring, numbness and difficulty swallowing worsened. So we went back to the same emergency hospital at 7:30 p.m. At the time the attending physician requested for lab work to be done to see if I had Lyme disease, West Nile virus, and H1N1. He did mention about having symptoms of Guillian Barre. While waiting for the test results the symptoms worsened. In addition, my chest was feeling heavy. The doctor decided to have me transported to the Intensive Care Unit at Hospital. It was July 4th by the time we reached city. As soon as we arrived I advised the medical staff that my breathing was heavier and that I might not be able to breathe much longer. So they decided to put me on a ventilator. During my hospitalization in the ICU, they determined that I had Guillian Barre. IVIG was administered, EMG was conducted, Anti toxin E was also administered. July 21, 2009- Released from the ICU and transferred to the Skilled Nursing Facility at Medical Center. This unit is known for the care and maintenance of the ventilator which I was still attached to. I was then released on January 1st to Acute Rehab at Medical Center. January 1 2020-The start of acute rehab with physical, occupational, and speech therapy which extended out till my discharge on March 16, 2010. I am presently going to outpatient.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Dysarthria, Dysphagia, Dyspnoea, Electromyogram, Eyelid oedema
Clinical narrative: July 3, 2009- I woke up at 6:30 a.m. to use the bathroom. When I turned around my wife saw that my right eye had become enlarged and drooped. I then decided to take a shower and afterwards I was feeling weakness in my right leg and left arm. At that moment I needed assistance to be dressed. My wife then took me into the emergency room at the Hospital. While being screened by the nurse, my tongue became numb and weak and started to slur. The attending emergency doctor requested for a CT scan which showed no signs of abnormality. And since it was a holiday, he advised that we see our family doctor first thing Monday morning for an MRI. And so I was released and the doctor indicated on the discharge paper as having a "probable stroke". At home the weakness, slurring, numbness and difficulty swallowing worsened. So we went back to the same emergency hospital at 7:30 p.m. At the time the attending physician requested for lab work to be done to see if I had Lyme disease, West Nile virus, and H1N1. He did mention about having symptoms of Guillian Barre. While waiting for the test results the symptoms worsened. In addition, my chest was feeling heavy. The doctor decided to have me transported to the Intensive Care Unit at Hospital. It was July 4th by the time we reached city. As soon as we arrived I advised the medical staff that my breathing was heavier and that I might not be able to breathe much longer. So they decided to put me on a ventilator. During my hospitalization in the ICU, they determined that I had Guillian Barre. IVIG was administered, EMG was conducted, Anti toxin E was also administered. July 21, 2009- Released from the ICU and transferred to the Skilled Nursing Facility at Medical Center. This unit is known for the care and maintenance of the ventilator which I was still attached to. I was then released on January 1st to Acute Rehab at Medical Center. January 1 2020-The start of acute rehab with physical, occupational, and speech therapy which extended out till my discharge on March 16, 2010. I am presently going to outpatient.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Eyelid ptosis, Guillain-Barre syndrome, Hypoaesthesia oral, Immunoglobulin therapy, Influenza serology
Clinical narrative: July 3, 2009- I woke up at 6:30 a.m. to use the bathroom. When I turned around my wife saw that my right eye had become enlarged and drooped. I then decided to take a shower and afterwards I was feeling weakness in my right leg and left arm. At that moment I needed assistance to be dressed. My wife then took me into the emergency room at the Hospital. While being screened by the nurse, my tongue became numb and weak and started to slur. The attending emergency doctor requested for a CT scan which showed no signs of abnormality. And since it was a holiday, he advised that we see our family doctor first thing Monday morning for an MRI. And so I was released and the doctor indicated on the discharge paper as having a "probable stroke". At home the weakness, slurring, numbness and difficulty swallowing worsened. So we went back to the same emergency hospital at 7:30 p.m. At the time the attending physician requested for lab work to be done to see if I had Lyme disease, West Nile virus, and H1N1. He did mention about having symptoms of Guillian Barre. While waiting for the test results the symptoms worsened. In addition, my chest was feeling heavy. The doctor decided to have me transported to the Intensive Care Unit at Hospital. It was July 4th by the time we reached city. As soon as we arrived I advised the medical staff that my breathing was heavier and that I might not be able to breathe much longer. So they decided to put me on a ventilator. During my hospitalization in the ICU, they determined that I had Guillian Barre. IVIG was administered, EMG was conducted, Anti toxin E was also administered. July 21, 2009- Released from the ICU and transferred to the Skilled Nursing Facility at Medical Center. This unit is known for the care and maintenance of the ventilator which I was still attached to. I was then released on January 1st to Acute Rehab at Medical Center. January 1 2020-The start of acute rehab with physical, occupational, and speech therapy which extended out till my discharge on March 16, 2010. I am presently going to outpatient.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Intensive care, Mechanical ventilation, Muscular weakness, Tongue paralysis, Viral test
Clinical narrative: July 3, 2009- I woke up at 6:30 a.m. to use the bathroom. When I turned around my wife saw that my right eye had become enlarged and drooped. I then decided to take a shower and afterwards I was feeling weakness in my right leg and left arm. At that moment I needed assistance to be dressed. My wife then took me into the emergency room at the Hospital. While being screened by the nurse, my tongue became numb and weak and started to slur. The attending emergency doctor requested for a CT scan which showed no signs of abnormality. And since it was a holiday, he advised that we see our family doctor first thing Monday morning for an MRI. And so I was released and the doctor indicated on the discharge paper as having a "probable stroke". At home the weakness, slurring, numbness and difficulty swallowing worsened. So we went back to the same emergency hospital at 7:30 p.m. At the time the attending physician requested for lab work to be done to see if I had Lyme disease, West Nile virus, and H1N1. He did mention about having symptoms of Guillian Barre. While waiting for the test results the symptoms worsened. In addition, my chest was feeling heavy. The doctor decided to have me transported to the Intensive Care Unit at Hospital. It was July 4th by the time we reached city. As soon as we arrived I advised the medical staff that my breathing was heavier and that I might not be able to breathe much longer. So they decided to put me on a ventilator. During my hospitalization in the ICU, they determined that I had Guillian Barre. IVIG was administered, EMG was conducted, Anti toxin E was also administered. July 21, 2009- Released from the ICU and transferred to the Skilled Nursing Facility at Medical Center. This unit is known for the care and maintenance of the ventilator which I was still attached to. I was then released on January 1st to Acute Rehab at Medical Center. January 1 2020-The start of acute rehab with physical, occupational, and speech therapy which extended out till my discharge on March 16, 2010. I am presently going to outpatient.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Rash macular
Clinical narrative: Pt. had red swollen blotch around site of vaccines. Pt. saw Dr. and she explained that it was normal and to do cold compresses. Call to schedule appt. if not getting better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Induration, Injection site pain, Skin discolouration, Swelling
Clinical narrative: 8-6-10 day of injection pain at injection site. On 8/7/10 very painful swelling the color was red to purple and very hard to the touch. On 8/8 and 8/9/10 swelling and numbness that radiated down to the elbow. 8/10/10 swelling minimal no redness but still very painful and still experiencing numbness of upper arm.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Cough, Pyrexia, Urticaria
Clinical narrative: Developed fever, cough and hives within 48 hours.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Immunization 8/6/10. On 8/7/10 had small blisters distal to site of Varicella vaccine which became 2 large blisters per mother's report. At clinic 8/11/10 and noted 2 red areas each 1 1/2cm round to Rt arm distal administration site of Varicella. Mother will continue to monitor.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Rash papular
Clinical narrative: Approximately 5 mins after receiving IM administered vaccines and 10 mins. after receiving oral vaccine a papular rash appeared on head, then face also noted on extremities. EMTs called, staff physician Dr assessed and stayed with until EMT's arrived. Rash resolving prior to EMT arrival. Patient transported to ER for follow up.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia, Polymyalgia rheumatica
Clinical narrative: Pt. has experienced muscle and joint pain. Notified me 8/10/10. Said she has now been diagnosed with Polymyalgia Rheumatica.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Chest pain, Dyspnoea, Lip swelling, Paraesthesia oral
Clinical narrative: About 5-10 minutes after administration, began to have tingling sensation on tongue/mouth, sharp chest pain and difficulty breathing. BP and HR remained stable, no wheezing, pulse ox upper 90s throughout. Received BENADRYL 25mg PO as well as Sprite. Symptoms resolved but developed some swelling of bottom lip on (R) side.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Patient has minimal deltoid muscle and because of lack of muscle obtained red inflammation reaction from IM injection.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Blister, Rash, Scab
Clinical narrative: Pt. developed pain in RUQ of abdomen on 08-01-10 then developed a rash with 2 small blisters in the same area on 08-08-10 that crusted over. At the time of this report (8-11-10) pt. states pain is resolving.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pyrexia
Clinical narrative: Imm was given 7/21/10. She had a fever for 1 day and a headache for 12 days following the vaccine. No treatment was done.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling
Clinical narrative: 2" area, swollen at site of injection.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Culture wound, Injection site discharge, Injection site mass
Clinical narrative: We got a phone call on 8/5/10 from mom stating pt had a reaction after vaccines given on 6-11-10, mom states that pt woke up next day with a lump on (L) arm with discharge from it, mom didn't pay attention to this issue, since she thought it was normal, after 2 months she called us to find out if it was a normal reaction or not.
Age: 1.76
Sex: M
Vaccine: DTAP, HEPA, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling local to both vaccination sites-increased over 2 days. Started approximately 2 hrs after shots.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Myalgia, Pyrexia
Clinical narrative: Injection site swelling and warmth fevers and muscle aches.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Peripheral coldness
Clinical narrative: Per Mom: C/O (L) thigh swollen and red and hot from immunization on 8-5-10. Still red but decreasing in size. PE - (L) thigh inferior to inj. site has 8-9 cm red, cool skin, tender to touch.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site cellulitis, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received PCV13 vaccine left thigh 8/4/10. Pt developed large local reaction seen 8/6/10 - 8.5/5 cm induration: warm, tender. Seen 8/7/10. Worsening swelling: Dx: cellulitis started on abx course.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt given HEPATITIS A two months early. No reaction has been notified.
Age: 1.48
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Within five (5) minutes of vaccination patients right deltoid area became inflamed and began swelling. By 15 minutes after administration of vaccines right deltoid was red, hot, tender and swollen to 1 1/2 times normal size. Pt. was given BENADRYL. Cool compress was applied to the area. He did not develop any further symptoms.
Age: 37.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: A serious spontaneous report of pregnant woman got a dose of H1N1 LAIV and miscarriage has been received from a registered nurse/health professional concerning a 37-year-old female, subsequent to H1N1, Intranasal. The patient's past medical history and concomitant medications have not been reported. The estimated date of delivery was 23-July-2010. On 21-Oct-2009, the patient received H1N1, Intranasal for an unknown indication. The patient was five weeks pregnant on 23-Nov-2009. On 9-Dec-2009, the patient had a miscarriage. The miscarriage was due to a chromosome abnormality, Trisomy 16. As per the reporter, the chromosome abnormality, Trisomy 16 was not due to the H1N1 vaccine. The patient was doing fine. The outcome of pregnant woman got a dose of H1N1 LAIV was recovered on 21-Oct-2009 and miscarriage was recovered on 09-Dec-2009. Additional information was received on 23-Nov-2009 and incorporated into the narrative: Verbatim, reporter type, gestation period and EDD. Additional information was received on 03-Aug-2010 and incorporated into the narrative: Adverse events and outcome of pregnancy. As discussed with PSP, this case has been upgraded to be a 15-day and the events of pregnant woman got a dose of H1N1 LAIV and miscarriage are considered to be 'Medically Important Events'.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site irritation
Clinical narrative: left upper arm had local redness and irritation from pneumococcal vaccine, no fever or chilling - pt is concerned of infection and reaction to the vaccine.  no sob, no throat swelling or tongue swelling.
Age: 11.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Heart rate increased, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Fever, fast heartbeat, red itchy bumps.  Scheduled doctors appt. today.
Age: 12.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain, Cold sweat, Dizziness, Feeling abnormal, Feeling hot
Clinical narrative: Quiet, calm preteen. Pt. received immunizations without incidence. Pt. picked out sucker and was advised to stand up slowly. Approximately 3-4 minutes after receiving immunizations, she c/o being dizzy. Laid supine with knees bent. Pts. facial color appeared normal. Cold packs placed at nape of neck and forehead. Pt. never lost consciousness. C/o being hot and dizzy. 15:47 BP 112/64 (rt. arm) P-64, breathing normal without signs of respiratory distress. Pts. skin felt "clammy". 15:55 BP 112/70 (rt. arm) P-72. Pt. stated she had eaten breakfast and a snack prior to appointment. C/o body aches and dizziness. Assisted to a sitting position, took several sips of water. Legs and hand were trembling. C/o nausea, no vomiting. States she feels like she was "beat up". 16:00 BP 112/70 (rt. arm) P-76, R-14. C/o lower abdominal pain around umbilicus. States pain is less when pressure is applied (mother of child was firmly stroking lower abdomen). Feet held above level of heart, trembling in legs disappeared. Instructed to lay arms along side of body and stretch and relax finger, trembling in hands disappeared. Assisted into sitting position, drank several sips of water. Laid supine with knees bent. 16:10 BP 108/68 (rt. arm) P-72. Stated pain around umbilicus has stopped but ribs hurt with localized pain under lt. lowest rib. Pain rated on a scale from 1 (no pain) to 10 (worst pain imaginable) as a 9. At approximately 16:25 911 was called BP 118/68. 16:30 BP 128/68 P-24. Legs and hands trembling. Approximately at 16:35 paramedics arrived, pt. conversed with paramedics, vital signs taken, pt. assisted up and walked a few steps and laid down on stretcher, transported to hospital.
Age: 12.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Nausea, Pain, Tremor
Clinical narrative: Quiet, calm preteen. Pt. received immunizations without incidence. Pt. picked out sucker and was advised to stand up slowly. Approximately 3-4 minutes after receiving immunizations, she c/o being dizzy. Laid supine with knees bent. Pts. facial color appeared normal. Cold packs placed at nape of neck and forehead. Pt. never lost consciousness. C/o being hot and dizzy. 15:47 BP 112/64 (rt. arm) P-64, breathing normal without signs of respiratory distress. Pts. skin felt "clammy". 15:55 BP 112/70 (rt. arm) P-72. Pt. stated she had eaten breakfast and a snack prior to appointment. C/o body aches and dizziness. Assisted to a sitting position, took several sips of water. Legs and hand were trembling. C/o nausea, no vomiting. States she feels like she was "beat up". 16:00 BP 112/70 (rt. arm) P-76, R-14. C/o lower abdominal pain around umbilicus. States pain is less when pressure is applied (mother of child was firmly stroking lower abdomen). Feet held above level of heart, trembling in legs disappeared. Instructed to lay arms along side of body and stretch and relax finger, trembling in hands disappeared. Assisted into sitting position, drank several sips of water. Laid supine with knees bent. 16:10 BP 108/68 (rt. arm) P-72. Stated pain around umbilicus has stopped but ribs hurt with localized pain under lt. lowest rib. Pain rated on a scale from 1 (no pain) to 10 (worst pain imaginable) as a 9. At approximately 16:25 911 was called BP 118/68. 16:30 BP 128/68 P-24. Legs and hands trembling. Approximately at 16:35 paramedics arrived, pt. conversed with paramedics, vital signs taken, pt. assisted up and walked a few steps and laid down on stretcher, transported to hospital.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Hypersensitivity, Local reaction, Skin warm, Swelling
Clinical narrative: Extreme swelling and redness.  Tender to the touch and slightly warm.  Patient was seen by MD and was diagnosed with local allergic reaction. Patient self-treated with Benadryl and hydrocortisone cream.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Extreme swelling and redness.  Tender to the touch and slightly warm.  Patient was seen by MD and was diagnosed with local allergic reaction. Patient self-treated with Benadryl and hydrocortisone cream.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient received Tdap on Monday 8/9/10, felt soreness and had some swelling at injection site on Tuesday, but waking up Wednesday morning 8/11/10 felt very tired, which progressed during the day - continued to feel exhausted, arm soreness increased, and swelling, redness, and warmth at injection site increased.  At end of day 8/11/10 patient was febrile (101.6 F).  At the current time - 8/12/10 at 11:00 am - patient feels tired and has soreness, redness and swelling at injection site, but symptoms have decreased somewhat since yesterday.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Patient received Tdap on Monday 8/9/10, felt soreness and had some swelling at injection site on Tuesday, but waking up Wednesday morning 8/11/10 felt very tired, which progressed during the day - continued to feel exhausted, arm soreness increased, and swelling, redness, and warmth at injection site increased.  At end of day 8/11/10 patient was febrile (101.6 F).  At the current time - 8/12/10 at 11:00 am - patient feels tired and has soreness, redness and swelling at injection site, but symptoms have decreased somewhat since yesterday.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Tennis ball size swelling and redness, hot to touch Rt deltoid, pt c/o itching, no c/o soreness or pain, free ROM. DTAP given at this site 48 hrs ago. pt tx. with Benadryl per MGM on 8/11/10 PM. Telephone call 8/12/10 AM says redness and swelling almost gone.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pseudofolliculitis barbae, Rash, Vaccinia virus infection
Clinical narrative: Pt walked into immunization clinic and reports he had small pox vaccine about 12 days ago, on Sunday he woke up with sudden appearance of rash on his upper chest, back and upper arms. No fevers/no chills, aysmptomatic except for rash.  Vaccine tech reported member stated he had shaved his chest, unsure if that was prior to small pox or after vaccination.  Visible shaving bumps present on chest. Attending physician spoke with infectious disease physician advised that keep covered and place on convalescent medical leave for 7 days. Diagnosis of Vaccinia in medical record, DoD Milivax policy states VAERS must be completed if loss more than 1 duty day.  Delay in completing VAERS staff was not aware of requirement to complete.
Age: 1.48
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Computerised tomogram head, Convulsion, Laboratory test
Clinical narrative: Pts temps started on 8/4/10 at 101.5F and increased over the next 24 hours, and was unable to be controlled with TYLENOL and MOTRIN, until the pt started to have seizures.