chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: FLUX
Clinical narrative: Symptoms began 24 days after flu vaccine given on 1/4/07.  02/27/2007 VAERS report received with medical records included. Patient initially presented to local ER with symptoms of diffuse generalized weakness beginning 26 days after receiving flu shot.  She was initially discharged from the ER but presented again the next day with worsening symptoms. 2 days prior to admission she noted tingling in her arm.  1 day prior she was unable to lift her arms above the shoulders. On the day of admission she noticed leg weakness and was unable to get up.  She was admitted. Initial PE showed Power in upper and lower extremities is 3 by 5.  Reflexes symetrically absent in all 4 limbs.  Touch greatly diminished. O2 Sat 94%. Somewhat depressed, otherwise WNL. Multiple consults.  Treated with hematoglobin with slight improvement initially, however still continued to have weakness and difficulty raising arms. Patient was transfered to another facility for continued treatment. Final Diagnosis:  1) Acute Guillain [[name]] Syndrome with diffuse weakness. 2) Dysphagia.  3) Worsening acute renal failure.  4) Hypoxia.  5) Degenerative Joint Disease 6) Increased Creatinine  7) Diabetes Mellitus Type II  8) Hypercholesteremia  9) Urinary Incontinence  10) Peripheral Neuropathy  11) Increased WBC  12)  Respiratory Alkalosis. Initial Admitting DX to 2nd hospital is: Probable Guillain [[name]] Syndrome.  Nuerology consult Impression:  Differential DX certainly includes acute inflammatory demyelinating polyradiculopathy, superimposed upon a baseline diabetic neuropathy.  Indeed the presence of "Guillain [[name]] Syndrome" can be difficult to make in the presence of baseline diabetic neuropathy as well as AIDP.  Primary myopathic process is included in the differential DX given her proximal weakness.  Dysfunction at the level of the neuromuscular junction is less likely. Rheumatology consult Impression: is consistant with polymyositis. 02/28/2007 Discharge Summary requested from 2nd hospitalization./pc 03/02/2007 D/C Summary received from above 2nd hospitalization.  Physical exam unchanged compared to admission, except pt. seems to have better strength in her legs and even in her arms.  She is now able to walk.  Patient was D/C'd to an inpatient rehab. D/C DX:  GBS vs. Myopathy.
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: blood in stool
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia, Inappropriate schedule of drug administration
Clinical narrative: blood in stool
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count normal, Pyrexia
Clinical narrative: Received shots (Dtap #1/HIB #1/IPV #1/Hep B #2/Prevnar #1/Rotateq #1) on 2/22/07; developed fever by next morning up to 101
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Dysphonia, Fatigue, Injection site pain, Pallor
Clinical narrative: dizzy x 2 days, week, paleness, hoarseness, sore throat, tiredness, severe pain at injection site on and off after pain had gone away.  Pain came back many days after.
Sex: F
Vaccine: TDAP
Symptoms: Pharyngolaryngeal pain
Clinical narrative: dizzy x 2 days, week, paleness, hoarseness, sore throat, tiredness, severe pain at injection site on and off after pain had gone away.  Pain came back many days after.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Rash, Skin warm
Clinical narrative: Pt received immunization at 1700 on 2/13/07.  Called into office on 22/20/07 c/o left arm pain.  Physical exam showed a raised, red, warm rash. 3" x 3" inches, semi-circular pattern. Pt stated it started bothering her 2 days ago
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain upper, Erythema, Headache, Injection site erythema, Injection site induration
Clinical narrative: Developed swelling and redness on L arm where Tdap given. Fever about 1 day redness spreading. C/O stomach ache, headache. T 99 upper L arm 10cm, 6cm area of induration and erythema, tender and warm to touch. TX observation for now call if worsen.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Developed swelling and redness on L arm where Tdap given. Fever about 1 day redness spreading. C/O stomach ache, headache. T 99 upper L arm 10cm, 6cm area of induration and erythema, tender and warm to touch. TX observation for now call if worsen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site haematoma
Clinical narrative: She was given Dtap and IPV in the left lateral thigh. She now has a hematoma with an area of erythema 5 cm diameter.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Rotator cuff syndrome
Clinical narrative: 11/5/06 emergency room pain in L arm in area where shot administered, 11-9-06 Dr orthopedic doctor Roto cuff impingement?, 11-13-06 started physical therapy  constant pain intense pain, 12-27-06 DR steroid pills, 1-11-07 Dr shoulder injection cortisone, 1-17-07 Dr nerve test on arm and shoulder, 1-23-07 DR, 1-26-07 hospital started physical therapy again still taking it, 1-8-07 MRI at hospital.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Had vaccines Pediarix, Hib, Prevnar, Rotateq on 2/13/07 hives began on 2/19/07 ? from Rotateq.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Patient had received a 025 ml dose of Fluzone IM on 2/09/07. Should have received 05 ml. Phone cell to dept of health advised repeat dose of .5 ml which was given on 2/20/07. Mother called 2/21/07 to report a lacey like rash developed about 7pm on arms, legs, buttock and noticed it on abdomen and back am 2/21/07. Child has a low grade fever, rash not raised, no other SX recommended Benadryl and Tylenol for age.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Full blood count normal, Petechiae, Red blood cell sedimentation rate normal
Clinical narrative: B lower extremity red dots that formed into palpable petechiae, also on extensor surfaces B UES.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Acute Fever 106 (R).
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pyrexia, Syncope
Clinical narrative: Soreness at injection site, fever (temp = 102 on day 2), syncope X 1
Age: 66.0
Sex: U
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: Pt received a flu shot at the flu clinic on Oct 4 2006. He received his flu vaccine from the biojector. Called in Dec complaining that his arm was still sore to his wrist.
Age: 12.0
Sex: M
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Syncope, Syncope vasovagal
Clinical narrative: Given 4 vaccines, assisted mother in holding brother so brother could receive vaccines. Approx 7-10 min after pt received vaccines and after brother received vaccine, fainted, child had sweats on warm in room, out approx 30-40 seconds. VSS did hit head on wall, no lump felt, alert, oriented x 3, appro answers to question. To ER per director request, VIA private car. FU PC to mother at 1600 child doing well. ER DR thought it was a nerve RX of some kind asked if vagal mother said yes.
Age: 14.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ
Symptoms: Cervix disorder, Contusion, Discomfort, Myalgia, Pain
Clinical narrative: 2 days after receiving vaccines started having sharp, stabbing pain, and bruising in cervix area. Muscles ache and burn also inner thighs. No fever, no vaginal discharge. Still having discomfort 12 days afterwards. No sexually active.
Age: 41.0
Sex: M
Vaccine: HEP, HEPA, TDAP
Symptoms: Abdominal pain, Asthenia, Eye disorder, Nausea, Pyrexia
Clinical narrative: weakness, nausea, abdominal pain/cramps, fever-temp unknown, rash eyes yellowing
Age: 41.0
Sex: M
Vaccine: HEP, HEPA, TDAP
Symptoms: Rash
Clinical narrative: weakness, nausea, abdominal pain/cramps, fever-temp unknown, rash eyes yellowing
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Rash
Clinical narrative: Client added 2/16/07 to report she had child and no fever 2 wks after having Iz-Zostavax-then developed spots on ankle right and continued to have rash over sternum, head, torso and some on extremities-spoke with client 2/01/07 and rash has crusted over. Did not see her PMD-still feel she has decreased energy today.  States she had a mild case od chickenpox as a child and had a positive titer done in the 1960's.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Thigh swelled and redness spread over more than 3/4 of her leg warm to touch.
Age: 1.25
Sex: M
Vaccine: DTAPH, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: right thigh adjacent to injection site with 10 cm x 5 cm red, warm, indurated area, noticed this am by mom, vaccines yesterday, no fever, no pain
Age: 0.35
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Had Rotateq with 2 mos vaccine-developed fever up to 101.4, vomited, r/o septic work up- sent home then developed diarrhea which went away but reoccurred 1/07 and got worse after 2nd Rotateq vaccine
Age: 13.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Pharyngitis streptococcal, Pyrexia
Clinical narrative: 2/25/07 Sudden onset of headache and fever to 102-has appt to see Ped MD this am 2/26/07.  2/16/06 per mother, pt has strep throat after PMD visit.
Sex: U
Vaccine: DTAP, HIBV
Symptoms: Pyrexia, Swollen tongue
Clinical narrative: fever greater than 103x2d, tongue swelling. (matted 2 days after vaccination and resolved spontaneously.
Sex: U
Vaccine: MMR, TD
Symptoms: Unevaluable event
Clinical narrative: unevaluable event
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: immune give too early, 1st 11-17-06
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: pt received Hepatitis b vaccine, 3 rd shot @ 0855 am 02/16/07, approx 12:15 am felt dizzy, nauseated and headache as stated.  States feels ok prior to coming to work.  -----not feelin sick.
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Within 24 hour of receiving Varivax booster pt developed redness and swelling from injection site on the back of her left arm to her elbow. Fever 102, no tenderness, but unable to bend elbow, symptoms clearing with another 24 hrs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: R arm red, swollen, hot, itchy fever
Age: 1.0
Sex: M
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Flushing, Irritability, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: Vaccines given 2/12/07 fever, irritability 2/14/07 onset rash 2/4/07 and progression symptoms 2/15. Temp 103+ skin flushed and maculopapular rash.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Dizziness, Erythema, Hypoventilation, Vomiting
Clinical narrative: Mom called office spoke with on call MD, vomited in car stated to mom "don't move me", mom thought he might have been dizzy, HX RAD, breathing shallow, mom gave albuterol Neb. TX he was red from head to feet, disappeared after 1 hr. Mom stated he was acting fine, went to bed. Also fine next day.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Child noted L arm reddened and painful last eve. Went to school today teacher called mom to pick child up at school due to painful, swollen arm. Applying ice, Advised to give Benadryl 25 mg now, may repeat at bed time Ibuprofen PO at 4 hour PRN, erythema 1 1/2 x 1 1/2".
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Nasal oedema
Clinical narrative: PT returned to clinic c/o difficulty breathing was retracting and exhaling forcefully. O2 sat 98% coarse BS. Given albuterol TX with improvement in exam few minutes later c/o inability to blow nose. Nasal passages were swollen shut. Given one dose of Benadryl with some improvement. Referred to children's emergency for observation. O2 sat remained 95 - 99%. Pt has a completely normal exam 15 min prior to episode before vaccine given.
Age: 1.01
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Pruritus, Skin lesion
Clinical narrative: 50 Lesions, low grade temp, itchy
Age: 1.31
Sex: F
Vaccine: HBPV, VARCEL
Symptoms: Skin lesion
Clinical narrative: Pt presented with lesions starting 12 hrs prior mother stating "epidemic at school".
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Skin lesion
Clinical narrative: Sm lesion RT side abd three sm lesions back, sm amount erythema two heavy raised vesicles.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash erythematous, Skin lesion
Clinical narrative: Several lesions back itchy 5-6 erythematous lesions with raised vesicles on back.
Sex: U
Vaccine: HIBV
Symptoms: Haemophilus infection, Vaccination failure
Clinical narrative: This case was considered medically important. Information regarding Hib titer vaccine was received from an attorney regarding a patient who received "3 or 4cycles and than came down with Haemophilus Type B. On unspecified dated, the patient received "3 or 4 cycles" of Hib-Titer. On an unspecified date, the patient "came down with Haemophilus Type B (drug ineffective). It was unknown if the patient recovered from the event. No additional information was available at the time of this report.
Sex: F
Vaccine: HIBV
Symptoms: Antibody test negative, Blood immunoglobulin G, Drug ineffective, Meningitis pneumococcal
Clinical narrative: Information regarding Hib-Titer was received from a healthcare professional regarding a 5-year-old female patient who experienced antibody test negative. The patient received a dose on an unspecified date. The patient experienced antibody test negative on an unspecified date. No further information was provided. Blood immunoglobulin G (results: normal) was done on an unspecified date. See related case (s): HQWYE565230JAN06 (adverse event, expedited) in which the same reporter revealed this patient experienced pneumococcal meningitis after receiving 3 doses of Prevnar.
Age: 54.0
Sex: F
Vaccine: HEPA, IPV, TD, TYP, YF
Symptoms: Fatigue, Injection site erythema, Injection site nodule, Nasal congestion, Pyrexia
Clinical narrative: Client reported "mild problems" on 7/10/06 including lump and redness at yellow fever injection site.  Fever over 100 which began 24 hours after vaccination and then recurred on 7-7-06.  Also reported fatigue and nasal congestion.  Client instructed to continue to cold pack injection site and take Ibuprofen or Tylenol for fever and discomfort (see additional notes)
Age: 43.0
Sex: M
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 02/15/07 telephone conversation, verbal report 2/14/07 noticed L deltoid area with redness, swelling, itching and puffiness approx size of an orange. States tried heat, did not improve. 2/15/07 site unchanged. RN observed 10-12 cm red, warm indurated site L deltoid area on 2/15/07.
Age: 19.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Headache, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: Localized redness and swelling in right arm (injection site), fever, nausea and vomiting. Body aches and headache.
Age: 19.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Pyrexia, Vomiting
Clinical narrative: Localized redness and swelling in right arm (injection site), fever, nausea and vomiting. Body aches and headache.
Age: 24.0
Sex: F
Vaccine: DTAP, HEPA, YF
Symptoms: Inappropriate schedule of drug administration, No adverse effect, Wrong drug administered
Clinical narrative: Due to pharmacy substitution, pt received Infanrix Dtap vaccination rather than Adacel Tdap vaccination. University drug information center indicated that the pediatric Infanrix version contains the same amounts of tetanus and pertussis and in creased amount of diphtheria component. The patient should be adequately immunized. They may, however, be at an increased risk of adverse reaction due to the elevated diphtheria component. The patient was contacted and did not experience any serious adverse reactions. Follow up corrective actions are being taken at center.
Age: 64.0
Sex: M
Vaccine: DTAP, HEPA, YF
Symptoms: Inappropriate schedule of drug administration, No adverse effect, Wrong drug administered
Clinical narrative: Due to pharmacy substitution, pt received Infanrix Dtap vaccination rather than Adacel Tdap vaccination. University drug information center indicated that the pediatric Infanrix version contains the same amounts of tetanus and pertussis and in creased amount of diphtheria component. The patient should be adequately immunized. They may, however, be at an increased risk of adverse reaction due to the elevated diphtheria component. The patient was contacted and did not experience any serious adverse reactions. Follow up corrective actions are being taken at center.
Age: 23.0
Sex: M
Vaccine: DTAP, HEPA, YF
Symptoms: Inappropriate schedule of drug administration, Medication error, No adverse effect, Wrong drug administered
Clinical narrative: Due to pharmacy substitution, pt received Infanrix Dtap vaccination rather than Adacel Tdap vaccination. University drug information center indicated that the pediatric Infanrix version contains the same amounts of tetanus and pertussis and in creased amount of diphtheria component. The patient should be adequately immunized. They may, however, be at an increased risk of adverse reaction due to the elevated diphtheria component. The patient was contacted and did not experience any serious adverse reactions. Follow up corrective actions are being taken at center.
Age: 46.0
Sex: F
Vaccine: DTAP, HEPAB, IPV, MMR, MNQ
Symptoms: Inappropriate schedule of drug administration, No adverse effect, Wrong drug administered
Clinical narrative: Due to pharmacy substitution, pt received Infanrix Dtap vaccination rather than Adacel Tdap vaccination. University drug information center indicated that the pediatric Infanrix version contains the same amounts of tetanus and pertussis and in creased amount of diphtheria component. The patient should be adequately immunized. They may, however, be at an increased risk of adverse reaction due to the elevated diphtheria component. The patient was contacted and did not experience any serious adverse reactions. Follow up corrective actions are being taken at center.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Bedridden, Blister, Delirium, Feeling hot, Hallucination
Clinical narrative: Information has been received from a 70 year old female consumer with rheumatoid arthritis, allergy to heavy metals including gold and mercury, penicillin, aspirin (ringing in ears), formaldehyde, iodine (injection and topical), raloxifene HCL, indomethacin, lisinopril, ezetimibe and alendronate sodium allergy, and latex/band aid allergy and a history of bone cancer (1989), left lower leg amputation and platinum containing chemotherapy who in October 2001, was vaccinated with Pneumovax. Concomitant therapy included vitamins (unspecified) and herbs (unspecified) including POLICOSANOL. In October 2001, the day after vaccination with Pneumovax, the patient developed Stevens Johnson syndrome. Symptoms included "blisters, internal heat, and horrendous pain". The blisters were the size of quarters on the patients torso. The patient was bed-ridden. Her skin was sloughing off and she became allergic to water. The patient wore cloth gloves under rubber gloves to avoid contact with water. When water touched the patients wrists, blisters would form. When the patient wore sleeveless shirts, the skin under her armpits and around her shoulders would rub off. The patient became "delirious" and experienced hallucinations. The patient was not certain whether she had hallucinated due to medications which were ordered to resolve her symptoms. The medications included prednisone, ATARAX and DECADRON. The patient also mentioned that she took "nerve blocks" for sciatica. After 3-6 months, the patient's symptoms resolved. Upon internal review Stevens Johnson syndrome was considered to be an other important medical event. The patient also mentioned that she experienced drug reaction with lisinopril (manufacturer unknown) NWAES0702USA03984, ezetimibe NWAES0702USA03994, indomethacin NWAES0702USA04037 and alendronate sodium NWAES0702USA03985.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Pain, Sciatica, Skin exfoliation, Stevens-Johnson syndrome
Clinical narrative: Information has been received from a 70 year old female consumer with rheumatoid arthritis, allergy to heavy metals including gold and mercury, penicillin, aspirin (ringing in ears), formaldehyde, iodine (injection and topical), raloxifene HCL, indomethacin, lisinopril, ezetimibe and alendronate sodium allergy, and latex/band aid allergy and a history of bone cancer (1989), left lower leg amputation and platinum containing chemotherapy who in October 2001, was vaccinated with Pneumovax. Concomitant therapy included vitamins (unspecified) and herbs (unspecified) including POLICOSANOL. In October 2001, the day after vaccination with Pneumovax, the patient developed Stevens Johnson syndrome. Symptoms included "blisters, internal heat, and horrendous pain". The blisters were the size of quarters on the patients torso. The patient was bed-ridden. Her skin was sloughing off and she became allergic to water. The patient wore cloth gloves under rubber gloves to avoid contact with water. When water touched the patients wrists, blisters would form. When the patient wore sleeveless shirts, the skin under her armpits and around her shoulders would rub off. The patient became "delirious" and experienced hallucinations. The patient was not certain whether she had hallucinated due to medications which were ordered to resolve her symptoms. The medications included prednisone, ATARAX and DECADRON. The patient also mentioned that she took "nerve blocks" for sciatica. After 3-6 months, the patient's symptoms resolved. Upon internal review Stevens Johnson syndrome was considered to be an other important medical event. The patient also mentioned that she experienced drug reaction with lisinopril (manufacturer unknown) NWAES0702USA03984, ezetimibe NWAES0702USA03994, indomethacin NWAES0702USA04037 and alendronate sodium NWAES0702USA03985.
Age: 0.36
Sex: U
Vaccine: RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a patient who on approximately 30-OCT-2006 was vaccinated with an oral dose of Rotateq. On 10-DEC-2006 the patient was referred to the hospital for intussusception. The patients outcome was not known. There was no product quality complaint involved. The patient's intussusception was considered to be life threatening. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Clinical narrative: None Stated 03/05/07-records received from facility: seen in ED for allergic reaction to vaccines. HX of cough, wheezing and SOB few hours prior to ED visit, symptoms began 30 minutes after vaccines. Initially returned to PCP with c/o chest tightness, difficulty breathing, treated with epipen and benadryl and sent to ED. No swelling of mouth, lips or tongue. Allergies to cat (owns a cat). Uses nasonex for nasal congestion. VS P: 141, resp 20 BP 130/91. Treated with solu medol and ranitidine. Tremors, difficulty breathing. PE unremarkable. Lungs clear, no rhonchi, no wheezes. Admitted for IV steroid treatment.
Age: 0.62
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood count normal, Body temperature increased, Computerised tomogram normal, Convulsion, Electroencephalogram normal
Clinical narrative: Called Dr 2/11/07 after onset of seizures, began at 1200, duration 72 hours and hospitalized for 36 hours. Has appt on 3/19/07. Temp was around 100 deg F.  04/02/2007 MR received for hospital admission for possible seizure.  Infant had had several episodes of diarrhea, one episode of vomiting, and a fever of 101 at home.  She had 5-6 episodes of fine shaking of her upper extremities, she would get stiff and the head turned to left. These lasted ~10 seconds each. PE: WNL. Impression:  Possible new onset seizures.  Probable viral gastroenteritis.
Age: 0.62
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: Called Dr 2/11/07 after onset of seizures, began at 1200, duration 72 hours and hospitalized for 36 hours. Has appt on 3/19/07. Temp was around 100 deg F.  04/02/2007 MR received for hospital admission for possible seizure.  Infant had had several episodes of diarrhea, one episode of vomiting, and a fever of 101 at home.  She had 5-6 episodes of fine shaking of her upper extremities, she would get stiff and the head turned to left. These lasted ~10 seconds each. PE: WNL. Impression:  Possible new onset seizures.  Probable viral gastroenteritis.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Hyperhidrosis, Neuropathy, Pain
Clinical narrative: Neuropathy, chills, pain, sweating under the care of an internal MD. Doctor referred to a neurologist and rheumatologist also went to chiropractor and acupuncturist
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Rash on shoulders, chest and back
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chest X-ray normal, Chest pain, Computerised tomogram normal, Dizziness
Clinical narrative: Site red, warm, swollen. Colleague c/o headache, nausea, diarrhea, dizziness, arm and chest pain with general weakness. ER doctor feels only local symptoms are related, and she may have a virus.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Electrocardiogram normal, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site red, warm, swollen. Colleague c/o headache, nausea, diarrhea, dizziness, arm and chest pain with general weakness. ER doctor feels only local symptoms are related, and she may have a virus.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain in extremity, Viral infection
Clinical narrative: Site red, warm, swollen. Colleague c/o headache, nausea, diarrhea, dizziness, arm and chest pain with general weakness. ER doctor feels only local symptoms are related, and she may have a virus.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Received IPV #4 and Dtap #5 on right deltoid - developed swelling and erythema 8 hours later.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Blood culture negative, Chest X-ray normal, Culture urine negative, Irritability
Clinical narrative: 1. Gagging, emesis x 3. 2. Fussiness x 1 1/2 hours. 3. Question of apnea x 10 seconds at home 5-6 times.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Platelet count normal, Retching, Urine analysis normal, Vomiting, White blood cell disorder
Clinical narrative: 1. Gagging, emesis x 3. 2. Fussiness x 1 1/2 hours. 3. Question of apnea x 10 seconds at home 5-6 times.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Herpes zoster, Rash vesicular, Varicella virus test positive, Viral test positive
Clinical narrative: Developed erythematous, vesicles rash along T6 dermatome 2 days after injection. Treating with Valtrex. This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a licensed practical nurse concerning a 68 year old female with no known allergies, and history of hypertension and osteoporosis, who on 16-FEB-2007 at 13:15 was vaccinated intramuscularly into the left deltoid with a first dose of ZOSTAVAX (Merck) (Lot # 656606/003U). There was no illness at the time of vaccination. On 17-FEB-2007 the patient didn't feel well. On 18-FEB-2007 "during church" the patient developed an erythematous, vesicular rash along T6 dermatome two days after the injection. The patient also experienced pain on that same day. On 20-FEB-2007 the patient was seen by the physician and presented with shingles. At that time there was a rash on the left side and under the left breast. The patient was treated with VALTREX. As of 21-FEB-2007 the patient was "fine" and was not in the hospital. On an unspecified date, a viral culture, rapid, varicella was obtained, which was positive. There was no product quality complaint involved. At the time of reporting the final outcome was unknown. Additional information is not expected.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Malaise, Pain, Rash
Clinical narrative: Developed erythematous, vesicles rash along T6 dermatome 2 days after injection. Treating with Valtrex. This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a licensed practical nurse concerning a 68 year old female with no known allergies, and history of hypertension and osteoporosis, who on 16-FEB-2007 at 13:15 was vaccinated intramuscularly into the left deltoid with a first dose of ZOSTAVAX (Merck) (Lot # 656606/003U). There was no illness at the time of vaccination. On 17-FEB-2007 the patient didn't feel well. On 18-FEB-2007 "during church" the patient developed an erythematous, vesicular rash along T6 dermatome two days after the injection. The patient also experienced pain on that same day. On 20-FEB-2007 the patient was seen by the physician and presented with shingles. At that time there was a rash on the left side and under the left breast. The patient was treated with VALTREX. As of 21-FEB-2007 the patient was "fine" and was not in the hospital. On an unspecified date, a viral culture, rapid, varicella was obtained, which was positive. There was no product quality complaint involved. At the time of reporting the final outcome was unknown. Additional information is not expected.
Age: 41.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Patient was given Varicella immunization in Right arm, subcutaneously with 5/8" needle on 2/7/07. On 2/8/07, patient awoke with welt in spot where immunization had been given. Patient stated it was "hot and swollen". Patient was advised to observe, ice arm, take Tylenol and Benadryl and report to us any changes. Patient is fine now with no more irritation.
Age: 1.11
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Pyrexia
Clinical narrative: 02/15/07 12:00 onset of fever. Temperature not measure until 02/16/07 at 1425 at 102.7, 2 hours after proper dose of Tylenol.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash papular, Urticaria
Clinical narrative: Diffuse pink papular rash and urticaria. Topical steroids.
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Patient came in vomiting for 12 hours. Pedialyte PRN.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Herpes virus infection, Hordeolum
Clinical narrative: 2/2/07 Vesicles near eyebrow, sty in eyelid - found to be possible herpes. Treated with Valtrex.
Age: 1.08
Sex: F
Vaccine: FLU3, HEPA, MMRV
Symptoms: Urticaria
Clinical narrative: Hive started 5 days after vaccines inner thigh / outer thighs, stomach, chest and both upper arms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Local reaction, Pruritus, Skin nodule, Swelling
Clinical narrative: Large local reaction of right leg with significant swelling, redness, itching, fever and lumpy.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Pyrexia, Swelling
Clinical narrative: redness at site, fever, swollen
Age: 26.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Dizziness, Rash, Urticaria
Clinical narrative: symptoms started 2-20-07 at 7pm.  1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms.  She also felt faint at times.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed herpes zoster approximately 1 week after Zostavax.  Zoster on right trunk.  Treated with Valacyclovir 1000 tid
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Facial palsy, Pain, Rash
Clinical narrative: 1-2 days after Flu Mist administered by her school (#2) child had rash-pain behind left ear followed by drooping left site lip-eye partial closure. 02/28/07-records received from PCP for DOS 2/15 and 2/19/07. DX Bell's Palsy. C/O onset 5 days ago, rash on body,pain behind left ear, PE:face droops left of of left eye, left eyelid unable to close completely unable to wrinkle forehead. Return visit on 2/19/07 eye partial closure of left eyelid. mouth droops.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Alanine aminotransferase, HIV test, Hepatitis B surface antigen, Virus serology test, Wrong technique in drug usage process
Clinical narrative: Pt was given a flu shot at a clinical on 11-16-06. The nurse who gave the shot said "it didn't feel right" and questioned if the had given the shot with a syringe she had used on the previous patient.  Pt was sent to hospital emergency department for evaluation and testing.
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MNQ
Symptoms: Erythema, Pain
Clinical narrative: mild localized pain and erythema
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Drug hypersensitivity, Dyspnoea, Eye swelling, Ocular hyperaemia, Pruritus
Clinical narrative: Vaccine administered at 1500. At 1650 pt c/o extreme itching and SOB. AT 1705 pt reports increase in itching, and swelling around eyes. Eyes red and puffy. Eppy 1:100 0.5ml SQ. Albuterol sun, Benadryl 50 mg IV, Solumedrol 125 mg x 4 doses given.  03/06/2007 MR received from o/n hospital stay for c/o chest pain and dyspnea following her flu shot.  Pt. also experienced circumoral paresthesias, and numbness down her left arm 2' to hyperventilation, as she became increasingly panicked.  Pt. was given 4 baby ASA, and SL nitroglycerine en route to hospital as well as O2 vai NC. PE: Urticaria noted on face and abdomen. (+) periorbital swelling. Pt anxious, otherwise WNL. Assessment: Chest pain appears to be chest wall tenderness, dyspnea and hyperventilation, and acute allergic reation probably to flu vaccine. Fianl DX:  Acute allergic reaction likely to flu serum.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Discomfort, Limb discomfort
Clinical narrative: weakness and occasional discomfort to left arm.  no numbness or tingling
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Ear infection, Irritability, Measles, Pyrexia, Rash generalised
Clinical narrative: PATIENT STARTED OUT WITH MINOR RASH ON FRIDAY FEB. 23RD,2007 PER MOM. RASH WAS EVERYWHERE ON SAT. FEB. 24TH AND PATIENT WAS VERY FUSSY. MOMO TOOK HER TO ER AND THEY STATED THAT SHE HAD AN EAR INFECTION AND/OR VIRUS.RASH WORSENED AND WENT BACK TO ER ON SUNDAY,PEDATRIC RESIDENT TOLD MOM IT WAS THE MEASLES. PATIENT IS STILL HAVING INTERMITTENT FEVER.INSTRUCTED MOTHER TO GIVE MOTRIN AND /OR TYLENOL AS NEEDED FOR FEVER.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Feeding disorder of infancy or early childhood, Insomnia, Intussusception, Pyrexia
Clinical narrative: As per the clinic that Patient mom took patient she went to clinic at 2pm complaining that the child would not sleep crying since 3:30am would not eat anything vomiting 4 times at home and once in the clinic pt had fever was sent to lincoln hospital and diagnosed with intussusception of the intestines
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: As per the clinic that Patient mom took patient she went to clinic at 2pm complaining that the child would not sleep crying since 3:30am would not eat anything vomiting 4 times at home and once in the clinic pt had fever was sent to lincoln hospital and diagnosed with intussusception of the intestines
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anorexia, Crying, Insomnia, Intussusception, Pyrexia
Clinical narrative: As per the clinic that Patient mom took patient she went to clinic at 2pm complaining that the child would not sleep crying since 3:30am would not eat anything vomiting 4 times at home and once in the clinic pt had fever was sent to lincoln hospital and diagnosed with intussusception of the intestines
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: C-reactive protein increased, Chest pain, White blood cell count increased
Clinical narrative: chest pain, elevated WBC, pleuritic type chest pain 03/20/07-records received from facility without DC Summary, for DOS 2/26/07-C/O chest pain, pressure sensation intermittent sharp pain to anterior mid chest. Some SOB and radiation of pain down her left arm left shoulder and left hand. Some nause no vomiting no diaphoresis.  04/26/07-per med rec final DX coded was chest pain. DC Summary not dictated.
Age: 13.0
Sex: F
Vaccine: HPVX
Symptoms: Fatigue, Malaise, Somnolence
Clinical narrative: Mother reports that the day after immunization the patient reported fatigue and was unable to get out of bed.  No headache, no fever, and no other symptoms.  Mother states that patient slept on and off for two days.  No treatment required.  Fatigue/malaise not listed on VIS as side effect.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: 12/1/06 C/O stiffness and tenderness in her "muscle" at base of neck, posteriorly and between shoulders.  12/2/06 Pain became severe and worse yet on 12/3/06.  12/4 and 12/5: still "very sore but a little better."  Tylenol, Motrin and heating pad didn't help.  States injection site not sore, no redness, did not develop a fever.  No problem with previous flu shots.  Instructed to try applying ice to area, but to call private provider is discomfort is severe.  Recovered approx. December 27th, 2006.
Age: 56.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Body temperature, Parotid gland enlargement, Pyrexia, Rash
Clinical narrative: 02/26/07 @ 0900 EE C/O FEVER, WEAKNESS, SWELLING OF PAROTID GLANDS, AND FINE RASH ON CHEST, HEAD AND UPPER ARMS X 4 DAYS. EE STATES THAT S/S STARTED 02/23/07 WHEN HE WAS AT DFW AIRPORT. EE RECEIVED MMR VACCINE ON 2-13-07. EE STATES THAT HE STILL FEELS WEAK, ``BUT I`M GETTING BETTER.`` TEMP: 98.3F. EE SENT TO CONCENTRA CLINIC FOR FURTHER EVALUATION OF VACCINE REACTION VS. OTHER ILLNESS. 1200- EE RETURNS WITH DOCUMENTATION FROM DR. INDICATING THAT HE requires no treatment.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Muscular weakness, Musculoskeletal pain
Clinical narrative: Shoulder, biceps, triceps pain and subjective weakness to the Right arm two weeks after dT administration to that deltoid muscle.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: The day following the injection, the site was swollen, red and itchy.  During the next ten days, blisters developed from the injection site (in the tissue backside of left arm), all the way down to the elbow and up toward the shoulder.  It was painful and itchy.  The nurse at the Health Department where the vaccine was administered advised me to use Caladryl, which provided some relief.  For some time after the blisters cleared up, the site was itchy with occasional stabs of needle-like pain.  As of this date, it is completely cleared up.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site warmth, Myalgia
Clinical narrative: Patient received the vaccine and experienced muscle soreness for 1 week.  This went away and about 1 week later the site of injection became warm to touch, erythematous, with soreness in the shoulder and upper arm.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Burning sensation, Culture, Herpes zoster, Herpes zoster
Clinical narrative: Patient received Zostavax at a Pharmacy, prescribed by me.  Vaccination was given in the left upper arm on 02/14/2007.  On 02/21/2007 patient noticed burning discomfort on left buttock and a day later notice a cluster of red blisters which spread to the inner left thigh.  He saw me on 02/26/2007 and his exam revealed what looked like a typical herpes zoster rash on the left buttock and left inner thigh.  The lesions were cultured for herpes zoster [result still pending] and he was given Valtrex 1 gram 3 times daily for 1 week and Vicodin for pain.  Patient also informed me that he had forgotten to tell me when I went over all of his medications before prescribing the Zostavax, that he was using a sinus rinse daily, given by another physician, that contained triamcinolone in it.  This reaction is reported to Merck. This is in follow-up to report (s) previously submitted on 3/14/2007. Information has been received from a pharmacist cnocerning a 72 year old male who on 14-FEB-2007 was vaccinated SC with a dose of ZOSTAVAX (Oka/Merck) (lot # 656606/0033U). Concomitant therapy included LASIX, COUMADIN, CELEBREX and clonazepam 0.5 mg. On 17-FEB-2007, the patient developed a rash on his back which was circular and was two to three inches wide. The patient was diagnosed with shingles and prescribed VALTREX and VICODIN. Additional information was received from a physician who reported that the patient's symptoms started on 21-FEB-2007 (originally reported as 17-FEB-2007) and lesions appeared on 22-FEB-2007. The patient was seen in the office on 26-FEB-2007. Samples of the lesions from the left thigh were obtained in a viral culture media and were sent to a laboratory. The patient told the physician that his ear, nose, and throat specialist ordered a sinus rinse of triamcinolone and he had been taking that for about a month. A product quality complaint was not involved. The patient was enrolled in the VZVIP program: the Varicella Zoster Virus Identification Program enables biological samples to be analyzed by PCR to identify if VZV is present and if it is present to identify whether it is associated with the wild-type VZV strain or with the OKA/Merck vaccine VZV strain. The specimen arrived in the laboratory on 01-MAR-2007. No VZV DNA was amplified and no B-globin DNA was amplified. The PCR analysis results were inadequate to process. Additional information has been requested.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Skin lesion, Virus culture
Clinical narrative: Patient received Zostavax at a Pharmacy, prescribed by me.  Vaccination was given in the left upper arm on 02/14/2007.  On 02/21/2007 patient noticed burning discomfort on left buttock and a day later notice a cluster of red blisters which spread to the inner left thigh.  He saw me on 02/26/2007 and his exam revealed what looked like a typical herpes zoster rash on the left buttock and left inner thigh.  The lesions were cultured for herpes zoster [result still pending] and he was given Valtrex 1 gram 3 times daily for 1 week and Vicodin for pain.  Patient also informed me that he had forgotten to tell me when I went over all of his medications before prescribing the Zostavax, that he was using a sinus rinse daily, given by another physician, that contained triamcinolone in it.  This reaction is reported to Merck. This is in follow-up to report (s) previously submitted on 3/14/2007. Information has been received from a pharmacist cnocerning a 72 year old male who on 14-FEB-2007 was vaccinated SC with a dose of ZOSTAVAX (Oka/Merck) (lot # 656606/0033U). Concomitant therapy included LASIX, COUMADIN, CELEBREX and clonazepam 0.5 mg. On 17-FEB-2007, the patient developed a rash on his back which was circular and was two to three inches wide. The patient was diagnosed with shingles and prescribed VALTREX and VICODIN. Additional information was received from a physician who reported that the patient's symptoms started on 21-FEB-2007 (originally reported as 17-FEB-2007) and lesions appeared on 22-FEB-2007. The patient was seen in the office on 26-FEB-2007. Samples of the lesions from the left thigh were obtained in a viral culture media and were sent to a laboratory. The patient told the physician that his ear, nose, and throat specialist ordered a sinus rinse of triamcinolone and he had been taking that for about a month. A product quality complaint was not involved. The patient was enrolled in the VZVIP program: the Varicella Zoster Virus Identification Program enables biological samples to be analyzed by PCR to identify if VZV is present and if it is present to identify whether it is associated with the wild-type VZV strain or with the OKA/Merck vaccine VZV strain. The specimen arrived in the laboratory on 01-MAR-2007. No VZV DNA was amplified and no B-globin DNA was amplified. The PCR analysis results were inadequate to process. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: IPV, MMRV, TDAP, VARCEL
Symptoms: Dyspnoea, Pruritus, Rash, Swelling face, Urticaria
Clinical narrative: Developed rash, hives on body, itchiness, swelling to face and abdomen,c/o of difficulty in breathing, mom unsure of time frame for when rash started, several minutes after last injection. Did not notify clinic, waited to return to school and asked nurse what to do. Sent to Urgent Care. Received Prednisone 20 mg x 3 days, Benadryl 25 mg q 4-6 hours x 30 tablets
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Gait disturbance, Rash, Swelling
Clinical narrative: P C from mother of client states approx. one hour after vaccination child had redness swelling on thighs to knee area, child limping and not wanting knees to be touched.  Gave Motrin every 6 hours this reaction lasted for six days and today client has rash also on right outer thigh.  Small red bumps and child still limping.  Has not taken child to physician yet.  Instructed to do so
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles, symptomatic treatment recommended.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Patient received Varicella vaccine at age 1 year old.  He was seen in our office on 2/16/07 with four day onset of marked herpes zoster in right C4 dermatome.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: On 2/22/07 pt had half-dollar sized red area with white center & pain. 2/23/07 pt had red area size of a raquetball.  2/24/07 she had itching at the site but was smaller.  2/25/07 it red area was quarter-sized.  2/27/07 the redness is gone and swelling gone.
Age: 0.53
Sex: M
Vaccine: DTAP, FLU3, HEP, IPV, PNC, RV5
Symptoms: Intussusception, X-ray
Clinical narrative: INTUSSUSCEPTION 03/22/07-ER report and DC summary received for 2/26/07 Ileocolic intussusception. Successfully reduced into the distal ileum with air contrast enema. Status post dehydration, resolved. History of persistent vomiting since 2/24/07. Diarrhea last week for 3 days with no bloody stools. No stools since 2/23/07- PE WNL except for abdomen slight distended and increased bowel sounds. No palpable mass. 03/23/07-records received for DOS 2/25/07-DX:gastroenteritis, dehydration.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash, Rash vesicular
Clinical narrative: Pt developed a significant and typical Herpes Zoster Rash in the R L-3 Dermatome 2 days after the vaccination.  He had a typical course of pain and rash that cleared after about 2 weeks of rash.  started out as a vessicular rash that became more pustular.  Does not appear consistent with bacterial infection.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: began to experience generalized itching approx 30 minutes post vaccination.  Approx 40-60 minutes post vaccination developed hives over arms/legs/trunk.  Was treated with Benadryl 50mg IM - complete resolution of symptoms in 30 minutes.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Erythema, Skin warm
Clinical narrative: large area (18 x 9 cm) redness left thigh, no induration-warm to touch
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Erythema
Clinical narrative: Redness in left leg after Influenza a immunization Dtap also given in same leg.
Age: 12.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Convulsion, Joint dislocation, Loss of consciousness, Monoplegia, Pain
Clinical narrative: all happened from 2/22/07-2/25/07 aches-fever-sore throat and passed out-convulsion-crippled rt leg-rt thumb went out of socket