chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Throat irritation, Wheezing
Clinical narrative: About 2 minutes after injection, patient felt heart race faster, pounding in ears. Felt flush and face got very red. Patient felt a burning feeling in throat and could not catch breath. Patient started to wheeze loudly.  Given Epi Pen and taken to ED by ambulance.
Age: 46.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dyspnoea, Dysstasia, Muscle spasms
Clinical narrative: Started with ringing in ears, then dizziness, weakness, quick onset of unbearable back spasms to where patient could not stand nor breathe. 103.5 fever at peak. Fever lasting 12 hours.
Age: 46.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Started with ringing in ears, then dizziness, weakness, quick onset of unbearable back spasms to where patient could not stand nor breathe. 103.5 fever at peak. Fever lasting 12 hours.
Age: 46.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Full blood count normal, Headache, Malaria antibody test negative, Pain
Clinical narrative: High fevers (up to 104), chills, severe HA, body aches.
Age: 46.0
Sex: M
Vaccine: TYP
Symptoms: Pyrexia
Clinical narrative: High fevers (up to 104), chills, severe HA, body aches.
Age: 8.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Headache, Malaria antibody test negative, Pain, Pyrexia
Clinical narrative: High fevers, chills, headache, body ache.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Presyncope, Syncope
Clinical narrative: Pt with syncopal episode after FLUZONE - had prodrome of dizziness - likely vasovagal episode. Recovered fully within several minutes.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy to vaccine, Rash, Rash pruritic
Clinical narrative: Allergic reaction - ? flu shot. Broke out in itchy rash right leg and to lesser extent a few spots on right arm. Began last night and has spread. Rec loratadine 10 mg bid for 5-7 days. Advise if develops any other symptoms. Noted allergy to flu vaccine. Rec not get vaccine in the future. VAERs completed.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Painful injection site with redness and warmth distal to the injection site with swelling. No red streaking. Local reaction to pneumonia vaccine. Treatment with PREDNISONE 20mg QDx3 days and rest right arm.
Age: 0.49
Sex: M
Vaccine: RV5
Symptoms: Body temperature increased, Condition aggravated, Eating disorder, Ileus, Vomiting
Clinical narrative: Information has been received from a physician and a medical assistant (M.A) concerning a 6 months male patient with a history of premature birth who "two weeks ago", on approximately 17-OCT-2011 was vaccinated orally with a dose of ROTATEQ (Lot number and dose not reported). The physician reported that the patient's mother had taken the patient to another pediatrician to receive ROTATEQ immunization on an unknown date. The physician reported that few days after the patient received ROTATEQ developed an elevated temperature of 103 degrees. The patient had episodes of vomiting and was not eating (previously reported as the baby was vomiting and eating issues prior to the immunization, the condition seemed to have gotten worse). The patient was admitted to the hospital with a diagnosis of an ileus. The patient was treated with intravenous fluids and PEDIALYTE. The patient recovered and was discharged from the hospital on 31-OCT-2011. The patient was scheduled for a follow-up visit with the physician. Ileus diagnosis was considered to be immediately life threatening by the reporter. Additional information has been requested.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Lethargy, Pyrexia, Tremor
Clinical narrative: Pt has had low grade fever (<100 degrees), chills & shakes Tuesday evening (11/8/11), lethargic for about 3 days. These symptoms started a day or two after vaccine given. Has started feeling better as of 11/9/11.
Age: 1.34
Sex: M
Vaccine: DTAP
Symptoms: Chest X-ray normal, Cough, Laboratory test abnormal, Nasopharyngitis, Pertussis
Clinical narrative: Initial report received on 28 October 2011 from the Investigator participating in a study under the reference number M5A16. A case of pertussis disease in a two-year-old male subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject's vaccine history included 3 doses of PENTACEL; lot number C3290AA received on 29 September 2009, lot number C3251BA (invalid lot number) received on 30 November 2009, lot number C3545AA received on 01 February 2010, and one dose of TRIPEDIA; lot number U3040AA received on 30 November 2010 (routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 19 September 2011, approximately nine months after the last dose. On 26 September 2011, the subject developed a paroxysmal cough with a whoop. The subject also experienced posttussive vomiting. Laboratory testing included positive PCR on 06 October 2011. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 06 October 2011 for five days. The subject was not hospitalized. At the time of final contact on 14 October 2011, the subject's cough was still persisting. The duration of the cough was reported at that time as 26 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 1.34
Sex: M
Vaccine: DTAP
Symptoms: Polymerase chain reaction, Post-tussive vomiting
Clinical narrative: Initial report received on 28 October 2011 from the Investigator participating in a study under the reference number M5A16. A case of pertussis disease in a two-year-old male subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject's vaccine history included 3 doses of PENTACEL; lot number C3290AA received on 29 September 2009, lot number C3251BA (invalid lot number) received on 30 November 2009, lot number C3545AA received on 01 February 2010, and one dose of TRIPEDIA; lot number U3040AA received on 30 November 2010 (routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 19 September 2011, approximately nine months after the last dose. On 26 September 2011, the subject developed a paroxysmal cough with a whoop. The subject also experienced posttussive vomiting. Laboratory testing included positive PCR on 06 October 2011. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 06 October 2011 for five days. The subject was not hospitalized. At the time of final contact on 14 October 2011, the subject's cough was still persisting. The duration of the cough was reported at that time as 26 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 20.0
Sex: F
Vaccine: DTAP, FLUX, HPV4
Symptoms: Alpha 1 foetoprotein normal, Breech presentation, Caesarean section, Hepatitis B virus test positive, Live birth
Clinical narrative: This medically confirmed spontaneous report (initial receipt 07-MAR-2011) concerns a 20 year old female patient. The patient had no pertinent medical history and no known allergies. The patient was pregnant at this time. Her LMP (last menstrual period) was 24-Jan-2011. Based on LMP, the estimated delivery date (EDD) is 01-Nov-2011. The patient had no previous pregnancy. On 07-Mar-2011, the patient received a flu vaccine. The patient also received her first dose of GARDASIL (batch number: 1332Y) and DtAP on the same day. No adverse effects were reported at this time. An ultrasound (baseline) performed on 06-Apr-2011 indicated the patient was at 10 weeks and 4 days pregnant. The EDC (estimated date of confinement) is 29-Oct-2011 based on ultrasound. Amniocentesis test was N/A (not applicable). MSAFP (maternal serum alpha-fetoprotein) screen was negative. There was no infection or illness during pregnancy. However she was tested positive for HPV B (hepatitis B) on 06-Apr-2011. On 02-Nov-2011, at 40 weeks from LMP, the patient delivered a live female infant (weight: 6'5 oz, Apgar score 9/9) via breech cesarean section. The infant was normal with no congenital anomaly. Follow-up (09-Aug-2011): estimated delivery date, previous pregnancy, prenatal tests, # of GARDASIL dose. Follow-up (02-Nov-2011): upgraded to serious, additional AE , pregnancy outcome.
Age: 20.0
Sex: F
Vaccine: DTAP, FLUX, HPV4
Symptoms: Maternal exposure during pregnancy, Ultrasound antenatal screen
Clinical narrative: This medically confirmed spontaneous report (initial receipt 07-MAR-2011) concerns a 20 year old female patient. The patient had no pertinent medical history and no known allergies. The patient was pregnant at this time. Her LMP (last menstrual period) was 24-Jan-2011. Based on LMP, the estimated delivery date (EDD) is 01-Nov-2011. The patient had no previous pregnancy. On 07-Mar-2011, the patient received a flu vaccine. The patient also received her first dose of GARDASIL (batch number: 1332Y) and DtAP on the same day. No adverse effects were reported at this time. An ultrasound (baseline) performed on 06-Apr-2011 indicated the patient was at 10 weeks and 4 days pregnant. The EDC (estimated date of confinement) is 29-Oct-2011 based on ultrasound. Amniocentesis test was N/A (not applicable). MSAFP (maternal serum alpha-fetoprotein) screen was negative. There was no infection or illness during pregnancy. However she was tested positive for HPV B (hepatitis B) on 06-Apr-2011. On 02-Nov-2011, at 40 weeks from LMP, the patient delivered a live female infant (weight: 6'5 oz, Apgar score 9/9) via breech cesarean section. The infant was normal with no congenital anomaly. Follow-up (09-Aug-2011): estimated delivery date, previous pregnancy, prenatal tests, # of GARDASIL dose. Follow-up (02-Nov-2011): upgraded to serious, additional AE , pregnancy outcome.
Age: 16.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event. 3rd dose of MENACTRA given. 1st dose 03/22/07, 2nd dose 09/28/09, 3rd dose 11/09/11.
Age: 18.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Maternal exposure during pregnancy
Clinical narrative: None.
Age: 1.53
Sex: F
Vaccine: FLUX
Symptoms: Moaning, Pyrexia, Vomiting
Clinical narrative: Fever to 104.1 rectal prior to Tylenol administration, and vomit x2 when picked up to soothe moaning. Child hungry after fever began to subside, and no more vomiting despite feeding immediately.
Age: 23.0
Sex: M
Vaccine: HPV4
Symptoms: Dry eye, Musculoskeletal stiffness, Nasal dryness, Neck pain, Oropharyngeal pain
Clinical narrative: Back of neck became very sore and stiff. Near the base of patient's skull. Began sneezing frequently and became very congested. Throat became increasingly sore bilaterally. Nose and eyes dried out as well during this time.
Age: 23.0
Sex: M
Vaccine: HPV4
Symptoms: Respiratory tract congestion, Sneezing
Clinical narrative: Back of neck became very sore and stiff. Near the base of patient's skull. Began sneezing frequently and became very congested. Throat became increasingly sore bilaterally. Nose and eyes dried out as well during this time.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Headache, Influenza, Oropharyngeal pain
Clinical narrative: Flu symptoms: aches, fever, chills, headache, sore throat, cough.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Flu symptoms: aches, fever, chills, headache, sore throat, cough.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Injection site mass
Clinical narrative: Pt's mother states her daughter can not hold her cell phone to ear for very long, her arm goes numb. Father states there's a knot at vaccine site.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Insomnia, Neck pain
Clinical narrative: Awoke with mild headache and neck ache, but at first thought I slept wrong.  Headache grew thru am, however.  By 12:30 pm, it was quite uncomfortable after trying to just ice and nap, which I couldn't sleep due to increasing headache.  So, at 12:30, when the pain was from my neck, up the occiput to behind my right eye, I took Motrin 600mg for good relief.  When the Motrin wore off last evening, I felt fine and mentioned that to my mom who is here visiting.  This morning only the slightest of headache that I will not take Motrin for, however I may ice.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Fever of 102, chills, dizziness, nausea. Have taken acetaminophen to reduce fever.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV1
Symptoms: Cyanosis, Drooling, Electroencephalogram normal, Foaming at mouth, Gaze palsy
Clinical narrative: 2 episodes of seizure-like activity lasting about 30 seconds each. First episode was eye and head deviation to the left and second that happened 3-5 minutes later invoved dilated pupils, upper extremity flexor posturing, glassy stare, perioral cyanosis frothy drool. Unresponsive/limp for 30 min past 2nd episode. On 10/26 also had 30 sec episode of head & eye deviation to the left.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV1
Symptoms: Hypotonia, Mydriasis, Nuclear magnetic resonance imaging normal, Posture abnormal, Posturing
Clinical narrative: 2 episodes of seizure-like activity lasting about 30 seconds each. First episode was eye and head deviation to the left and second that happened 3-5 minutes later invoved dilated pupils, upper extremity flexor posturing, glassy stare, perioral cyanosis frothy drool. Unresponsive/limp for 30 min past 2nd episode. On 10/26 also had 30 sec episode of head & eye deviation to the left.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV1
Symptoms: Seizure like phenomena, Staring, Unresponsive to stimuli
Clinical narrative: 2 episodes of seizure-like activity lasting about 30 seconds each. First episode was eye and head deviation to the left and second that happened 3-5 minutes later invoved dilated pupils, upper extremity flexor posturing, glassy stare, perioral cyanosis frothy drool. Unresponsive/limp for 30 min past 2nd episode. On 10/26 also had 30 sec episode of head & eye deviation to the left.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying, Cyanosis, Death, Musculoskeletal stiffness, Peripheral coldness
Clinical narrative: Death
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Respiratory arrest
Clinical narrative: Death
Age: 0.7
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Erythema
Clinical narrative: 2CM BY 2 1/2CM RED SPOT.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right Deltoid in which the injection was administered swelled up significantly and was red.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Client called and reported a blotchy, flat, itchy rash on his chest.  He denied chest tightness or difficulty breathing.  He reported that his symptoms were not getting better or worse.  Client was referred to see his doctor.  The next day the client reported that his symptoms abated by the time he went home around 5:30 PM, so he decided not to go to the doctor.  Client was encouraged to advise his doctor of the adverse event.
Age: 1.02
Sex: F
Vaccine: FLUX, MMR, UNK
Symptoms: Inguinal mass, Rash
Clinical narrative: Rash that spread from chest, to back then face and a lump near the groin area.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Painful arm ?? at injection site continuing after vaccine administration.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Alanine aminotransferase increased, Anticonvulsant drug level, Body temperature increased, Full blood count normal, Hypersomnia
Clinical narrative: Employee states she slept for 2 days following vaccine, c/o partial seizures, Temp of 100.7 oral.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Partial seizures
Clinical narrative: Employee states she slept for 2 days following vaccine, c/o partial seizures, Temp of 100.7 oral.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Fall, Loss of consciousness
Clinical narrative: When the patient stood up after receiving two intra-muscular injections of the seasonal flu vaccine, and the HPV vaccine, he passed out and fell to the floor.
Age: 62.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Blister, Pain of skin, Rash
Clinical narrative: Was given a flu shot and Shingles shot same day within minutes of each other. Patient's scalp on the left side was VERY sensitive to the touch.  Scalp painful to the touch.  Went on for several days with subsequent rash, then blisters in eye brows and scalp.  No treatment until Dr. appt on 11/01 amd 11/02/2011.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pain in extremity, Tenderness
Clinical narrative: This spontaneous consumer report (initial receipt: 01-Nov-2011) concerns a 60-year old female patient. Concomitant medication included a multivitamin. Last year the patient received a flu and PNEUMOVAX 23 shot into the same arm for flu and pneumonia prevention. About 24 to 48 hours later, the patient had soreness and tenderness in the arm that received the injections. She went to the physician and was diagnosed with cellulitis. She was given an antibiotic. The cellulitis resolved about a week later.
Age: 46.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Injection site reaction, Muscle spasms, Myalgia
Clinical narrative: Muscle soreness, muscle spasm in left deltoid extending up into left trapezius musculature.
Age: 46.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Abdominal discomfort, Injection site joint pain, Injection site pain, Insomnia, Muscle spasms
Clinical narrative: Muscle soreness, muscle spasm in left deltoid extending up into left trapezius musculature.
Age: 46.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Muscle soreness, muscle spasm in left deltoid extending up into left trapezius musculature.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at DTaP injection site.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Injection site (left shoulder) sore to touch almost immediately after injection.  Next few days pain increased, patient can barely lift arm to wash hair, put on clothes etc.  At night arm falls asleep, and to date the pain has started to run down arm into fingers.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Nasal congestion, Paraesthesia oral, Swelling face
Clinical narrative: Face puffy, lips and tongue tingling, nasal stuffiness.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Limb discomfort, Muscular weakness, Syringe issue, Underdose
Clinical narrative: Flu vaccine administered into left deltoid muscle on 10/12/11.  Met resistance when pushing plunger in.  Had to pull needle out.  Unable to deliver full vaccine (approximately 75% of vaccine was wasted).  No redness or swelling noted at the injection site.  Pt indicated he had had shoulder surgery to both arms several years ago and had recently begun weight training--said his shoulders had been more tight and sore lately, but that he had no limitations or severe pain).  I advised Pt to check with his PCP regarding the injection.  I called Pt back in 1-2 days to check his status and to let him know that according to our consulting physician that it should be OK to get another flu shot d/t not receiving the full vaccine amount should he wish to do so.  Pt did call his family physician who advised no further intervention and that soreness should reside in a few days.  On 11/7/11 Pt called to say that he weakness and discomfort in left arm and that he can barely move his arm above his head.  There is no numbness, tingling, bruising, redness or swelling.  He denies acute pain at rest.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Pruritus, Tremor, Urine analysis, Urticaria
Clinical narrative: PT REPORTS ITCHINESS, HIVES WITHIN 1-2 HRS OF VACCINE; MUSCLE TREMORS ONE WEEK AFTER RECEIVING VACCINE AND REPORTS CONTINUES TO TREMORS.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Pain in arm shooting down to fingers.  Pain arthritic and moved around to forearm.  Very painful.  Still in pain after one month of receiving this shot in fingers and forearm.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia
Clinical narrative: Bilateral Red eyes.
Age: 17.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Asthenia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: While during morning school classes began to feel tired, sleepy, weak. Headache, nausea, muscle/body aches soreness, fever, chills persisted through out school day and at home.
Age: 17.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Nausea, Pain, Pyrexia, Somnolence
Clinical narrative: While during morning school classes began to feel tired, sleepy, weak. Headache, nausea, muscle/body aches soreness, fever, chills persisted through out school day and at home.
Age: 1.36
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Full blood count, Pyrexia, Rash, Rash morbilliform
Clinical narrative: Fever 102-103 followed by measles-like rash over torso on 11/07/2011.
Age: 1.29
Sex: F
Vaccine: FLUX, MMR, VARCEL
Symptoms: Feeling jittery, Incoherent, Irritability, Pyrexia, Staring
Clinical narrative: Fever, irritability, glassy eyes, incoherent, jittery.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness, Musculoskeletal pain
Clinical narrative: Sharp pain, occasional weakness, upper left arm & shoulder. This pain started within hours of the injection. Continued and went to Corporate health for evaluation and treatment. Started a Medrol Dose Pack and NSAID on 11/2/2011. Finished Medrol Dose Pack on 11/8/2011 and pain returned 11/9/2011.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Arm hurting, diffuse swelling, no redness. Treatment: Ice and Benadryl.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia, Varicella
Clinical narrative: Fever and chills.  Muscle aches.  Chicken pox breakout on back.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Headache, Pain, Pyrexia
Clinical narrative: Headache, joint, body aches, felt feverish within hours after vaccine - lasted 8 days.
Age: 51.0
Sex: M
Vaccine: MMR
Symptoms: Injection site swelling, Myalgia, Pyrexia, Ultrasound scan
Clinical narrative: Vaccine given w/12 (L) arm swelling. 11/10/11 - Pt c/o swelling in area of injection site/fever, myalgias.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Electrocardiogram, Oropharyngeal pain, Pharyngeal oedema, Swollen tongue
Clinical narrative: At 7:30 pm, had sore swollen throat, tongue swollen, chest pains. Family took her to emergency room.
Age: 13.0
Sex: M
Vaccine: FLUX
Symptoms: Blood glucose normal, Electroencephalogram normal, Loss of consciousness
Clinical narrative: Received flu shot at end of visit. Passed out in waiting room.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Local reaction
Clinical narrative: Vaccinated with DAPTACEL RT 11/8/11, well tolerated at the time the patient has had 2 previous DAPTACEL vaccination. These are the only immunizations he has received. Seen today by Dr. vaccine reaction (local).
Age: 47.0
Sex: U
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Extremely sore arm very painful.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site atrophy, Injection site pain, Injection site reaction
Clinical narrative: Indention noted in lt upper arm, left upper arm atrophy, tenderness at site.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Heart rate increased, Paraesthesia, Throat tightness
Clinical narrative: Sitting in post administration area under observation following vaccination. Patient reported tight feeling throat initially. Took BP 122/76 P=68.  Patient not anxious.  Watched for 5 more minutes and patient indicated that she was feeling tingling climbing up side of her neck toward jaw.  At that point, I instructed nursing student to administer one epipen at 12:48. Her tight throat and symptoms resolved but her pulse increased to 99 and her blood pressure went up to 144 /82 at 12:57 following the epinephrine injection. We continued to take her BP and called 911.  Ambulance picked her up at 1:20 PM and transported to Emergency Department. She was stable but needed evaluation for further treatment. RN Faculty on site during event.
Age: 0.55
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Fever up to 102 F for 3 days, irritability, redness and swelling and injection site right thigh.
Age: 44.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cough, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Allover body aches coughing local site swollen hot redness can't lift arm.
Age: 44.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain
Clinical narrative: Allover body aches coughing local site swollen hot redness can't lift arm.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Impaired driving ability, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Rigors, chills, almost unable to drive her car. Improved a little with Tylenol and cold medicine. Then 24 hrs after the vaccine, developed red, warm, painful arm where shot was administered which spread around under deltoid, pain radiated to hand. Improved a little 2 d later on Bactrim DS.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Rigors, chills, almost unable to drive her car. Improved a little with Tylenol and cold medicine. Then 24 hrs after the vaccine, developed red, warm, painful arm where shot was administered which spread around under deltoid, pain radiated to hand. Improved a little 2 d later on Bactrim DS.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Pain
Clinical narrative: Pt received a flu vaccination on 10/18/11.  On 11/7/11, stated she did not have any unusual pain after the injection but states over time she has experienced more discomfort and achiness especially when moving in certain directions and when moving heavier objects.  Denies any numbness, tingling, redness or swelling.  Reports she has had flu shots before but no previous reactions.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hypoaesthesia, Nausea
Clinical narrative: Given flu shot at school clinic. 1 hour later experienced numbness to left side of face, headache, nausea. Taken to MD, did not feel it was related to flu vaccine.
Age: 1.17
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever up to 104 degrees Fahrenheit. Alternate Acetaminophen & Ibuprofen every 4 hours. Advise Guardian to see doctor as soon as possible.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Leg started swelling and started to hurt. MOC tried Tylenol at home, that did not help.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUX, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: At aprox. 8 pm on 11/10/11 I noticed a very large, stiff, warm, red bump at the site of vaccination.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cough, Headache, Hyperhidrosis
Clinical narrative: Fever, chills, sweats, sore throat, body aches, stuffy head, and extremely weak.  Ate chicken noodle soup and took Tylenol on 11/7/2011.  Next day, 11/8/2011, still with fever, chills, and sweats.  Body pain, sore throat, very weak.  Took Thera Flu around the clock, ate popcicles and drink gingerale. Took Ibuprofen that night for extreme sore throat and stuffy head with headache. On 11/9/2011, felt better. Still took Thera Flu and Ibuprofen. Body aches and stuffy head.  Began to have a cough.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Sinus congestion
Clinical narrative: Fever, chills, sweats, sore throat, body aches, stuffy head, and extremely weak.  Ate chicken noodle soup and took Tylenol on 11/7/2011.  Next day, 11/8/2011, still with fever, chills, and sweats.  Body pain, sore throat, very weak.  Took Thera Flu around the clock, ate popcicles and drink gingerale. Took Ibuprofen that night for extreme sore throat and stuffy head with headache. On 11/9/2011, felt better. Still took Thera Flu and Ibuprofen. Body aches and stuffy head.  Began to have a cough.
Age: 1.03
Sex: F
Vaccine: FLU3, MMR, PNC13, VARCEL
Symptoms: Full blood count normal, Petechiae, Platelet count normal, Rash
Clinical narrative: Petechial rash scattered on trunk & face. Bumps on legs for 2-3 wks now since 1 week after vaccines given.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site 8 x 7.5 cm superficial redness. No induration.
Age: 28.0
Sex: M
Vaccine: YF
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: Surgeon MD, calls at 09:38AM (18AUG11), reporting that one of his SM's, received YF SC in LUE yesterday morning (17AUG11) around 08:30AM. SM's LUE began itching, swelling & tingling right above his left elbow yesterday evening, about 12 hours post receipt of immunization. SM did not have any difficulty breathing or swallowing or any swelling of face, lip, tongue or eyelids. SM applied ice pack to affected area x 2 hrs around 10PM last evening and fell asleep. When he woke up this AM, the upper and lower left arm was swollen, red and warm and felt tight & a little sore. Dr. states that the erythema and swelling extend from the SM's injection site, medially left upper arm, below his elbow to just above the SM's left wrist. The SM is able to move and bend his left arm, wrist, hand and fingers and has not lost any feeling in his left arm, hand, or fingers. Dr. states that SM has a (?) urticarial welt on the volar aspect of his left wrist. Surgeon gave SM 25 mg IM of BENADRYL and 10 mg po of ZYRTEC at 09:30AM (18AUG11). PLAN: SM will come to clinic for evaluation to R/O Type I Hypersensitivity Rxn vs. Arthous rxn-we recommended that SM be accompanied and NOT drive, but left clinical judgement to Surgeon. Reviewed SM's Imm record. SM received multiple live and inactivated vaccines a little over a week ago in preparation for deployment, possibly as early as next week or the beginning of SEP. SM received TYPHIM VI on 08AUG11. On 11AUG11, SM received Varicella (live virus) and inactivated AVA#3, MCG, Rabies#1 IM & Tdap. He was given YF yesterday (17AUG11) with less than 30 days between administration of live virus vaccines, as rec. SM says that he filled out a consent which asked if he had received others vaccines in the past 40 days, but he said no one looked at it before administering the YF vaccine. SM states that he has received some of his vaccines at Clinic and others at his station. He should be due a second dose of the Rabies pre-exposure series on day #7, which would be today, (not given). SM will be going to his sister's wedding this weekend. He will be leaving driving there tonight with his wife and states that his wife can drive. We cautioned SM against anti-histamine use (ZYRTEC or ATARAX for itching) if driving. Verbalizes understanding and compliance.
Age: 28.0
Sex: M
Vaccine: YF
Symptoms: Injection site swelling, Injection site warmth, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: Surgeon MD, calls at 09:38AM (18AUG11), reporting that one of his SM's, received YF SC in LUE yesterday morning (17AUG11) around 08:30AM. SM's LUE began itching, swelling & tingling right above his left elbow yesterday evening, about 12 hours post receipt of immunization. SM did not have any difficulty breathing or swallowing or any swelling of face, lip, tongue or eyelids. SM applied ice pack to affected area x 2 hrs around 10PM last evening and fell asleep. When he woke up this AM, the upper and lower left arm was swollen, red and warm and felt tight & a little sore. Dr. states that the erythema and swelling extend from the SM's injection site, medially left upper arm, below his elbow to just above the SM's left wrist. The SM is able to move and bend his left arm, wrist, hand and fingers and has not lost any feeling in his left arm, hand, or fingers. Dr. states that SM has a (?) urticarial welt on the volar aspect of his left wrist. Surgeon gave SM 25 mg IM of BENADRYL and 10 mg po of ZYRTEC at 09:30AM (18AUG11). PLAN: SM will come to clinic for evaluation to R/O Type I Hypersensitivity Rxn vs. Arthous rxn-we recommended that SM be accompanied and NOT drive, but left clinical judgement to Surgeon. Reviewed SM's Imm record. SM received multiple live and inactivated vaccines a little over a week ago in preparation for deployment, possibly as early as next week or the beginning of SEP. SM received TYPHIM VI on 08AUG11. On 11AUG11, SM received Varicella (live virus) and inactivated AVA#3, MCG, Rabies#1 IM & Tdap. He was given YF yesterday (17AUG11) with less than 30 days between administration of live virus vaccines, as rec. SM says that he filled out a consent which asked if he had received others vaccines in the past 40 days, but he said no one looked at it before administering the YF vaccine. SM states that he has received some of his vaccines at Clinic and others at his station. He should be due a second dose of the Rabies pre-exposure series on day #7, which would be today, (not given). SM will be going to his sister's wedding this weekend. He will be leaving driving there tonight with his wife and states that his wife can drive. We cautioned SM against anti-histamine use (ZYRTEC or ATARAX for itching) if driving. Verbalizes understanding and compliance.
Age: 28.0
Sex: M
Vaccine: YF
Symptoms: Skin tightness, Skin warm, Type I hypersensitivity, Type III immune complex mediated reaction, Urticaria
Clinical narrative: Surgeon MD, calls at 09:38AM (18AUG11), reporting that one of his SM's, received YF SC in LUE yesterday morning (17AUG11) around 08:30AM. SM's LUE began itching, swelling & tingling right above his left elbow yesterday evening, about 12 hours post receipt of immunization. SM did not have any difficulty breathing or swallowing or any swelling of face, lip, tongue or eyelids. SM applied ice pack to affected area x 2 hrs around 10PM last evening and fell asleep. When he woke up this AM, the upper and lower left arm was swollen, red and warm and felt tight & a little sore. Dr. states that the erythema and swelling extend from the SM's injection site, medially left upper arm, below his elbow to just above the SM's left wrist. The SM is able to move and bend his left arm, wrist, hand and fingers and has not lost any feeling in his left arm, hand, or fingers. Dr. states that SM has a (?) urticarial welt on the volar aspect of his left wrist. Surgeon gave SM 25 mg IM of BENADRYL and 10 mg po of ZYRTEC at 09:30AM (18AUG11). PLAN: SM will come to clinic for evaluation to R/O Type I Hypersensitivity Rxn vs. Arthous rxn-we recommended that SM be accompanied and NOT drive, but left clinical judgement to Surgeon. Reviewed SM's Imm record. SM received multiple live and inactivated vaccines a little over a week ago in preparation for deployment, possibly as early as next week or the beginning of SEP. SM received TYPHIM VI on 08AUG11. On 11AUG11, SM received Varicella (live virus) and inactivated AVA#3, MCG, Rabies#1 IM & Tdap. He was given YF yesterday (17AUG11) with less than 30 days between administration of live virus vaccines, as rec. SM says that he filled out a consent which asked if he had received others vaccines in the past 40 days, but he said no one looked at it before administering the YF vaccine. SM states that he has received some of his vaccines at Clinic and others at his station. He should be due a second dose of the Rabies pre-exposure series on day #7, which would be today, (not given). SM will be going to his sister's wedding this weekend. He will be leaving driving there tonight with his wife and states that his wife can drive. We cautioned SM against anti-histamine use (ZYRTEC or ATARAX for itching) if driving. Verbalizes understanding and compliance.
Age: 1.02
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Decreased activity, Decreased appetite, Erythema multiforme, Pyrexia, Rash
Clinical narrative: Erythema multiforme, low grade fever/rash, decreased appetite, decreased activity. Tx PRELONE 7.5 mg PO x 1, BENADRYL 6.25 PO x 1, TYLENOL 50 mg PO x 1.
Age: 0.35
Sex: F
Vaccine: DTAP
Symptoms: Tremor
Clinical narrative: Few hours after vaccine pt. experienced tremors in upper body lasting 10-15 sec.. She experienced 3-4 more episodes the next day.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Swelling to upper arm and pain through entire arm x 3 days.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Immunization Nurse at Clinic calls FBVHC who presents to clinic on 15JULY11 with erythema & warmth "going all the way around her upper arm" at AVA #7 injection site. FBVHC NP speaks directly with patient who reports receiving AVA #7 in her LUE at 0715 on 13JUL11 at Aid Station. SM denies any fever, systemic malaise, HA or joint pain. She states that the area surrounding her AVA injection site on her left upper arm is red, warm to touch and itches." The area of redness is about the size of an orange and wraps around toward the front of her arm. SM states that this has never happened before with any prior doses of the AVA. She remembers the injection site becoming "a little hard" but never developed any redness, swelling, warmth or itching. She is not in any pain and the ROM of her left arm is not restricted or hindered. She denies any axillary LAD or left shoulder pain.
Age: 8.0
Sex: M
Vaccine: FLU3, IPV, VARCEL
Symptoms: Skin lesion, Varicella post vaccine
Clinical narrative: Patient's mother reported to office on 11-7-11 that the patient had approx. 125 lesions (presumed to be from chickenpox) on his back, face, abdomen, neck, and thighs. No fever or other 'symptoms'. Advised to seek medical attention if symptoms worsen.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pain, Headache, Myalgia, Pain
Clinical narrative: Excruciating all over body aches, even eyes, headaches which started in evening after immunization. (myalgia and headaches).
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Sensory loss
Clinical narrative: C/o pain, 3"-4" redness to LUA & 1"-2" swelling on day of vaccine & all resolved 2 days later. The c/o pain intermittently to "deep inside" (L) upper arm in OCT. On 11-5-11  & 11-6-11 -> c/o pain LUE all above elbow to shoulder. 11-7-11 c/o decreased sensation (L) arm & (L) hand. 11-9-11 pain less - sensation better with chiro appt. Has recurring s/s.
Age: 95.0
Sex: M
Vaccine: FLU3
Symptoms: Palpitations, Pyrexia
Clinical narrative: That night he had a fever, palpitations called ambulance and was advised to take an aspirin and made a full recovery.
Age: 22.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: After vaccination Flu shot Pt experienced feeling dizzy, pale, clammy, diaphoretic. Pt screened by paramedics & released. Pt states feeling better & declined hospital visit.
Age: 22.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Deafness, Dizziness, Immediate post-injection reaction, Incoherent, Presyncope
Clinical narrative: After vaccination Flu shot Pt experienced feeling dizzy, pale, clammy, diaphoretic. Pt screened by paramedics & released. Pt states feeling better & declined hospital visit.
Age: 22.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Visual impairment
Clinical narrative: After vaccination Flu shot Pt experienced feeling dizzy, pale, clammy, diaphoretic. Pt screened by paramedics & released. Pt states feeling better & declined hospital visit.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Headache, Influenza
Clinical narrative: The FLULAVAL vial was empty and was discarded after the injection. The patient called the pharmacy the day after the injection and complained of a headache. The headache was not severe and he did go to work on Monday. The pharmacist phoned the patient at 6:00PM Monday and the patient said the headache was gone but that he felt weak on and off throughout the day. The pharmacist phoned the patient Tuesday evening and the patient stated that he felt as if he had the flu.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Vomiting, Wheezing
Clinical narrative: Vomiting, weakness, wheezing for one day. No treatment.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Sore arm, pain, no visible mark or redness/swelling, no temperatures pain worse over time, can not put on deodorant can't lift arm over head. MD ordered ALEVE & Heat.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Headache, Local swelling, Pain
Clinical narrative: Developed HA evening of vaccination - lasted 1-2 days 2 day post-vaccine developed soreness, feeling of swelling (L) axilla. No lump felt, but area remains sore. Increased discomfort with arm movement. No notable swelling or soreness at injection site (L) arm.
Age: 14.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: Pt. nervous about receiving vaccines. (Shots) Pt needed six total vaccines. After receiving three vaccines, pt c/o nausea. I stopped giving vaccine to give Pt a moment to recover, then Pt began to perspire and became pale and fainted. RN used 0.3 ml Ammonia inhalant for respiratory stimulate Pt. Pt regained consciousness. Laid pt down. Took vital signs. B/P 118/78 Pulse 78 Resp. 16. Pt A&O x 4. Dr. attended pt and was OK'd to leave with parent.
Sex: F
Vaccine: FLU3, HEP
Symptoms: Wrong drug administered
Clinical narrative: Adult INFLUENZA vaccine - FLUARIX - was mistakenly given instead of pediatric hepatitis B vaccine - ENGERIX B- to a newborn. The products both made by GlaxoSmithKline look almost identical. The very small lettering on the syringes and a small muted colored band - light gray for the FLUARIX and olive for the ENGERIX B- are the only identifiers of the products. The medications highly similar appearance made it very easy for these medications to be mistaken for each other and administered.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Blood pressure decreased, Dyspnoea, Urticaria
Clinical narrative: Patient had an anaphylactic episode with difficulty breathing and diffuse urticaria. Patient was starting to drip her blood pressure. EPIPEN was administered along with BENADRYL with improvement in symptoms at 15 minutes intervals. Epicutaneous test with undiluted FLULAVAL Intradermal injection 0.02ml of 1:100 dilution.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Flushing, Ocular hyperaemia, Pruritus, Rash, Tongue disorder
Clinical narrative: (Sx's) urticaria; flushed; eyes bloodshot; rash - trunk; itchy scalp; 'thick' tongue (all within minutes after vaccines). (Rx) O2 sat. 99%; P 120; epinephrine 0.2 mg (sq) BENADRYL 6 cc PO; observed x 1 hour.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: (Sx's) urticaria; flushed; eyes bloodshot; rash - trunk; itchy scalp; 'thick' tongue (all within minutes after vaccines). (Rx) O2 sat. 99%; P 120; epinephrine 0.2 mg (sq) BENADRYL 6 cc PO; observed x 1 hour.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever to 105 degrees with dizziness, some congestion. Treated with ibuprofen & cool baths. Improved to 102 degrees, lasted at 48 hrs.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Skin plaque, Vaccination site erythema, Vaccination site induration, Vaccination site pain
Clinical narrative: Erythematous, indurated, pruritic, painful plaque measuring 5 x 4 cm to (L) deltoid to site of vaccine admin. Tingling sensation no subjective swelling to tongue.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site pruritus
Clinical narrative: Erythematous, indurated, pruritic, painful plaque measuring 5 x 4 cm to (L) deltoid to site of vaccine admin. Tingling sensation no subjective swelling to tongue.
Age: 45.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Injection site pain, swelling, and induration. Fever & myalgia.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site haematoma
Clinical narrative: Pt came back and showed the arm she received the shot. Large area was bruised. Same area showed color changed to yellow.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Area around shot site became mildly red with mild hive like appearance around site of Hepatitis A shot (second of 2/ final shot).
Sex: U
Vaccine: HEP
Symptoms: Dyspnoea, Product contamination
Clinical narrative: This case was reported by a pharmacist and described the occurrence of inability to breathe well in a subject of unspecified age and gender who was vaccinated with ENGERIX B (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of ENGERIX B. At an unspecified time after vaccination with ENGERIX B, the subject experienced inability to breathe well and visited the emergency room. Product complaint was reported as particles were found to be floating around in the syringe. The pharmacist considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the outcome of inability to breathe well was unspecified. The pharmacist considered this event probably related to vaccination with ENGERIX B. The reported indicated that two subjects experienced an inability to breathe well following administration of ENGERIX B where particles were found to be floating in the syringes. The following was reported with regard to the ENGERIX B product received and stored at this facility: The average temperature of the refrigerator was 4 degrees Celsius, there were no temperature excursions, the temperature was monitored daily, the product was stored inside the refrigerator, the vaccine was placed in the refrigerator as soon as it arrived, the status of the temperature tag upon receipt was not known and the product was shaken well. The linked case number is A0952401A.
Sex: U
Vaccine: HEP
Symptoms: Dyspnoea, Product contamination
Clinical narrative: This case was reported by a pharmacist and described the occurrence of inability to breathe well in a subject of unspecified age and gender who was vaccinated with ENGERIX B (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of ENGERIX B. At an unspecified time after vaccination with ENGERIX B, the subject experienced inability to breathe well and visited the emergency room. Product complaint was reported as particles were found to be floating around in the syringe. The pharmacist considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the outcome of inability to breathe well was unspecified. The pharmacist considered this event probably related to vaccination with ENGERIX B. The reported indicated that two subjects experienced an inability to breathe well following administration of ENGERIX B where particles were found to be floating in the syringes. The following was reported with regard to the ENGERIX B product received and stored at this facility: The average temperature of the refrigerator was 4 degrees Celsius, there were no temperature excursions, the temperature was monitored daily, the product was stored inside the refrigerator, the vaccine was placed in the refrigerator as soon as it arrived, the status of the temperature tag upon receipt was not known and the product was shaken well. The linked case number is A0952399A.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, itchiness, and redness on (L) upper deltoid area.