chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dyskinesia, Loss of consciousness, Pallor, Syncope
Clinical narrative: Menactra vaccine was given first, then Tdap. About 15 sec after Tdap. pt. became pale, weak, fainted. Had some jerking of arms and legs lasted 2-3 sec. Pt was unconscious for 5 sec. Responded o her name didn't remember fainting. Hadn't had anything to eat that day. Dr recheck pt for vital signs, B/P 118/62-P-76-R-16. Gave pt. lemonade and doughnut to eat. Felt better walk out of office with parent.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Burning sensation, Convulsion, Pain, Pain in extremity
Clinical narrative: Patient received Gardasil vaccine IM in right arm and Tdap in left arm. She complained of burning and pain in that arm and then stated she felt achy. Patient was lowered into supine position where she started to seizure. Patient was given cold compress to injection site and Benadryl when she came to. Benadryl given at 2:20 pm. BP and Pulse taken and within normal limits. Lungs and heart assessed by nurse practitioner and reported normal.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Nausea, Pain
Clinical narrative: Had redness site of Varivax 2 1/2 " diam-& heat Body ahces, nausea
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Rash papular
Clinical narrative: Erythema and induration at site about 5cmx2cm. Multiple excoriated papules on trunk
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Broke out with hives on shoulders, arms and legs
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Extensive erythema and swelling over prox. upper arm (approx 20cm diam) - no functional impairment - seen 48 hr following MMRV
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Borrelia burgdorferi serology, Full blood count, Headache, Pain, Pain in extremity
Clinical narrative: Patient states a few hours after 3rd Gardasil had leg aches. Now aches/headache.
Age: 1.3
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Herpes zoster, Varicella post vaccine
Clinical narrative: Pt received ProQuad vaccine on 2/22/07 - seen at office on 7/26/07 Dx varicella zoster virus, shingles. Rx for Denavir and Acyclovir 200 QID x 5 d.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Chest pain, Headache
Clinical narrative: Temp of 101, evening after receiving vaccine. Chest pain and headache next day
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Induration, Skin warm, Swelling
Clinical narrative: Left deltoid increased swelling/redness/warm to touch/ tender/indurated 1 day post DTaP shot. Tx for cellulitis with Keflex x 7d
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Tenderness
Clinical narrative: Left deltoid increased swelling/redness/warm to touch/ tender/indurated 1 day post DTaP shot. Tx for cellulitis with Keflex x 7d
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pain, Pruritus, Pyrexia, Swelling
Clinical narrative: Fever, swelling, itching, pain x 3 days. Ice only treatment
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Muscle spasms, Muscle spasticity
Clinical narrative: Abdominal muscle spasm and spasticity in right leg - same leg as vaccination given.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: fever to 101, 7cm red raised arm patch at vaccine site, general aching
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Hives, started 4d after the vaccine, is now 1wk after vaccination and has minimal hives
Age: 13.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Eye rolling, Grand mal convulsion, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Mother states daughter had grand mal seizure this AM at school. No treatment. Was afebrile. Mother states sibling had similar reaction to MMR eyes rolled back, body stiffened, unconscious x 5 min
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Erythematous lesion, oval shape 3x5cm on the injection site with itching 24 hour after receiving varicella vaccine
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Skin nodule, Skin warm
Clinical narrative: Left leg (lower thigh) red, feverish, itching, swollen, felt nodular lesion. Cool compresses, Nuzon Gel-apply BID. Mom gave Motrin.
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: Child has 1.5 inch diameter area of redness and induration on right tricep area with a more faint area of pink and slightly indurated skin out to about 3.5 inches. Tender with pain
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Dizziness, Migraine, Nausea, Visual disturbance
Clinical narrative: Severe nausea lasting more than two weeks.  Severe migrane headaches and vision disturbances. Dizziness.  All of these have lasted more than two weeks and are currently ongoing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Decreased appetite, Flatulence
Clinical narrative: patient refused to take his bottle, pushing the nipple away with his tongue. Mom has to give the formula drop by drop with syringe for him to eat bacuse he could go hours even 5 hours wihtout wanting his milk. This happened  in the evening of his immunization. Parents were calling the doctor 2x the same week of immunization because of the difficulty of feeding him. This is the 2nd week after the immunization and still showing the feeding difficulty. However, there are no vomiting, diarrhrea, iiritability but just "gassy". This baby has no feeding problem before the immunization and healthy.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Full blood count, Headache, Injection site warmth, Urticaria
Clinical narrative: Headaches, Hives all over body and warm to injection site.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dermatitis, Hypersensitivity, Pruritus
Clinical narrative: Within 24 hours after receiving 2nd anthrax vaccine, developed severe, bilateral, symmetric dermatitis on the supine surfaces of both forearms, very pruritic; working diagnosis is a hypersensitivity rxn to component of the anthrax vaccine; treatment consisted of OTC benadryl tablets PRN for itching.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Adacel 0.5 mL IM was given on 07/24/2007.  Patient experienced redness and soreness around injection site.  Patient had negative respiratory S/S 10 X14 cm.  Patient was gieven Benadryl cool compress and symptoms resided.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child had swelling,redness,and heat around area of shotDTAP .Signs persisted and mother took child to E.R. There he received an antibiotic and generic Benedryl .This ocurred 2 days after the shot.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Abdominal pain, Anaphylactic reaction, Dyspnoea, Eyelid oedema, Flushing
Clinical narrative: Anaphylaxis, developed papitations, flushed face, abdominal cramping, sob,itchy rash on chest and ears, swollen lower lip and eyes. Administered 25 mg of Benadryl by mouth, rash increased so epinephine 1:1000 0.2ml given subcutaneously. Within 15 min rash was gone, within 30 min all signs and symptoms gone, vital signs stable. No hx of asthma or anaphylaxis.  8/21/07 Received pcp medical records which reveal patient experienced  good health on day of vax.  Parent had requested 2nd varivax.  Minutes after vax developed palpitations, flushed face, abdominal cramps, itchy rash, swollen lip.  Tx w/oral Benadryl, SQ epi.  Symptoms completely resolved.  No past history of vaccine side effects, asthma or anaphylaxis.  Referred for allergy testing. FINAL DX: Anaphylaxis to 2nd Varivax.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Lip swelling, Palpitations, Rash pruritic
Clinical narrative: Anaphylaxis, developed papitations, flushed face, abdominal cramping, sob,itchy rash on chest and ears, swollen lower lip and eyes. Administered 25 mg of Benadryl by mouth, rash increased so epinephine 1:1000 0.2ml given subcutaneously. Within 15 min rash was gone, within 30 min all signs and symptoms gone, vital signs stable. No hx of asthma or anaphylaxis.  8/21/07 Received pcp medical records which reveal patient experienced  good health on day of vax.  Parent had requested 2nd varivax.  Minutes after vax developed palpitations, flushed face, abdominal cramps, itchy rash, swollen lip.  Tx w/oral Benadryl, SQ epi.  Symptoms completely resolved.  No past history of vaccine side effects, asthma or anaphylaxis.  Referred for allergy testing. FINAL DX: Anaphylaxis to 2nd Varivax.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Abdominal pain, Flushing, Lip swelling, Palpitations, Rash pruritic
Clinical narrative: Anaphylaxis, developed papitations, flushed face, abdominal cramping, sob,itchy rash on chest and ears, swollen lower lip and eyes. Administered 25 mg of Benadryl by mouth, rash increased so epinephine 1:1000 0.2ml given subcutaneously. Within 15 min rash was gone, within 30 min all signs and symptoms gone, vital signs stable. No hx of asthma or anaphylaxis.  8/21/07 Received pcp medical records which reveal patient experienced  good health on day of vax.  Parent had requested 2nd varivax.  Minutes after vax developed palpitations, flushed face, abdominal cramps, itchy rash, swollen lip.  Tx w/oral Benadryl, SQ epi.  Symptoms completely resolved.  No past history of vaccine side effects, asthma or anaphylaxis.  Referred for allergy testing. FINAL DX: Anaphylaxis to 2nd Varivax.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Scleral discolouration
Clinical narrative: Anaphylaxis, developed papitations, flushed face, abdominal cramping, sob,itchy rash on chest and ears, swollen lower lip and eyes. Administered 25 mg of Benadryl by mouth, rash increased so epinephine 1:1000 0.2ml given subcutaneously. Within 15 min rash was gone, within 30 min all signs and symptoms gone, vital signs stable. No hx of asthma or anaphylaxis.  8/21/07 Received pcp medical records which reveal patient experienced  good health on day of vax.  Parent had requested 2nd varivax.  Minutes after vax developed palpitations, flushed face, abdominal cramps, itchy rash, swollen lip.  Tx w/oral Benadryl, SQ epi.  Symptoms completely resolved.  No past history of vaccine side effects, asthma or anaphylaxis.  Referred for allergy testing. FINAL DX: Anaphylaxis to 2nd Varivax.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Asthma, Lip swelling
Clinical narrative: Mother states, "his lips swoll up to where it looked like he had gotten injections in them. I had to start giving him nebulizer treatments every 2 - 4 hours, because it caused an asthma attack."
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: No reaction on previous exposure to drug, Oedema peripheral
Clinical narrative: PT given 3rd Anthrax Vaccination,  Left arm swelled to twice normal size.  First two vaccinations recieved no unusual reaction.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Alanine aminotransferase increased, Blood culture negative, Blood sodium decreased, C-reactive protein increased, Conjunctival hyperaemia
Clinical narrative: STARTED MILD FEVER THE EVENING OF IMMUNIZATION AND UP TO 103'F AT 36 HRS WITH MACULAR RASHES, RED SWOLLEN FINGER TIPS, CONJUNCTIVAL INJECTION, RED ORAL MUCOSA AND MILD DIARRHEA. MINIMAL CERVICAL LYMPHADENOPATHY. REFERRED TO E.D., DIAGNOSED ATYPICAL KAWASAKI'S AND ADMITTED. RECEIVED IVIGG ONE DOSE AND IMPROVED WITH RESOLUTION OF FEVER AND OTHER SYMPTOMS.  8/14/07 Received vax record from pcp which corrected Prevnar lot #.  VAERS database updated w/same.  8/17/07 Received hospital medical records which reveals patient experienced fever x 2 days, irritability, rash around eyes, cough, emesis x 1, decreased oral intake.  Admitted 8/2-8/6/06.  Exam revealed significant cleral & conjunctival injection, slight edema of hands & feet, diffuse slightly erythematous macular rash over chest & torso.  Tx w/IVIG. & high dose ASA.  Cardiology consult done.  Improved & d/c to home on ASA to be f/u w/cardiology as outpatient. FINAL DX: Atypical Kawasaki's disease, s/p IVIG.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Culture stool negative, Culture urine negative, Diarrhoea, Echocardiogram normal, Enterovirus serology test negative
Clinical narrative: STARTED MILD FEVER THE EVENING OF IMMUNIZATION AND UP TO 103'F AT 36 HRS WITH MACULAR RASHES, RED SWOLLEN FINGER TIPS, CONJUNCTIVAL INJECTION, RED ORAL MUCOSA AND MILD DIARRHEA. MINIMAL CERVICAL LYMPHADENOPATHY. REFERRED TO E.D., DIAGNOSED ATYPICAL KAWASAKI'S AND ADMITTED. RECEIVED IVIGG ONE DOSE AND IMPROVED WITH RESOLUTION OF FEVER AND OTHER SYMPTOMS.  8/14/07 Received vax record from pcp which corrected Prevnar lot #.  VAERS database updated w/same.  8/17/07 Received hospital medical records which reveals patient experienced fever x 2 days, irritability, rash around eyes, cough, emesis x 1, decreased oral intake.  Admitted 8/2-8/6/06.  Exam revealed significant cleral & conjunctival injection, slight edema of hands & feet, diffuse slightly erythematous macular rash over chest & torso.  Tx w/IVIG. & high dose ASA.  Cardiology consult done.  Improved & d/c to home on ASA to be f/u w/cardiology as outpatient. FINAL DX: Atypical Kawasaki's disease, s/p IVIG.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Gastrointestinal tract mucosal discolouration, Immunoglobulins, Kawasaki's disease, Lymphadenopathy
Clinical narrative: STARTED MILD FEVER THE EVENING OF IMMUNIZATION AND UP TO 103'F AT 36 HRS WITH MACULAR RASHES, RED SWOLLEN FINGER TIPS, CONJUNCTIVAL INJECTION, RED ORAL MUCOSA AND MILD DIARRHEA. MINIMAL CERVICAL LYMPHADENOPATHY. REFERRED TO E.D., DIAGNOSED ATYPICAL KAWASAKI'S AND ADMITTED. RECEIVED IVIGG ONE DOSE AND IMPROVED WITH RESOLUTION OF FEVER AND OTHER SYMPTOMS.  8/14/07 Received vax record from pcp which corrected Prevnar lot #.  VAERS database updated w/same.  8/17/07 Received hospital medical records which reveals patient experienced fever x 2 days, irritability, rash around eyes, cough, emesis x 1, decreased oral intake.  Admitted 8/2-8/6/06.  Exam revealed significant cleral & conjunctival injection, slight edema of hands & feet, diffuse slightly erythematous macular rash over chest & torso.  Tx w/IVIG. & high dose ASA.  Cardiology consult done.  Improved & d/c to home on ASA to be f/u w/cardiology as outpatient. FINAL DX: Atypical Kawasaki's disease, s/p IVIG.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oedema peripheral, Oral mucosal eruption, Pyrexia, Rash macular, Red blood cell sedimentation rate increased
Clinical narrative: STARTED MILD FEVER THE EVENING OF IMMUNIZATION AND UP TO 103'F AT 36 HRS WITH MACULAR RASHES, RED SWOLLEN FINGER TIPS, CONJUNCTIVAL INJECTION, RED ORAL MUCOSA AND MILD DIARRHEA. MINIMAL CERVICAL LYMPHADENOPATHY. REFERRED TO E.D., DIAGNOSED ATYPICAL KAWASAKI'S AND ADMITTED. RECEIVED IVIGG ONE DOSE AND IMPROVED WITH RESOLUTION OF FEVER AND OTHER SYMPTOMS.  8/14/07 Received vax record from pcp which corrected Prevnar lot #.  VAERS database updated w/same.  8/17/07 Received hospital medical records which reveals patient experienced fever x 2 days, irritability, rash around eyes, cough, emesis x 1, decreased oral intake.  Admitted 8/2-8/6/06.  Exam revealed significant cleral & conjunctival injection, slight edema of hands & feet, diffuse slightly erythematous macular rash over chest & torso.  Tx w/IVIG. & high dose ASA.  Cardiology consult done.  Improved & d/c to home on ASA to be f/u w/cardiology as outpatient. FINAL DX: Atypical Kawasaki's disease, s/p IVIG.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Ultrasound abdomen normal, White blood cells urine positive
Clinical narrative: STARTED MILD FEVER THE EVENING OF IMMUNIZATION AND UP TO 103'F AT 36 HRS WITH MACULAR RASHES, RED SWOLLEN FINGER TIPS, CONJUNCTIVAL INJECTION, RED ORAL MUCOSA AND MILD DIARRHEA. MINIMAL CERVICAL LYMPHADENOPATHY. REFERRED TO E.D., DIAGNOSED ATYPICAL KAWASAKI'S AND ADMITTED. RECEIVED IVIGG ONE DOSE AND IMPROVED WITH RESOLUTION OF FEVER AND OTHER SYMPTOMS.  8/14/07 Received vax record from pcp which corrected Prevnar lot #.  VAERS database updated w/same.  8/17/07 Received hospital medical records which reveals patient experienced fever x 2 days, irritability, rash around eyes, cough, emesis x 1, decreased oral intake.  Admitted 8/2-8/6/06.  Exam revealed significant cleral & conjunctival injection, slight edema of hands & feet, diffuse slightly erythematous macular rash over chest & torso.  Tx w/IVIG. & high dose ASA.  Cardiology consult done.  Improved & d/c to home on ASA to be f/u w/cardiology as outpatient. FINAL DX: Atypical Kawasaki's disease, s/p IVIG.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Catheterisation cardiac abnormal, Chest pain, Ejection fraction decreased
Clinical narrative: 11 days after vaccination (8/7/2007), at 5:30-6 am. he had left-sided pressure-like chest pains radiating under his left axilla, gr.7-9/10, not related to movement. He also noted increased tiredness. No shortness of breath. It got better with 800 mg ibuprofen.  The next morning (8/8), at 2 am, he had severe, Gr. 8-10/10, sharp chest pains, non-radiating. He was admitted to Hospital under Dr.  CKMB and Troponin levels were elevated.  Heart cath on 8/8 revealed an ejection fraction of 35%. Patient is still in the hospital, so required hosp days is an estimate.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Fatigue, Troponin increased
Clinical narrative: 11 days after vaccination (8/7/2007), at 5:30-6 am. he had left-sided pressure-like chest pains radiating under his left axilla, gr.7-9/10, not related to movement. He also noted increased tiredness. No shortness of breath. It got better with 800 mg ibuprofen.  The next morning (8/8), at 2 am, he had severe, Gr. 8-10/10, sharp chest pains, non-radiating. He was admitted to Hospital under Dr.  CKMB and Troponin levels were elevated.  Heart cath on 8/8 revealed an ejection fraction of 35%. Patient is still in the hospital, so required hosp days is an estimate.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, Catheterisation cardiac abnormal, Chest pain, Ejection fraction decreased, Troponin increased
Clinical narrative: 11 days after vaccination (8/7/2007), at 5:30-6 am. he had left-sided pressure-like chest pains radiating under his left axilla, gr.7-9/10, not related to movement. He also noted increased tiredness. No shortness of breath. It got better with 800 mg ibuprofen.  The next morning (8/8), at 2 am, he had severe, Gr. 8-10/10, sharp chest pains, non-radiating. He was admitted to Hospital under Dr.  CKMB and Troponin levels were elevated.  Heart cath on 8/8 revealed an ejection fraction of 35%. Patient is still in the hospital, so required hosp days is an estimate.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Local reaction, Tenderness
Clinical narrative: Large local reaction with redness, tenderness measuring 13 by 15 cm with central area 4.5 cm which was redder and indurated - first noticed on day of immunization, worse the next day
Age: 16.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Administered Adult Form of Hepatitis B.  Because Patient is 16, I referred to CDC for infomation on how to proceed with next doses.  I was told to count this dose and give the Adolescent formula for the next 2 in the series.  I was also told to report this to the Adverse Event Reporting System
Age: 36.0
Sex: F
Vaccine: ANTH, DTAP, HEP, SMALL
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: This patient was given Smallpox, Anthrax, Hepatitis B, PPD, Tdap, and Typhoid. This was done without confirmation on her pregnancy status
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Urticaria
Clinical narrative: Patient has had hives off and on since the day after the vaccination.  Hives cover her entire body.  Claritan or Benadryl will control them.  It has been 3 weeks since vaccination and she is still getting them
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: REDNESS AND TENDERNESS TO RT DELTOID WHERE VARIVAX WAS ADMINISTERED. DR. NOTIFIED.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Hyperhidrosis, Pallor, Syncope, Vomiting
Clinical narrative: Fainted, remained pale and diaphoretic for 1 1/4 hours after vaccines given.  Vomited 4 - 5 times.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Urticaria
Clinical narrative: urticarial rash  after  administration of vaccination; subsided on administration of benadryl in about 10 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Body temperature increased, Cold compress therapy, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Infanrix was administered on 8/6/07.  Mother notified us on 8/7/07 p.m. that member had 104 oral temp and pink area approximately one inch in diameter around injection site with slight swelling, denied pain at injection site.  Mother denied other worrisome symtpoms at that time. Mother was instructed to give Children's Tylenol and Motrin alternating q3hours, cool compresses to injection site.  Child flew to West Coast on family vacation on 8/8/07, mother called in afternoon to report continuing fever to 102, arm not painful, pinkish area remains and warm to touch, not increasing in size, no streaking or drainage noted. Advised to continue Tylenol/Motrin, cool compresses, seek medical attention if fever continued, arm became inflamed or painful, other worrisome symptoms occurred. Mother has not called back with status report at this time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Infanrix was administered on 8/6/07.  Mother notified us on 8/7/07 p.m. that member had 104 oral temp and pink area approximately one inch in diameter around injection site with slight swelling, denied pain at injection site.  Mother denied other worrisome symtpoms at that time. Mother was instructed to give Children's Tylenol and Motrin alternating q3hours, cool compresses to injection site.  Child flew to West Coast on family vacation on 8/8/07, mother called in afternoon to report continuing fever to 102, arm not painful, pinkish area remains and warm to touch, not increasing in size, no streaking or drainage noted. Advised to continue Tylenol/Motrin, cool compresses, seek medical attention if fever continued, arm became inflamed or painful, other worrisome symptoms occurred. Mother has not called back with status report at this time.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: On evening following vaccine mother noticed raised  large red  hives on upper back extending to shoulder.  No tich and no fever noted . All redness and rash above bra line and no other parts of body. by 080907 decreaed redness and less raised welts. no itching and no other complaint. no previous dose of this vaccine
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Abdominal distension, Blood test, Crying, Diarrhoea, Fatigue
Clinical narrative: Within 2-3 hours after receiving the Rotateq vaccine, she got serious vomiting and diarhea and began to cry and scream uncontrollably.  She seemed to have extreme discomfort in her stomach and/or digestive system.  She became exhausted from the pain and sleeplessness.  Her gas seemed to build over the next two days.  By the end of the second day, my pediatrician's nurse on call advised me when I called in with the symptoms to take her to the emergency room.  At the emergency room, a number of tests were done, including an x-ray to test for intrussesesion (spelling is wrong, I know).  The x-ray showed that her intestines looked fine but that her whole digestive system was filled with major amounts of gas that was causing extreme bloating.  She had a hard time getting the gas out.  I was told the only thing we could do for her is give her mylicon and continue to burp her constantly.  She had severe stomach problems for the next 2 months, and she didn't return to what I would consider to be normal or healthy or pre-innoculation condition until about 4 months later when she was 6 months old.  She is otherwise a very healthy and strong girl and has had no problem with any other vaccine.  I knew that all of her symptoms began right in-time with the vomiting and diahrea 2-3 hours after the vaccine.  There were no other dietary or lifestyle changes that can account for her sudden decline in digestive health.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Flatulence, Insomnia, Pain, Rectal examination, Screaming
Clinical narrative: Within 2-3 hours after receiving the Rotateq vaccine, she got serious vomiting and diarhea and began to cry and scream uncontrollably.  She seemed to have extreme discomfort in her stomach and/or digestive system.  She became exhausted from the pain and sleeplessness.  Her gas seemed to build over the next two days.  By the end of the second day, my pediatrician's nurse on call advised me when I called in with the symptoms to take her to the emergency room.  At the emergency room, a number of tests were done, including an x-ray to test for intrussesesion (spelling is wrong, I know).  The x-ray showed that her intestines looked fine but that her whole digestive system was filled with major amounts of gas that was causing extreme bloating.  She had a hard time getting the gas out.  I was told the only thing we could do for her is give her mylicon and continue to burp her constantly.  She had severe stomach problems for the next 2 months, and she didn't return to what I would consider to be normal or healthy or pre-innoculation condition until about 4 months later when she was 6 months old.  She is otherwise a very healthy and strong girl and has had no problem with any other vaccine.  I knew that all of her symptoms began right in-time with the vomiting and diahrea 2-3 hours after the vaccine.  There were no other dietary or lifestyle changes that can account for her sudden decline in digestive health.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Stomach discomfort, Vomiting, X-ray
Clinical narrative: Within 2-3 hours after receiving the Rotateq vaccine, she got serious vomiting and diarhea and began to cry and scream uncontrollably.  She seemed to have extreme discomfort in her stomach and/or digestive system.  She became exhausted from the pain and sleeplessness.  Her gas seemed to build over the next two days.  By the end of the second day, my pediatrician's nurse on call advised me when I called in with the symptoms to take her to the emergency room.  At the emergency room, a number of tests were done, including an x-ray to test for intrussesesion (spelling is wrong, I know).  The x-ray showed that her intestines looked fine but that her whole digestive system was filled with major amounts of gas that was causing extreme bloating.  She had a hard time getting the gas out.  I was told the only thing we could do for her is give her mylicon and continue to burp her constantly.  She had severe stomach problems for the next 2 months, and she didn't return to what I would consider to be normal or healthy or pre-innoculation condition until about 4 months later when she was 6 months old.  She is otherwise a very healthy and strong girl and has had no problem with any other vaccine.  I knew that all of her symptoms began right in-time with the vomiting and diahrea 2-3 hours after the vaccine.  There were no other dietary or lifestyle changes that can account for her sudden decline in digestive health.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Rash macular, Skin warm
Clinical narrative: Mother called to report that the day after the varicella vaccine 1 inch below the injection site developed blotchy redness down the width of his R arm down to elbow and that area is warmer than the surrounding skin, not hard. Tender only at injection site. Able to use his arm wnl. Mom states has remained the same since 1st noticed 08/07/08.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: mom called and pt broke out in hives after getting the second dose of HPV.
Age: 23.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Soreness in arm and bad headache 4-5 hours after injection.  Woke in the morning feeling like I'd been hit by a truck - body (muscle and joint) aches, bad headache, extreme soreness in arm (difficult to move and tender to the touch), fatigue, fever, and blurry vision.  Symptoms still present at time of form submission.
Age: 23.0
Sex: F
Vaccine: HEPAB
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Soreness in arm and bad headache 4-5 hours after injection.  Woke in the morning feeling like I'd been hit by a truck - body (muscle and joint) aches, bad headache, extreme soreness in arm (difficult to move and tender to the touch), fatigue, fever, and blurry vision.  Symptoms still present at time of form submission.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema, Rash, Scratch, Urticaria
Clinical narrative: 8/08/2007 3:45pm Vaccines below administered. 4:45pm Child vomited x 1,scratching hands and feet. AAO,airway patent, lungs CTA. Hives,rash,erythemia present on face,chest,feet,and arms. Edema noted on face and feet. 4:50pm Administered 0.2ml Epinephrine 1/1000 SubQ L.arm 4:52pm Benedryl 0.25ml(12.5mg) IM Left deltoid. 911 called at 4:53pm. Monitored pt. until ambulance arrived. 5:00pm Ambulance arrived,pt. stable,transported to Emergency Room. 8/09/2007  Called mother to follow up on ER visit.  Mom stated" Child observed for a couple of hours. They gave him some liquid medicine(Mom did not know name of medication administered) and let him go home." Mom states"He is doing fine" " Has good appetite, playing and the rash is gone."
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: 8/08/2007 3:45pm Vaccines below administered. 4:45pm Child vomited x 1,scratching hands and feet. AAO,airway patent, lungs CTA. Hives,rash,erythemia present on face,chest,feet,and arms. Edema noted on face and feet. 4:50pm Administered 0.2ml Epinephrine 1/1000 SubQ L.arm 4:52pm Benedryl 0.25ml(12.5mg) IM Left deltoid. 911 called at 4:53pm. Monitored pt. until ambulance arrived. 5:00pm Ambulance arrived,pt. stable,transported to Emergency Room. 8/09/2007  Called mother to follow up on ER visit.  Mom stated" Child observed for a couple of hours. They gave him some liquid medicine(Mom did not know name of medication administered) and let him go home." Mom states"He is doing fine" " Has good appetite, playing and the rash is gone."
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Body temperature increased, Influenza like illness, Pharyngitis
Clinical narrative: Flu-like sx. Pharyngitis. Peak temperature of 103.3 one day s/p immunization. Pt had been ill the previous day. Pt lost 48 hours of duty.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Urticaria
Clinical narrative: Hives for 2-3 days after immunization then again in 2 weeks hives for 2-3 days. Relieved by Benadryl PO.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Cold sweat, Dizziness, Fall, Head injury, Hyperhidrosis
Clinical narrative: My daughter was standing behind me while I was at the front desk paying our insurance co-pay. I heard her quietly start to say, "Mom, Mom, Mom..." and turned around just in time to watch her crumble to the floor, but too late to catch her. She fell forward onto a carpeted floor. She was completely unconscious for approximately 5-10 seconds, but continued to be groggy after regaining consciousness. We got her into a sitting position at which point 2 nurses came over, asked if she had hit her head, and attempted to help her walk to a room where she could lay down. While walking, she lost consciousness a second time. Her legs were dragging behind her and she went limp. I was following right behind them when this happened and observed her arms move back in a stiff position with her fingers in an odd, stiff shape. I was terrified she was having a seizure, but the nurses insisted she wasn't. However, they were at her sides and did not see what her arms and hands were doing. They stopped and sat her on the floor leaning against the wall and she regained consciousness again. I estimate she was unconscious the second time for approx 10 seconds. She was then moved to a room where she very quickly recovered while sitting in a chair. She was given water and a wet washcloth. She did not want to lay down and had no trouble drinking water, controlling her arms, legs, etc and her speech was normal. She was very pale, sweaty, cold and clammy to the touch. When asked to describe what she experienced before she passed out, she said she became very dizzy, started to see spots, and then her vision started to go black. She also stated that she knew what was about to happen the second time right before she fainted again. She remembered everything before and after, but had no sense of what was said or going on around her while unconscious. She stayed in the examine room for about 15 minutes and insisted she felt fine and was ready to leave. She has not experienced any other symptoms since.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hypotonia, Loss of consciousness, Musculoskeletal stiffness, Pallor, Somnolence
Clinical narrative: My daughter was standing behind me while I was at the front desk paying our insurance co-pay. I heard her quietly start to say, "Mom, Mom, Mom..." and turned around just in time to watch her crumble to the floor, but too late to catch her. She fell forward onto a carpeted floor. She was completely unconscious for approximately 5-10 seconds, but continued to be groggy after regaining consciousness. We got her into a sitting position at which point 2 nurses came over, asked if she had hit her head, and attempted to help her walk to a room where she could lay down. While walking, she lost consciousness a second time. Her legs were dragging behind her and she went limp. I was following right behind them when this happened and observed her arms move back in a stiff position with her fingers in an odd, stiff shape. I was terrified she was having a seizure, but the nurses insisted she wasn't. However, they were at her sides and did not see what her arms and hands were doing. They stopped and sat her on the floor leaning against the wall and she regained consciousness again. I estimate she was unconscious the second time for approx 10 seconds. She was then moved to a room where she very quickly recovered while sitting in a chair. She was given water and a wet washcloth. She did not want to lay down and had no trouble drinking water, controlling her arms, legs, etc and her speech was normal. She was very pale, sweaty, cold and clammy to the touch. When asked to describe what she experienced before she passed out, she said she became very dizzy, started to see spots, and then her vision started to go black. She also stated that she knew what was about to happen the second time right before she fainted again. She remembered everything before and after, but had no sense of what was said or going on around her while unconscious. She stayed in the examine room for about 15 minutes and insisted she felt fine and was ready to leave. She has not experienced any other symptoms since.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Visual disturbance
Clinical narrative: My daughter was standing behind me while I was at the front desk paying our insurance co-pay. I heard her quietly start to say, "Mom, Mom, Mom..." and turned around just in time to watch her crumble to the floor, but too late to catch her. She fell forward onto a carpeted floor. She was completely unconscious for approximately 5-10 seconds, but continued to be groggy after regaining consciousness. We got her into a sitting position at which point 2 nurses came over, asked if she had hit her head, and attempted to help her walk to a room where she could lay down. While walking, she lost consciousness a second time. Her legs were dragging behind her and she went limp. I was following right behind them when this happened and observed her arms move back in a stiff position with her fingers in an odd, stiff shape. I was terrified she was having a seizure, but the nurses insisted she wasn't. However, they were at her sides and did not see what her arms and hands were doing. They stopped and sat her on the floor leaning against the wall and she regained consciousness again. I estimate she was unconscious the second time for approx 10 seconds. She was then moved to a room where she very quickly recovered while sitting in a chair. She was given water and a wet washcloth. She did not want to lay down and had no trouble drinking water, controlling her arms, legs, etc and her speech was normal. She was very pale, sweaty, cold and clammy to the touch. When asked to describe what she experienced before she passed out, she said she became very dizzy, started to see spots, and then her vision started to go black. She also stated that she knew what was about to happen the second time right before she fainted again. She remembered everything before and after, but had no sense of what was said or going on around her while unconscious. She stayed in the examine room for about 15 minutes and insisted she felt fine and was ready to leave. She has not experienced any other symptoms since.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Fatigue, Influenza like illness, Pain
Clinical narrative: cellulitis with flu-like symptoms (bodyache, fatigues, chill, fever)
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: cellulitis with flu-like symptoms (bodyache, fatigues, chill, fever)
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Muscle spasms, Ultrasound scan abnormal
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female with no pertinent medical history or drug reactions/allergies who on 29-JAN-2007 was vaccinated with a first dose of Gardasil (lot # 655617/1447F) injection 0.5mL IM left deltoid. On 19-MAR-2007, the patient was vaccinated with a second dose of Gardasil (lot # 656372/0243U) injection 0.5mL IM left deltoid. Concomitant medication included ZYRTEC and PREVACID. The date of the patient's last menstrual period was 24-JUN-2007. On 23-JUL-2007, the patient reported that she tested positive for pregnancy. On 29-JUL-2007, the patient sought medical attention for a miscarriage (the estimated date of delivery was 30-MAR-2008). On 29-JUL-2007, the patient arrived at the emergency room with complaints of bleeding and cramping. An ultrasound performed showed no fetus/pregnancy. Additional information was received from the registered nurse via telephone. It was originally reported that the miscarriage was life-threatening. The nurse clarified that it was not life-threatening to the mother but was unknown to the fetus as it was very early on in the pregnancy. The relationship of the miscarriage to Gardasil was unknown. Upon internal review, spontaneous abortion was considered to be an Other Important Medical Event. No additional information is expected.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Vaginal haemorrhage
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female with no pertinent medical history or drug reactions/allergies who on 29-JAN-2007 was vaccinated with a first dose of Gardasil (lot # 655617/1447F) injection 0.5mL IM left deltoid. On 19-MAR-2007, the patient was vaccinated with a second dose of Gardasil (lot # 656372/0243U) injection 0.5mL IM left deltoid. Concomitant medication included ZYRTEC and PREVACID. The date of the patient's last menstrual period was 24-JUN-2007. On 23-JUL-2007, the patient reported that she tested positive for pregnancy. On 29-JUL-2007, the patient sought medical attention for a miscarriage (the estimated date of delivery was 30-MAR-2008). On 29-JUL-2007, the patient arrived at the emergency room with complaints of bleeding and cramping. An ultrasound performed showed no fetus/pregnancy. Additional information was received from the registered nurse via telephone. It was originally reported that the miscarriage was life-threatening. The nurse clarified that it was not life-threatening to the mother but was unknown to the fetus as it was very early on in the pregnancy. The relationship of the miscarriage to Gardasil was unknown. Upon internal review, spontaneous abortion was considered to be an Other Important Medical Event. No additional information is expected.
Sex: U
Vaccine: PPV
Symptoms: Hyperaesthesia, Injection site induration, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a patient who on an unspecified date, was vaccinated with a dose of Pneumovax 23 (Lot # 657143/0380U). Subsequently, the patient experienced swelling and induration at the injection site and it was sensitive to the touch. Unspecified medical attention was sought. At the time of this report, the patient was recovering. No product quality complaint was involved. Swelling and induration at the injection site and sensitive to touch were considered to be disabling. This is one of three reports from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a patient who on an unspecified date, was vaccinated with a dose of Pneumovax 23 (Lot # 657143/0380U). Subsequently, the patient experienced swelling and induration at the injection site and it was sensitive to the touch. Unspecified medical attention was sought. At the time of this report, the patient was recovering. No product quality complaint was involved. Swelling and induration at the injection site and sensitive to touch were considered to be disabling. This is one of three reports from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a patient who on an unspecified date, was vaccinated with a dose of Pneumovax 23 (Lot # 657143/0380U). Subsequently, the patient experienced swelling and induration at the injection site and it was sensitive to the touch. Unspecified medical attention was sought. At the time of this report, the patient was recovering. No product quality complaint was involved. Swelling and induration at the injection site and sensitive to touch were considered to be disabling. This is one of three reports from the same source. Additional information has been requested.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction
Clinical narrative: We received via Vaccine Information Service in the USA the following information on 30 JUL 2007: A 46-year-old woman, born on 13 NOV 1960, was vaccinated with Fluvirin, batch-no 70740, into the left arm on 17 NOV 2006. Since then, she has experienced severe pain at the injection site, and limited range of motion in her left arm. This has subsided somewhat over time, yet she does still experience pain upon extension of her arm. There is nothing visible at the injection site and the patient feels that the muscle in that area has been affected. Company assessment: Seriousness criterion: permanent disability. Causality: Insufficient data. Expectedness assessment according to SPC: The reported symptoms, except for pain at injection site, are not expected after vaccination with Fluvirin (due to the long duration). No change in benefit-risk-ratio. No measures necessary.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Received Hep B #1.  Fever of 102 following day. 9/5/07-records received for DOS 8/2-8/3/07-Admitting diagnosis Fever. Baby fussy did not want to breast feed, temp 102 axillary.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Disorientation, Injection site erythema, Injection site rash, Pyrexia
Clinical narrative: My son had a low grade fever immediately after shot was rendered. He was also disoriented and developing a red rash where shot had been administered. Approx. 72 hrs later his temp had reached 103 deg and rising. We took him to emergency rm and we were admitted over night. Rash grew and fever subsided after medication.  10/19/07 Reviewed pcp medical records, including vax record & hospital d/c summary.  VAERS database updated w/same.  Office notes indicate patient was in usual state of health on 5/4/07.  Developed fever x 4 days.  Admitted 5/9-5/9/07 for observation.    Tx w/IM antibiotics.  Afebrile in hospital & eating well.  d/c to home w/pcp f/u.  Office visit of 5/11 reveals doing well.  Records from former pcp also included.   FINAL HOSPITAL DX: acute febrile illness. FINAL MD DX: Viral exanthem & febrile seizure.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Blister, Herpes zoster
Clinical narrative: Grouped vesicles right upper chest. Right anterior shoulder. Dx - shingles
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eye rolling, Muscle spasms, Mydriasis, Nausea, Pallor
Clinical narrative: Temp 97.7. Eyes rolling, arm spasm, non-responsive to talking x < 30 seconds. When episode were over there were dilated pupils, pallor and nausea. Vitals stable - transmitted by EMS to hospital
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Unresponsive to stimuli
Clinical narrative: Temp 97.7. Eyes rolling, arm spasm, non-responsive to talking x < 30 seconds. When episode were over there were dilated pupils, pallor and nausea. Vitals stable - transmitted by EMS to hospital
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure, Computerised tomogram normal, Eye rolling, Heart rate, Muscle spasms
Clinical narrative: Temp 97.7. Eyes rolling, arm spasm, non-responsive to talking x < 30 seconds. When episode were over there were dilated pupils, pallor and nausea. Vitals stable - transmitted by EMS to hospital
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mydriasis, Nausea, Oxygen saturation, Pallor, Syncope
Clinical narrative: Temp 97.7. Eyes rolling, arm spasm, non-responsive to talking x < 30 seconds. When episode were over there were dilated pupils, pallor and nausea. Vitals stable - transmitted by EMS to hospital
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Unresponsive to stimuli, White blood cell count
Clinical narrative: Temp 97.7. Eyes rolling, arm spasm, non-responsive to talking x < 30 seconds. When episode were over there were dilated pupils, pallor and nausea. Vitals stable - transmitted by EMS to hospital
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Dizziness, Headache, Irritability
Clinical narrative: Mother called office 8-3-07 -  low grade fever, joints hurt, dizzy - chills, headache on 8-2-07. Irritable
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Mother called office 8-3-07 -  low grade fever, joints hurt, dizzy - chills, headache on 8-2-07. Irritable
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Sleep disorder, Vomiting
Clinical narrative: Irritable, not sleeping, vomiting, diarrhea.  8/28/07 Received pcp medical records & vax records.  VAERS database updated w/vax info.  Patient seen on 7/26 & was irritable, spitting up, gas, loose stools but eating & urinating OK.  Weight was stable w/weight of 7/23.  Abdomen was soft & nontender w/no mass.  No blood in stool.   Final Dx: GERD. 10/9/07 Hospital does not have records of 7/24.  T/C to parent.  States was not hospitalized but seen on ly in MD office.  Doing well now except for persistent GERD despite meds x 2, raising HOB & eliminating dairy from mom's diet (breastfeeding).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Flushing
Clinical narrative: Patient complained of face feeling hot. No shortness of breath. No reaction at injection site. Vital signs normal. Note: Patient does not like needles.