chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus infection, Vomiting
Clinical narrative: Information has been received from a physician concerning a 9 month old male with no pertinent medical history or drug allergies who on 06-SEP-2007, 13-NOV-2007 and 15-JAN-2008 was vaccinated with his first, second and third doses of ROTATEQ (lot# 657660/0972U, "0672U", 657785/1244U). Suspect vaccination administered on 15-JAN-2008 included PEDVAXHIB. Concomitant vaccinations administered on that day included a dose of diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid, a dose of poliovirus vaccine inactivated (unspecified) and a dose of PREVNAR. On 15-APR-2008 the patient experienced diarrhea, vomiting and was diagnosed with rotavirus. The patient was hospitalized for 24 hours to an emergency care facility and had to be "rehydrated." On 15-JAN-2008 therapy with ROTATEQ was discontinued. The patient recovered 24 hours later. There was no product quality complaint. Additional information has been requested.
Age: 0.6
Sex: M
Vaccine: DTAP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 10 month old patient who in 2007 was vaccinated with "one tube x 3 doses", PO, of Rotateq. On 31 MAR 2008 the patient was hospitalized with intussusception which was surgically corrected. On an unspecified date the patient recovered from intussusception. Unspecified medical attention was sought. There was no product quality complaint. The event of intussusception was considered to be an other medically important event (OME) by the physician. Additional information has been requested. 7/2/08-records received for DOS 4/3-4/5/08-DC DX: Ileocecal intussusception. Sudden onset intermittant crampy abdominal pain began on 3/31/08 morning with passage of 1 dark stool without pain and none since. Subjective fevers.  Exploratory laparotomy with reduction of ileocolic intussusception and incidental appendectomy.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Gastrointestinal surgery, Intussusception
Clinical narrative: Intussusception- pt had to have surgery to remove 3 inches of colon 10 days after she received the rotavirus vaccine.  5/6/08 Reviewed hospital medical records of 3/24-3/26/2008. FINAL DX: Intussusception w/ischemic bowel, ileal cecectomy w/primary anastomosis. Records reveal patient experienced abdominal pain, vomiting, lethargy & bloody mucoid stools x 1 day.  Seen in outlying ER where abdominal x-ray suspicious for IS & transferred to higher level of care.  Taken to OR for exp lap which was difficult to reduce.  Ileal cecectomy w/primary anastamosis done.  Recovered well post operatively & d/c to home
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema abnormal, Blood potassium decreased, Caecectomy
Clinical narrative: Intussusception- pt had to have surgery to remove 3 inches of colon 10 days after she received the rotavirus vaccine.  5/6/08 Reviewed hospital medical records of 3/24-3/26/2008. FINAL DX: Intussusception w/ischemic bowel, ileal cecectomy w/primary anastomosis. Records reveal patient experienced abdominal pain, vomiting, lethargy & bloody mucoid stools x 1 day.  Seen in outlying ER where abdominal x-ray suspicious for IS & transferred to higher level of care.  Taken to OR for exp lap which was difficult to reduce.  Ileal cecectomy w/primary anastamosis done.  Recovered well post operatively & d/c to home
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Enema administration, Explorative laparotomy, Haematochezia, Intestinal anastomosis, Intestinal ischaemia
Clinical narrative: Intussusception- pt had to have surgery to remove 3 inches of colon 10 days after she received the rotavirus vaccine.  5/6/08 Reviewed hospital medical records of 3/24-3/26/2008. FINAL DX: Intussusception w/ischemic bowel, ileal cecectomy w/primary anastomosis. Records reveal patient experienced abdominal pain, vomiting, lethargy & bloody mucoid stools x 1 day.  Seen in outlying ER where abdominal x-ray suspicious for IS & transferred to higher level of care.  Taken to OR for exp lap which was difficult to reduce.  Ileal cecectomy w/primary anastamosis done.  Recovered well post operatively & d/c to home
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Intussusception, Lethargy, Mucous stools, Neutrophil count increased, Platelet count increased
Clinical narrative: Intussusception- pt had to have surgery to remove 3 inches of colon 10 days after she received the rotavirus vaccine.  5/6/08 Reviewed hospital medical records of 3/24-3/26/2008. FINAL DX: Intussusception w/ischemic bowel, ileal cecectomy w/primary anastomosis. Records reveal patient experienced abdominal pain, vomiting, lethargy & bloody mucoid stools x 1 day.  Seen in outlying ER where abdominal x-ray suspicious for IS & transferred to higher level of care.  Taken to OR for exp lap which was difficult to reduce.  Ileal cecectomy w/primary anastamosis done.  Recovered well post operatively & d/c to home
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Vomiting, White blood cell count increased, X-ray abnormal
Clinical narrative: Intussusception- pt had to have surgery to remove 3 inches of colon 10 days after she received the rotavirus vaccine.  5/6/08 Reviewed hospital medical records of 3/24-3/26/2008. FINAL DX: Intussusception w/ischemic bowel, ileal cecectomy w/primary anastomosis. Records reveal patient experienced abdominal pain, vomiting, lethargy & bloody mucoid stools x 1 day.  Seen in outlying ER where abdominal x-ray suspicious for IS & transferred to higher level of care.  Taken to OR for exp lap which was difficult to reduce.  Ileal cecectomy w/primary anastamosis done.  Recovered well post operatively & d/c to home
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception, Vomiting, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Child developed vomiting on 4/20/08 and was evaluated at hospital. An UGI showed intussusception. It was easily reduced with a Hypaque enema.  5/02/2008 MR received for ER visit 4/20/2008 with DX: Intussusception. Infant presented vomiting, refusal to eat, increased sleeping.  Bilious green emesis in ER. IS noted on UGI and BE. Successfully reduced.  7/31/09 Hospital records received DOS 7/2/09 to 7/9/09. First Admission 7/2/09 to 7/4/09. Assessment: Recurrent intussusception.  Patient presented with vomiting. Reduction of intussusception by enema. Second Admission 7/5/09 to 7/9/09. Discharged Diagnosis: Recurrent intussusception status post ileocolic resection and ileotransverse colon renanastomosis. After several previous reductions of intussusception by enema. Patient presented with increased fussiness, gastric emesis, bilious emesis. Decreased appetite. Bloody stool. Palpable epigastric mass. Enema reduction unsuccessful. Exploratory laparotomy with ileocolic resection and ileotransverse colon renanastomosis. Appendectomy. Ileum was quite edematous and lymph nodes in the ileocolic mesentary were massive.
Age: 1.25
Sex: M
Vaccine: HEP, HEPA
Symptoms: Asthenia, Muscular weakness, Spinal cord disorder
Clinical narrative: Loss of lower extremity strength, cervical spinal cord inflammation, possible myelitis.  5/16/08 Reviewed hospital medical records for 4/16-4/21/2008. FINAL DX: myelitis transverse Records reveal patient experienced bilateral leg weakness as noted from transferring hospital.  Continued IV steroids & then tapering oral steroids.  Improved & D/C to home f/neuro f/u & continued outpatient PT.   4/29/08 Reviewed hospital medical records for 4/14-4/16/2008. FINAL DX: lower paraplegia; lower cervical intramedullary swelling. Records reveal patient experienced falls w/o being able to get up x 4 days.  Was able to crawl.  Seen by PCP who suspected left knee injury.  Referred to ortho who suspected hip injury.  Was to f/u next week but no improvement & was unable to stand.  Noted to have bloody stool & returned to PCP.  Referred to neuro who admitted.  On exam, good strength in UEs & flaccid LEs.  Areflexic & sensation decreased.  Anal sphincter tone & reflex weak.  CT scan of spine revealed edema from C3 through T1.  Tx w/high dose steroids.  Transferred to higher level of care.
Sex: M
Vaccine: HEP, HEPA, IPV, MNQ, TDAP, TYP, YF
Symptoms: Injection site pain, Wrong technique in drug usage process
Clinical narrative: Soreness at site of injection for a few days. Took ibuprofen as needed. Resolved without sequelae. (Vaccine (yellow fever) was diluted with 1.5 ml saline instead at 3 ml saline. Pt received 0.5 ml.)
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Left arm red, swollen, painful size of a silver dollar, denies SOB, or itching-per nurse at home
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Eye swelling, Rash, Rash pruritic
Clinical narrative: Noticed rash on face ~ 1-2H after admin.  vaccines.  Mild swelling of R eye.  Rash spread over 48H to upper chest/back.  No other fever or viral sx's.  Exam nl except rash.  Mild pruritic.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling face, Urticaria
Clinical narrative: Urticaria - facial swelling and skin welts. Started hours after 2nd HPV vaccination. Treated with steroids and antihistamines.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash vesicular, Virus culture negative
Clinical narrative: Clusters of vesicular rash on coccyx area, left gluteal cleft & left perineum, 1.5 cm diameter.  For last 5 days.  Itching sensation prior for approx 24 hours.  Pt applied Neosporin for 3-4 days.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site anaesthesia, Injection site pain, Local reaction
Clinical narrative: Little local soreness at injection site at first.  About 2 days later - injection site became tender and numb.  This lasted for about 2 weeks, but is better now.
Age: 52.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling, Redness, tenderness and pain at site of injection beginning 4 hours after injection of Tdap. Resolving without treatment when seen 5 days later. Also had low grade fever and fatigue day after injection.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blood pressure, Dyskinesia, Fall, Head injury, Heart rate increased
Clinical narrative: Menactra was administered IM Lt deltoid. Pt became diaphoretic and pale. Nurse turned to get water from sink (next to pt.) Pt. fell out of chair onto floor hitting his head on wall or floor. The patient did not move for 5 seconds then he had involuntary movement in shoulders and arms and raised himself by placing hands on floor. He was assisted to a chair. Dr (health dept's health officer) arrived. He determined that pt. fainted. Mother was called to the room.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperhidrosis, Pallor, Syncope
Clinical narrative: Menactra was administered IM Lt deltoid. Pt became diaphoretic and pale. Nurse turned to get water from sink (next to pt.) Pt. fell out of chair onto floor hitting his head on wall or floor. The patient did not move for 5 seconds then he had involuntary movement in shoulders and arms and raised himself by placing hands on floor. He was assisted to a chair. Dr (health dept's health officer) arrived. He determined that pt. fainted. Mother was called to the room.
Age: 22.0
Sex: M
Vaccine: ANTH, JEV, RAB, SMALL
Symptoms: Malaise, Rash generalised, Rash pruritic
Clinical narrative: Received several vaccines to include smallpox 9 APR 08. Presented with 1 day old overall rash, mild malaise, Temp 100.4. Rash mildly pruritic. Had Clindamycin 1 week for nasal fracture. No Hx of allergy to Clindamycin.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Injection site erythema, Pain, Pruritus
Clinical narrative: Mild case of shingles.  Initial itching - appearance like bug bites at 6 spots on lower right abdomen and waist.  Itching stopped.  Spots opened.  Blisters.  Redness at site.  Raw and painful.  Redness expanded.  Pain stopped one week later.  Eruptions drying up.  Redness leaving.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Vomiting, nausea, & slight fever.  In a 5 hour period (12:30am - 5:30am 4/14/08) vomited 4 times.  Very sore arm continued through 4/15/08.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Very sore arm, vomiting, nausea and fever (101 deg) in a 9-hour period (between 3:30 am and 12:30 pm 4/12) - vomited 7 times. Patient visited urgent care (health center Dr.) 1 pm 4/12
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dyskinesia, Fall, Head injury, Hypotonia, Syncope
Clinical narrative: Syncope episode after vaccines. Patient seated in chair after vaccines. Became limp, fell to floor, hit head at (R) upper out orbital  rim. Briefly unresponsive, limp, tongue prominent. Awakened slowly placed in recumbent position. Given water, observed, ice applied to eyebrow, obs. 20 min, Ambulatory to leave
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Syncope episode after vaccines. Patient seated in chair after vaccines. Became limp, fell to floor, hit head at (R) upper out orbital  rim. Briefly unresponsive, limp, tongue prominent. Awakened slowly placed in recumbent position. Given water, observed, ice applied to eyebrow, obs. 20 min, Ambulatory to leave
Age: 1.6
Sex: M
Vaccine: DTAP, FLU3, IPV
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram, Pyrexia
Clinical narrative: Received 18 mo. immunization on 11/20/06 including DTaP and IPV. 3 days later, pt. had fever and concurrent seizure. Since that time, pt. has had recurrent seizures and is now on medication. Pertussis for 1st reaction/seizure or decreased seizure threshold.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Erythema, Pyrexia, Swelling
Clinical narrative: Pt. received Menactra vaccine on 4/15/08 and today c/o fever of 100 deg, chills and swelling (L) arm and side underneath - axilla area with redness noted.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site swelling, Irritability, Lymphocyte count increased, Neutrophil count decreased, Pyrexia
Clinical narrative: Fussiness; fever to 104 on evening of 4/21/08, leg swelling at injection site
Age: 6.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema, Haematoma, Induration, Inflammation
Clinical narrative: Redness, induration, subcutaneous inflammation of both ankles. Extention to feet and lower areas or both calves. Mild/moderate intensity redness, induration, hematomas resolved after 2 weeks treatment: Benadryl 12.5 mg TID, Orapred 22.5 mg qd/5 day
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left anterior thigh red, swollen, warm to most of anterior thigh with parts of lateral and medial thigh.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Patient called the office on 4-16-08 stating that she developed a rash on her chest, arms, and back the evening after her vaccine.  Patients that she feels fine otherwise.  Advised pt to take Benadryl, call back if needed; no further vaccines (HPV).
Age: 43.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Bronchospasm, Dyspnoea, Hypersensitivity, Pruritus
Clinical narrative: Reports was at health office around 11:00 AM - received Tdap and MMR - around 3:00 PM started itching and felt like would seizure.  Went to MD complaining of shortness of breath.  Vitals = 156/84, P = 72.  Diagnosis: Systemic allergic reaction with bronchoconstriction.  Given epi .2cc subq (L) arm at 1540 - Given epi .2cc SQ (R) arm at 1550 - Kenalog and Decadron given IM (R) hip.  Patient given Benadryl PO 50mg every 4 hours after and was discharged to home from MD office.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Irritability, Vaccine positive rechallenge
Clinical narrative: 14 hours of continuous crying & fussiness.  Had 3 hours of fussiness with 1st vaccine 2 m before.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 2cm x 4cm area of Redness and Swelling, (+) itching, (+) hot to touch at injection site of varicella vaccine noted at Dr appt - symptoms had improved from onset Redness Swelling had decreased
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: ON FOLLOW UP VISIT PATIENT STATES ARM IS STILL SORE AT INJECTION SITE 1 MONTH LATER.  NO KNOT OR REDNESS NOTED.
Age: 0.34
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Blood in stool-- noted by parents with positive Hemoccult approximately 1 week after vaccine (on 4/14/08).
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, skin warm to touch, and swelling noted to area of injection.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Malaise, Nausea, Vision blurred
Clinical narrative: SICK, NAUSEATED, HAVING DIZZINESS AND TROUBLE FOCUSING.
Age: 1.47
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site inflammation
Clinical narrative: Patient received injection on 4/22/08 and returned to the clinic on 4/24/08 with a 2 inch circular inflammed area on the left deltoid at  injection site. Patient had no respiratory problems to report and wasn't running a fever. Advised to apply cold compress and administer Tylenol as directed for patient weight to ease any discomfort.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles 1 week after shingles vaccine; shingles in T12 distribution, left side
Age: 1.21
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV
Symptoms: Injection site erythema
Clinical narrative: Hep A and Pediarix Vaccines administered on 04/21/08 at 15 month WCC IM in the right thigh. Pt seen in office 04/24/08 with a large (4x7cm) area of erythema around the injection sites. Injection sites were around 1/2 inch apart from one another. Pt had no fever of other symptoms. Area was red, but soft and without heat or warmth.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Urticaria
Clinical narrative: Fever 102 day after vaccine administered, lasted 2 days. 4 cm X 7 cm red, firm, indurated area at injection site. Several urticaria patches inferior to injection site, largest one 3.5 cm X 5 cm.
Age: 27.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: 2.5"X2.0" red, swollen 8 days after injection on left deltoid. Itching, warm to touch. As of 4/25 starting to fade.
Age: 48.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Erythema, Pyrexia, Tenderness
Clinical narrative: 12.5cm X 9.5cm reddened area, mildly tender, no swelling noted. Pt. c/o "fever" X 2 days.
Age: 1.25
Sex: M
Vaccine: HEP, HIBV, MMRV, PNC
Symptoms: Autism, Convulsion, DNA test for fragile X, Depressed level of consciousness, Diarrhoea
Clinical narrative: High Fever, Diarrhea, Seizure, Hard to wake up.  Called on line nurse.  Was told to give cold bath to get his fever down and to give Tylenol. Was almost 24 hours before symptoms began.  06/25/2008 Consultant records received from psychiatrist dated 5/1/2006-5/31/2007 with DX:  Autism. Exams report decreased eye contact, pacing c/w PDD.  In OT and Speech Tx. On Risperdal and doing well.
Age: 1.25
Sex: M
Vaccine: HEP, HIBV, MMRV, PNC
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: High Fever, Diarrhea, Seizure, Hard to wake up.  Called on line nurse.  Was told to give cold bath to get his fever down and to give Tylenol. Was almost 24 hours before symptoms began.  06/25/2008 Consultant records received from psychiatrist dated 5/1/2006-5/31/2007 with DX:  Autism. Exams report decreased eye contact, pacing c/w PDD.  In OT and Speech Tx. On Risperdal and doing well.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Pt. developed erythema and swelling of right arm and was admitted to the hospital and treated for cellulitis of right arm with clindamycin 5/5/08-records received for DOS 4/21-4/23/08-DC DX: Right arm, cellulitis. Seen in ED for C/O right arm pain, redness and edema. Injection site redness, swollen, induration, itchy and temp to 100.3 times 2 days.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS AND SWELLING AT SITE, VARIES IN COLOR TO PINK WARM TO TOUCH. 6.5" X 7.0".
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Neurological examination normal
Clinical narrative: REDNESS AND SWELLING AT SITE 2 DAYS AFTER INJECTION. PERSISTED X 48 HRS. DIZZINESS BEGAN 4/19/08 AND PERSISTED FOR 4 DAYS. NEURO EXAM WNL ON 4/20/08.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Expired drug administered
Clinical narrative: EXPIRED MMR IMMUNIZATION ADMINISTERED.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient received Menactra vaccine 4/23/08 @6:45pm in right Deltoid. Called the office 4/25/08 with complaints of redness, swelling and pain at injection site. Patient came back to the office 4/25/08 @ 1:45pm with a 4cm indurated, redness over site. Treated with Amoxil 500mg TID for 7 days and Benadryl 50 mg. prn.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Headache X 4 days with fever to 101: Rash on chest and face.
Age: 1.02
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pruritus, Pyrexia, Rash generalised
Clinical narrative: Fever 102.5,  Rash over entire body.  Fever started 4/24/2008 and rash appeared 4/28/2008.  Very cranky and trying to itch skin.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Pt. received 0.5ml injection of Pneumovax on 4/24/08 at approx. 0930 in L Deltoid.  Pt states his arm began swelling later that day and has gotten progressively worse. Pt. evaluated by his primary care physician today and was diagnosed with cellulitis.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Blood test abnormal, Impaired healing, Limb injury, Localised infection, Micturition urgency
Clinical narrative: The day after receiving the tdap vaccine, patient began to have an unquenchable thirst and the very frequent urge to urinate.  When he did urinate, he still had the sensation of needing to urinate more, but he never felt like he could empty his bladder completely. He also had a foot injury that failed to heal properly and became infected.  These symptoms continued for nearly a month until he was diagnosed with Type I diabetes on 8/24/07.  5/9/08 Reviewed Endocrinology medical records of 8/28/07-4/8/2008. FINAL DX: new onset Type I diabetes mellitus Records reveal patient experienced polyuria, polydipsia, fatigue & non healing wound for a few weeks prior to initial endocrine eval 8/28/2007.  Seen by PCP 8/27 where blood glucose was 254 w/(+)urine ketones.  Started on insulin that day & referred to endocrine.  Endocrine exam revealed 84th percentile height & 70th percentile weight.  Patient starting new school in 2 days.  5/13/08 Reviewed PCP office medical records of 8/24/2007-3/19/2008.  Tx w/insulin & referred to endocrinology. Eye exam 3/2008 WNL.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Thirst, Type 1 diabetes mellitus, Urinary retention, Urine analysis abnormal
Clinical narrative: The day after receiving the tdap vaccine, patient began to have an unquenchable thirst and the very frequent urge to urinate.  When he did urinate, he still had the sensation of needing to urinate more, but he never felt like he could empty his bladder completely. He also had a foot injury that failed to heal properly and became infected.  These symptoms continued for nearly a month until he was diagnosed with Type I diabetes on 8/24/07.  5/9/08 Reviewed Endocrinology medical records of 8/28/07-4/8/2008. FINAL DX: new onset Type I diabetes mellitus Records reveal patient experienced polyuria, polydipsia, fatigue & non healing wound for a few weeks prior to initial endocrine eval 8/28/2007.  Seen by PCP 8/27 where blood glucose was 254 w/(+)urine ketones.  Started on insulin that day & referred to endocrine.  Endocrine exam revealed 84th percentile height & 70th percentile weight.  Patient starting new school in 2 days.  5/13/08 Reviewed PCP office medical records of 8/24/2007-3/19/2008.  Tx w/insulin & referred to endocrinology. Eye exam 3/2008 WNL.
Age: 63.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: C/O "EGG SIZED" LUMP AT INJECTION SITE PER TELEPHONE AND INSTRUCTED TO COME INTO CLINIC FOR EXAM. AFTER EXAM NOTED INDURATED AREA ON UPPER LEFT ARM, WARM TO TOUCH, TENDER AREA PT WAS ADVISED TO GO TO ER, AS SHE HAS YET TO RECEIVE INSURANCE.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Rash pustular, Scab
Clinical narrative: Rash developed 1 week ago. Has lesions on abdomen and groin some have crusted over. Currently 3 pustules.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain, Back pain, Chills, Headache, Injection site erythema
Clinical narrative: Patient describes headache, fever, chills, nausea, abdominal pain, back ache, left arm pain, stiffness x 3 days - resolved spontaneously. However on day 5 she developed erythema, pain, swelling and rash on left upper arm, with circumferential erythema at site of inoculation and surrounding large area involving skin on upper arm approximately 15cm x 30cm that was blotchy, erythematous, warm - most likely inflammatory /allergic reaction. However also has evidence of pustule at site of inoculation - we have marked and are watching for cellulitis. However patient thinks the rash is improving.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site pustule, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient describes headache, fever, chills, nausea, abdominal pain, back ache, left arm pain, stiffness x 3 days - resolved spontaneously. However on day 5 she developed erythema, pain, swelling and rash on left upper arm, with circumferential erythema at site of inoculation and surrounding large area involving skin on upper arm approximately 15cm x 30cm that was blotchy, erythematous, warm - most likely inflammatory /allergic reaction. However also has evidence of pustule at site of inoculation - we have marked and are watching for cellulitis. However patient thinks the rash is improving.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Musculoskeletal stiffness, Nausea, Pain in extremity, Pyrexia, Rash macular
Clinical narrative: Patient describes headache, fever, chills, nausea, abdominal pain, back ache, left arm pain, stiffness x 3 days - resolved spontaneously. However on day 5 she developed erythema, pain, swelling and rash on left upper arm, with circumferential erythema at site of inoculation and surrounding large area involving skin on upper arm approximately 15cm x 30cm that was blotchy, erythematous, warm - most likely inflammatory /allergic reaction. However also has evidence of pustule at site of inoculation - we have marked and are watching for cellulitis. However patient thinks the rash is improving.
Age: 0.32
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal pain, Intussusception, Pharyngitis, Pyrexia, Ultrasound abdomen abnormal
Clinical narrative: Patient developed acute onset episodic abdominal pain 5 days after Rotateq administered in office.  Found to have 1 cm segment of intussusception by abdominal ultrasound; appeared to be small bowel to small bowel segment involved.  Reduced spontaneously after ~ 12 hours.  On day 7 had fever and pharyngitis - ? viral infection. 5/6/08-records received for DOS 04/26-04/27/9/08-DC DX: Small bowel intussusception. Seen in ER with intense crying and screaming with stiffening of lower extremities and upper extremities, no decrease in appetite. Fussy. No vomiting or diarrhea. Rhinorrhea and congestion on day of admission. Admitted for observation.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: After given series of shots, patient was found on the floor outside of bathroom and complaining of dizziness and fainting.  Suspect Gardasil.
Age: 27.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: I RECEIVED THE VAX ON APRIL 16TH.  I FELT FEVERISH AND PUNY THE NEXT 48 HOURS.  I ALSO RECEIVED A TDAP THE SAME DAY IN THE SAME ARM WHICH LEFT MY SHOULDER SORE FOR 3 DAYS.  A LYMPHNODE ABOVE MY COLLARBONE ALSO SWELLED FOR THE NEXT DAY AND A HALF AFTER RECEIVING THE VAX.  ALL SYMPTOMS SEEMED TO THEN GO AWAY.  ON APRIL 26 I NOTICED THE INJECTION SITE OF THE VARICELLA VAX WAS RED AND PUFFY WITH ANOTHER PUFFY SPOT RIGHT NEXT TO IT.  THEY LOOKED AND FELT ALMOST LIKE A HIVE - WARM TO THE TOUCH AND SOMEWHAT FIRM AND SORE.  THE SPOTS GOT WORSE ON THE 27TH OF APRIL AND ARE STILL PRESENT TODAY, THE 28TH.  THE AREA OF THE REDNESS SITE IS LARGER THAN AN EGG AROUND.  I HAVE NOT ADMINISTERED ANY TREATMENT YET AND I WILL BE CALLING MY DOCTOR.  I HAVE BEEN EXPOSED TO CHICKENPOX AS A CHILD AND NEVER GOT IT.  I WAS TESTED FOR VARICELLA IMMUNITY LAST YEAR AND I WAS NOT IMMUNE.
Age: 27.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site warmth, Lymphadenopathy, Musculoskeletal pain
Clinical narrative: I RECEIVED THE VAX ON APRIL 16TH.  I FELT FEVERISH AND PUNY THE NEXT 48 HOURS.  I ALSO RECEIVED A TDAP THE SAME DAY IN THE SAME ARM WHICH LEFT MY SHOULDER SORE FOR 3 DAYS.  A LYMPHNODE ABOVE MY COLLARBONE ALSO SWELLED FOR THE NEXT DAY AND A HALF AFTER RECEIVING THE VAX.  ALL SYMPTOMS SEEMED TO THEN GO AWAY.  ON APRIL 26 I NOTICED THE INJECTION SITE OF THE VARICELLA VAX WAS RED AND PUFFY WITH ANOTHER PUFFY SPOT RIGHT NEXT TO IT.  THEY LOOKED AND FELT ALMOST LIKE A HIVE - WARM TO THE TOUCH AND SOMEWHAT FIRM AND SORE.  THE SPOTS GOT WORSE ON THE 27TH OF APRIL AND ARE STILL PRESENT TODAY, THE 28TH.  THE AREA OF THE REDNESS SITE IS LARGER THAN AN EGG AROUND.  I HAVE NOT ADMINISTERED ANY TREATMENT YET AND I WILL BE CALLING MY DOCTOR.  I HAVE BEEN EXPOSED TO CHICKENPOX AS A CHILD AND NEVER GOT IT.  I WAS TESTED FOR VARICELLA IMMUNITY LAST YEAR AND I WAS NOT IMMUNE.
Age: 18.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: None.  Patient given wrong vaccine, not approved for over age 7 years.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Patient given Pediarix/Hib/Prevnar and rotavirus vaccines about 10:30am. Within 1 hr, mother reports inconsolable crying that lasted for a total of 4.5hrs. She was able to sleep for 1 hr, but was crying for 4.5hrs. Not better with Tylenol at home.  In office at 5pm; was crying inconsolably. Nl exam otherwise, afebrile.  Given Tylenol again and by 5:45p, crying had ceased. Looked well.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose increased, Glucose urine present
Clinical narrative: 4/28/08 random BS 386, urine > 1000 mg/dl glucose 05/05/08-records received-seen in office 3/5/08-C/O LOM. Next visit 4/25/08-feels well however C/O vision problems, 20/40. DX: Diabetes
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Rash vesicular
Clinical narrative: 1) swelling at injection site 6 cm wide x 9 cm long L posterior arm, slightly itchy, mild erythema.  2) rash at injection site at 4 x 6 cm superimposed over swelling, varicella-like.  Follow up: Information has been received from a physician concerning a 64 year old female consumer with no known allergies, hypothyroidism, mitral valve prolapse, osteoporosis and a history of chickenpox as a child who on 26-APR-2009 was vaccinated SQ in the left arm with a 0.65ml of ZOSTAVAX (Merck) (lot# 659760/0159X). Concomitant therapy included SYNTHROID, MOBIC, alendronate sodium and TOPROL XL tablets. Subsequently, the evening of the vaccination the patient developed swelling at injection site. The next morning on 27-APR-2008 the patient noticed a rash at the injection site. A neighbor who in a nurse said the rash was a sun blister type and looked like varicella rash around the injection site of the left arm. The area was not painful unless the patient pressed against it. There was mild itching to the area. Medical attention was sought by a phone call. There was no lab studies performed. At the time of the report the patient had not recovered. It was noted that the physician was on her way to the office to see the patient. There was no product quality complaint involved.  Follow-up infromation from the physician indicated that she examined the patient. No further infromation was provided.  Follow-up information has been received from a physician concerning this 64 year old female with hypothyroidism, mitral valve prolapse and osteoporosis who on 26-APR-2008 at 9:00 a.m. was vaccinated S.Q. in the left posterios arm with ZOSTAVAX (Merck) (lot# 659760/0159X). There was no illness at the time of vaccination or any other vaccination within 4 weeks prior to this vaccination. Concomitant therapy included SYNTHROID, MOBIC, FOSAMAX and TOPROL XL tablets. Subsequently, on 27-APR-2008 at 8:00 a.m. the patient developed swelling at the injection site that was 6 cm wide and 9 cm long on the left posterior arm. The are was slightly itchy with mild erythema. The patient also developed a rash at the injection site approximately 4X6 cm superimposed over the swelling it was varicella-like. There were no laboratory tests performed. At the time of the report, the patient was recovering (previously reported as recovered approximately five days later on 01-MAY-2008).  Additional infromation is not expected.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site vesicles, Rash vesicular
Clinical narrative: 1) swelling at injection site 6 cm wide x 9 cm long L posterior arm, slightly itchy, mild erythema.  2) rash at injection site at 4 x 6 cm superimposed over swelling, varicella-like.  Follow up: Information has been received from a physician concerning a 64 year old female consumer with no known allergies, hypothyroidism, mitral valve prolapse, osteoporosis and a history of chickenpox as a child who on 26-APR-2009 was vaccinated SQ in the left arm with a 0.65ml of ZOSTAVAX (Merck) (lot# 659760/0159X). Concomitant therapy included SYNTHROID, MOBIC, alendronate sodium and TOPROL XL tablets. Subsequently, the evening of the vaccination the patient developed swelling at injection site. The next morning on 27-APR-2008 the patient noticed a rash at the injection site. A neighbor who in a nurse said the rash was a sun blister type and looked like varicella rash around the injection site of the left arm. The area was not painful unless the patient pressed against it. There was mild itching to the area. Medical attention was sought by a phone call. There was no lab studies performed. At the time of the report the patient had not recovered. It was noted that the physician was on her way to the office to see the patient. There was no product quality complaint involved.  Follow-up infromation from the physician indicated that she examined the patient. No further infromation was provided.  Follow-up information has been received from a physician concerning this 64 year old female with hypothyroidism, mitral valve prolapse and osteoporosis who on 26-APR-2008 at 9:00 a.m. was vaccinated S.Q. in the left posterios arm with ZOSTAVAX (Merck) (lot# 659760/0159X). There was no illness at the time of vaccination or any other vaccination within 4 weeks prior to this vaccination. Concomitant therapy included SYNTHROID, MOBIC, FOSAMAX and TOPROL XL tablets. Subsequently, on 27-APR-2008 at 8:00 a.m. the patient developed swelling at the injection site that was 6 cm wide and 9 cm long on the left posterior arm. The are was slightly itchy with mild erythema. The patient also developed a rash at the injection site approximately 4X6 cm superimposed over the swelling it was varicella-like. There were no laboratory tests performed. At the time of the report, the patient was recovering (previously reported as recovered approximately five days later on 01-MAY-2008).  Additional infromation is not expected.
Age: 61.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NONE Told must report as Hep A #2 given too early.  Hep A #1 given 3/3/08.  Hep A #2 given 4/2508 - no adverse events.
Age: 1.7
Sex: F
Vaccine: PNC
Symptoms: Erythema, Induration, Pyrexia
Clinical narrative: 1/5 dollar induration, erythema, fever 103.1 for 1 day from 103.  Itch - all symptoms gone in 24 hours.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Akinesia, Injection site erythema, Injection site pain
Clinical narrative: 4/25-arm very painful at site-cool compress. 4/26 site red blotches and painful-unable to lift arm. Ceftin 500 mg BID x 10 days and compresses- peach size swelling
Age: 1.5
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Immediate post-injection reaction, Injection site urticaria
Clinical narrative: Varicella shot given in Rt. arm.  Dime size wheal produced right away at injection site - time 3:00.  Check by RN & Dr. by 3:05 pm.  by 3:15 wheal size quarter.  Given 6.25 mL Benadryl & Tylenol 3.25.  Check again at 3:25 wheal the same 3:30 released.  Wheal decrease in size.  Pt active & alert whole time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm
Clinical narrative: Very red, nontender area. Warm to touch with inflammation of (L) upper arm from shoulder to elbow on outer aspect. Instructed with Benadryl/Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Oedema, Pain
Clinical narrative: Temp 103, edema, erythema, soreness noted.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: Description: 6 month infant received routine 6m vaccines on 18 March 2008 at approximately 11AM. She was little clingy the rest of the day but no medications were administered. At 8PM she was given a dose of Tylenol and put to bed. Approximately 1130PM she had onset of violent emesis, tactile fever and rash. The rash consisted of large hives on her trunk. She seemed to be very bothered by the rash. She was given Atarax with significant improvement in symptoms and able to return to sleep. In the morning the rash was essentially resolved with no recurrence of symptoms. She had ear infection 2 weeks prior to well baby visit-treated with Amoxicillin that was completed 3 days prior to well baby/immunizations. Had ear infections-followed up in peds that day for ear with resolution-temp. Symptom: Vomiting Start: 03/18/2008 End: 03/19/2008; Symptom: Hives Start: 03/18/2008 End: 03/19/2008: Symptoms: Fever Start: 03/18/2008 End: 03/18/2008 Comment: tactile
Age: 1.4
Sex: F
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Erythema, Oedema
Clinical narrative: Prevnar/TDAP was given 04/07/08.  Local erythema and edema noted.  Tennis ball size.  Both vaccines given proximal to each other.
Age: 1.4
Sex: F
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Injection site erythema
Clinical narrative: Prevnar/TDAP was given 04/07/08.  Local erythema and edema noted.  Tennis ball size.  Both vaccines given proximal to each other.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular, Skin lesion
Clinical narrative: Fever up to 101 degrees & maculopapular (widespread) rash w/ a few target lesions.  No vesicles, no itching.  Symptoms have been present x 48h at time of visit today.
Age: 1.1
Sex: M
Vaccine: HEPA, IPV, MMR, PNC
Symptoms: Rash generalised, Rash maculo-papular
Clinical narrative: Maculepap, rash all over body entire. Rash (most probably sickle effect of MMR vs. allergy to amox). D/C Amox-Benadryl 3 hydrocortisone cream
Age: 1.8
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Asthenia, Induration
Clinical narrative: limp x2 days. 2 puncture wounds left thigh. Area of hardened induration- from top of knee to groin 20cm lens. 8cm x wide no erythema, moving leg normally
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Bacterial culture, Herpes zoster, Virus culture negative
Clinical narrative: Shingles left buttock 8APR08.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: High-pitched crying
Clinical narrative: Prolonged high pitched crying episodes onset 2 days after shots given. Tylenol ineffective. Continued through 4/21/08
Age: 53.0
Sex: F
Vaccine: IPV, JEV, TYP
Symptoms: Dysphagia, Dyspnoea
Clinical narrative: 72 hr after vaccine awake with S.O.B and Dysphagia. Seen in emergency dept- No cardiac disorder. Treated with Pepcid & Benadryl with partial relief
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: large hive-like reddened area around injection site. Patient has had lymph nodes removed from axilla due to breast CA
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Wheezing
Clinical narrative: The day after vaccines developed redness around (R) thigh. Started Benadryl but redness increased, and also developed another red rash on (L) thigh. She also started wheezing and was treated w/ Prednisone.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Abasia, Anorexia, Balance disorder
Clinical narrative: Patient can not walk, and has no appetite.  Not steady on feet.  5/16/2008 MR received for DOS 3/13-18/2008 with D/C Dx:   UTI with Klebsiella.  Sepsis resolved.  Dehydration resolved.  Hyperglycemia steroid induced. Hypertension. Generalized weakness and 4/21-27/2008 with D/C DX: Acute Renal Failure with metabolic acidosis and hyperventilation causing dyspnea, resolved.  UTI, improving.  Anemia.  General weakness. Right shoulder pain. CAD. HTN. First presented to ER 3/13/08 with c/o 4 day hx of not feeling well.  Temp 100.3'F. Found to have leukocytosis and leukocyturia.  ROS (+) for dysuria, chronic joint pain and depression. PE WNL. Admitted for IV abx. Returned to ER 4/21/08 with c/o dizziness, weakness, and SOB. Pt found to have acute renal failure with metabolic acidosis and uremia as well as hyperventilation causing dyspnea. UTI and Anemia as well.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Pt declined to bring child in - attempted to bring child in several times - per MOP - rash appeared the night he got the shot.  She reported it as "chickenpox" on legs buttocks & genitalia area.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Very sore right upper arm. Skin turned very red and swollen. Called Dr. lasted about 3 days.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Injection site vesicles
Clinical narrative: Pt received MMR for college requirements on 4-14-08. Also rcvd PPD test (administered on this date). Returned to clinic 4-16-08 for PPD read and stated to this nurse that a blister had formed at injection site (left upper arm SC) blister was noted to be 1 cm long and 4 mm wide. Blister intact. No s/sx infection. Advised to cover with bandage to protect.
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis, Fatigue, Injection site erythema, Injection site pain, Pain
Clinical narrative: 4/9 Aches, fatigue, redness and hurt at site of injection - apply soaks, fever 101; 4/10 - red, warm, swollen area 3x5cm right upper arm; Diagnosed cellulitis - Treatment Ceftin 250mgs BID x 10days, compresses
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: 4/9 Aches, fatigue, redness and hurt at site of injection - apply soaks, fever 101; 4/10 - red, warm, swollen area 3x5cm right upper arm; Diagnosed cellulitis - Treatment Ceftin 250mgs BID x 10days, compresses
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Body temperature increased, Fatigue, Headache, Injection site cellulitis, Injection site erythema
Clinical narrative: 4/9 Aches, fatigue, redness and hurt at site of injection - apply soaks, fever 101; 4/10 - red, warm, swollen area 3x5cm right upper arm; Diagnosed cellulitis - Treatment Ceftin 250mgs BID x 10days, compresses
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: 4/9 Aches, fatigue, redness and hurt at site of injection - apply soaks, fever 101; 4/10 - red, warm, swollen area 3x5cm right upper arm; Diagnosed cellulitis - Treatment Ceftin 250mgs BID x 10days, compresses
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised, Wheezing
Clinical narrative: All over itching and wheezing starting the evening of the injection.
Age: 14.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Right upper arm 1 in x 1 annular area of warmth/redness. Motrin and cool compresses
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Redness 6cm x 7cm, mild swelling, soreness, fever. Treated with Tylenol or Motrin PRN.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 2.5cm area of redness, warmth
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: Severe swelling of arm where vaccine was administered. Patient seen in ER afterwards
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient states injection site became sore, hard and red. Felt feverish for 2 days. Face was red and hot for 24 hours.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Patient states injection site became sore, hard and red. Felt feverish for 2 days. Face was red and hot for 24 hours.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Quarter-sized area erythema induration around injection site approximately 48 hours.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Fever 6 hr after immunization emesis 11-12 hr after immuniz. 1 day later got diarrhea.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Dr's office called to say child had adverse reaction in (R) arm. Large red. Swollen area. Size of baseball in (R) arm. Started 24 hr after injection by 36 hr was very large hot and swollen-spreading.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Child was given DTaP at age 7yrs 8mos - should have received adult Td. CDC: DTAP counts and was not need to be repeated.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: Generalized macular papular rash - negative mildly pruritic - chest, abdomen, proximal extremities and back.  Benadryl x 2 doses by parents.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Noted thigh redness, no pain, sl. itch next day.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left arm swollen, with purple area approximately 10 cm long and 10 cm wide on bicep/deltoid area, with purple bruise in center, erythema surrounding, warm to touch. Fever up to 101.3 same day as vaccine. No fever currently.