chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Oxygen saturation abnormal, Paralysis, Tracheostomy
Clinical narrative: Patient presented with GBS/AIDP (weakness/numbness) to Hospital, transferred from other facility.  Patietn received IVIG at other facility.  01/11/2008 Vaccine info obtained from Tag-2 reort and updated in database. 01/09/2008 MR received for DOS 11/25-12/03/2007 with DX: Guillain-Barre Syndrome.   Pt presented to ER with numbness of all extremities, increasing low back pain with sciatica, generalized weakness, ataxia, balance problems and walking difficulty. By hospital day 2 pt was unable to walk and was choking on fluids. Neuro consult notes dysphagia, upper and lower extremity weakness, absent reflexes of the lower extremities, no sensory level. Pt progressed to respiratory failure requiring intubation.  Txd with IVIG.  Pt transfered to higher level of care.   01/28/2008 MR received for DOS 12/03/2007-01/18/2008 with D/C DX:  Guillain Barre Syndrome.  Respiratory Failure s/p trach.  Renal Failure.  HCAP Pneumonia. Pt transfered from above facility where pt had not shown improvement on IVIG. Txd with Plasmapheresis.  Txd for MRSA and Klebsiella pneumonia. Pt had some autonomic instability 2' GBS. HTN and SVT controlled with meds. Pt developed decubitus ulcer stage II.  Renal failure was 2' to sepsis requiring hemodialysis. Renal function improved. Elevated glucose with infections. Anemia txd with iron.  Neck spasms tx with baclofen, robaxin, and ativan.  Pt failed swallow test.  Speaking through Passy Muir valve only during brief episode where CPAP is tolerated. D/Cd in fair condition to Long Term Care Hospital. 2/11/2008 Final Progress note received for 11/25/07 admission.  Assessment DX:  Guillain-Barre Syndrome, progressive, not responding with IVIG or immunoglobulin.  Myositis with hyper CPK and possible myocarditis.  Hyperbilirubinemia and acute liver abnormality likely from autoimmune.
Age: 23.0
Sex: F
Vaccine: HEPAB, HPV4
Symptoms: Paraesthesia
Clinical narrative: Pt c/o tingling x1day.
Age: 35.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Respiratory disorder
Clinical narrative: iN THE HOURS FOLLOWING FLU VACCINE, MMR VACCINE AND PPD SKIN TESTING PLACEMENT PATIENT STARTED TO FEEL BAD INCLUDING SOME RESPIRATORY SYMPTOMS WITH SHORTNESS OF BREATH AND SOME CHEST TIGHTENING INITIALLY SELF TREATED WITH BENADRYL 50 MGS ORALLY BUT SYMPTOMS RETURNEDTHREE TO FOUR HOURS FOLLOWING VACCINE PATIENT WAS ADMITTED TO EMERGENCY ROOM AND TREATED WITH ALBUTEROL AND SOLUMEDROLDISCHARGED HOME LATER SAME DAY
Age: 0.92
Sex: F
Vaccine: FLU3
Symptoms: Crying, Fatigue, Malaise, Pyrexia, Tympanic membrane disorder
Clinical narrative: ON DAY OF ADMINISTRATION PT DEVELOPED 103-104 FEVER, MALAISE AND FATIGUE, CRYING W/OUT CONSOLATION. ON EXAM 3 DAYS LATER SHE WAS 105 FEVER W/MILDLY BULGING LEFT TYMPANIC MEMBRANE.
Age: 28.0
Sex: M
Vaccine: TD
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site irritation, Injection site swelling, Mass
Clinical narrative: Tetanus shot was given SubQ instead of IM.  Patient developed a knot of fluid under dermis.  Injection site red, irritated, swollen.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Blood immunoglobulin G increased, Blood immunoglobulin M increased, Encephalitis, Gait disturbance, Intubation
Clinical narrative: Developed parasthesias of extremities, face, then problems walking, while in hospital had developed progressive sensorium impairment and intubated for airway control.  Diagnosed with Bickerstaff's brainstem encephalitis by IgG-GQ1b levels. 1/28/08-records received for DOS 12/5/07-1/1/08-DC DX: Bickerstaff brainstem encephalitis. Methicillin resistant Staphylococcus aureus tracheobronchitis. Respiratory failure, status post tracheostomy. Status post percutaneous endoscopic gastrostomy tube. Constipation. Dermatitis. Oral thrush. Presented to ED with ascending numbness and tingling which started previously the week prior to admission and included fevers, cough and shortness of breath. Sensation of tingling all over body more in face and occipital area with shooting pains. Depressed appetite. Dry cough and shortness of breath for 3-4 weeks prior to admission. Progressing with ataxia and ophthalmoplegia. IVIG, plasmapheresis. Intubated.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Sensory disturbance
Clinical narrative: Developed parasthesias of extremities, face, then problems walking, while in hospital had developed progressive sensorium impairment and intubated for airway control.  Diagnosed with Bickerstaff's brainstem encephalitis by IgG-GQ1b levels. 1/28/08-records received for DOS 12/5/07-1/1/08-DC DX: Bickerstaff brainstem encephalitis. Methicillin resistant Staphylococcus aureus tracheobronchitis. Respiratory failure, status post tracheostomy. Status post percutaneous endoscopic gastrostomy tube. Constipation. Dermatitis. Oral thrush. Presented to ED with ascending numbness and tingling which started previously the week prior to admission and included fevers, cough and shortness of breath. Sensation of tingling all over body more in face and occipital area with shooting pains. Depressed appetite. Dry cough and shortness of breath for 3-4 weeks prior to admission. Progressing with ataxia and ophthalmoplegia. IVIG, plasmapheresis. Intubated.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Approximately 1.0 hours after injection on Flulaval Lot#AFLLA029AA given IM patient developed diffuse erythema to back with scattered raised wheels. Scattered patches of same to both arms. NKDA. No other signs or symptoms of adverse reaction. No known exposures to new environmental elements. Symptoms responded well to Benadry by mouth.
Age: 0.71
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: 102.2 Fever brought down with Tylenol, also had otitis media diagnosis (No fever at time of administration of vaccines)
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Dizziness, Movement disorder, Oedema peripheral, Pain
Clinical narrative: swollen left arm extending to shoulder and elbow, about twice normal size, dizziness, slight chills, immobile, painful - began the day after vaccine administered,in the am. Treatment - MD put pt. on tetracycline and benedryl.
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Electromyogram, Injection site pain
Clinical narrative: Recieved influenza vaccination on 11/2/07 and felt immediate pain at injection site which proceded down arm into 4th and 5th fingers.  Pain has persisted since 11/2/07.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Radioallergosorbent test, Urticaria
Clinical narrative: Pt developed urticaria the day after receiving Flu Vaccine.  Hives worsened despite usual daily doses of Zyrtec and Singulair.  Parents took pt. to ER-(X4 by 12/10/2007) Over those 4 visits pt was treated with Zantac, Benadryl,and Prelone and given Depo-Medrol, Solu-medrol and epinephrine. Pt continued to have urticaria. Pt also taken to allergist 12/10/2007. Pt saw Primary Care Physician 12/11 and 12/12/2007. Urticaria much improved 12/12/2007. "Recovering"
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash macular
Clinical narrative: tokk flus shot (Fluarix, GSK lot#AFLUA316BA) on 11-28-07; developed macular rash 5 days later on 12-2-07; presented to clinic on 12-4-07 treated with loratadine, hydrocortisone cream; rechecked on 12-6-07: still has pruritus and mild rash but improved from previous visit; given Inj. Dexamethasone 4 mg IM; phone conversation with patient on 12-12-07 showed she had improved;
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Diarrhoea, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: 24 hours after vaccination patient developed fever, chills and diarrhea, as well as 4x2.5 cm painful erythematous area at injection site. Treated at work site by RN with tylenol, benedryl and local ice pack.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Increased upper airway secretion, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Running nose, sore throat, coughing, bright yellowish mucus/ phlegm, from nose and throat.
Age: 16.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Convulsion
Clinical narrative: My daughter has experienced 2 seizures. This occured 6 weeks after gardisil vaccine.  She has never had any health problems prior to this event. 12/18/07-records received-for DOS 12/8/07-DC DX: New-onset seizures. Urinary tract infection, on treatment. New-onset seizures twice with postictal confusion and amnesia. Generalized tonic clonic seizure.
Age: 21.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling, Similar reaction on previous exposure to drug
Clinical narrative: Patient reports injection site became red and swollen the day after 2nd dose of HPV vaccine given, and remained swollen and painful for several days. Patient states the injection site left a "dark spot" on her arm with both the 1st and 2nd doses of the vaccine, but much worse with the 2nd.  None visibly seen by nurse today.
Age: 9.0
Sex: M
Vaccine: DTAP
Symptoms: Blister, Eye swelling, Local reaction, Swelling
Clinical narrative: Patient was vaccinated at physician's office with DTaP on 12/4/2007.  Mother reports child developed a quarter sized local reaction at the injection site the following day.  This reaction progressed to orange-sized swelling with blisters two days later.  Also, reports that child developed peri-orbital swelling and blistering in the oral cavity within 1 week.  Child currently unable to swallow foods/ liquids, and is going to be taken to the ER today.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Blood test, Thrombosis, Ultrasound Doppler, Ultrasound scan
Clinical narrative: Multiple blood clots in lungs 4/14/08-records received-Presented to ED on 11/30/07-with C/O SOB/DOE, pleuritic left chest and shoulder pain times 5 days. Pain began after a 5 hour car ride. 8/25/08-records received for DOS 11/29-12/1/07- DC DX: Pulmonary emboli, low back pain.  Per 60 day follow up: Patient is still on blood thinner as of 2/26/08. Has not been re-screened for clotts yet. There is no warning to patients about potential for blood clots or adverse effect. These situation have been reported on internet why not tell the public. 1/20/2010 She just finished blood thinner meds not too long ago. Unknown if issue wil return.
Age: 1.92
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, VARCEL
Symptoms: Anorexia, Irritability, Rash generalised
Clinical narrative: 12/3/07 flat red rash, started on abdomen at 0900, spread to "rest of body". Mom reports rash lasted approx. 4 days. Reports "some loss of appetite" and "crabby", no other symptoms. Saw family MD afternoon of 12/3/07. No meds or tests.
Age: 63.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Antibody test negative, Audiogram abnormal, Deafness unilateral, Sensation of heaviness, Vertigo
Clinical narrative: vertigo, heaviness in eyelids as if her eyes were tired though she doesn't actually feel fatigued, hearing loss in R ear.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: PT WAS SEEN TODAY WITH CHICKEN POX.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Skin warm, Swelling
Clinical narrative: Left upper are swollen, hot to touch. 2 days after immunizations given. Mom states school nurse said "liquid was coming from swollen area". Ice and heat were applied, told to keep arm moving and take ibuprofen.
Age: 0.2
Sex: M
Vaccine: HIBV, PPV, RVX
Symptoms: Diarrhoea, Nasal congestion, Pyrexia, Vomiting
Clinical narrative: Patient started vomiting large amounts 2 days after receiving 2 vaccinations. He has diarrhea, severe congestion, and a fever of 100.5.  We went to the doctor this afternoon and the doctor attributed it to the Rotavirus Vaccine, however we are concerned about the recall this evening of the Hib Vaccinations, and any roll a contamination might play.
Age: 0.17
Sex: M
Vaccine: HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Laboratory test, Weight decreased
Clinical narrative: Diarrhea developing 4-5 days after admin of rota, polio, hib and prevnar vaccines. Duration of 3+ weeks with weight loss necessitating lab work and eventual change to hypoallergenic formula.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician, via a company representative, concerning a 15 year old female student with a history of dizziness and syncope "in general," who on an unspecified date was vaccinated with the second dose of Gardasil (lot # not provided). Following the vaccination the patient was "fine," however, the next day, she had a seizure while at school. The physician reported that the student's condition had improved, though no other details were provided. Upon internal review, "the next day at school she had a seizure" was considered to be serious as an other important medical event. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Surgery
Clinical narrative: Information has been received via the Pregnancy registry, from a registered nurse, concerning a 26 year old female patient with tobacco use, no known allergies, and a history of cervical dysplasia, who on 04-MAY-2007 was vaccinated with the first dose of Gardasil (lot #657868/0523U). Concomitant therapy included alprazolam (XANAX) (reported as not used since therapy with Gardasil). On approximately 19-JUN-2007 the patient had her LMP, and subsequently became pregnant. On 10-JUL-2007, she was vaccinated with the second dose of Gardasil (lot # not provided). On 21-NOV-2007, the patient called the physician's office to inform them that she was pregnant and being followed another physician (details not provided). The nurse added that the patient was recently hospitalized (date not specified) for a cervical cerclage procedure, and remained on bedrest. The estimated date of delivery was 27-MAR-2008. At the time of this report, the outcome of the event was unknown. The nurse stated that the physician who was following the patient, felt that cervical cerclage was not related to therapy with Gardasil. The reporter considered cervical cerclage to be serious as disabling/incapacitating. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Inappropriate schedule of drug administration, Leukoencephalomyelitis, Multiple sclerosis
Clinical narrative: Information has been received from a physician concerning a 27 year old female, who in August 2007, was vaccinated with a 0.5mL first dose of Gardasil. Subsequently, 6 weeks post vaccination the patient experienced numbness in her feet. The patient went to the hospital and was diagnosed with "acute multiple sclerosis" and "acute demyelinating encephalomyelitis (ADEM)." The length of the hospitalization was unknown. At the time of the report, the outcome of the patient was unknown. No product quality complaint was involved. The numbness in her feet and the acute multiple sclerosis were considered to be disabling. Additional information has been requested.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Neck pain
Clinical narrative: Information has been received from a registered nurse concerning a 72 year old male physician who in 2006 was vaccinated with Zostavax (Oka/Merck). On 01-DEC-2007 the patient developed pain in his neck with "blisters that went from his side all the way down to his bottom". The nurse reported that the patient had trouble sitting down, and was subsequently diagnosed with shingles. At the time of reporting the shingles persisted, and were considered to be disabling. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase increased, Electrocardiogram abnormal, Myocarditis, Pericarditis, Troponin I increased
Clinical narrative: 14 days after smallpox vaccination, he developed pericarditis/myocarditis. No clinical heart failure or arrhythmia. Recovered over several days with conservative management.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Inflammation, Local reaction, Skin warm, Tenderness
Clinical narrative: Localized inflammatory reaction (R) deltoid 6cm x 4cm, warm and tender, occurred w/in 35 hrs of vaccine.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood test normal, C-reactive protein normal, Febrile convulsion, Full blood count normal, Metabolic function test normal
Clinical narrative: Fever 104 with febrile seizure. Lab work was done for sepsis work up all negative. Fever resolved in 48 hours. 2 seizures less than 1 min duration.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 104 with febrile seizure. Lab work was done for sepsis work up all negative. Fever resolved in 48 hours. 2 seizures less than 1 min duration.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Albumin urine, Antinuclear antibody positive, Aspartate aminotransferase decreased, Blood cholesterol increased, Blood creatine phosphokinase normal
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Blood creatinine increased, Blood culture negative, Blood glucose increased, Blood triglycerides normal, Carbon dioxide increased
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Epstein-Barr virus antibody positive, Full blood count normal, Glucose urine present, Glycosylated haemoglobin increased, Low density lipoprotein increased
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Mononucleosis heterophile test negative, Neutrophil percentage increased, Pollakiuria, Protein total increased, Red blood cell sedimentation rate increased
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Rheumatoid factor increased, Thirst, Total cholesterol/HDL ratio normal, Troponin I, Type 1 diabetes mellitus
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Urine ketone body present, Weight decreased
Clinical narrative: In early September 2007, patient began to experience unexplained weight loss, increased thirst and frequent urination.  He was diagnosed with diabetes at a local hospital on 09/21/2007; diagnosis of Type 1 based on positive GAD antibodies obtained on 9/27/2007.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Asthenia, Pain in extremity, Paraesthesia
Clinical narrative: SM with left upper arm pain, paresthesias, mild weakness, with onset of symptoms in late Aug to Sep 2007. Pain is migratory, focal, non radicular, not isolated to particular nerve distribution; paresthesias in ulnar distribution.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: Patient developed shingles on the 3rd day post Zostavax under (R) axillae. Very painful along T3-4 dermatome.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Nausea, Pain, Skin lesion
Clinical narrative: Patient developed shingles on the 3rd day post Zostavax under (R) axillae. Very painful along T3-4 dermatome.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Fever 8:30 PM with chill on 12/11/07, took 3 Advil, 2 PM 12/12/07 broke with sweating, no fever on 12/12/07 at 9.30 AM,  but still warm, swelling, erythema at site of injection.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Fever 8:30 PM with chill on 12/11/07, took 3 Advil, 2 PM 12/12/07 broke with sweating, no fever on 12/12/07 at 9.30 AM,  but still warm, swelling, erythema at site of injection.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Exfoliative rash, Headache, Malaise, Pyrexia
Clinical narrative: Approx. 24 hours post Menactra/Tdap immunizations - temp 101.3, severe H/A, malaise, dizzy, fine scaly rash forehead cheeks, up trunk - improving over course of day. Recommended Tylenol PRN.
Age: 1.4
Sex: F
Vaccine: FLU3, HEPA, IPV, TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse side effects reports mother. Was given Tdap vaccine instead of DTaP vaccine by mistake.
Age: 4.0
Sex: F
Vaccine: HEPA, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse side effects reported by Mother. Was given Tdap vaccine instead of DTaP vaccine by mistake.
Age: 1.0
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Ear infection, Injection site erythema, Injection site papule
Clinical narrative: Patient was given 12 mo. shots. Came into clinic 13 days later showing red, raised area with few bumps in it on Lt. leg (1 1/2" x 1 1/4" area). Redness and raised area started 12-1-07 and resolved 12/7. Was put on an antibiotic 12-3-07 for ear infection.
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling tenderness at site without erythema or fluctuance. About 5 cm diameter.
Age: 29.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Pt c/o "hard lump" - painful to touch that developed in the area of her Tdap administration on 12/6/07.
Age: 9.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swollen, red upper arm.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Oedema peripheral, Pain in extremity, Pruritus, Skin exfoliation
Clinical narrative: My arm got really swollen and sore. Bright red around injection site, was very painful. I got 4 painful sores that got real itchy if they got too warm - was sick in bed for two days (just felt too crappy to be up). Injection site still al little discolored and peeling.
Sex: F
Vaccine: FLUX
Symptoms: Medication error
Clinical narrative: Patient given injection without flu vaccine in syringe.  Needed to have 2nd injection - resulted in two needed sticks - 2nd injection given vaccine.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: See attached consult.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: Patient had 1st seizure after administration.
Age: 0.33
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Fever 103 which started within 24 hours and continued for 4 days.  No other symptoms, no focus for infection.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Full blood count normal, Metabolic function test normal
Clinical narrative: Patient received a fifth dose of anthrax vaccine on 3/17/2004.  He was well prior to vaccination and did not recall immediate local or systemic symptoms.  On 4/14/2004 he presented to a military treatment facility with a 3-day history of chest pain and SOB.  He was diagnosed and treated for acute pericarditis based on clinical presentation and elevated ESR; no ECG was obtained.  Chest pain, sub-sternal start: 03/11/2004.  Dyspnea (shortness of breath) start: 03/11/2004.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Pericarditis, Red blood cell sedimentation rate increased
Clinical narrative: Patient received a fifth dose of anthrax vaccine on 3/17/2004.  He was well prior to vaccination and did not recall immediate local or systemic symptoms.  On 4/14/2004 he presented to a military treatment facility with a 3-day history of chest pain and SOB.  He was diagnosed and treated for acute pericarditis based on clinical presentation and elevated ESR; no ECG was obtained.  Chest pain, sub-sternal start: 03/11/2004.  Dyspnea (shortness of breath) start: 03/11/2004.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Discomfort, Pain, Pallor, Screaming
Clinical narrative: Mom states that patient b/c very pale for approx. 3 hours after vaccinations.  Fell asleep & slept soundly without any s/s of distress noted.  Mom stated he screamed when he was first moved from his car seat & had color in face with screaming.  He was given Motrin for discomfort after vaccinations, noted to help with pain without any further screaming noted.  Mother states that his color returned to normal without any further s/s of adverse rxn after 3 hrs.  Mother will talk with doctor prior to completing the remainder of the vaccinations.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Swelling
Clinical narrative: Received vaccine 12/10/07 (AM).  Noticed redness the evening of injection.  Area swollen with elevated redness within 24 hours.  Complained of pain at site.  Stated received same vaccine 5 years ago but did not have any side effects from injection.
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Immunology test, Incorrect dose administered
Clinical narrative: Patient was given 3 pediatric doses instead of full adult doses.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye pruritus, Eye swelling, Pruritus, Swelling face
Clinical narrative: Swelling & itching of eyes & face.  Itching on hands & feet.  2 tsp Benadryl given.  Watched for 1 hour in clinic.
Age: 1.77
Sex: F
Vaccine: HEP, IPV, PPV
Symptoms: Aphonia, Chills, Cough, Pyrexia, Rhinorrhoea
Clinical narrative: Patient had a very high temperature for 2 days (Fri-Sat).  Then on Sunday none.  On Monday, she had a runny nose and cough and lost her voice.  By Wednesday, we went to the doctor and asked for medicine for croup.  The cough lasted and then she started shivering really bad.  She had never done this before and has talked for a year with at least 1000 words by age 14 months.  She still stutters a bit but for those 4 days it was bad.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Blood electrolytes, Blood glucose, Convulsion, Laboratory test
Clinical narrative: Seizure on 10-17-07 at 9:30am & 11:30am.  Tx with incr. dosages of Phenobarbital & Tegretol.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Started with multiple red papules on 12/01/07, examined 12/04/07 physician noted multiple red papules with vesicles all over. Dx: chicken pox. Plan: Benadryl, Motrin/Tylenol/prn
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling with heat began soon after injection and worsened over the next 12 hours. Limited to upper arm below deltoid injection site.
Age: 45.0
Sex: F
Vaccine: PPV, TD
Symptoms: Back pain, Body temperature increased, Cellulitis, Dysuria, Erythema
Clinical narrative: Pt. seen at ER 11/27/07 with lump to injection site (LT) arm, redness throughout body & c/o lower Rt. back pain with burning upon urination, temp 101-102, took Benadryl 50 mg at 5:30pm, area is red & inflamed.  Onset of reaction 11/27/07.  Bactrim DS 2 tab po BID.
Age: 45.0
Sex: F
Vaccine: PPV, TD
Symptoms: Inflammation, Injection site mass
Clinical narrative: Pt. seen at ER 11/27/07 with lump to injection site (LT) arm, redness throughout body & c/o lower Rt. back pain with burning upon urination, temp 101-102, took Benadryl 50 mg at 5:30pm, area is red & inflamed.  Onset of reaction 11/27/07.  Bactrim DS 2 tab po BID.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Pruritus, Swelling, Tenderness
Clinical narrative: Swelling, redness, tenderness, pain and some pruritus 5 in x 5 3/4 in.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Left upper arm swollen, red and sore. Elevated temperature. Body aches noted within 24 hours of administration. Treatment: cool compress to swollen arm, Motrin for pain and Benadryl for itchiness.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: On 11/20/07 mom called office to inform Dr. pt. had 4 1/2 x 4 1/2cm erythematosis, swollen, warm area.  Benadryl/warm compresses recommended.  On 11/21 pt. in to office with 11x11cm rash & erythemic area.  Tx with Omnicef 250mg po BID.  On 12/3/07 pt. in for follow up- resolved.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Tachycardia, Vomiting
Clinical narrative: Vomiting 103 deg oral tem. Tachycardia Dushy fingers
Age: 33.0
Sex: M
Vaccine: TTOX
Symptoms: Blood creatine phosphokinase increased, Myalgia
Clinical narrative: Myalgias with elevated CPK on 12/2/07 after receiving tetanus vaccination 11-23-07.
Age: 59.0
Sex: F
Vaccine: TD, TD
Symptoms: Chills, Muscle spasms, Muscle twitching, Stomach discomfort
Clinical narrative: Two days later got severe chills with shivering.  Felt muscles of arms and trembling but no visible signs of trembling.  Stomach trembled and was spastic creating frequent bowel movements.  Symptoms continued periodically for several weeks before I went back to the doctor.  Received Klonopin to relieve symptoms.  Took 5mg of Klonopin at night.  Eventually got down to 1/2 a pill every other night.  In August, 2007 symptoms disappeared and I stopped medication.  In September, the symptoms returned and I reinstated the Klonopin regimen.  Continued to see a variety of specialty physicians who could find nothing wrong.
Age: 59.0
Sex: F
Vaccine: TD, TD
Symptoms: Blood test, Chills, Diagnostic procedure, Frequent bowel movements, Stomach discomfort
Clinical narrative: Two days later got severe chills with shivering.  Felt muscles of arms and trembling but no visible signs of trembling.  Stomach trembled and was spastic creating frequent bowel movements.  Symptoms continued periodically for several weeks before I went back to the doctor.  Received Klonopin to relieve symptoms.  Took 5mg of Klonopin at night.  Eventually got down to 1/2 a pill every other night.  In August, 2007 symptoms disappeared and I stopped medication.  In September, the symptoms returned and I reinstated the Klonopin regimen.  Continued to see a variety of specialty physicians who could find nothing wrong.
Age: 59.0
Sex: F
Vaccine: TD, TD
Symptoms: Thyroid function test, Tremor
Clinical narrative: Two days later got severe chills with shivering.  Felt muscles of arms and trembling but no visible signs of trembling.  Stomach trembled and was spastic creating frequent bowel movements.  Symptoms continued periodically for several weeks before I went back to the doctor.  Received Klonopin to relieve symptoms.  Took 5mg of Klonopin at night.  Eventually got down to 1/2 a pill every other night.  In August, 2007 symptoms disappeared and I stopped medication.  In September, the symptoms returned and I reinstated the Klonopin regimen.  Continued to see a variety of specialty physicians who could find nothing wrong.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood test normal, Dyspnoea, Mobility decreased, Sinus rhythm, Urticaria
Clinical narrative: Pneumovax 10.17.07 after Imm experienced fatigue, tiredness, Dyspnea, and Atyp C.P. Her C.P. c/o ppt hosp 11.25.07
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cardiac function test normal, Chest pain, Dyspnoea, Fatigue, Pericardial effusion
Clinical narrative: Pneumovax 10.17.07 after Imm experienced fatigue, tiredness, Dyspnea, and Atyp C.P. Her C.P. c/o ppt hosp 11.25.07
Age: 1.25
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: Blood sodium normal, Differential white blood cell count, Febrile convulsion, Metabolic function test normal, Urine analysis normal
Clinical narrative: MMR was administered along with varicella vaccine on my 15 month old. A week later, my child suffered a severe high fever leading to a febrile seizure which lasted approximately 5 minutes sending us to the emergency room of our local hospital.
Age: 1.25
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: MMR was administered along with varicella vaccine on my 15 month old. A week later, my child suffered a severe high fever leading to a febrile seizure which lasted approximately 5 minutes sending us to the emergency room of our local hospital.
Age: 1.25
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: Blood test normal, Culture urine negative, Febrile convulsion
Clinical narrative: MMR was administered along with varicella vaccine on my 15 month old. A week later, my child suffered a severe high fever leading to a febrile seizure which lasted approximately 5 minutes sending us to the emergency room of our local hospital.
Age: 0.33
Sex: M
Vaccine: UNK, HIBV, PPV
Symptoms: Injection site abscess, Injection site nodule
Clinical narrative: Very large lump occured at injection site, now 2 months later and dr. can still feel small lump. Nurse said must have been an abcess.
Age: 0.33
Sex: M
Vaccine: UNK, HIBV, PPV
Symptoms: Injection site abscess
Clinical narrative: Very large lump occured at injection site, now 2 months later and dr. can still feel small lump. Nurse said must have been an abcess.
Age: 0.4
Sex: U
Vaccine: UNK, HIBV, PPV
Symptoms: Injection site abscess, Injection site nodule
Clinical narrative: large lump/abcess at injection site lasting over a month, at appt two months later dr. can still feel lump
Age: 0.4
Sex: U
Vaccine: UNK, HIBV, PPV
Symptoms: Injection site abscess
Clinical narrative: large lump/abcess at injection site lasting over a month, at appt two months later dr. can still feel lump
Age: 1.11
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Convulsion, Crying, Dyspnoea, Irritability, Pyrexia
Clinical narrative: My son developed a high fever for several days after the vaccination.  He also displayed rapid and uncontrollable shaking,seizure like episodes that resulted in him being hospitalized.  He also experienced breathing difficulty, drowsiness and excessive crankyness/crying.  1/11/08 Reviewed pcp medical records which included vax records w/lot #s & databse updated w/same.  Records reveal patient w/thick eye discharge 10/22/07 otherwise in good health & meeting developmental milestones.  Dx w/conjunctivitis & tx w/eye drops.  Returned to pcp 10/31 w/vomiting,lethargy,  fever, dyspnea, reduced oral intake, & not acting himself x 3 days.  Dx w/viral disease.  Admitted to hospital 10/31-11/1/2007 w/fever & URI.   Returned to pcp 11/26/07 w/purulent discharge from eyes x 3 days, nasal discharge x 4 days, cough. Dx w/conjunctivitis & OM right ear.  Tx w/antibiotics 1/15/08 Reviewed hospital medical records which reveal patient experienced fever & abnormal movements.  Developed low grade fever (99-100) & cold s/s 5 days prior to admit.  Parent & 3 siblings w/colds s/s.  On day of admit, had vomiting & temp max 102.  Parent noted slow rhythmic body contractions followed by drowsiness.  Sent to daycare & continued to have jerky movements & wide based gait noted when taken to pcp on day of admit.  Admitted 10/31-11/1/2007.  On exam had fluid collection right ear. FINAL DX: Viral syndrome.
Age: 1.11
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Somnolence, Tremor
Clinical narrative: My son developed a high fever for several days after the vaccination.  He also displayed rapid and uncontrollable shaking,seizure like episodes that resulted in him being hospitalized.  He also experienced breathing difficulty, drowsiness and excessive crankyness/crying.  1/11/08 Reviewed pcp medical records which included vax records w/lot #s & databse updated w/same.  Records reveal patient w/thick eye discharge 10/22/07 otherwise in good health & meeting developmental milestones.  Dx w/conjunctivitis & tx w/eye drops.  Returned to pcp 10/31 w/vomiting,lethargy,  fever, dyspnea, reduced oral intake, & not acting himself x 3 days.  Dx w/viral disease.  Admitted to hospital 10/31-11/1/2007 w/fever & URI.   Returned to pcp 11/26/07 w/purulent discharge from eyes x 3 days, nasal discharge x 4 days, cough. Dx w/conjunctivitis & OM right ear.  Tx w/antibiotics 1/15/08 Reviewed hospital medical records which reveal patient experienced fever & abnormal movements.  Developed low grade fever (99-100) & cold s/s 5 days prior to admit.  Parent & 3 siblings w/colds s/s.  On day of admit, had vomiting & temp max 102.  Parent noted slow rhythmic body contractions followed by drowsiness.  Sent to daycare & continued to have jerky movements & wide based gait noted when taken to pcp on day of admit.  Admitted 10/31-11/1/2007.  On exam had fluid collection right ear. FINAL DX: Viral syndrome.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Wrong drug administered
Clinical narrative: Pt was in clinic with younger sister to obtain vaccines. Nurse obtained vaccines for the four old sister to be administered which included DTaP. Pt only needed HepA. Mother preferred that the four year old sister recieve HepA only. Pt was given DTaP instead of HepA.
Age: 0.83
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Tonic clonic movements
Clinical narrative: Seizure--had tonic-clonic jerking lasting about 2 minutes about an hour and a half after flu vaccine
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Laboratory test normal, Rash
Clinical narrative: developed malar rash on face on 11-15-07; was prescribed levo-cetirizine by dermatologist which she took for 2 days; rash recurred on 11-19-07; she reported to CDC occ health clinic on 11-27-07; dispensed hydrocortisone cream which she never used; did not continue levo-cetirizine; no recurrence of rash since then;
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Abscess, Culture, Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: R thigh became red and warm after immunization.  Fever spiked to 102 48 hours after immunization.  72 hours after immunization blister appeared and popped.  4 days after immunization child was brought to clinic.  Drained abcess and cultured, began Augmentin.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: R thigh became red and warm after immunization.  Fever spiked to 102 48 hours after immunization.  72 hours after immunization blister appeared and popped.  4 days after immunization child was brought to clinic.  Drained abcess and cultured, began Augmentin.
Age: 0.33
Sex: M
Vaccine: 6VAX-F, DPP, HEP, IPV, PPV, RVX
Symptoms: Injection site erythema, Injection site urticaria, Insomnia, Irritability
Clinical narrative: Large red welt formed around one of the shot sites. About the size of a silver dollar. Lasted 4 days.  He was very cranky and not able to sleep well for the first 2 days.
Age: 23.0
Sex: M
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: On Thursday December 6th in the AM patient began experiencing urticaria. He started taking Benadryl 50 mg Q3 hours except when sleeping. He stopped taking the Benadryl on Sunday because symptoms were improving and patient states symptoms were gone by Monday December 10th. For patient's remaining vaccines (2 total) he will receive Rabavert. Today, December 13th, he received his 4th shot with Rabavert (Novartis) Lot # 419011A EXP 07/10.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pharyngolaryngeal pain, Sinus congestion
Clinical narrative: Employee became ill with sore throat and GI upset the day after receiving vaccine.  Led to sinus congestion and headache lasting up to 7 days.  Employee called off work on the 3rd day post vaccination to rest.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Immediate post-injection reaction, Pain
Clinical narrative: PAIN AND BURNING ON ADMINISTRATION OF VACCINE.  PAIN LASTED UP TO 4 DAYS POST VACCINE
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort
Clinical narrative: GI UPSET THAT LASTED A WEEK, EMPLOYEE CALLED OFF SEVERAL DAYS POST VACCINE.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Erythema, Pyrexia, Rash generalised
Clinical narrative: Influenza vaccination on 12/12/07.  Chills and fever about 5 hours after shot and now red rash covering entire body.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Head injury, Presyncope
Clinical narrative: client was given HPV immunization on right arm, immediately told mother that she felt dizzy and weak- client stood up from chair and gradually slumped down to floor- (vaccine administator, medical aide)supported client's head from hitting floor-no apparent injuries noted-rested and aware of surroundings-after 45 minutes client left with mother ,ambulating and with instructions of any further episode to go to er- comfort measures explained
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Urticaria
Clinical narrative: Urticaria developed approximently 2 hours after administration of vaccines.  Patient seen in office given Benedryl PO and dexamethasone IM.  No respiratory difficulty but condition did not improved and patient was referred to ER.
Age: 36.0
Sex: M
Vaccine: FLUN3, TD
Symptoms: Pain
Clinical narrative: Deep, aching pain beginning immediately after treatment, lasting 6 weeks as of this date.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Rash
Clinical narrative: Influenza vaccine (Fluzone) adm on 11-26-2007 in Rt deltoid.    11-26 through 11-28-07 Rt uppper arm "sore."  11-28-2007 client developed a "rash on the underside of upper Rt arm, armpit, and Rt chest area"--called to report rash on same day.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Malaise, Pain in extremity, Pruritus, Wheezing
Clinical narrative: ITCH BEGAN EVENING OF VACCINE ADMINISTRATION; USUAL SITE, ARM RED, SORE, GEN MALAISE NEXT 2-3 DAYS THEN RESOLVED; ITCHING INTENSIFIED DAILY ? WHEALS ? WHEEZING; NO RELIEF WITH BENADRYL; GIVEN MEDROL DOSE PAK, CLARITIN;
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Developed pain in the left lateral, posterior shoulder 3 weeks after the flu shot.  No redness, bruising or swelling noted.  Followed up in Urgent Care and was prescribed with a course of therapy.  Use Ibuprofen. Continues to have aching in the left upper arm.
Age: 1.25
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Culture urine negative, Grand mal convulsion
Clinical narrative: 3 days after receiving MMR, Varivax, Hep A and influenza vaccines, patient had a temp of 102 and a generalized tonic clonic seizure.  Per parents, had stopped breathing during this episode and was given chest compression.  EMS arrived and brought patient to Hospital.  There she was observed overnight.  She had no further episodes and was released the next day.  1/15/08 Reviewed hospital medical records which reveal patient experienced fever, irritability, involuntary jerking all extremities, eyes rolling back, loss of consciousness, hypotonia, ashen gray.  Family felt was in cardiac arrest & started cpr for short time before patient began to breath.  EMS foung patient groggy alternating w/irritability/crying.  O2 sat dropped to 94% & placed on blowby O2.  Admitted 12/10-12/11/2007.  Returned to baseline while in ER but admitted for observation.  No further fever or seizure activity while in hospital.  D/C to home & pcp f/u. FINAL DX: febrile seizure.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash generalised, Rash pustular, Scar
Clinical narrative: Since receiving the vaccination, patient has suffered from spontaneous breakouts and lesions on back, face, neck, and legs leaving scarring throughout the body.  Postules have formed and never permanently disappeared, sometimes leaving hard cyst like pockets beneath the skin.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Asthenia, Diarrhoea, Hypoaesthesia
Clinical narrative: Over the course of the last two years, patient has realized that he is losing memory of certain events, developing both long term and short term memory problems.  Coupled with severe joint problems in both the knees and wrists, ie cracking, poping, and soreness.  Lot# FAV041 Left Arm
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Memory impairment, Myalgia, Pyrexia, Vomiting
Clinical narrative: Over the course of the last two years, patient has realized that he is losing memory of certain events, developing both long term and short term memory problems.  Coupled with severe joint problems in both the knees and wrists, ie cracking, poping, and soreness.  Lot# FAV041 Left Arm
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture positive, Pyrexia, Viral infection
Clinical narrative: Febrile illness with viral symptoms.  Blood culture done in the ER.  Blood culture grew a Bacillus Species, identified as NOT B.Cereus or B.Antracis.  No antibiotics were given, and his symptoms resolved spontaneously.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Injection site erythema, Injection site rash, Nausea, Pruritus
Clinical narrative: REDNESS AND RED RASH NOTED AT IMMUNIZATION SITE.  ITCHING, SHAKY, NAUSEA, VOMITTING AND  TIREDNESS.  SEEN BY MEDICAL DIRECTOR.  BENADRYL 50MG BY MOUTH EVERY 6 HRS FOR 24 HOURS.  CLIENT WILL FOLLOW UP WITH CLINIC IF SYMPTOMS WORSEN OR PERSISTS.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Tremor, Vomiting
Clinical narrative: REDNESS AND RED RASH NOTED AT IMMUNIZATION SITE.  ITCHING, SHAKY, NAUSEA, VOMITTING AND  TIREDNESS.  SEEN BY MEDICAL DIRECTOR.  BENADRYL 50MG BY MOUTH EVERY 6 HRS FOR 24 HOURS.  CLIENT WILL FOLLOW UP WITH CLINIC IF SYMPTOMS WORSEN OR PERSISTS.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site mass, Local reaction
Clinical narrative: SWELLING NOTED 2-3 DAYS AFTER VACCINATIONS WERE GIVEN.  HAD A RED BUMP ON RIGHT THIGH WHICH FADED OVER THE NEXT THREE DAYS BUT THEN REAPPEARED 12/12/07.  DIAGNOSED AS A LOCAL REACTION.  WARM COMPRESSES ADVISED.  TOLD TO CALL IF INCREASED SWELLING OR REDNESS NOTED.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Diarrhoea, Injection site erythema, Injection site mass, Injection site swelling, Lactose intolerance
Clinical narrative: Severe swelling, redness, bump of injection site. Vomitting and Diarea lasting several days. Resulted in developing a lactose intolerance, unable to have milk for over two weeks.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Vomiting
Clinical narrative: Severe swelling, redness, bump of injection site. Vomitting and Diarea lasting several days. Resulted in developing a lactose intolerance, unable to have milk for over two weeks.
Age: 50.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia
Clinical narrative: Definite decrease in exercise tolerance as well as strength. I go to the gym most days of the week, alternating between strength training and aerobics (stationary bicycle). I am currently stationed in Texas, and was in Korea for one month only. After having been there for a week, and several trips to the gym, I had my smallpox vaccination. About a week after the vaccination, I noticed that I had a definite decrease in my strength when lifting weights as well as a decrease in my exercise tolerance on the stationary bike. This was using the same free weights and machines that I had previously used after my arrival in Korea.  Upon returning to Texas, I continue to have decreased strength (e.g. I was using a 30# dumbbell before to do 15 bicep curls, 2 sets for each arm. Since the vaccination, I can barely do the first set and can only do 3-5 of the second set without the assistance of the other arm). My aerobic exercise has improved faster, but is still affected.
Age: 25.0
Sex: M
Vaccine: DTAP
Symptoms: Abasia, Arthralgia, Blood test, Pain in extremity
Clinical narrative: 2 days after shop was at doctor could not walk on feet (pain) gave me medicine that cover it up for a while then went to knees , went away then hips,went away, elbows,wrists,and shoulders.