chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Throat irritation
Clinical narrative: Client first reported sore arms to school nurse and actually had placed one of her arms in a sling.  The nurse told her to remove the sling and move her arms around.  Client said that did help.  The school nurse followed up with client's Mom today.  Says Mom told her client later in PM became dizzy and had a scratchy throat.  Says she was so dizzy she could not stand.  Mom tried to go to their own dr. and was told to go to the ER.  Mom took her to ER and waited 4 hours and still had not been seen, so they left.  (It is college Spring Break for the next 5 weeks in our town and so many emergencies.)  The school nurse says today client is very sleepy.  I contacted Mom for condition check at 1:30 PM today.  Mom says client is better today.  Says she is still sleepy and has some chills and some soreness in the arms.  Discussed warm compresses for the arms.  Ibuprofen for fever reducer and anti-inflammatory properties.  Advised Mom we still have to recommend dr. for symptoms.  Mom says she is done with drs. and described the wait in the ER.  Advised Mom we do not have a dr. on site at our facility.  We give vaccines based on standing orders.  Mom said "I figured that.  I'm kind of busy here.  Is that all?"  Mom did not wish to discuss anything further.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia, Urticaria
Clinical narrative: High fever (103.8 degrees). On 03/12, dr visit. Patient put on Amoxicillin for possible sinus infection. On 03/21 at 8:00am, patient covered with hives. Dr visit at 10:00am. Told to use antihistamines. On 03/22 at 8am, dr visit. Hives are worst. Patient prescribed Prednisolone for 3 days.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13, RV5
Symptoms: C-reactive protein increased, Full blood count, Injected limb mobility decreased, Injection site swelling, Platelet count decreased
Clinical narrative: refusal to move right leg with swelling over right thigh
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13, RV5
Symptoms: White blood cell count increased, X-ray normal, X-ray of pelvis and hip normal
Clinical narrative: refusal to move right leg with swelling over right thigh
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site warmth, Nodule
Clinical narrative: Patient reported a large, red, warm, tender/painful area approximately 2 inches in diameter at the site of vaccine administration with two raised, red streaks that radiated into the right axilla.  She also noted a hard nodule in the right axilla.  Cefazolin 1 gram every 8 hours was prescribed for empiric coverage of presumed injection site cellulitis.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Convulsion, Pyrexia, Status epilepticus
Clinical narrative: Complex febrile status epilepticus lasting over 30 minutes, generalized, requiring medication to stop seizure.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Gait disturbance, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: After HPV vaccine given, pt. walked toward the waiting room and began to stagger and sway. Clinic RN stabilized her against the hallway wall as patient lost control of her bladder. Though patient did not appear to lose consciousness, she did not immediately respond to verbal commands.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Antinuclear antibody positive, Lymphadenopathy, Red blood cell abnormality, Red blood cell morphology abnormal
Clinical narrative: I found a swollen lymphnode in my left supravenaclavicular area.
Age: 1.72
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Coagulation test, Contusion, Full blood count, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy
Clinical narrative: Pt developed ITP with platelet count of 3 at the time of diagnosis.  Also had low ANC at the time of presentation which improved spontaneously.  He presented with petechiae and multiple bruises.  He ultimately required a dose of Winrho and a 2 day hospitalization for observation.
Age: 1.72
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Liver function test, Metabolic function test, Neutrophil count decreased, Petechiae, Platelet count decreased
Clinical narrative: Pt developed ITP with platelet count of 3 at the time of diagnosis.  Also had low ANC at the time of presentation which improved spontaneously.  He presented with petechiae and multiple bruises.  He ultimately required a dose of Winrho and a 2 day hospitalization for observation.
Age: 1.72
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Smear test
Clinical narrative: Pt developed ITP with platelet count of 3 at the time of diagnosis.  Also had low ANC at the time of presentation which improved spontaneously.  He presented with petechiae and multiple bruises.  He ultimately required a dose of Winrho and a 2 day hospitalization for observation.
Age: 0.39
Sex: M
Vaccine: DTOX, HIBV, IPV, PPV, RVX
Symptoms: Decreased appetite, Vomiting
Clinical narrative: He vomited on three separate occasions. Experienced loss of appetite & vomited two more times on 03/24-2011 &
Age: 42.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Body temperature, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: (R) deltoid red, swollen, tender 5x5 cm area, no fluctuance. Positive temp at home.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, X-ray normal
Clinical narrative: Myalgia.
Age: 45.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site inflammation, Injection site pain, Pyrexia
Clinical narrative: Fever, inflammation at site of vaccine. Pain at site. Course of AUGMENTIN given.
Age: 11.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Pt broke out in a rash, (at times itchy) on trunk, back, arms & legs. Advised to take BENADRYL 25mg for itching.
Age: 1.28
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyspnoea, Headache, Hypoaesthesia, Oropharyngeal pain
Clinical narrative: Received vaccine at 4pm-observed for 15 minutes in office. At 8pm she started having trouble breathing, sore throat, tingling, numbness of left leg and the next day morning woke up with a headache and dizziness. By 10 am today 03/24/2011-she did not have any of those symptoms.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia
Clinical narrative: Received vaccine at 4pm-observed for 15 minutes in office. At 8pm she started having trouble breathing, sore throat, tingling, numbness of left leg and the next day morning woke up with a headache and dizziness. By 10 am today 03/24/2011-she did not have any of those symptoms.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test, Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Swelling/redness at injection site immediately following injection. Later swelling/redness and itching on entire arm.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pruritus
Clinical narrative: Swelling/redness at injection site immediately following injection. Later swelling/redness and itching on entire arm.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Herpes zoster, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Swelling/redness at injection site immediately following injection. Later swelling/redness and itching on entire arm.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Laboratory test, Laboratory test abnormal, Oedema peripheral, Pruritus
Clinical narrative: Swelling/redness at injection site immediately following injection. Later swelling/redness and itching on entire arm.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash pruritic
Clinical narrative: Swelling/redness at injection site immediately following injection. Later swelling/redness and itching on entire arm.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Right thigh swollen, hard, and red site 2 in by 1 in. Patient placed on antibiotics. AUGMENTIN 600mg Bid x 10 days.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Hypoaesthesia, Injection site pain, Neck pain, Paraesthesia
Clinical narrative: Mother states client c/o neck pain upon awakening 3/18/11, more towards back of neck. On 3/19/11 client c/o neck pain had worsened. She took 1 dose of Ibuprofen (400mg) on 3/19/11 for neck pain. Later that night on 3/19/11 she c/o (R) shoulder pain & pain at injection site. On 3/21/11 client had arm numbness & tingling sensation in (R) arm from shoulder to elbow. Now on 3/23/11 in the night approx 12:30 am, client c/o entire (R) arm being numb & tingly down into her fingers. She describes the feeling as if it's asleep & that tingling sensation when you don't want anything or anyone to touch it (like when your leg or foot goes asleep). She took 1 dose of Ibuprofen (400mg) the night of 3/23/11. She did say that neck hurts worse when she looks down (chin to chest). Denies arm & fingers being blue & no edema or fever. RN advised for client to be seen at her pediatrician's office-Dr.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Haematoma, Induration, Tenderness
Clinical narrative: Patient developed an induration that increased in size during the encounter with surrounding erythema and central hematoma, area was tender to touch.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Rotavirus infection, Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning a 9 weeks old male patient who on 31-MAR-2010 was vaccinated PO with the first dose of ROTATEQ (lot number not reported). Concomitant therapy included PREVNAR and PENTACEL on the same day. Two days after vaccination, on 02-APR-2010 the patient had diarrhea for three days. The patient had a rotavirus test done and it came back that the patient developed rotavirus. The symptoms improved on therapy. On an unspecified date, the patient had recovered. Additional information has been requested.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood test normal, Dehydration, Diarrhoea, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 9 week old male patient with no pertinent medical history and no known drug reactions/allergies who on 05-MAY-2010 was vaccinated with a first oral dose of ROTATEQ (lot # 665160/1616Y). Suspect secondary vaccination administered on the same day included a dose of PEDVAXHIB (664100/1122Y). Concomitant vaccination included administered the same day included a dose of PEDIARIX (lot # AC21B242DA) and PREVNAR (lot # E15356). On 07-MAY-2010 the patient experienced loose stool, diarrhea and vomiting. On 09-MAY-2010 the patient went to the emergency room with episodes of diarrhea and vomiting. He was not admitted to the hospital. The patient was treated for dehydration with IV fluid administration. Blood work done at the emergency room was normal. On 10-MAY-2010 the patient had a follow-up visit with the physician. He recovered from vomiting and was tolerating PEDIALYTE but had not recovered from diarrhea. The patient's mother was advised to continue giving the patient PEDIALYTE and resume breastfeeding. Follow up information has been received from a registered nurse who indicated that the patient with no pre-existing allergies or medical conditions and no illness at the time of vaccination on 05-MAY-2010 at 9:13 a.m. was vaccinated with a dose of ROTATEQ. Suspect secondary vaccination administered on the same day included a first IM dose of PEDVAXHIB (664100/1122Y) administered on his left thigh. Concomitant vaccination included administered the same day included a first IM dose of PEDIARIX in his right thigh and a first IM dose of PREVNAR in his left thigh. On 06-MAY-2010, 24 hours after vaccination with ROTATEQ, vomiting and diarrhea started. The patient was seen in the Emergency Room for IV fluid administration for dehydration. He attended Day care one day at the start of illness. At the time of the original report, vomiting had stopped and diarrhea still continued. All blood work in the Emergency Room was normal. Additional information has been requested.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Information has been received from a physician concerning a 19 weeks old patient who on 18-JUN-2010 was vaccinated 2 mL oral with a first dose of ROTATEQ (Lot number not provided). The physician reported that the patient received their first dose of ROTATEQ at 19 weeks of age. No adverse effect reported. Follow up information received from a physician concerning a 19 weeks old female with no illness at time of vaccination, no preexisting allergies, birth defects and medical conditions, who on 18-JUN-2010 was a first dose of vaccinated with ROTATEQ (lot # 665168/1686Y, oral) at noon. Concomitant therapy on 18-JUN-2010 at noon included a first dose of PEDVAXHIB (IM, lot # 664098/1292Y), a first dose of PEDIARIX (lot # AC21B242AA, IM) and a first dose of PREVNAR (lot # E46122, IM). The patient administered ROTATEQ after recommended age for the first dose on 18-JUN-2010. There were no labs or diagnostic tests performed. No adverse effect was reported. No further information is available.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Full blood count normal, Pyrexia, Urine analysis normal, Vomiting
Clinical narrative: Information has been received from a licensed practical nurse concerning an 8 week old female patient who on 02-AUG-2010 was vaccinated with a first dose of ROTATEQ (lot number not provided). The nurse reported that the next day (on 03-AUG-2010) the patient was seen in the office with fever of 104 degrees F and had vomited once. At the time of the report the patient was recovering. Follow up information has been received from a pediatric nurse practitioner who reported that the 10 week patient with no drug allergies or pertinent medical history was vaccinated with an oral dose of ROTATEQ (lot number 665272/0203Z) in the afternoon of 02-AUG-2010. There was no illness at the time of vaccination. Concomitant therapy included a dose of PREVNAR (lot number E44433) given in the left thigh, a dose of PENTACEL (lot number C3614AA) given in the left thigh and a dose of ENGERIX-B (lot number AHBVB762A) given in the left thigh. The nurse reported that 12-18 hours post vaccination (on 03-AUG-2010) at 2:00 AM the patient experienced hyperpyrexia (102.4). Laboratory tests performed included complete blood cell count (CBC) and urinalysis (UA) which were okay. Blood work was pending. On an unspecified date the patient recovered. The patient did not seek medical attention. Follow up information has been received from a pediatric nurse practitioner who reported that the patient with no illness at the time of vaccination and no preexisting allergies, birth defects or medical conditions, experienced hyperpyrexia on 03-AUG-2010 at 24:00. No further information is expected.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Dysphonia
Clinical narrative: Information has been received from a registered nurse concerning an 8 week old male patient with no pertinent medical history and no allergies who on an unspecified date was vaccinated with the first and the only dose of ROTATEQ (lot # not reported) via oral route. Concomitant therapy included "other routine vaccines". Subsequently, the patient developed "hoarseness". The patient saw a pediatrician for unspecified medical attention. There were no laboratory diagnostics studies performed. At the time of this report, the patient's outcome was not reported. Follow up information has been received from a registered nurse concerning a 9 week old female (previously reported as male) patient who on 05-MAR-2010, at 17:00, was vaccinated orally with the first dose of ROTATEQ (lot # 664073/1097Y), the first dose of PREVNAR (lot # D93211) IM into the right leg, the first dose of ENGERIX-B (lot# AHDVB818AA) IM into the left leg and the first dose of PENTACEL (lot# C3565AA) IM into the left leg. There was no illness at time of vaccination. On 06-MAR-2010, at 15:00, the patient developed severe hoarseness. The patient's mom reported that the patient would cry and no sound would come out. She had called the nurselink and saw the physician one week later. No medications or treatment were given. The mom didn't want any more doses of ROTATEQ as she believed this was the cause. On 12-MAR-2010, the patient recovered from hoarseness. Additional information is not expected.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Vomiting projectile
Clinical narrative: Information has been received from a nurse concerning a 9 week old female patient who with no illness at the time of vaccination and birth weight was 7 pounds and 3 ounces, on 20-DEC-2010 at 11:50 a.m. was vaccinated with the first dose of ROTATEQ (lot # 668274/0948Z) orally. The parent reported that the patient experienced projectile vomiting on 20-DEC-2010, 1 or 2 hours after feeding, 3-4 times daily. It was reported that projectile vomiting stopped 48 hours after receiving ROTATEQ. On 23-DEC-2010, the patient recovered from projectile vomiting. The patient did not seek medical attention. Additional information is not expected.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Cellulitis, Disorientation, Erythema, Injected limb mobility decreased, Nausea
Clinical narrative: From 1/14/2011 Note: HPI/53 yo female presents for f/u from ER visit 1/12/11 for Dtap reaction with localized cellulitis of left arm. had Dtap on 1/10/11 developed swelling, reddness, fever up to 103 on night of 1/12/11 with mild n/v, disorientation as well but no resp distress/throat swelling/other anaphylatic symptoms.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: From 1/14/2011 Note: HPI/53 yo female presents for f/u from ER visit 1/12/11 for Dtap reaction with localized cellulitis of left arm. had Dtap on 1/10/11 developed swelling, reddness, fever up to 103 on night of 1/12/11 with mild n/v, disorientation as well but no resp distress/throat swelling/other anaphylatic symptoms.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Cellulitis, Disorientation, Erythema, Nausea, Pyrexia
Clinical narrative: From 1/14/2011 Note: HPI/53 yo female presents for f/u from ER visit 1/12/11 for Dtap reaction with localized cellulitis of left arm. had Dtap on 1/10/11 developed swelling, reddness, fever up to 103 on night of 1/12/11 with mild n/v, disorientation as well but no resp distress/throat swelling/other anaphylatic symptoms.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Swelling, Vomiting
Clinical narrative: From 1/14/2011 Note: HPI/53 yo female presents for f/u from ER visit 1/12/11 for Dtap reaction with localized cellulitis of left arm. had Dtap on 1/10/11 developed swelling, reddness, fever up to 103 on night of 1/12/11 with mild n/v, disorientation as well but no resp distress/throat swelling/other anaphylatic symptoms.
Age: 26.0
Sex: F
Vaccine: FLU3, HEP, PPV, TDAP, VARCEL, FLU3, HEP, PPV, TDAP, VARCEL
Symptoms: Erythema, Feeling hot, Induration, Pruritus
Clinical narrative: Patient said she noticed small red spots on her abdomen which were itchy. On 03/25 the rash had spread to her arms, hands and the top of both legs. She called this office this morning to report the rash. Explained that if the rash gets worse or if she develops fever, has problems breathing or has any other serious problems she will need to go to the urgent care or an ER because she does not have a doctor. Patient said she will contact this office if she has any other info. to share.
Age: 26.0
Sex: F
Vaccine: FLU3, HEP, PPV, TDAP, VARCEL, FLU3, HEP, PPV, TDAP, VARCEL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Patient said she noticed small red spots on her abdomen which were itchy. On 03/25 the rash had spread to her arms, hands and the top of both legs. She called this office this morning to report the rash. Explained that if the rash gets worse or if she develops fever, has problems breathing or has any other serious problems she will need to go to the urgent care or an ER because she does not have a doctor. Patient said she will contact this office if she has any other info. to share.
Age: 0.57
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Chest X-ray abnormal, Full blood count normal, Lung infiltration, Pneumonia, Pyrexia
Clinical narrative: Patient developed fever to 104 on evening of vaccinations. She went to Er the next night and was diagnosed with pneumonia. She was treated with antibiotics, but developed wheezing that has persisted despite oral and inhaled steroids, atrovent and albuterol.
Age: 0.57
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Red blood cell sedimentation rate normal, Wheezing
Clinical narrative: Patient developed fever to 104 on evening of vaccinations. She went to Er the next night and was diagnosed with pneumonia. She was treated with antibiotics, but developed wheezing that has persisted despite oral and inhaled steroids, atrovent and albuterol.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood creatine phosphokinase MB, C-reactive protein, Chest pain, Electrocardiogram abnormal, Full blood count
Clinical narrative: Patient developed sharp chest pain in the evening for 2 consecutive days. Evaluation was performed as per recommendations, but my opinion is that his symptoms were not related to his smallpox vaccination.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Metabolic function test, Red blood cell sedimentation rate, Sinus bradycardia, Troponin I, Troponin T
Clinical narrative: Patient developed sharp chest pain in the evening for 2 consecutive days. Evaluation was performed as per recommendations, but my opinion is that his symptoms were not related to his smallpox vaccination.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Excoriation, Eye swelling, Rash, Vomiting
Clinical narrative: Called office less than one hour after vaccines given c/o vomiting and eye swelling -> sent to ER. Diffuse rash on all four extremities, face & upper torso. Some excoriations noted.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Dyskinesia, Dyspnoea, Feeling of body temperature change, Pharyngeal oedema
Clinical narrative: Throat swelling, difficult to breathe, shakes, cold from waist down. Upper body felt hot, uncontrollable leg movements. Thirsty, vomiting, diarrhea. Onset 5 hrs after shot - duration - 12 hrs.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Thirst, Tremor, Vomiting
Clinical narrative: Throat swelling, difficult to breathe, shakes, cold from waist down. Upper body felt hot, uncontrollable leg movements. Thirsty, vomiting, diarrhea. Onset 5 hrs after shot - duration - 12 hrs.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Crying, Dizziness, Hypotonia, Throat tightness
Clinical narrative: ADM Tdap, GARDASIL and MENACTRA at 1620 on 1-25-11. At this time pt c/o dizziness closed eyes became limp aroused in 1/2-1 min. started crying left clinic with mom after fully aroused. After leaving clinic c/o throat tightness. Seen in local ER.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood culture, Dysphonia, Feeling jittery, Oedema peripheral, Pyrexia
Clinical narrative: Information has been received from a 78 year old male with bronchitis and no drug reaction/allergies who in November 2008, was vaccinated with a dose of ZOSTAVAX (Merck) and in November 2010, was vaccinated with a dose of "pneumonia vaccine" (manufacturer unknown) (duration and dose not reported) and a dose of "flu vaccine" (manufacturer unknown) (duration and dose not reported). There was no concomitant medication. On 11-MAR-2011, the patient went to the emergency room and he was hospitalized for a fever of 102.5F and complaints of feeling jittery. Antibiotics were given for the events. "Blood cultures" was performed and the result was unknown. He was hospitalized from 11-MAR-2011 to 13-MAR-2011, and he was not fully recovered and he still had a hoarse voice. Consumer mentioned that he received an unspecified number of doses of LEVAQUIN (manufacturer unspecified and dose unspecified) during his hospitalization on 11-MAR-2011 to 13-MAR-2011, and he experienced swelling in his legs and a 10 pound weight gain. Consumer mentioned that the leg swelling had resolved and that he had lost the 10 pounds that he had gained. Additional information is not expected.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Weight increased
Clinical narrative: Information has been received from a 78 year old male with bronchitis and no drug reaction/allergies who in November 2008, was vaccinated with a dose of ZOSTAVAX (Merck) and in November 2010, was vaccinated with a dose of "pneumonia vaccine" (manufacturer unknown) (duration and dose not reported) and a dose of "flu vaccine" (manufacturer unknown) (duration and dose not reported). There was no concomitant medication. On 11-MAR-2011, the patient went to the emergency room and he was hospitalized for a fever of 102.5F and complaints of feeling jittery. Antibiotics were given for the events. "Blood cultures" was performed and the result was unknown. He was hospitalized from 11-MAR-2011 to 13-MAR-2011, and he was not fully recovered and he still had a hoarse voice. Consumer mentioned that he received an unspecified number of doses of LEVAQUIN (manufacturer unspecified and dose unspecified) during his hospitalization on 11-MAR-2011 to 13-MAR-2011, and he experienced swelling in his legs and a 10 pound weight gain. Consumer mentioned that the leg swelling had resolved and that he had lost the 10 pounds that he had gained. Additional information is not expected.
Age: 4.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia
Clinical narrative: High fever measured temporally 104.4 F, treated successfully with Tylenol, fever continued into the next day, then subsided
Age: 1.67
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Cow's milk intolerance, Dyspnoea, Rhinorrhoea, Urticaria, Vomiting projectile
Clinical narrative: Hives over entire body, projectile vomiting, copious amounts of mucous coming from nose, labored breathing
Age: 1.02
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Father of patient contacted Dr. and stated that patient was diagnosed by civilian provider that she has rash that appeared 3 days after receiving varicella immunization.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC13, VARCEL
Symptoms: Chest X-ray, Differential white blood cell count, Full blood count, Measles antibody, Mumps antibody test
Clinical narrative: Tonsillitis, Fever, and TORTICOLLIS
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia, Red blood cell sedimentation rate, Rubella antibody test, Tonsillitis, Torticollis
Clinical narrative: Tonsillitis, Fever, and TORTICOLLIS
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The injection site was red, hot, swollen, and painful.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Culture positive, Gastrointestinal disorder, Injection site haematoma, Injection site reaction, Insomnia
Clinical narrative: Local site reaction followed by high fever, vomiting, nausea, lethargic motion, rash, insomnia, irritability.  Required two visits to Emergency Room and two additional follow up appointments, 3 other calls to Dr over course of 7 days. Effects are still present, combined with large bruise to injection site at the time of this report.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Irritability, Lethargy, Local reaction, Nausea, Pyrexia
Clinical narrative: Local site reaction followed by high fever, vomiting, nausea, lethargic motion, rash, insomnia, irritability.  Required two visits to Emergency Room and two additional follow up appointments, 3 other calls to Dr over course of 7 days. Effects are still present, combined with large bruise to injection site at the time of this report.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Rash, Streptococcus test positive, Vomiting
Clinical narrative: Local site reaction followed by high fever, vomiting, nausea, lethargic motion, rash, insomnia, irritability.  Required two visits to Emergency Room and two additional follow up appointments, 3 other calls to Dr over course of 7 days. Effects are still present, combined with large bruise to injection site at the time of this report.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Fatigue, Hypersomnia, Injection site pain, Irritability
Clinical narrative: Very sore spot from injection, tired, irritable, nauseous, complaining of dizziness and not feeling well.  She slept almost for an entire week while we kept watch over her.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Malaise, Nausea
Clinical narrative: Very sore spot from injection, tired, irritable, nauseous, complaining of dizziness and not feeling well.  She slept almost for an entire week while we kept watch over her.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Heart Palpitations & Heart Racing (all day), Headache (3 hours until Excedrin taken), Trembling (several hours), Pain, Redness, Swelling at injection site (still after 3 days), extremely tired (2 full days), very bad stomach pain (2 days later all day, got worse in PM), some nausea,
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Nausea, Palpitations, Tremor
Clinical narrative: Heart Palpitations & Heart Racing (all day), Headache (3 hours until Excedrin taken), Trembling (several hours), Pain, Redness, Swelling at injection site (still after 3 days), extremely tired (2 full days), very bad stomach pain (2 days later all day, got worse in PM), some nausea,
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Nausea, Pruritus, Swollen tongue, Urticaria
Clinical narrative: 3/22/11@ 11:00 AM, patient was given an MMR #1.  At 11:30 AM, she presented to the Occupational Health department with a swollen tongue, said it felt itchy and a hive on her neck.  She was given 50 mg of Benadryl and watched her for thrity minutes.  Symptoms were not worsening and she said she felt better.  She went back to lunch at this time.  She returned to the Occupational Health department at 1:00 PM c/o nausea, lightheadness and dizzy.  She was taken to the ER at this time.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pyrexia
Clinical narrative: C/O onset fever up to 101 along with pain and redness starting 1d after injection.
Age: 0.12
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Abnormal behaviour, Anaemia, Decreased appetite, Pallor
Clinical narrative: Born at 31 weeks gestation -> discharged 03-15-11 from birth hospital (see hospital admit/discharge notes). Home on cardiac monitor. Office visit at pediatric office 3-17-11 -> received 6 wk shots without complications. Later (8-9 hours post vaccines) patient became "pale/ash color", "not eat right", "heart monitor went off", "he not act right" per mother. She took him to ER per EMS. Diagnosed with anemia. Admitted to hospital 03-17-11 (and as of 03-21-11) he still in hospital but doing "better". Unsure if his episode could be vaccine related due to his prematurity but I thought I'd turn it over to CDC for investigation.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site induration, Rash erythematous, Rash macular
Clinical narrative: Left thigh IM injection of 2nd Hep A given 3/22/11 rash developed 3/23/11. Red blotchy rash with central area hard & red at injection site, 5" circumference. Improving slowly as of 3/25/11.
Age: 3.0
Sex: F
Vaccine: HEPA, HIBV, PNC13
Symptoms: Injection site cellulitis
Clinical narrative: 5 x 5 1/2 cms round/oval cellulitis on (L) ant thigh where HIB & PREVENAR 13 given. Placed on AUGMENTIN PO & warm compresses.
Age: 28.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: (L) arm 4 x 4 cm redness, hard & tender. Bruise above red area - vaccine site. Went to ER - received antibiotic, BENADRYL, steroid & pain pill site observed by health dept 1/28/11 when reading PPD.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Eyelid oedema, Feeling abnormal, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: 46 y/o male who developed left shoulder pain approximately 2-3 days following receipt of FLUZONE (Sanofi-Pasteur) on 11/2/2010, which has persisted. Vaccine was administered in his left deltoid area in afternoon. He did not notice anything unusual about vaccine administration technique or site. Within 8 hours patient felt "bad". He reports a fever of 101-104, fever and sweats alternating with chills, red, watery and puffy eyes, body aches, and malaise which lasted about 24 hours. He denies rashes/urticaria, flushing, wheezing or dyspnea, angioedema, dysphagia or GI-related symptoms. He called the clinic where he received the vaccine the day after vaccine receipt to report his viral-type symptoms and he was told these symptoms are not uncommon. His vaccination site was red (< 2" diameter), but not warm to the touch. There was no significant swelling or bruising, but the site was tender to touch. His left shoulder pain began within a 2-3 days post-vaccine administration. Pain intensity initially ranged from 4-10/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). Pain has persisted and significantly restricted ROM and interfered with sleep; it is difficult for patient to reach over his head or reach down or rotate his arm; when he does, he experiences a sharp, shooting pain from his shoulder to his wrist. He denies any L) UE tingling, numbness, or weakness. Currently pain is only associated with movement and intensity is rated as 8-10/10. About 6-weeks after onset, patient sought evaluation and was told that pain would resolve on its own. It has persisted so he sought evaluation with his PCM last week. He was prescribed Naproxen 500 mg twice daily and multiple tests were run, as well as imaging studies. (Results pending). Patient reported feeling well day of and prior to vaccinations. He denies a history of recent trauma or injury to his L)UE. He denies allergic reactions to drugs, foods, latex, or insect stings. No prior vaccine reactions. His PMH is negative except for high cholesterol for which he takes Simvastatin.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Insomnia, Lacrimation increased, Malaise
Clinical narrative: 46 y/o male who developed left shoulder pain approximately 2-3 days following receipt of FLUZONE (Sanofi-Pasteur) on 11/2/2010, which has persisted. Vaccine was administered in his left deltoid area in afternoon. He did not notice anything unusual about vaccine administration technique or site. Within 8 hours patient felt "bad". He reports a fever of 101-104, fever and sweats alternating with chills, red, watery and puffy eyes, body aches, and malaise which lasted about 24 hours. He denies rashes/urticaria, flushing, wheezing or dyspnea, angioedema, dysphagia or GI-related symptoms. He called the clinic where he received the vaccine the day after vaccine receipt to report his viral-type symptoms and he was told these symptoms are not uncommon. His vaccination site was red (< 2" diameter), but not warm to the touch. There was no significant swelling or bruising, but the site was tender to touch. His left shoulder pain began within a 2-3 days post-vaccine administration. Pain intensity initially ranged from 4-10/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). Pain has persisted and significantly restricted ROM and interfered with sleep; it is difficult for patient to reach over his head or reach down or rotate his arm; when he does, he experiences a sharp, shooting pain from his shoulder to his wrist. He denies any L) UE tingling, numbness, or weakness. Currently pain is only associated with movement and intensity is rated as 8-10/10. About 6-weeks after onset, patient sought evaluation and was told that pain would resolve on its own. It has persisted so he sought evaluation with his PCM last week. He was prescribed Naproxen 500 mg twice daily and multiple tests were run, as well as imaging studies. (Results pending). Patient reported feeling well day of and prior to vaccinations. He denies a history of recent trauma or injury to his L)UE. He denies allergic reactions to drugs, foods, latex, or insect stings. No prior vaccine reactions. His PMH is negative except for high cholesterol for which he takes Simvastatin.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Ocular hyperaemia, Pain, Pyrexia
Clinical narrative: 46 y/o male who developed left shoulder pain approximately 2-3 days following receipt of FLUZONE (Sanofi-Pasteur) on 11/2/2010, which has persisted. Vaccine was administered in his left deltoid area in afternoon. He did not notice anything unusual about vaccine administration technique or site. Within 8 hours patient felt "bad". He reports a fever of 101-104, fever and sweats alternating with chills, red, watery and puffy eyes, body aches, and malaise which lasted about 24 hours. He denies rashes/urticaria, flushing, wheezing or dyspnea, angioedema, dysphagia or GI-related symptoms. He called the clinic where he received the vaccine the day after vaccine receipt to report his viral-type symptoms and he was told these symptoms are not uncommon. His vaccination site was red (< 2" diameter), but not warm to the touch. There was no significant swelling or bruising, but the site was tender to touch. His left shoulder pain began within a 2-3 days post-vaccine administration. Pain intensity initially ranged from 4-10/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). Pain has persisted and significantly restricted ROM and interfered with sleep; it is difficult for patient to reach over his head or reach down or rotate his arm; when he does, he experiences a sharp, shooting pain from his shoulder to his wrist. He denies any L) UE tingling, numbness, or weakness. Currently pain is only associated with movement and intensity is rated as 8-10/10. About 6-weeks after onset, patient sought evaluation and was told that pain would resolve on its own. It has persisted so he sought evaluation with his PCM last week. He was prescribed Naproxen 500 mg twice daily and multiple tests were run, as well as imaging studies. (Results pending). Patient reported feeling well day of and prior to vaccinations. He denies a history of recent trauma or injury to his L)UE. He denies allergic reactions to drugs, foods, latex, or insect stings. No prior vaccine reactions. His PMH is negative except for high cholesterol for which he takes Simvastatin.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Abnormal behaviour, Disorientation, Laboratory test normal
Clinical narrative: This case was reported by the father of a consumer and described the occurrence of change in behavior in a 39-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  There were no concurrent medications.  On 20 March 2011 the subject received 1st dose of BOOSTRIX at 0.5 ml in the left arm.  On 20 March 2011, less than one day after vaccination with BOOSTRIX, the subject experienced change in behavior (acting like a 2 to 3 year old) and disorientation.  The subject was taken to the emergency room and was hospitalised for 4 days.  At the time of reporting, disorientation was worse and change in behavior was unresolved.  Two physicians treating the subject reportedly stated that they could only attribute the subjects reactions to BOOSTRIX.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain
Clinical narrative: Vaccine 3-18-2011; onset of severe abd pain 3-20-2011. ER 3-21-2011 and admission to hospital for poss. Crohn's exacerbation. Dr did not find evidence of Crohn's exacerbation.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chest discomfort, Chills, Diarrhoea, Dizziness
Clinical narrative: Patient reports 8 hours after vaccine administration she developed the following symptoms: tightness in chest, weakness, fast heart beat, dizziness, headache, chills, very sore arm, unable to lift up arm, redness around injection site the size of a softball.  24 hours after vaccine administration patient reports vomiting and diarrhea, with continuation of the previous symptoms as well.  All of these symptoms continued until 48 hours after vaccine administration.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Heart rate increased, Injection site erythema, Mobility decreased, Pain in extremity
Clinical narrative: Patient reports 8 hours after vaccine administration she developed the following symptoms: tightness in chest, weakness, fast heart beat, dizziness, headache, chills, very sore arm, unable to lift up arm, redness around injection site the size of a softball.  24 hours after vaccine administration patient reports vomiting and diarrhea, with continuation of the previous symptoms as well.  All of these symptoms continued until 48 hours after vaccine administration.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Patient reports 8 hours after vaccine administration she developed the following symptoms: tightness in chest, weakness, fast heart beat, dizziness, headache, chills, very sore arm, unable to lift up arm, redness around injection site the size of a softball.  24 hours after vaccine administration patient reports vomiting and diarrhea, with continuation of the previous symptoms as well.  All of these symptoms continued until 48 hours after vaccine administration.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chills, Full blood count normal, Hyperhidrosis, Laboratory test normal, Oropharyngeal pain
Clinical narrative: Sweating Night Chills Sore Throat Small lesions on back, chest, and head
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Skin lesion
Clinical narrative: Sweating Night Chills Sore Throat Small lesions on back, chest, and head
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chills, Full blood count normal, Laboratory test normal, Night sweats, Oropharyngeal pain
Clinical narrative: Sweating Night Chills Sore Throat Small lesions on back, chest, and head
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chills, Fatigue, Injection site pain, Migraine
Clinical narrative: "Painful throbbing at injection site.  Felt very weak and tired, body felt very heavy, body aches, chills with fever of 100.6  and severe migraine.  Had to go to bed."
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: "Painful throbbing at injection site.  Felt very weak and tired, body felt very heavy, body aches, chills with fever of 100.6  and severe migraine.  Had to go to bed."
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: SYNCOPE EPISODE IMMEDIATELY AFTER RECEIVING HPV VACCINE
Age: 53.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swollen (area = 26 mm), red, hot Treatment:  Ice, Aleve
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left Upper Arm/Injection site swollen (45 mm), red, hot Treatment: ice, Ibuprofen
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain at injection site, then entire upper arm by second day.
Age: 12.0
Sex: F
Vaccine: HEPA, MEN, TDAP, VARCEL
Symptoms: Erythema, Induration, Oedema, Skin warm
Clinical narrative: Patient reports upon evaluation of reaction in clinic on 3/24/2011 at 1600 that it was red only the evening of the injection on 3/22/2011 and then became hard and heat noted with increased edema on 3/23/2011.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discolouration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 30-35mm swelling of injection site, (left deltoid upper arm), warm to touch, darkened color, itching Treatment:  Ice, Ibuprofen
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Feeling hot, Oedema peripheral, Pain
Clinical narrative: Swelling in arm 40mm, hot, pain, upset stomach, lasted 2 days Treatment: Ice, Ibuprofen, Tylenol
Age: 48.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt c/o itching and mild swelling to back of arm (site of Var vaccine). Applied ice. Symptoms worsened and by day 2 the area was red and swollen. Came into office and was measured 60mm X 65mm in diameter. Referred to her physician.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Flushing, Pharyngeal oedema, Swollen tongue
Clinical narrative: Pt stated feeling swollen tongue and throat and flushed
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Soreness 3/24/11. Redness/swelling/warmth 3/25/11 AM. At time of visit with me (3/25/11 at 2:15pm, about 48h after vaccine given), local inflammatory reaction at (R) upper outer arm measures 9.5 cm vertical x 6.25 cm horizontal.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Local reaction
Clinical narrative: Soreness 3/24/11. Redness/swelling/warmth 3/25/11 AM. At time of visit with me (3/25/11 at 2:15pm, about 48h after vaccine given), local inflammatory reaction at (R) upper outer arm measures 9.5 cm vertical x 6.25 cm horizontal.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Rash macular
Clinical narrative: Patient was given a skin sensitivity test on (L) forearm on 3/22/11 without reaction so Tdap was administered. On 3/23/11 her skin test measured 20mm x 18 mm. Injection site was red blotchy & warm to touch. LIDEX cream was prescribed.
Age: 0.15
Sex: M
Vaccine: RV5
Symptoms: Apnoea, Choking
Clinical narrative: Pt given approx 1/2 dose Rotavirus vaccine & stopped breathing, appeared to be choking resolved with blow to back while prone, lasted < 1 min.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cataplexy, Narcolepsy
Clinical narrative: Pt developed severe narcolepsy with cataplexy within one month of H1N1 vaccine. Pt. is HLADQB1*0602 (+). Treatment includes: XYREM, Imipramine, RITALIN.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Swelling
Clinical narrative: 1 day after vaccine redness & swelling noted & seen in office 3/25/11 - 5 cm x 3 cm redness (+). No streaks noted.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Computerised tomogram, Grand mal convulsion, Laboratory test, Lumbar puncture, Metabolic function test
Clinical narrative: 1 day after getting 4 mo shots - pt had multiple observed gen. tonic-clonic seizures. Admitted to hospital - negative work up for cause of sz.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Nuclear magnetic resonance imaging brain
Clinical narrative: 1 day after getting 4 mo shots - pt had multiple observed gen. tonic-clonic seizures. Admitted to hospital - negative work up for cause of sz.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Condition aggravated, Death, Epilepsy, Status epilepticus, Unresponsive to stimuli
Clinical narrative: DTaP/IPV and VARIVAX given at 14:30 on 2/7/11 as health care maintenance. Patient found unresponsive with vomit in bed around 6 am on 2/8/11. Pronounced deceased on arrival to the ED on 2/8/11. Presumed cause of death is status epilepticus in this patient with known and worsening epilepsy. Medical Examiner involved, and no autopsy performed.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Vomiting
Clinical narrative: DTaP/IPV and VARIVAX given at 14:30 on 2/7/11 as health care maintenance. Patient found unresponsive with vomit in bed around 6 am on 2/8/11. Pronounced deceased on arrival to the ED on 2/8/11. Presumed cause of death is status epilepticus in this patient with known and worsening epilepsy. Medical Examiner involved, and no autopsy performed.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: 3-4 inch cellulitis rounded swelling on left hip (thigh); no apparent pain.