chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Diarrhoea, Injection site pain, Nausea, Vomiting
Clinical narrative: One episode voming about 40 hours after injection. 3 episodes loose stool about 40-42 hours after infectin. Mild transient dizziness, slight sweaty (transient). Follow up call in 6 hours. No additional symptoms; denies vomiting or diarrhea in last 6 hours. Notes slight and transient dizziness which has not interfered with her ability to work. Recheck at clinic if any problems.
Age: 47.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Diarrhoea, Dizziness, Hyperhidrosis, Vomiting
Clinical narrative: One episode voming about 40 hours after injection. 3 episodes loose stool about 40-42 hours after infectin. Mild transient dizziness, slight sweaty (transient). Follow up call in 6 hours. No additional symptoms; denies vomiting or diarrhea in last 6 hours. Notes slight and transient dizziness which has not interfered with her ability to work. Recheck at clinic if any problems.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Eye oedema, Face oedema, Feeling hot
Clinical narrative: Phone call received from patient today, who reports that 15 minutes after receiving the flu vaccine 11-05-04 she "felt funny, burning all over, couldn't breathe, sweating, heart racing, nose itching, chest swollen". Reports difficulty breathing and tightness in chest all night, next morning "face and eyes puffy" , by Sunday, 11-07-04 all symptoms were gone.  Reports did not go to ER, but has talked to her MD office today.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Hyperhidrosis, Malaise, Pruritus
Clinical narrative: Phone call received from patient today, who reports that 15 minutes after receiving the flu vaccine 11-05-04 she "felt funny, burning all over, couldn't breathe, sweating, heart racing, nose itching, chest swollen". Reports difficulty breathing and tightness in chest all night, next morning "face and eyes puffy" , by Sunday, 11-07-04 all symptoms were gone.  Reports did not go to ER, but has talked to her MD office today.
Age: 77.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Hypersensitivity, Medication error
Clinical narrative: Pt presented to receive to routine adult vaccinations, flu and tetanus were indicated.  Gave patient flu vaccine and tetanus-diptheria vaccine after confirming no known allergies to vaccine and/or components.  Pt then remembered allergic to tetanus.
Age: 46.0
Sex: M
Vaccine: FLUN3
Symptoms: Dehydration, Influenza like illness, Lethargy, Nasal congestion, Pain
Clinical narrative: Sore throat started within 4 hours.  Became very lethargic.  Became very congested within 12 hours.  Various aches and flu-like symptoms within 18 hours.  Had trouble staying hydrated.  Bedridden since the day after vaccine received.  Called doctor and was prescribed Amoxicillin (1000mg 2 x per day)and Sudafed and Tylenol 1000mg 2 x per day.  And drinking plenty of fluids.
Age: 46.0
Sex: M
Vaccine: FLUN3
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Sore throat started within 4 hours.  Became very lethargic.  Became very congested within 12 hours.  Various aches and flu-like symptoms within 18 hours.  Had trouble staying hydrated.  Bedridden since the day after vaccine received.  Called doctor and was prescribed Amoxicillin (1000mg 2 x per day)and Sudafed and Tylenol 1000mg 2 x per day.  And drinking plenty of fluids.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Back pain, Diarrhoea, Muscle twitching, Neck pain, Somnolence
Clinical narrative: 3 days of an aching back & neck muscles, twitching leg muscles, diarrhea and sleepiness.  Treated with tylenol, Contact flu tablets.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Anorexia, Aphasia, Bradycardia, Convulsion, Delirium
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Encephalitis, Hypoxia, Infection, Intracranial pressure increased, Meningitis
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Mental retardation severity unspecified, Nervous system disorder, Nystagmus, Oedema, Pyrexia
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aphasia, Bacterial infection, Brain oedema, CSF test abnormal, Convulsion
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Encephalopathy, Movement disorder, Pain, Papilloedema, Pyrexia
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Salivary hypersecretion, Sinusitis, White blood cell count increased
Clinical narrative: Patient developed fever several hours after receiving vaccine. He was seen by his PCP on 10/29 and given antibiotics for a suspected sinus infection. Later that same day he developed seizures and was admitted to the hospital. A lumbar puncture was consistent with meningio encephalitis. He was intubated and placed on a ventilator on 10/31. Increased intracranial pressure required the placement of a ICP catheter on 11/2.  On 11/8 he was extubated and was responsive to painful stimuli. Discharge Summary received on 2/14/2005 states ADEM, aphasic, malnourished, meningitis, fever, bradycardia and nystagmus. As per annal follow up report: as of 12/06/2005 patient is permanently brain damaged, permanently mentally retarded and has seizures constantly.
Age: 1.02
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Pox located on stomach and chest of child on 11-03-04.  No temperature or itching noted.  "Acting normal" per grandmother.  No treatment.  Did seek physician diagnosis at clinic (grandmother is an MA).
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Paraesthesia
Clinical narrative: Patient received Td vaccine and felt tingling in the same arm after vaccination.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Blister, Chest discomfort, Dyspnoea, Gastrointestinal disorder
Clinical narrative: This is a 45 year old who had been in his usual health when he deployed in April 2003. He was deployed with a T-3 profile secondary to bilateral feet and knee pain/problems. He was taken 500mg of Motrin three (3) times a day, Naprosyn 300mg two (2) times a day, and malaria med once (1) a day.  During the month of March 2003, he received multiple vaccines (Anthrax X3, non-primary smallpox, Td, Hep A, Meningococcal, Typhoid, MMR and influenza). He received his non-primary smallpox vaccination on 08 March 2003. He began experiencing chest discomfort in April 2003, with associated shortness of breath on exertion.  He states that the dyspnea was worse when he was trying to run or climb stairs and accompanied a more intense chest discomfort. He did not seek medical attention at that time. Currently, he is still experiencing daily chest discomfort (2/10 at rest; 5-9/10 with exertion). He characterizes his pain as sometimes stabbing pain and other times it is a dull ache. He continues to have some associated dyspnea with the chest pain. Approximately one (1) month after arriving overseas he began having problems with his stomach, i.e. nausea, which continued during entire deployment. He was taking Mefloquine for malaria prophylaxis. At the end of April 2003, he fell backwards over a sand bag and landed "flat on my back".  He began experiencing headaches which were much worse while in full gear/Kevlar®. He also was bitten by a "baby camel spider".  Approximately two (2) months later [July/August 2003] he was seen in the medical unit for high blood pressure. He was placed on medication, which he is uncertain of the name. He took the medicine for less than a week and was taken off it secondary low blood pressure. During this same timeframe he began running a fever, unmeasured, became more nauseated. These symptoms lasted approximately three (3) weeks, with the nausea lasting for several months. Approximately five (5) months after arriving, he began experiencing eruptions of "water-filled blisters" on his 4th & 5th digits left hand, denies any itching. The blisters turned into hard bumps and resolved after approximately four (4) weeks. He has "small red raised itchy bumps" predominately on his upper chest and upper back, worse on his head, face and extremities. These eruptions last a week to ten days, leaving a dark spot on his skin. He states that he has been evaluated for the itching. The provider felt that it was related to a medication that he was taking. However upon cessation of the medication, the rash persists.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Hypertension, Injury, Nausea, Pain in extremity
Clinical narrative: This is a 45 year old who had been in his usual health when he deployed in April 2003. He was deployed with a T-3 profile secondary to bilateral feet and knee pain/problems. He was taken 500mg of Motrin three (3) times a day, Naprosyn 300mg two (2) times a day, and malaria med once (1) a day.  During the month of March 2003, he received multiple vaccines (Anthrax X3, non-primary smallpox, Td, Hep A, Meningococcal, Typhoid, MMR and influenza). He received his non-primary smallpox vaccination on 08 March 2003. He began experiencing chest discomfort in April 2003, with associated shortness of breath on exertion.  He states that the dyspnea was worse when he was trying to run or climb stairs and accompanied a more intense chest discomfort. He did not seek medical attention at that time. Currently, he is still experiencing daily chest discomfort (2/10 at rest; 5-9/10 with exertion). He characterizes his pain as sometimes stabbing pain and other times it is a dull ache. He continues to have some associated dyspnea with the chest pain. Approximately one (1) month after arriving overseas he began having problems with his stomach, i.e. nausea, which continued during entire deployment. He was taking Mefloquine for malaria prophylaxis. At the end of April 2003, he fell backwards over a sand bag and landed "flat on my back".  He began experiencing headaches which were much worse while in full gear/Kevlar®. He also was bitten by a "baby camel spider".  Approximately two (2) months later [July/August 2003] he was seen in the medical unit for high blood pressure. He was placed on medication, which he is uncertain of the name. He took the medicine for less than a week and was taken off it secondary low blood pressure. During this same timeframe he began running a fever, unmeasured, became more nauseated. These symptoms lasted approximately three (3) weeks, with the nausea lasting for several months. Approximately five (5) months after arriving, he began experiencing eruptions of "water-filled blisters" on his 4th & 5th digits left hand, denies any itching. The blisters turned into hard bumps and resolved after approximately four (4) weeks. He has "small red raised itchy bumps" predominately on his upper chest and upper back, worse on his head, face and extremities. These eruptions last a week to ten days, leaving a dark spot on his skin. He states that he has been evaluated for the itching. The provider felt that it was related to a medication that he was taking. However upon cessation of the medication, the rash persists.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash erythematous, Rash pruritic, Skin discolouration
Clinical narrative: This is a 45 year old who had been in his usual health when he deployed in April 2003. He was deployed with a T-3 profile secondary to bilateral feet and knee pain/problems. He was taken 500mg of Motrin three (3) times a day, Naprosyn 300mg two (2) times a day, and malaria med once (1) a day.  During the month of March 2003, he received multiple vaccines (Anthrax X3, non-primary smallpox, Td, Hep A, Meningococcal, Typhoid, MMR and influenza). He received his non-primary smallpox vaccination on 08 March 2003. He began experiencing chest discomfort in April 2003, with associated shortness of breath on exertion.  He states that the dyspnea was worse when he was trying to run or climb stairs and accompanied a more intense chest discomfort. He did not seek medical attention at that time. Currently, he is still experiencing daily chest discomfort (2/10 at rest; 5-9/10 with exertion). He characterizes his pain as sometimes stabbing pain and other times it is a dull ache. He continues to have some associated dyspnea with the chest pain. Approximately one (1) month after arriving overseas he began having problems with his stomach, i.e. nausea, which continued during entire deployment. He was taking Mefloquine for malaria prophylaxis. At the end of April 2003, he fell backwards over a sand bag and landed "flat on my back".  He began experiencing headaches which were much worse while in full gear/Kevlar®. He also was bitten by a "baby camel spider".  Approximately two (2) months later [July/August 2003] he was seen in the medical unit for high blood pressure. He was placed on medication, which he is uncertain of the name. He took the medicine for less than a week and was taken off it secondary low blood pressure. During this same timeframe he began running a fever, unmeasured, became more nauseated. These symptoms lasted approximately three (3) weeks, with the nausea lasting for several months. Approximately five (5) months after arriving, he began experiencing eruptions of "water-filled blisters" on his 4th & 5th digits left hand, denies any itching. The blisters turned into hard bumps and resolved after approximately four (4) weeks. He has "small red raised itchy bumps" predominately on his upper chest and upper back, worse on his head, face and extremities. These eruptions last a week to ten days, leaving a dark spot on his skin. He states that he has been evaluated for the itching. The provider felt that it was related to a medication that he was taking. However upon cessation of the medication, the rash persists.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles, Joint range of motion decreased
Clinical narrative: Pt called on 11/01/2004 to c/o redness, swelling, pain and tenderness at injection site. Also notes blister at the center of the redness and c/o difficulty lifting arm. Onset of symptoms approximately one week post vaccination. Seen in office on 11/01/2004 and treated with Allegra 60mg b.i.d. and Hytone 1% cream to affected area t.i.d. Spoke with patient today in follow-up phone conversation. States that she has noted improvement but it has not completely resolved. The blister noted a week ago is gone and she can now move her arm. The redness has become three smaller areas, 1/8", 3/8", 3/4" approximately. I will follow-up with patient next week.
Age: 1.37
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Injection site inflammation, Urticaria
Clinical narrative: Received immunization on am of 10/19. Hives each cheek and left arm on pm of 10/20.  Arm red and inflamed.  History of hives with Augmentin at age 6-8 months. Treated with application of cortisone cream.  Hives resolved.
Age: 1.38
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Bacterial infection, Cough, Dysphonia, Dyspnoea
Clinical narrative: Fever under 100 degrees following administration of shot.  Over the next few days my daughter became wheezy, hoarse, had difficulty breathing and a fever.  Symptoms did not fade, so she was brought back to the doctor at around 1:00 p.m. on 11/5/04.  Doctor said to monitor, give a decongestant and give albuteral via nebulizer.  Conditions seemed to worsen over the weekend.  Brought her to the doctor again on Monday, 11/8/04 at 9:50 a.m. and was told she had pnemonia - unknown whether bacterial or viral.  The doctor decided to treat for bacterial and she prescribed Augmentin. Medical Records received on 1/3/2005 states pt experienced cough, rhinitis, and anorexia.
Age: 1.38
Sex: F
Vaccine: FLUX
Symptoms: Pneumonia, Pyrexia, Rhinitis, Similar reaction on previous exposure to drug, Wheezing
Clinical narrative: Fever under 100 degrees following administration of shot.  Over the next few days my daughter became wheezy, hoarse, had difficulty breathing and a fever.  Symptoms did not fade, so she was brought back to the doctor at around 1:00 p.m. on 11/5/04.  Doctor said to monitor, give a decongestant and give albuteral via nebulizer.  Conditions seemed to worsen over the weekend.  Brought her to the doctor again on Monday, 11/8/04 at 9:50 a.m. and was told she had pnemonia - unknown whether bacterial or viral.  The doctor decided to treat for bacterial and she prescribed Augmentin. Medical Records received on 1/3/2005 states pt experienced cough, rhinitis, and anorexia.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness
Clinical narrative: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly.  Four different individuals have given us details of her being so sick that she couldn't even hold her head up.  11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Nasal congestion, Nausea, Pyrexia, Wheezing
Clinical narrative: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly.  Four different individuals have given us details of her being so sick that she couldn't even hold her head up.  11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Cardiac arrest, Dysuria, Lung disorder, Multiple myeloma
Clinical narrative: UTI.  Nurse follow up on 11/15/04 states: "dysuria; acute cardiopulmonary arrest;   Death Certificate received which revealed COD as acute cardiopulmonary arrest, ischemic heart disease & COPD, all with chronic anemia and renal insufficiency as contributing factors.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Myocardial ischaemia, Renal failure, Respiratory arrest, Respiratory failure, Urinary tract infection
Clinical narrative: UTI.  Nurse follow up on 11/15/04 states: "dysuria; acute cardiopulmonary arrest;   Death Certificate received which revealed COD as acute cardiopulmonary arrest, ischemic heart disease & COPD, all with chronic anemia and renal insufficiency as contributing factors.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Arteriosclerosis, Cardiac disorder, Chest pain, Malaise
Clinical narrative: First visit to physician. Normal EKG.  Received ER medical records. Death Certificate received on 12/01/2004 states pt experienced arteriosclerotic heart disease.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Hypoaesthesia, Injection site erythema, Injection site swelling, Neuralgia
Clinical narrative: Information has been received from a nurse concerning a 62 year old female who on 10/18/04 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine five years ago. On 10/19/04 (also reported as 3-4 days after vaccination) the patient had severe reactions to the vaccine with the development of chills, fever, trembling, numbness, tingling, redness and swelling (also reported that there was no redness or swelling) in the vaccinated limb; and nerve pain about two inches from the injection site all the way down her arm. The patient also lost some range of motion in the vaccinated arm. The patient went to the emergency room and was admitted to the intensive care unit for two days. The reason for the patient's hospitalization was because the arm pain was so severe. The patient's outcome was not reported. Chills, fever, trembling and nerve pain below injection site were considered to be immediately life threatening. Chills, fever, trembling and nerve pain below injection site were considered to be disabling. It was also reported that three other patients (WAES0410USA04269, 0410USA04270 and 0410USA04271) had adverse experiences following administration of pneumococcal 23v polysaccharide vaccine. Additional information has been requested.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia, Pyrexia, Tremor
Clinical narrative: Information has been received from a nurse concerning a 62 year old female who on 10/18/04 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine five years ago. On 10/19/04 (also reported as 3-4 days after vaccination) the patient had severe reactions to the vaccine with the development of chills, fever, trembling, numbness, tingling, redness and swelling (also reported that there was no redness or swelling) in the vaccinated limb; and nerve pain about two inches from the injection site all the way down her arm. The patient also lost some range of motion in the vaccinated arm. The patient went to the emergency room and was admitted to the intensive care unit for two days. The reason for the patient's hospitalization was because the arm pain was so severe. The patient's outcome was not reported. Chills, fever, trembling and nerve pain below injection site were considered to be immediately life threatening. Chills, fever, trembling and nerve pain below injection site were considered to be disabling. It was also reported that three other patients (WAES0410USA04269, 0410USA04270 and 0410USA04271) had adverse experiences following administration of pneumococcal 23v polysaccharide vaccine. Additional information has been requested.
Age: 74.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Abnormal behaviour, Agitation, Difficulty in walking, Feeling abnormal, Flushing
Clinical narrative: Received flu shot 110/28 at 12:40 PM left arm; went home. Left to go to grocery store; returned home. Said I feel lifeless; right arm and leg felt weak. 10/29 woke up with flushed face, BP 170 (takes 2 antihypertensives each day). Wife called doctor; went to ER. CAT scan negative for CVA, agitate, loud; was admitted and sedated. Neurologist said it had to be the flu shot. Discharged 10/30; still drags right leg and right arm. Feels numb but can tell improving every day. Medical records received on 2/02/2005 states headache and adverse drug reaction. Follow up 01/26/05: He is still unusually "jumpy" and our doctor has prescribed muscle relaxers to help him still at night so that he can sleep. And I have had more colds this year, after the shot, than I 've have had. We hope that when spring gets her, the vaccine will have gone from his body.  Never, no more flu shots for us.  Per annual follow up" Temporary paralized on left side and talking and acting crazy in hospital night and day. He is ok now. But it has taught us a lesson which is never take another flu shot.
Age: 74.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Headache, Hemiparesis, Hemiplegia, Hypersensitivity
Clinical narrative: Received flu shot 110/28 at 12:40 PM left arm; went home. Left to go to grocery store; returned home. Said I feel lifeless; right arm and leg felt weak. 10/29 woke up with flushed face, BP 170 (takes 2 antihypertensives each day). Wife called doctor; went to ER. CAT scan negative for CVA, agitate, loud; was admitted and sedated. Neurologist said it had to be the flu shot. Discharged 10/30; still drags right leg and right arm. Feels numb but can tell improving every day. Medical records received on 2/02/2005 states headache and adverse drug reaction. Follow up 01/26/05: He is still unusually "jumpy" and our doctor has prescribed muscle relaxers to help him still at night so that he can sleep. And I have had more colds this year, after the shot, than I 've have had. We hope that when spring gets her, the vaccine will have gone from his body.  Never, no more flu shots for us.  Per annual follow up" Temporary paralized on left side and talking and acting crazy in hospital night and day. He is ok now. But it has taught us a lesson which is never take another flu shot.
Age: 74.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Difficulty in walking, Dyskinesia
Clinical narrative: Received flu shot 110/28 at 12:40 PM left arm; went home. Left to go to grocery store; returned home. Said I feel lifeless; right arm and leg felt weak. 10/29 woke up with flushed face, BP 170 (takes 2 antihypertensives each day). Wife called doctor; went to ER. CAT scan negative for CVA, agitate, loud; was admitted and sedated. Neurologist said it had to be the flu shot. Discharged 10/30; still drags right leg and right arm. Feels numb but can tell improving every day. Medical records received on 2/02/2005 states headache and adverse drug reaction. Follow up 01/26/05: He is still unusually "jumpy" and our doctor has prescribed muscle relaxers to help him still at night so that he can sleep. And I have had more colds this year, after the shot, than I 've have had. We hope that when spring gets her, the vaccine will have gone from his body.  Never, no more flu shots for us.  Per annual follow up" Temporary paralized on left side and talking and acting crazy in hospital night and day. He is ok now. But it has taught us a lesson which is never take another flu shot.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Arthralgia, Henoch-Schonlein purpura, Petechiae, Pharyngolaryngeal pain
Clinical narrative: 10/21/04 Sore throat, abdominal pain, low grade fever. 10/22/04 Sore throat, abdominal pain, vomiting, petechial rash on legs. 10/23/04 Joint pain, purpuric rash; hospitalized at hospital. Henoch-Schonlein Purpura. Also seen in ED on 10/22/04.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Purpura, Pyrexia, Vomiting
Clinical narrative: 10/21/04 Sore throat, abdominal pain, low grade fever. 10/22/04 Sore throat, abdominal pain, vomiting, petechial rash on legs. 10/23/04 Joint pain, purpuric rash; hospitalized at hospital. Henoch-Schonlein Purpura. Also seen in ED on 10/22/04.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Crying, Dysphagia, Hypotonia, Pallor
Clinical narrative: 12 hours after Pediarix, HIB, Prevnar, had episode of prolonged crying, gagged then became limp and pale, unresponsive. Lasted 10 minutes; called 911. Taken to ER and observed overnight.  Nurse follow up on 11/12/04 states: "Gagging, choking, unresponsive."
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Retching, Stupor
Clinical narrative: 12 hours after Pediarix, HIB, Prevnar, had episode of prolonged crying, gagged then became limp and pale, unresponsive. Lasted 10 minutes; called 911. Taken to ER and observed overnight.  Nurse follow up on 11/12/04 states: "Gagging, choking, unresponsive."
Age: 66.0
Sex: M
Vaccine: TTOX
Symptoms: Asthenia, Joint range of motion decreased, Shoulder pain
Clinical narrative: 12/25/03 Left shoulder pain develops. 12/26/03 Went to doctor for pain relief. By the end of the day, I cannot rotate the left arm forward or outward. Follow up 02/03/05: I still have not recovered from the adverse event. Where as I could not lift my arm more thatn 10 degrees from the vertical, after 14 months, I can now lift it to the horizontal. I cannot hold it for more thatn a minute. I have obtained an opion from a neurologist and her opinion was that it was "unlikely" that the vaccine caused my injury.  Per Annual follow up report: residual shoulder weakness.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Conjunctivitis, Infection, Leukocytosis, Lobar pneumonia, Periorbital oedema
Clinical narrative: Patient developed fever, conjuctivitis, periorbital edema on 11/4. He was seen 11/5 with diagnosis of LLL pneumonia and pansinusitis with most severe infections in sinuses. Patient admitted for oxygen, IV Rocephin and Albuterol. Discharged in 48 hours; Augmentin; Flonase; Allegra.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Sinusitis
Clinical narrative: Patient developed fever, conjuctivitis, periorbital edema on 11/4. He was seen 11/5 with diagnosis of LLL pneumonia and pansinusitis with most severe infections in sinuses. Patient admitted for oxygen, IV Rocephin and Albuterol. Discharged in 48 hours; Augmentin; Flonase; Allegra.
Age: 1.18
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Lethargy, Pyrexia
Clinical narrative: Patient received injection of flu vaccine on 11/4/04. That night developed fever to 102. Next day, febrile; responded to Tylenol. At 11/5 2 PM, gasped, became lethargic , temp to 104. Rushed by EMS to ER.
Age: 52.0
Sex: F
Vaccine: YF
Symptoms: Lymphadenopathy
Clinical narrative: 9/23/04 reported enlarged lymph node on neck; called family doctor. Advised Cipro; client did not take. Swelling resolved. Swelling returned of lymph node. Reported 11/1/04, bilateral neck.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema peripheral
Clinical narrative: Left arm swollen from elbow to shoulder after anthrax shot.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema peripheral
Clinical narrative: Left arm swollen from elbow to shoulder after receiving anthrax shot.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Headache, Mania, Rash
Clinical narrative: Three days following hepatitis A vaccine, patient developed headache, fatigue, followed by rash. Two weeks later she developed manic psychosis requiring hospitalization.
Age: 1.0
Sex: F
Vaccine: DTAP, FLU3, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Local erythema and redness and firmness at lower right thigh, at left thigh, and at lower left thigh. Fever the next day.
Age: 0.52
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Hypersensitivity, Pyrexia, Rash
Clinical narrative: Rash started over band aid and spread all over body. Was with fever. Questionable allergic reaction or viral exanthem.
Age: 1.08
Sex: F
Vaccine: DTAP, FLU3, HBHEPB, MMR, PNC
Symptoms: Conjunctivitis, Erythema, Lymphadenopathy, Rash
Clinical narrative: 11/3/04 Lymphadenopathy, conjunctivitis, body rash (reddish pink).
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthma, Chest discomfort, Condition aggravated, Injection site induration, Malaise
Clinical narrative: Generalized malaise, body aches within a few hours; asthma attack. Induration at site followed by localized urticaria and chest tightness.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Urticaria
Clinical narrative: Generalized malaise, body aches within a few hours; asthma attack. Induration at site followed by localized urticaria and chest tightness.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: At 1:30 PM, developed itching, swelling at waist, crotch and under bra; took shower before itching. 8:00 PM, took Benadryl; slept until 4 AM. Awoke and had hive like areas on left side and back. 4:30 AM Took another Benadryl. No rash today; no itch.
Age: 74.0
Sex: M
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Broke out in a rash that completely covered my body the day after the test.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: Diffuse redness, 3" circular area at injection site (Pneumovax). Prednisone 10mg #30 2 PO BID three time; 2 PO in the morning, 1 PO for 3 days, 1 PO BID for 30 days, 1 PO QD.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Tenderness
Clinical narrative: Injection site noted to be pink with about a quarter sized lump, tender to touch. No treatment. Site is fading, lump about size of dime 11/1/04.
Age: 1.02
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient's mother called to see if she should receive her second dose because 48 hours after the first dose, she broke out in hives from head to toe.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pharyngeal oedema
Clinical narrative: Shortness of breath; throat swelling (transient). Symptoms lasted 15 minutes; vitals stable. No medication administered.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Fever in evening >100-101. Swelling injection site to elbow. Increased erythema and warmth injection site to most arm; slight tenderness.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Arthralgia, Cerebrovascular accident, Dementia, Fatigue
Clinical narrative: 10/30/04 Injection site red, warm to touch, measures about a quarter diameter. On 10/31/04, patient was noted to be sleepy/tired, appetite poor, fever 100.8, 96, 20, 120/70. Site fading in color and size. Temp 99.8 on 11/01/04; remains tired with poor appetite. No treatment. 2/16/05 Discharge summary received which revealed COD to be CVA with PMH of profound Alzheimers, HTN, arthritis w/chronic pain & venous insufficiency.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Injection site erythema, Injection site warmth, Polyarthritis, Pyrexia
Clinical narrative: 10/30/04 Injection site red, warm to touch, measures about a quarter diameter. On 10/31/04, patient was noted to be sleepy/tired, appetite poor, fever 100.8, 96, 20, 120/70. Site fading in color and size. Temp 99.8 on 11/01/04; remains tired with poor appetite. No treatment. 2/16/05 Discharge summary received which revealed COD to be CVA with PMH of profound Alzheimers, HTN, arthritis w/chronic pain & venous insufficiency.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Renal failure, Somnolence
Clinical narrative: 10/30/04 Injection site red, warm to touch, measures about a quarter diameter. On 10/31/04, patient was noted to be sleepy/tired, appetite poor, fever 100.8, 96, 20, 120/70. Site fading in color and size. Temp 99.8 on 11/01/04; remains tired with poor appetite. No treatment. 2/16/05 Discharge summary received which revealed COD to be CVA with PMH of profound Alzheimers, HTN, arthritis w/chronic pain & venous insufficiency.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site warmth, Tenderness
Clinical narrative: Influenza virus vaccine Fluzone injection 0.5ml IM in left lateral deltoid. Noted in morning a 6cm in circumference, warm and firm in center, tender to touch. No treatments, Continues to fade.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Tenderness
Clinical narrative: Injection site with a quarter sized red lump with pink extending out about .5 inch, tender to touch, warm. 11/1/04  Fading, lump less than a dime size. Follow up: site reaction on left arm.
Age: 96.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Tenderness
Clinical narrative: Influenza virus vaccine Fluzone injection 0.5ml IM in left lateral deltoid muscle. On 10/30/2004 in AM was noted an 8cmx4cm red skin around injection site, hard and warm to touch with tenderness. No treatment, Tylenol offered for discomfort. Continues to fade.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site warmth, Skin discolouration
Clinical narrative: Injection site pink and warm to touch, about one inch in diameter. 11/1/04: faded, skin temp same over hand/ arm.
Age: 52.0
Sex: F
Vaccine: FLU3, HEP, HEPA
Symptoms: Erythema, Injection site induration, Injection site mass, Injection site warmth, Swelling
Clinical narrative: Quarter sized raised lump around injection site. Warm to touch. Hard, red and swollen arm.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Hives over entire body five days after shot administered. Took Hydroxyzine HCL 25 mg three time a day for two days, rash came back, have been taking Clarinex 5 mg one each night and Ranitidine 150 mg one each morning for one week.
Age: 1.29
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Pt developed 15-20  chicken pox lesions 14 days after vaccine given. Had fever 103 with this.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Autism, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: After receiving initial MMR, began declining in developmental tasks. Approximately 6 months later was finally diagnosed with Autism Spectrum Disorder. Follow up 01/26/05: Patieht has Autistic Spectrim Disorder, which is permanent neurologic damage caused by some insult to the body. This disorder cannot be cured.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Injection site induration
Clinical narrative: Indurated, erythematous area around 4x8cm  inferior to vaccine administration site.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Swelling
Clinical narrative: Day after immunizations, rash on feet and arms with some swelling.  Seen in ER that day. Resolved in 1-2 days with PO Benadryl
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Eye swelling, Face oedema, Lacrimation increased, Pruritus
Clinical narrative: Received 4 year vaccines. Approximately 3-5 min following administration noted reported sneezing, copious nasal discharge, red, watery eyes with swelling of eyes and face. Significant itching, face and trunk. Epinephrine 1:1000 0.2ml administered SC. Apical rate 168, B/P 120/60. 911 called and transported.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Received 4 year vaccines. Approximately 3-5 min following administration noted reported sneezing, copious nasal discharge, red, watery eyes with swelling of eyes and face. Significant itching, face and trunk. Epinephrine 1:1000 0.2ml administered SC. Apical rate 168, B/P 120/60. 911 called and transported.
Age: 0.68
Sex: M
Vaccine: UNK
Symptoms: Irritability, Pyrexia
Clinical narrative: fever 100-103.4 x 4 days. Prolonged irritability: blood and urine tested. Repeat exams. Over after fever resolved. Irritability persisted.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming
Clinical narrative: Mother states had continuous cry >3 hours after immunizations were given. Cry started 8:00pm. Called P.P at 12:00.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Facial palsy, Paralysis
Clinical narrative: Patient states that several hours after menomune shot experienced transient paralysis of limps, eyelids and mouth. Resulted in ER visit. Patient observed and released.
Age: 0.57
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Convulsion, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Fever and prolonged 45 min seizure after 3rd, DTaP, HIB, Prevnar, HepB. Valium given: seizure stopped
Age: 19.0
Sex: F
Vaccine: RUB
Symptoms: Injection site erythema, Rash
Clinical narrative: Developed body rash and large reddened area at injection site. Benadryl 50 mg IM, Solumedrol 125 mg IM, Prednisone ta per dose.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site of administration is very reddened, swollen 2 days post vaccine.
Age: 42.0
Sex: M
Vaccine: DT
Symptoms: Cellulitis, Neck pain, Pain
Clinical narrative: DT 0.5 mg 9/9/04. 10/21/04 pain right shoulder : radiates to neck and lower 1/3 RUE: for 2-3 weeks. Diagnosed: Cellulitis, Keflex, Motrin, Sling
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Swelling
Clinical narrative: Patient in clinic with swelling to left deltoid area hot to touch. Oral temp normal. Mom states applied heat to area day of injection.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site warmth, Oedema, Pyrexia, Tenderness
Clinical narrative: Vaccines administered 10:00 -11:00 am 11/2/04, fever discovered around 6PM upon parents picking up from daycare. Fever continued overnight, max 101.3 (ax). Also increased edema, warmth without erythema at site of Prevnar compared to other vaccine administration site and mildly tender.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Dysphagia, Facial palsy, Hypoaesthesia, Muscle spasms
Clinical narrative: 1 day after Td administered, pt noted left side of neck, cramping and difficult to swallow. Within 2 days after vaccine, pt had left sided facial numbness and weakness. Left eye and mouth drooping. Pt unable to lift smile on left side or left eyebrow.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Ophthalmoplegia
Clinical narrative: 1 day after Td administered, pt noted left side of neck, cramping and difficult to swallow. Within 2 days after vaccine, pt had left sided facial numbness and weakness. Left eye and mouth drooping. Pt unable to lift smile on left side or left eyebrow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Oedema, Tenderness
Clinical narrative: Sudden onset of left thigh edema and erythema with associated tenderness: Approximately 20 cm x 12 cm area of induration that resolved within 48-72 hours with ice and over the counter medication.
Age: 1.27
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Bacterial infection, Febrile convulsion, Sepsis
Clinical narrative: Vaccine given 10/12/2004, on 10/15/04. Pt had very high fever and then had a seizure. Taken to hospital. Diagnosed with febrile seizure.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Depressed level of consciousness, Lethargy, Pyrexia
Clinical narrative: Mother phone call at 4:35pm on 11/02/04.  States baby lethargic and difficult to arouse.  Temperature 102. Encouraged ER visit.  Physician notified who called family and stressed ER visit. Lab work done. Spinal done.  Per mother (phone call AM), mother states nothing abnormal found. Repeat lab CBC 11/03/04.
Age: 38.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Rash
Clinical narrative: Rash noted by pt 2 weeks after Hepatitis B #1.  No itchiness, no fever. Saw MD in another state. Started on Doxycycline 1 week later out of the country.  Biopsy-negative for antibodies.  No systemic reactions. Biopsy by dermatologist negative in Oct.  10/25/04 Kenalog injection given. Rash diminishing.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: 6:30pm, given vaccine right deltoid. 1 hour later felt fevered and arm pain. Increasing pain/heat/swelling arm overnight. Pain deltoid and gradually in axilla as well by 18 hour from injection. No erythema per pt. Exam 3 hives overlying injection site-fait pink/roused 1-2 cm, increasing heat, swelling deltoid 4 inches and tender entire upper deltoid and tender superior biceps and upper medial arm into axilla.  Mild nausea, temperature 99, no shortness of breath.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Urticaria, Vaccine positive rechallenge
Clinical narrative: 6:30pm, given vaccine right deltoid. 1 hour later felt fevered and arm pain. Increasing pain/heat/swelling arm overnight. Pain deltoid and gradually in axilla as well by 18 hour from injection. No erythema per pt. Exam 3 hives overlying injection site-fait pink/roused 1-2 cm, increasing heat, swelling deltoid 4 inches and tender entire upper deltoid and tender superior biceps and upper medial arm into axilla.  Mild nausea, temperature 99, no shortness of breath.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Left arm deltoid red, swollen, pain to move for 1 day. Warm to touch. Irregular border. Measuring about 4 inches.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Nickel-size, hard, red lump at site of immunization. Alternate cool and warm compress. Tylenol as needed. Gentle massage. Left thigh (DTaP and IPV).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Red, indurated area on left deltoid. Area appears hot to touch and hard.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Pallor, Tachycardia, Vomiting
Clinical narrative: Paleness, dizziness, weakness, fast heart beat, vomiting x1 approximately 5-10 minutes after vaccination. Laid down for 30 minutes then recovery.
Age: 1.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash maculo-papular, Rash pruritic
Clinical narrative: Received MMR and Varivax 10/18/04.  On 10/29/04 returned to office with both erythematous, macular eruption to trunk and pruritic vesiculo-papular eruption to face, trunk and extremities.
Age: 1.28
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Cyanosis, Pyrexia, Rash, Vomiting
Clinical narrative: 1 hour after immunizations: Fever (+): 101 degrees at 9:30AM, 103 degrees at 14:30, 105.6 degrees at 16:30. Vomiting x1, hands and feet purple, nodular rash on trunk, posterior-anterior.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Oedema
Clinical narrative: Cellulitis and swelling;
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash maculo-papular
Clinical narrative: Received MMR and Varivax 10/19/04.  On 10/30/04 was seen in office with both erythematous, macular eruption to trunk and pruritic vesiculo-papular eruption to face, trunk and extremities.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Nausea, Pain
Clinical narrative: Nausea complaint of shin hurts.