chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Nausea, Nodule, Oedema peripheral, Pain, Tenderness
Clinical narrative: Pt states woke up with arm red and as day went on became swollen. Later began to have chest pain and shortness of breath and nauseated. She stated she ate to see if that would help and took aspirin without relief. Left arm at time was now red, swollen, and had an elevated bump that was hard with knots in the center of it that was tender to touch. She did apply ice to the area. Patient did take Tylenol for pain. Patient states sharp pains continued in the chest area but were subtle if she was not moving much but intensified with movement. Pain to the left arm was to touch only. Patient wanted to go to the Urgent Care but was referred to ED due to chest pain. Patient was worked up for cardiac with all negative results but admitted for 24 hour observation. She was given pain medications during admission per patient. She was discharge the next morning with an antibiotic, Cefadroxil 500mg twice a day for ten days.
Age: 17.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Full blood count abnormal, Malaise, Mononucleosis heterophile test negative, Myalgia, Oropharyngeal pain
Clinical narrative: Fever up to 102, myalgia, malaise, sore throat.  Treated symptoms.
Age: 17.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Platelet count decreased, Pyrexia, Streptococcus test negative, White blood cell count decreased, White blood cell count increased
Clinical narrative: Fever up to 102, myalgia, malaise, sore throat.  Treated symptoms.
Age: 1.11
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Rash vesicular, Skin lesion
Clinical narrative: Varicella like lesions, approximately 20 in number, scattered over face abdomen, and arm reported by mother over the phone to Dr.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: Patient complained of pain and swelling in upper arm left side.  Unable to move arm next day of receiving immunization (Tdap).  Mom took to ER and was treated with antibiotic for 7 days.  Arm at time of follow up visit (May 16, 2012) was fine without swelling, redness or lump under skin.  Immunization provider was not made aware of incident until May 16, 2012 during repeat visit at that particular school site.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: Seizure, non febrile.
Age: 28.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Chills, Discomfort, Fatigue, Painful respiration
Clinical narrative: 5/16  Weakness and fatigue in early day followed by fever (100.6 F) with chills that evening and 4-6 small red spots.  5/17  Fever continued (101.0 F) and red spots increased; approx. 30 by evening and were itchy. That night chills continued and a burning sensation in lungs with deep breaths.  Fever was treated with acetaminophen and ibuprofen throughout the day. 5/18 Fever continued and number of red lesions increased to >70 in number and increased discomfort and itching.  Visited urgent care facility and was diagnosed with fever of 100.6 and chickenpox virus.  Given a prescription of Valacyclovir HCl.
Age: 28.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash pruritic, Varicella post vaccine
Clinical narrative: 5/16  Weakness and fatigue in early day followed by fever (100.6 F) with chills that evening and 4-6 small red spots.  5/17  Fever continued (101.0 F) and red spots increased; approx. 30 by evening and were itchy. That night chills continued and a burning sensation in lungs with deep breaths.  Fever was treated with acetaminophen and ibuprofen throughout the day. 5/18 Fever continued and number of red lesions increased to >70 in number and increased discomfort and itching.  Visited urgent care facility and was diagnosed with fever of 100.6 and chickenpox virus.  Given a prescription of Valacyclovir HCl.
Age: 60.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site pain, Musculoskeletal pain
Clinical narrative: Extreme pain at injection site, pain spread to shoulder, went to emergency at hospital. Administered pain medicines.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Chills, Chromaturia, Diarrhoea, Faeces discoloured
Clinical narrative: Sweats- muscle tremor- chills-malaise-Fever decreased 102. Increased 102- nausea-diarrhea-"Black watery" urine-"Rusty". Arthralgia, myalgia.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Hyperhidrosis, Malaise, Myalgia, Nausea, Pyrexia
Clinical narrative: Sweats- muscle tremor- chills-malaise-Fever decreased 102. Increased 102- nausea-diarrhea-"Black watery" urine-"Rusty". Arthralgia, myalgia.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Tremor
Clinical narrative: Sweats- muscle tremor- chills-malaise-Fever decreased 102. Increased 102- nausea-diarrhea-"Black watery" urine-"Rusty". Arthralgia, myalgia.
Age: 29.0
Sex: M
Vaccine: FLU3, HEP, MMR, TDAP, TYP
Symptoms: Breath sounds abnormal, Dizziness, Hyperhidrosis, Nausea, Vision blurred
Clinical narrative: Vaccines given at 1140 am. Pt reported feeling fine after shots administered. At approx 1150 am pt reported feeling dizzy, followed by snorting after nauseated, profusely sweating, then blurred vision - paramedics called to ck pt. Pt felt better 15-20 mins later.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Cerebrovascular accident, Computerised tomogram, Nuclear magnetic resonance imaging
Clinical narrative: Patient had a stroke.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella post vaccine
Clinical narrative: 1 day following the vaccine, patient got "chicken pox" all over face and arms. Pt. has no allergies, and has had chicken pox in the past.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Aspiration, Injection site swelling, Joint swelling, Pain in extremity
Clinical narrative: 3-4 days after receiving the vaccine, the pt developed a baseball sized swelling (approximately 20cm in diameter). The swelling took 21 days to resolve. The pt also reported swelling and pain in the joint especially in toes and fingers. This lasted for 10 days. Pt went to a Dr and aspirated the swelling site and no uric acid crystals were found. The swelling occurred at the injection site.
Age: 18.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, tenderness, warmth 6x6 in area of erythema post (L) upper arm above elbow.
Age: 81.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Tick bite 5/15/12 (large egg size nodule on (L) deltoid with swelling & redness at site of inj.) which was given on 5/15/12. Given Doxycycline 100mg.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: VIIth nerve paralysis
Clinical narrative: Bell's Palsy - 5/9/12. Vaccine received 4/30/12.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Dry skin, Herpes simplex, Injection site erythema, Injection site pain
Clinical narrative: Beginning following day after vaccination, pain, erythema, edema, itching, stinging of left upper arm. Also reports exacerbation of previous skin rash & HSV 2 outbreak; today has dry, patchy area on U.A. (3cm x 1.5 cm); no swelling, no erythema; treatment - Aloe vera at HS, "soothing".
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Rash
Clinical narrative: Beginning following day after vaccination, pain, erythema, edema, itching, stinging of left upper arm. Also reports exacerbation of previous skin rash & HSV 2 outbreak; today has dry, patchy area on U.A. (3cm x 1.5 cm); no swelling, no erythema; treatment - Aloe vera at HS, "soothing".
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: There was pain when injection given. By next morning was "hot". Was given in Rt upper arm. 24 hrs later red area measured 4.5 x 4.5 cm. No lesions or pustules - local allergic reaction.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Hyperaesthesia, Pain of skin, Pyrexia
Clinical narrative: Fever, high, extreme pain/sensitivity to touching of the skin, especially legs.
Age: 3.0
Sex: M
Vaccine: DT, HEP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Significant leg swelling and redness of injection site.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Convulsion, Cytogenetic analysis, Electroencephalogram, Nuclear magnetic resonance imaging
Clinical narrative: Prolonged seizure.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Acne, Contusion, Muscular weakness, Pain in extremity, Pruritus
Clinical narrative: Three inch by two inch red rash with pimples followed by bruising and itchy for 5 days and persisting.  Arm weak and sore.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Three inch by two inch red rash with pimples followed by bruising and itchy for 5 days and persisting.  Arm weak and sore.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Feeling abnormal, Paraesthesia oral, Throat tightness
Clinical narrative: About 15 min after ZOSTAVAC admin pt said she didn't "feel right" her mouth was tingling all around it, her throat felt tight & she was dizzy. Took BP 164/79 pulse 110 called 911 gave 0.3mg Epi. Took BP 150/77 pulse 103 pt left in ambulance.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 12cm x 8cm redness, swelling to injection site. Noticed same day after receiving injections. Pt being treated with antibiotics for cellulitis.
Age: 18.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Erythema multiforme, Pruritus, Rash papular
Clinical narrative: On 15 May 2012, patient presented with nonspecific diffuse papular rash with secondary pruritus; no mucosal involvement.  Targetoid lesions appeared within 24 hours. Patient started on Prednisone 60mg PO daily on 16 May 2012. Likely diagnosis: Erythema Multiforme.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, OPV, PPV, RVX
Symptoms: Erythema multiforme
Clinical narrative: Erythema Multiforme Minor.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Decreased appetite, Lethargy, Pyrexia, Rash generalised
Clinical narrative: Fever as high as 102, rash over entire body, lethargic, no appetite.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Decreased appetite, Hypersomnia, Pyrexia, Urine analysis normal, Weight decreased
Clinical narrative: Child slept abnormally for 14 hours. Woke up, ate went back to sleep. Began running 103.5 fever at 2:00pm on 5/15/2012 thru 5/17/2012, required 2 doctor visits with a urine analysis to determine if there was any other cause which none could be found. He lost a pound thru the week due to loss of appetite.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pain in extremity, Vaccination site pain, Vaccination site swelling
Clinical narrative: Arm was sore day after vaccine, but on the 3rd day her arm "swelled up" around vaccine site. 2" x 5" swollen/red area - "hurts a little". Informed pt to tell PCP about reaction, to ice and take NSAID if painful & swollen.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Pt's wife called stating pt. had a fever of 100 degrees F and had a bump where vaccine was given. Also, pt. had all over aches and pains.
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pruritus, Rash generalised
Clinical narrative: Pt reported rash over her body, swelling legs, arms, and back after 5 days receiving ZOSTAVAX vaccine. Pt is much better but still got itching.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site vesicles
Clinical narrative: On 5/17/12 pt. received Tdap (L) arm; within 24 hours developed redness/vesicles around injection site; increased redness; discomfort; 6 3/4 x 5 1/2 inches diameter redness.
Age: 18.0
Sex: M
Vaccine: HPV4
Symptoms: Completed suicide
Clinical narrative: Information has been received from a nurse practitioner concerning an 18 year old male who in July 2011 was vaccinated with the second 0.5 ml dose of GARDASIL intramuscularly. There was no concomitant medication. The patient's mother told nurse that 2 days after her son was given his second dose of GARDASIL "he committed suicide." It was unknown if there was any time between the suicidal act and his death, so it was neither known if there was an opportunity for any kind of medical attention or if any kind of treatment was given. Event onset date (date of death) was reported as July 2011. The cause of death was suicide. Reporter considered "he committed suicide" to be immediately life-threatening and disabling. The health care professional contacted during telephone follow-up could not supply the following information: patient name, dates of vaccination/therapy, dose number (if applicable), lot number (if applicable), hospital name (if applicable), healthcare provider name and contact information. No further information is available.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Asthma, Blood glucose increased, Cachexia, Condition aggravated, Cough
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Dehydration, Diarrhoea, Glucose urine present, Polydipsia, Polyuria
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Type 1 diabetes mellitus, Urine ketone body present, Weight decreased, Wrong drug administered
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Autoimmune disorder, Back pain, Breath odour, Chest pain, Feeling abnormal
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Gastrointestinal pain, Glycosylated haemoglobin increased, Headache, Heart rate increased, Memory impairment
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Mood altered, Myalgia, Pyrexia, Thirst, Type 1 diabetes mellitus
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Weight decreased, Wrong drug administered
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Arthralgia, Chest pain, Communication disorder, Fatigue, Feeling abnormal
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Heart rate increased, Mood altered, Nausea, Pain, Pain in extremity
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 14.0
Sex: M
Vaccine: HPV2, MNQ, HPV2, MEN, MEN
Symptoms: Pollakiuria, Thirst, Type 1 diabetes mellitus, Weight decreased
Clinical narrative: Felt achy, nauseus, soon after..not sure of exact time. Dropped 10 lbs within 2 weeks, 20 lbs within 3 months and 33 lbs per dr's scale by April 2012. Experienced chest pain, rapid heart beat, joint pain, leg pain, fuzziness, had a hard time conveying what he was trying to say, severe thirst, frequent urination, moodiness, fatigue, etc.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Area shot was given on arm was very red and enlarged & hardened & hot to touch. Site looked more inflamed than usual after an injection.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Area shot was given on arm was very red and enlarged & hardened & hot to touch. Site looked more inflamed than usual after an injection.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Vaccination complication
Clinical narrative: Patient seen on 05/16/12 by Dr. and was diagnosed with Adverse effect of vaccine-Left arm with large red area, swelling, warmth; no pain, no fever.
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Fatigue, Idiopathic thrombocytopenic purpura, Platelet count decreased, Thrombocytopenia
Clinical narrative: This medically confirmed spontaneous report (initial receipt 09-May-2012) concerns a female patient 17 or 18 years of age. On 01-Apr-2008 the patient received her first dose of GARDASIL vial (batch number: #1978U) via injection at a dose of 0.5 ml. Fairly quickly after the first dose of GARDASIL (received on 01-Apr-2008), the patient developed ITP (idiopathic thrombocytopenic purpura) and was referred to children's hematology. Her ITP was thrombocytopenia. The doctor at first said that she wasn't convinced it was from G (GARDASIL), but hematologist said it may have been. They went through her past medical history and saw nothing out of the ordinary. On 28-Sep-2009 the patient received her second dose of GARDASIL at a different clinic. On 09-Mar-2010 the patient received flu vaccine (batch and manufacturer unspecified). On the same day, the patient also received her third dose of GARDASIL (batch number: #1378Y). She finished the series (of GARDASIL injections). Flu vaccine was reported as a concomitant medication. It was unspecified if other vaccines were given with previous doses of GARDASIL. The patient's platelet levels were going up and down. Her platelet levels got as low as 20 (which was her lowest), it was unspecified when this count was taken. Her platelet count went up to 114 at some point, and the last checked count was at 85. The patient became very fatigue and was followed up by hematology, but she was never hospitalised. The symptoms were still continuing. The event improved after stopping GARDASIL therapy. Rechallenge with influenza vaccine was not performed.
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Condition aggravated, Fatigue, Idiopathic thrombocytopenic purpura, Platelet count decreased, Thrombocytopenia
Clinical narrative: This medically confirmed spontaneous report (initial receipt 09-May-2012) concerns a female patient 17 or 18 years of age. On 01-Apr-2008 the patient received her first dose of GARDASIL vial (batch number: #1978U) via injection at a dose of 0.5 ml. Fairly quickly after the first dose of GARDASIL (received on 01-Apr-2008), the patient developed ITP (idiopathic thrombocytopenic purpura) and was referred to children's hematology. Her ITP was thrombocytopenia. The doctor at first said that she wasn't convinced it was from G (GARDASIL), but hematologist said it may have been. They went through her past medical history and saw nothing out of the ordinary. On 28-Sep-2009 the patient received her second dose of GARDASIL at a different clinic. On 09-Mar-2010 the patient received flu vaccine (batch and manufacturer unspecified). On the same day, the patient also received her third dose of GARDASIL (batch number: #1378Y). She finished the series (of GARDASIL injections). Flu vaccine was reported as a concomitant medication. It was unspecified if other vaccines were given with previous doses of GARDASIL. The patient's platelet levels were going up and down. Her platelet levels got as low as 20 (which was her lowest), it was unspecified when this count was taken. Her platelet count went up to 114 at some point, and the last checked count was at 85. The patient became very fatigue and was followed up by hematology, but she was never hospitalised. The symptoms were still continuing. The event improved after stopping GARDASIL therapy. Rechallenge with influenza vaccine was not performed.
Age: 1.35
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Chest X-ray normal, Cough, Laboratory test abnormal, Nasopharyngitis, Pertussis
Clinical narrative: Initial report received on 11 May 2012 from the Investigator participating in a post-marketing study under the reference number M5A16. A case of pertussis disease in a 3-year-old female subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject had received 4 doses of PENTACEL; received on 10 October 2008, 10 December 2008, 06 February 2009 and 11 December 2009 (lot numbers, routes and sites of administration not reported). The subject developed cold-like symptoms on 22 March 2012, approximately 25 months after the last dose. On 23 March 2012, the subject developed a paroxysmal cough with a whoop sound. Laboratory testing included positive PCR on 26 March 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of azithromycin starting on 26 March 2012 for 5 days. The subject was not hospitalized. At the time of final contact on 20 April 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 28 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 1.35
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Polymerase chain reaction
Clinical narrative: Initial report received on 11 May 2012 from the Investigator participating in a post-marketing study under the reference number M5A16. A case of pertussis disease in a 3-year-old female subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject had received 4 doses of PENTACEL; received on 10 October 2008, 10 December 2008, 06 February 2009 and 11 December 2009 (lot numbers, routes and sites of administration not reported). The subject developed cold-like symptoms on 22 March 2012, approximately 25 months after the last dose. On 23 March 2012, the subject developed a paroxysmal cough with a whoop sound. Laboratory testing included positive PCR on 26 March 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of azithromycin starting on 26 March 2012 for 5 days. The subject was not hospitalized. At the time of final contact on 20 April 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 28 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 1.49
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Chest X-ray normal, Cough, Laboratory test abnormal, Pertussis, Polymerase chain reaction
Clinical narrative: Initial report received on 11 May 2012 from the Investigator participating in a post-marketing study under the reference number M5A16. A case of pertussis disease in a 4-year-old male subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject had received 3 doses of DAPTACEL; lot number C2799AA received on 04 March 2008, lot number C2951BA received on 07 May 2008 and lot number C2951BA received on 10 July 2008 and 1 dose of PENTACEL; lot number C3397AB received on 15 July 2009 (routes and sites of administration not reported). The subject developed a paroxysmal cough without a whoop on 30 March 2012, approximately 2 years and 8 months after the last dose. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 01 April 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of azithromycin starting on 01 April 2012 for 5 days. The subject was not hospitalized. At the time of final contact on 17 April 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 18 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 1.49
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Sleep disorder
Clinical narrative: Initial report received on 11 May 2012 from the Investigator participating in a post-marketing study under the reference number M5A16. A case of pertussis disease in a 4-year-old male subject (initials not collected) was identified by the investigator based on review of data from the Electronic Disease Surveillance electronic database. The subject had received 3 doses of DAPTACEL; lot number C2799AA received on 04 March 2008, lot number C2951BA received on 07 May 2008 and lot number C2951BA received on 10 July 2008 and 1 dose of PENTACEL; lot number C3397AB received on 15 July 2009 (routes and sites of administration not reported). The subject developed a paroxysmal cough without a whoop on 30 March 2012, approximately 2 years and 8 months after the last dose. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 01 April 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of azithromycin starting on 01 April 2012 for 5 days. The subject was not hospitalized. At the time of final contact on 17 April 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 18 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Pruritus, Skin lesion
Clinical narrative: Developed lesions on trunk, arms, then remainder of body. (>100). C/o itching, denies fever or other illness. No drainage.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Exposure to vaccinated person, Infection transmission via personal contact, Polymerase chain reaction, Vaccinia test positive
Clinical narrative: On 4/20/12 patient came in contact with the smallpox vaccination site of another vaccinee (received SPV lot # VV04003A on 4/16/12) Vaccinee was allowing his SPV site to "air out" with no bandage on the site while in his work station when patient came from behind and tried to wrestle and his forearm came in contact with other vaccinee's smallpox vaccination site. The pt noted a small white lesion on his right forearm on 4/22/12. He reported to medical on 5/4/12 for evaluation. The provider determined that the pt most likely had a contact transmission and the HC was notified. The pt has no contraindications to receipt of the SPV. 5/14/12 specimen was collected for PCR.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Polymerase chain reaction, Secondary transmission, Skin lesion, Vaccinia test positive
Clinical narrative: On 4/20/12 patient came in contact with the smallpox vaccination site of another vaccinee (received SPV lot # VV04003A on 4/16/12) Vaccinee was allowing his SPV site to "air out" with no bandage on the site while in his work station when patient came from behind and tried to wrestle and his forearm came in contact with other vaccinee's smallpox vaccination site. The pt noted a small white lesion on his right forearm on 4/22/12. He reported to medical on 5/4/12 for evaluation. The provider determined that the pt most likely had a contact transmission and the HC was notified. The pt has no contraindications to receipt of the SPV. 5/14/12 specimen was collected for PCR.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: Local reaction injection site swelling, injection site erythema, fever.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abnormal behaviour, Activities of daily living impaired, Educational problem, Memory impairment
Clinical narrative: Mother called office states within days of receiving 3rd dose of GARDASIL pt started to have behavior changes ie pt. went from being an honor student to failing all classes, having memory problems. Doesn't remember to rinse shampoo from hair, puts on socks inside out, drawing on toys etc.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abnormal behaviour, Activities of daily living impaired, Educational problem, Memory impairment, Mental retardation
Clinical narrative: Mother called office states within days of receiving 3rd dose of GARDASIL pt started to have behavior changes ie pt. went from being an honor student to failing all classes, having memory problems. Doesn't remember to rinse shampoo from hair, puts on socks inside out, drawing on toys etc.
Age: 10.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: (L) arm 15 x 15 red, warm area in posterior aspect of (L) arm (tricep area).
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient presented to pharmacy with swollen and red injection site. She was referred to emergency department and was diagnosed with cellulitis and was prescribed clindamycin 300mg three times daily for 10 days.
Age: 1.75
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC13, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Administered Pentacel, Hep B, Hepatitis A, Prevnar 13, MMR, and VZV. At 10:45 AM red spots with slight bumps appeared on child's face. A few area appeared on child's trunk as well. Child did not have a pediatrician. Administered .5cc  of Oral Diphenhydramine 12.5mg/5ml.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Blister, Cellulitis, Erythema, Haematoma
Clinical narrative: Information has been received from a physician concerning a 64 year old female patient, with hypertension, high cholesterol, osteoarthritis and allergy to certain bandage tapes causing blistering, who on 05-MAY-2012 at approximately 10:30am, was vaccinated with a dose of ZOSTAVAX (Merck) (lot# and dose not reported) in the left arm. Concomitant therapy included Hydrochlorothiazide (manufacturer unknown), simvastatin (manufacturer unknown), COLACE and meloxicam. Physician reported that on 05-MAY-2012 following the vaccination, the patient experienced cellulitis reaction, pruritis, large hematoma, swelling, erythema, hyperemia and "centrally locating weeping vesicle". Reported stated that the patient told him, that after the pharmacist gave the ZOSTAVAX (Merck) injection, the pharmacist stated "this is the wrong needle". Physician believed the pharmacists possibly gave ZOSTAVAX (Merck) IM instead of SQ. The patient sought medical attention - she saw a doctor. As the treatment the physician instructed patient to ice area this day and see primary physician in the following day and went to the emergency if reaction worsened or if developed a fever. At the time of reporting, the patient's status was not recovered. Patient in a lot of pain with use of left arm, limiting the patient's activity of daily living and limiting occupation activities was considered to be disabling. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaemia, Impaired work ability, Pain, Pain in extremity, Pruritus
Clinical narrative: Information has been received from a physician concerning a 64 year old female patient, with hypertension, high cholesterol, osteoarthritis and allergy to certain bandage tapes causing blistering, who on 05-MAY-2012 at approximately 10:30am, was vaccinated with a dose of ZOSTAVAX (Merck) (lot# and dose not reported) in the left arm. Concomitant therapy included Hydrochlorothiazide (manufacturer unknown), simvastatin (manufacturer unknown), COLACE and meloxicam. Physician reported that on 05-MAY-2012 following the vaccination, the patient experienced cellulitis reaction, pruritis, large hematoma, swelling, erythema, hyperemia and "centrally locating weeping vesicle". Reported stated that the patient told him, that after the pharmacist gave the ZOSTAVAX (Merck) injection, the pharmacist stated "this is the wrong needle". Physician believed the pharmacists possibly gave ZOSTAVAX (Merck) IM instead of SQ. The patient sought medical attention - she saw a doctor. As the treatment the physician instructed patient to ice area this day and see primary physician in the following day and went to the emergency if reaction worsened or if developed a fever. At the time of reporting, the patient's status was not recovered. Patient in a lot of pain with use of left arm, limiting the patient's activity of daily living and limiting occupation activities was considered to be disabling. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Secretion discharge, Swelling
Clinical narrative: Information has been received from a physician concerning a 64 year old female patient, with hypertension, high cholesterol, osteoarthritis and allergy to certain bandage tapes causing blistering, who on 05-MAY-2012 at approximately 10:30am, was vaccinated with a dose of ZOSTAVAX (Merck) (lot# and dose not reported) in the left arm. Concomitant therapy included Hydrochlorothiazide (manufacturer unknown), simvastatin (manufacturer unknown), COLACE and meloxicam. Physician reported that on 05-MAY-2012 following the vaccination, the patient experienced cellulitis reaction, pruritis, large hematoma, swelling, erythema, hyperemia and "centrally locating weeping vesicle". Reported stated that the patient told him, that after the pharmacist gave the ZOSTAVAX (Merck) injection, the pharmacist stated "this is the wrong needle". Physician believed the pharmacists possibly gave ZOSTAVAX (Merck) IM instead of SQ. The patient sought medical attention - she saw a doctor. As the treatment the physician instructed patient to ice area this day and see primary physician in the following day and went to the emergency if reaction worsened or if developed a fever. At the time of reporting, the patient's status was not recovered. Patient in a lot of pain with use of left arm, limiting the patient's activity of daily living and limiting occupation activities was considered to be disabling. Additional information has been requested.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Tenderness
Clinical narrative: Pt noticed her arm felt tender & noticed in mirror she had large rash at injection site approximately 18 hours after injection; on 5/18/12, pt reported rash was getting better.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Local rash at injection site.
Age: 1.34
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC
Symptoms: Body temperature increased, Febrile convulsion, Rash maculo-papular, Rash morbilliform
Clinical narrative: 2wks after MMR, PENTACEL. Had classic maculopapular measly rash T104 & febrile seizure
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Muscle rigidity
Clinical narrative: Significant swelling of (L) arm from above shoulder to elbow. Entire area red, hard, hot. Pt. guarding (L) arm.
Age: 1.06
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Approximately 2 weeks after receiving Varicella, MMR & Hep A vaccine, pt developed rash. Parent describes rash red, non raised, no itchy, et "appeared as red dots." "Does not bother" pt. Rash on front et back of trunk. Pt had low grade fever during this time for two day. "I know it's from teething." Mother reports not taking child to doctor during incident. Lasted couple days.
Age: 0.57
Sex: M
Vaccine: HIBV, IPV
Symptoms: Breath sounds abnormal, Oedema peripheral, Pyrexia
Clinical narrative: Fever of 100.7 & swelling on hands & feet noted approx 4-5 hrs after vaccines. No swelling noted 24 hrs later. Reappeared 2 days after vaccines & lasted 24 hrs. Mother states child has "whistle sound" approx 48 hrs after vaccine. Family called PMD day of vaccination & was advised to give TYLENOL for fever. Child was not seen by PMD. Family notified clinic 1 wk after vaccinations.
Age: 30.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthritis, Asthenia, Injection site reaction, Pyrexia
Clinical narrative: Joint inflammation, weakness, fever of 100 (for first ten days), injection site reaction (at first).
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dysphagia, Frequent bowel movements, Irritability
Clinical narrative: Refusal to swallow. Increased fussiness, increased stooling. Lasted < 24 hrs given I.V. fluids supplement.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Decreased appetite, Diarrhoea, Vomiting
Clinical narrative: 5-6-12 Decreased appetite & vomiting x 2. 5-7-12 Watery diarrhea x 6 - & seen at ER.
Age: 14.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Blood glucose increased, Loss of consciousness, Musculoskeletal stiffness, Tremor
Clinical narrative: Vaccine given in LD IM - pt became stiff - had mild shaking then LOC for approx 20-30 seconds, then became awake, alert (B/P & BS was checked) oriented x3 - observed in office for 30 min.
Age: 14.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Tremor
Clinical narrative: Vaccine given in LD IM - pt became stiff - had mild shaking then LOC for approx 20-30 seconds, then became awake, alert (B/P & BS was checked) oriented x3 - observed in office for 30 min.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pallor, Wheezing
Clinical narrative: 955 AM - After vaccines administered, client left room to sit down in lobby. Then proceeded to bathroom & threw up. Appeared pale. Put clean damp washcloth on forehead. Administered O2 at 1 L/via face mask at 10:00 am after VS were addressed, B/P 82/60, wheezes heard to upper lobes (B) upon auscultation. 1015 am - T 97.8, HR - 92, B/P - 90/60, Respirations - 24. Lungs CTA (B). A/O x 3. Upon dismissal gait normal. Client voices no dizzy, nausea, difficulty breathing.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pallor, Rash, Rash morbilliform
Clinical narrative: Patient developed a morbilliform blanchable rash on cheeks of face trunk and extremities after receiving the MMR vaccine.
Age: 42.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Differential white blood cell count normal, Erythema, Full blood count normal, Injection site erythema
Clinical narrative: Within 1 hour of vaccine had "grapefruit" size swelling at vaccine site (did not observe), redness, heat, severe pain. 4 hours later severe chills & body aches, increased swelling. Used Ibuprofen. I saw patient 24 hours later - large, red, tender 10-15cm swelling. Treated with pain meds, cool compresses.
Age: 42.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Local swelling, Pain, Tenderness, Vaccination site pain, Vaccination site swelling
Clinical narrative: Within 1 hour of vaccine had "grapefruit" size swelling at vaccine site (did not observe), redness, heat, severe pain. 4 hours later severe chills & body aches, increased swelling. Used Ibuprofen. I saw patient 24 hours later - large, red, tender 10-15cm swelling. Treated with pain meds, cool compresses.
Age: 42.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Vaccination site warmth
Clinical narrative: Within 1 hour of vaccine had "grapefruit" size swelling at vaccine site (did not observe), redness, heat, severe pain. 4 hours later severe chills & body aches, increased swelling. Used Ibuprofen. I saw patient 24 hours later - large, red, tender 10-15cm swelling. Treated with pain meds, cool compresses.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Hypersensitivity, Immediate post-injection reaction
Clinical narrative: Developed local erythema within 2 min. after immunization - enlarged somewhat overnight. Sie type 1 reaction, immediate, IgE mediated immun. reaction.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration, Injection site haematoma, Injection site pruritus, Respiratory tract congestion
Clinical narrative: Patient reported induration up to 4 inches at the injection site with itching of her entire arm around the injection site. She also reported chest congestion, similar to bronchitis. Symptoms started 1-2 days post-vaccination and have improved by 5 days post-vaccination, with only itchiness and bruising of her arm at injection site remaining. She used hydrocortisone topical cream for her symptoms.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Hyperhidrosis, Pallor, Vomiting
Clinical narrative: After vaccinations given, patient complained of dizziness, became pale and diaphoretic, and vomited.  He was placed in a reclined position in a recliner and cold pack was placed on back of his neck.  Patient began to return to normal skin color and he denied any nausea or dizziness after 15 minutes of recovery in the recliner.  Patient was placed in the sitting position for 5 minutes without any dizziness or nausea.  He was able to stand and ambulate out of clinic without difficulty.
Age: 17.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Anaemia, Coagulopathy, Computerised tomogram, Hypotension, Injection site cellulitis
Clinical narrative: Fever followed by severe cellulitis in right arm (where pt received Pneumovax) and hypotension requiring hospital admission and IV antibiotics.
Age: 17.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Leukopenia, Pyrexia, Thrombocytopenia
Clinical narrative: Fever followed by severe cellulitis in right arm (where pt received Pneumovax) and hypotension requiring hospital admission and IV antibiotics.
Age: 14.0
Sex: M
Vaccine: HPVX
Symptoms: Body temperature increased, Cyanosis, Headache, Pallor, Piloerection
Clinical narrative: Throbbing headache.  Uncontrollable shaking of entire body.  Pale face, blue finger tips, goose bumps all over body.  4:00 PM temperature:  100.0. 10:00PM temperature:  104.7.
Age: 14.0
Sex: M
Vaccine: HPVX
Symptoms: Tremor
Clinical narrative: Throbbing headache.  Uncontrollable shaking of entire body.  Pale face, blue finger tips, goose bumps all over body.  4:00 PM temperature:  100.0. 10:00PM temperature:  104.7.
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Urticaria
Clinical narrative: Hives, given Rx for Periactin and Orapred.
Age: 60.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain, Rash erythematous, Rash generalised, Urticaria
Clinical narrative: Pt started with swollen red spots all over body which progressed to severe painful hives over the next two days.  Pt's family discussed treatment with local urgent care et was referred on to primary care provider.  Pt does not have a primary care provider or insurance.  Pt's daughter phoned health department 5/21/2012 et was referred to NEW Clinic (free clinic). Phone number and address given.  Appt made by daughter for 5/22/2012.  Inst daughter to seek immediate medical attention if needed.  Daughter verbilizes understanding.  Request daughter to call HD to update after appt.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives, area on posterior right arm 6 x 12cm. appt, at clinic on 05/21/12, continue with otc Benadryl.
Age: 1.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever and fussy.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling at injection site, warm to touch covers large area of back of arm.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Pt stated that she experienced a red and itchy rash "all over her body."  She tried taking Benadryl but that did not help.  She went to see her PCP this morning and she was given a steroid injection, a prescription for a topical steroid and told to take Claritin OTC.
Age: 18.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Blood potassium decreased, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: C/O FEELING DIZZY, CLAMMY AND DIFFICULTY BREATHING; LOW POTASSIUM DIAGNOSED IN EMERGENCY DEPARTMENT OF LOCAL HOSPITAL; PT DISCHARGED ALIVE.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hypoaesthesia, Palpitations, Syncope
Clinical narrative: Patient c/o left arm feeling numb. Then felt dizzy and heart racing.  Patient appeared to faint for 4 seconds, lowered to the floor x 8 minutes.  Responded immediately approperately, drank water.  B/P 120/74, pulse 84, resp 20.  The sat up in the chair and had a conversation with the nurse and her mother on the phone.  Then c/o feeling dizzy again and she was lowered to the floor where she recovered immediately and rested x 20 min, B/P 120/76, pulse 84 and resp 20.  Then she sat up and continued to talk to staff.  Staff called mother and advised family to drive patient home and for patient to eat something.  Patient has not eaten anything today.  Mother came to health department @ 12:40 PM to pick up patient.
Age: 54.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Acne, Blister, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Pt states fever of 101.7 pain at injection site with a white pimple looking area. Swelling to the size of half dollar according to patient.
Age: 54.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Pyrexia, Therapeutic aspiration
Clinical narrative: Pt states fever of 101.7 pain at injection site with a white pimple looking area. Swelling to the size of half dollar according to patient.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, HPV4, VARCEL
Symptoms: Alanine aminotransferase increased, Anaemia, Arrhythmia, Aspartate aminotransferase increased, Blood insulin increased
Clinical narrative: Thrombocytothemia.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, HPV4, VARCEL
Symptoms: Chest pain, Eosinophil count decreased, Hepatic enzyme increased, Platelet count decreased, Red blood cell sedimentation rate increased
Clinical narrative: Thrombocytothemia.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, HPV4, VARCEL
Symptoms: Syncope, Thrombocytopenia, Ultrasound abdomen
Clinical narrative: Thrombocytothemia.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, HPV4, VARCEL
Symptoms: Alanine aminotransferase increased, Anaemia, Arrhythmia, Aspartate aminotransferase increased, Chest pain
Clinical narrative: Thrombocytothemia.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, HPV4, VARCEL
Symptoms: Eosinophil count decreased, Fatigue, Hepatic enzyme increased, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Thrombocytothemia.