chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Asthenia, Blood creatinine increased, Dialysis, Nausea, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 13 year old female who, on an unspecified date, was vaccinated intramuscularly with a second dose of Gardasil. Within 24-48 hours, the patient experienced fever, achiness and diarrhea. The physician reported that 1-2 days later, the patient developed blood in the stool and was admitted to the hospital. The physician reported that the patient was diagnosed with acute kidney failure and was still hospitalized. At the time of this report, the patient's fever, achiness and acute kidney failure persisted. Fever, achiness and acute kidney failure were considered to be immediately life-threatening and disabling. Additional information has been requested.    5/18/07 Received medical records from hospital which reveal patient seen at hospital 3/18-3/26/07 for nausea, vomiting, bloody diarrhea & fever starting approx 3/11/07.  Found to have asymptomatic E.coli UTI that traveled to kidneys.  Treated w/IV antibiotics & started on dialysis & placed on kidney transplant list. Progressed well & d/c to home on oral antibiotics.  FINAL DX: acute renal failure, urosepsis, polycystic kidney disease, end stage renal failure, hemodialysis.  3/27-4/2/07 - Re-Admitted to pediatric nephrology with fever, dizziness & orthostasis.  Treated w/multiple IV antibiotics.  Was to continue dialysis but at least 2 sessions cancelled due to hypotension.  Outpatient hemodialysis was arranged closer to her home & was to continue IV antibiotics at dialysis center as well as continue on oral antibiotics.  Plan was to transition to peritoneal dialysis after off antibiotics for 1 week. FINAL DX: posible partially treated urosepsis; end stage renal disease; polysystic kidney disease; rotavirus gastroenteritis; h/o acute renal failure.  4/25/07  Seen in Dialysis at outlying center.  Doing well, last dose of antibiotics on 4/13 & afebrile since then.  Labs were much improved & a trial of decreased dialysis was discussed.  5/4/07 - Seen in surgery clinic for evaluation of peritoneal dialysis catheter for acute renal failure superimposed on chronic renal failure.  HD site noted to possibly be infected & was started on oral antibiotics.  Repeat stool & urine tests ordered & scheduled for PD placement.  5/7/07 MRI of brain was WNL.  6/22/07 Received medical records & vax record from reporter/provider which reveal patient received HPV on 3/14/07 & was 1st dose.  VAERS database updated w/same.  Medical records of 1994-2004.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Convulsion, Loss of consciousness, Pain
Clinical narrative: Information has been received from a physician, via a company representative, concerning a 13 year old female patient, who on 19-MAR-2007 was vaccinated with the first dose, IM, of Gardasil. The physician reported that "approximately 3 minutes after receiving the first dose of the vaccine, the patient passed out," and then "experienced a seizure that lasted approximately 2 minutes." The physician stated that the seizure was probably related to pain or anxiety, and indicated that the patient's status had improved after she received therapy (therapy unspecified). Seizure was considered to be an other important medical event. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood sodium decreased, Ear pain, Facial pain, Herpes zoster, Pain
Clinical narrative: Information has been received from a 73 year old female consumer with a history of "several health conditions" and pneumonia in December 2006, who on 10-JAN-2007 was vaccinated with one dose of Zostavax. Concomitant therapy included an antibiotic to treat the pneumonia along with several other unknown medications. On 13-MAR-2007 the patient developed a "shingles related rash." She stated that the rash began on the back of her neck as a bumpy rash and spread to her collar bone area, arm, shoulder, chest and she felt a shooting pain on the side of her face and a painful ear ache. Medical attention was sought, the physician prescribed VALTREX 1 gm for 7 days to treat the shingles rash. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information was provided. Information received on 19-MAR-2007 contained the following adverse experience: hospitalization for low sodium levels (February 2007) "related to another medical condition that she has." The length of hospitalization was not provided. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Information has been received from a 73 year old female consumer with a history of "several health conditions" and pneumonia in December 2006, who on 10-JAN-2007 was vaccinated with one dose of Zostavax. Concomitant therapy included an antibiotic to treat the pneumonia along with several other unknown medications. On 13-MAR-2007 the patient developed a "shingles related rash." She stated that the rash began on the back of her neck as a bumpy rash and spread to her collar bone area, arm, shoulder, chest and she felt a shooting pain on the side of her face and a painful ear ache. Medical attention was sought, the physician prescribed VALTREX 1 gm for 7 days to treat the shingles rash. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information was provided. Information received on 19-MAR-2007 contained the following adverse experience: hospitalization for low sodium levels (February 2007) "related to another medical condition that she has." The length of hospitalization was not provided. Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Diarrhoea, Hyperhidrosis, Injection site erythema, Injection site pain, Nausea
Clinical narrative: 1. Redness inferior and medial to vaccination site (Pneumovax site), severe tenderness 2. N/V, diarrhea, sweats
Age: 62.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Vomiting
Clinical narrative: 1. Redness inferior and medial to vaccination site (Pneumovax site), severe tenderness 2. N/V, diarrhea, sweats
Age: 1.75
Sex: F
Vaccine: MMR
Symptoms: Acne, Cough, Erythema, Rash generalised, Rhinorrhoea
Clinical narrative: 3-16-07 no show for MMR #1 letter mailed to mother. 3-20-07 Here for MMR #1. Pt has red dots from torso down, no fever, just runny nose. This started since receiving her MMR on 3/20/07. Pt had runny nose before receiving shot. Mom was called-rash from head to toe. Little pimples vesicles. Booked tomorrow am at 9 with doctor. Told to go to ER tonight if pt develops breathing problems. 3-22-07 Here with rash after receiving MMR #4. Has improved some since yesterday. Has also developed cough-did have runny nose when received vaccine.
Sex: M
Vaccine: TYP, YF
Symptoms: Erythema, Pruritus, Rash papular, Urticaria
Clinical narrative: Within 10 hrs of vaccination of Feb 5, developed erythematous papular rash that became urticarial over next 3 days as well as generalized with intense pruritus.
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, FLUX, HEP, HEPA, IPV, MNQ, YF
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Neuropathy, Paraesthesia
Clinical narrative: Numbness, tingling and weakness in calves, ankles and feet which progressed to diagnosis of GUILLAIN BARRE syndrome. Neuropathy Calves. Sensation, increase Calves and feet. Paresthesia Feet. 03/30/07-records received with report. Numbness, tingling and weakness in calves, ankles and feet which progressed to DC of Guillain Barre Syndrome. Developed parethesia of lower extremities vaccines included meningococcal and flu. One month after vaccines he received yellow fever 7/13/06. He had an URI in the preceding month. Felt clinically well and had no illness during preceding month of training. On 7/14/06 felt sick with fever, congestion, rhinitis and headache. 7/16/06 awakened with numbness in both feet. Admitted to ICU for 5 days with DX peripheral neuropathy. Systemic symptoms did not improve and on 8/6/06 seen by neuromuscular specialist at UCSD and DX with GBS. TX with IVIG for 3 days. No improvement with treatment. Left Marine Corp 9/8/06 and continued to have numbness and tingling in feet, feet extremely sensitive to touch, cannot flex or wiggle his toes, pressure on calf muscles causes pain. 1/4/10 Patient had not regained function completely in his legs. His doctor state he never will, he will be permanently disabled.
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, FLUX, HEP, HEPA, IPV, MNQ, YF
Symptoms: Yellow fever
Clinical narrative: Numbness, tingling and weakness in calves, ankles and feet which progressed to diagnosis of GUILLAIN BARRE syndrome. Neuropathy Calves. Sensation, increase Calves and feet. Paresthesia Feet. 03/30/07-records received with report. Numbness, tingling and weakness in calves, ankles and feet which progressed to DC of Guillain Barre Syndrome. Developed parethesia of lower extremities vaccines included meningococcal and flu. One month after vaccines he received yellow fever 7/13/06. He had an URI in the preceding month. Felt clinically well and had no illness during preceding month of training. On 7/14/06 felt sick with fever, congestion, rhinitis and headache. 7/16/06 awakened with numbness in both feet. Admitted to ICU for 5 days with DX peripheral neuropathy. Systemic symptoms did not improve and on 8/6/06 seen by neuromuscular specialist at UCSD and DX with GBS. TX with IVIG for 3 days. No improvement with treatment. Left Marine Corp 9/8/06 and continued to have numbness and tingling in feet, feet extremely sensitive to touch, cannot flex or wiggle his toes, pressure on calf muscles causes pain. 1/4/10 Patient had not regained function completely in his legs. His doctor state he never will, he will be permanently disabled.
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, FLUX, HEP, HEPA, IPV, MNQ, YF
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, tingling and weakness in calves, ankles and feet which progressed to diagnosis of GUILLAIN BARRE syndrome. Neuropathy Calves. Sensation, increase Calves and feet. Paresthesia Feet. 03/30/07-records received with report. Numbness, tingling and weakness in calves, ankles and feet which progressed to DC of Guillain Barre Syndrome. Developed parethesia of lower extremities vaccines included meningococcal and flu. One month after vaccines he received yellow fever 7/13/06. He had an URI in the preceding month. Felt clinically well and had no illness during preceding month of training. On 7/14/06 felt sick with fever, congestion, rhinitis and headache. 7/16/06 awakened with numbness in both feet. Admitted to ICU for 5 days with DX peripheral neuropathy. Systemic symptoms did not improve and on 8/6/06 seen by neuromuscular specialist at UCSD and DX with GBS. TX with IVIG for 3 days. No improvement with treatment. Left Marine Corp 9/8/06 and continued to have numbness and tingling in feet, feet extremely sensitive to touch, cannot flex or wiggle his toes, pressure on calf muscles causes pain. 1/4/10 Patient had not regained function completely in his legs. His doctor state he never will, he will be permanently disabled.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Swelling, redness, warm to touch to right arm
Age: 14.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Influenza like illness, Injection site pain, Muscular weakness, Pharyngolaryngeal pain
Clinical narrative: 2/28/07 school (nurse call to report that mother stated after vaccination on 2/26/07. Child was ill the next morning with sore throat, weak legs, sore injection site and flu like symptoms. Was not taken to Dr mother gave Tylenol and child felt better in one day. Unable to reach parent by telephone. spoke with sibling 3/2 states pt went to school
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cough, Decreased appetite, Pyrexia, Vomiting
Clinical narrative: 3 days after vaccinations administered pt presented to the office with vomiting, decreased appetite, fever, coughing, Mother reported symptoms began after receiving vaccines
Age: 1.08
Sex: M
Vaccine: DTAP, HEP, HIBV, MMRV, PNC
Symptoms: Abnormal behaviour, Body temperature increased, Lethargy
Clinical narrative: Mother called this am, stating child had a temp 102 and was "lethargic", not as acting his usual self. He has no redness or warmth at injection sites. Told mom T. 102 was probably not unusual-treat with Motrin or Tylenol. If child is truly lethargic take child to Dr.
Age: 1.17
Sex: F
Vaccine: MMRV
Symptoms: Food allergy, Skin test, Urticaria
Clinical narrative: Received Synagis 1.49 mL im in divided doses right and left thighs. Within 20" after injection developed hives all over tummy and both thighs. Resolved with Benadryl. No swelling or resp distress. Referred to allergies Dr to followup.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Elbows bilateral tingling and numb. No shortness of breath, respiratory distress
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Crying, Irritability
Clinical narrative: temp 99.7 axillary for a day and a half, irritable, crying
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cold sweat, Irritability, Pyrexia
Clinical narrative: Fever 102, clamminess, irritable
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness around injection site. Mild swelling around area (right lower thigh).
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Strabismus
Clinical narrative: Child received 4 yr vaccines for school entry on Friday 3/23/07 in our open immunization clinic. Redness, swelling and itching started in Left deltoid area. The next day (Saturday) mother started ice packs and gave Child Tylenol for discomfort for 1 dose. Right exotropia noted in right arm as well. Left arm better per mom today.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Pruritus, Rash, Urticaria, Wheezing
Clinical narrative: Diffuse rash, tongue, itch, shortness of breath/wheezing (?urticaria) rash on arm, trunk.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Condition aggravated, Juvenile arthritis, Varicella
Clinical narrative: Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Blister, Feeling abnormal, Headache, Joint swelling
Clinical narrative: Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pyrexia, Rash papular, Respiratory tract congestion, Urticaria, Vomiting
Clinical narrative: Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Muscle contractions involuntary, Pain in extremity
Clinical narrative: Patient said he received Td booster at place of employment 11/20/06. He has developed chronic pain in upper arm, muscle fasciculation.
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Blood lead, Crying, Full blood count, Pain in extremity, Rash erythematous
Clinical narrative: Rash to neck and torso red and raise immediately. Child began crying with evidence of pain to Left leg.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Burning sensation, Rash erythematous
Clinical narrative: "2x1.75" red raised area warm to touch, client states "burning sensation." Client stated started about 4:00pm 3-14-07-is taking Benadryl and applying warm compresses to area.
Age: 0.76
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, PNC, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Rash papular
Clinical narrative: Rash that is widespread. Red, papular and distributed in irregular shaped patches
Age: 51.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Skin lesion
Clinical narrative: 2-16-07- broke out in lesions, having itching. She states 4 days after receiving vaccine her arm was swollen, red and had a lot of pain. She did not report it until 2-20-07. Took pictures of lesions and reported them to Doctor. To stay home until lesions crust over.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: No shortness of breath. 1x3 inch red raised area surrounding infection site. Ibrurofen, Motrin for worsen one
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: Warm firm area over Left deltoid approx 2" x 2"
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Left arm-reddened, raised, warm to touch size of a silver dollar.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature, Oedema peripheral, Pruritus, Rash
Clinical narrative: Patient and mother went to Doctor after immunizations. Patient complained of itching feet. Mother noted rash ankle and below bilateral. As time progressed hands itched and a small patch of rash noted on back. Mom gave Benadryl and used hydrocortisone cream with relief. Patient had temp but mom did not check it. Right upper arm swollen and reddened. ibuprofen given.  Very little rash today.
Age: 47.0
Sex: M
Vaccine: YF
Symptoms: Blood culture, Chills, Computerised tomogram normal, Headache, Liver function test normal
Clinical narrative: on 3/25/06 i began having severe chills, fever, headache which have continued at varying degress of seriouness.  on 3/28 i went to the emergency room and a took blood tests and a had head catscan due to my headaches.  i called in sick for work on 3/29 for a 3 day rotaion of flying (i am a flight attendant) due to my 101.6 fever.
Age: 47.0
Sex: M
Vaccine: YF
Symptoms: Pyrexia, Renal function test normal, White blood cell count normal
Clinical narrative: on 3/25/06 i began having severe chills, fever, headache which have continued at varying degress of seriouness.  on 3/28 i went to the emergency room and a took blood tests and a had head catscan due to my headaches.  i called in sick for work on 3/29 for a 3 day rotaion of flying (i am a flight attendant) due to my 101.6 fever.
Age: 49.0
Sex: M
Vaccine: UNK
Symptoms: Anxiety, Back pain, Headache, Insomnia, Memory impairment
Clinical narrative: Trouble remembering recent information, pain lower back, pain headache frequently, sleep problems, insomnia, vision, poor tolerance for bright lights, nervousness (anxiety).
Age: 49.0
Sex: M
Vaccine: UNK
Symptoms: Nervousness, Sleep disorder, Visual disturbance
Clinical narrative: Trouble remembering recent information, pain lower back, pain headache frequently, sleep problems, insomnia, vision, poor tolerance for bright lights, nervousness (anxiety).
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Oedema peripheral, Tenderness
Clinical narrative: Mother called 3-22-07 stated arm was swollen and tender at injection site. No complaint of fever, malaise, rash. Instructed to monitor and call 3/26 if no improvement. Child came to clinic. Left arm swelling noted in lower deltoid arm. Complained of tenderness with pressure. No heat or erythema noted.
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 5 weeks.
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus test negative, Stool analysis normal
Clinical narrative: Diarrhea for 5 weeks.
Age: 1.27
Sex: F
Vaccine: HIBV, IPV, MMR, PNC
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: High fever, rash (measles like).
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Laboratory test normal, Pyrexia
Clinical narrative: Fever up to 105F starting day 7 after vaccination, lasted 3 days, no other symptoms.
Age: 1.69
Sex: M
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: None known
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Gave Rotateq at 14 weeks of age.  no side effects noted.  Gave vaccination orally.  Client had normal infant behavior prior to and after the vaccination.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Gave Rotateq at 13 weeks of age.  No side effects noted.  Gave vaccination orally.  Client had normal infant behavior prior to and after the vaccination.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Anorexia, Chills, Fatigue, Hypoventilation, Nausea
Clinical narrative: Recieved Tdap afternoon of 3-8-07.  One hour later c/o fatigue and nausea.  Experienced chills and fever temp 102.6.  Body aches, no appetite, shallow R.  Mom gave her Benadryl to help her calm down.  Slept 16-20 hrs.  s/s resolved when awoke.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Recieved Tdap afternoon of 3-8-07.  One hour later c/o fatigue and nausea.  Experienced chills and fever temp 102.6.  Body aches, no appetite, shallow R.  Mom gave her Benadryl to help her calm down.  Slept 16-20 hrs.  s/s resolved when awoke.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Blood pressure, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: About 5 min. after receiving TDAP vaccine , Pt complained of feeling dizzy, seeing stars, sweating, and Nausea. Pt was taken to an examination room and was asked to lie down. Vital signs BP 107/64, P 74, R 20 and o2 was 97%Provider was notified to assess pt. pt rested for half an hour and vital signs were once again checked BP 102/65, P 74, RR 18. Pt reported that he felt fine , once again was reassessed before  leaving.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Lymphoedema, Oedema, Skin warm
Clinical narrative: 3-23-07 Acute edema and redness 2 hours after injection - progressing thru 3-25-07 - Redness measuring approx 6 cm - afebrile - seen 3-26-07 by this nurse - continued edema, heat, redness 4.5 cm - Lymphedem - axilla
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Shots given at 11:15, Mother states upon arriving home child started with vomiting.  Vomiting continued throughout the night. "Sometiinmes like a waterfall", she called her Dr. this Am he instructed her to call us, and to take child off formula and begin Pedialyte.  Mother reports no elevated temperature and no diarrhea.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site discolouration, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Night of admin. pt. began with warmth, redness, and sl. swelling. Next am had slight depression of center and deep purplish-red area about 2cm/diam. with raised border;by eve had papular rash around area which has now extended to trunk, arms, legs,feet, hands, face. gave 7.5mg of prelone bid x 3 days, and benadryl 6.25mg prn
Age: 1.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Rash papular
Clinical narrative: Night of admin. pt. began with warmth, redness, and sl. swelling. Next am had slight depression of center and deep purplish-red area about 2cm/diam. with raised border;by eve had papular rash around area which has now extended to trunk, arms, legs,feet, hands, face. gave 7.5mg of prelone bid x 3 days, and benadryl 6.25mg prn
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Unable to move arm & muscles on left side of body, where shot was given, are beyond extemely sore, even at rest.
Age: 16.0
Sex: M
Vaccine: MNQ, PPV, TDAP
Symptoms: Skin warm, Urticaria
Clinical narrative: whelped up to the approximately 2 ½ inches  warm to the touch
Age: 1.17
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom noticed red, swollen, hot area on right leg the evening of recieving 12 months immunizations earlier that morning.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, CSF test normal, Febrile convulsion, Influenza serology negative, Lumbar puncture normal
Clinical narrative: Patient had 2 febrile seizures within 24 hours of receiving second set of immunizations. (1st:9:30am 3/20/07)(2nd:4:30pm 3/20/07)Approx.)  Patient was admitted to NSCH for evaluation.  Full work-up including LP was negative.  Tmax was 103.5. 04/17/07-records received without DC Summary. DOS 3/20-3/21/07. Contacted med rec, DC summary not required for short stay and pediatric patients. HX of Present illness:After vaccines, slept most of day, eating less than normal. Temp 103.5. Parent observed eyes blinking, crying screaming. Eye twitching continued for 15 mintues. Seen in ER,  DC home with DX of febrile seizure. Later in day whole body stiffened, eye twitching for 2 minutes.  PE:WNL. temp 100.7.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Metabolic function test normal, Virus serology test
Clinical narrative: Patient had 2 febrile seizures within 24 hours of receiving second set of immunizations. (1st:9:30am 3/20/07)(2nd:4:30pm 3/20/07)Approx.)  Patient was admitted to NSCH for evaluation.  Full work-up including LP was negative.  Tmax was 103.5. 04/17/07-records received without DC Summary. DOS 3/20-3/21/07. Contacted med rec, DC summary not required for short stay and pediatric patients. HX of Present illness:After vaccines, slept most of day, eating less than normal. Temp 103.5. Parent observed eyes blinking, crying screaming. Eye twitching continued for 15 mintues. Seen in ER,  DC home with DX of febrile seizure. Later in day whole body stiffened, eye twitching for 2 minutes.  PE:WNL. temp 100.7.
Age: 10.0
Sex: M
Vaccine: DT
Symptoms: Asthenia, Headache, Influenza like illness, Mobility decreased, Myalgia
Clinical narrative: SEVER HEADACHE W/ MUSCLE PAINS RUNNING UP AND DOWN ARM INTO HAND, INTO MIDDLE BACK AND ACROSS SHOULDER BLADES INTO NECK. SWELLING IN ARM WHERE SHOT WAS INJECTED.THIS LAST FOR CLOSE TO 2 WEEKS. LOSS OF USE OF ARM FOR MORE THAN THREE DAYS. SEVER WEAKNESS, WITH ALMOST FLU-LIKE SYSTOMS. CALLED BOTH CHILDREN'S  MERCY AND HIS PCP AND ASKED FOR HELP, NOT MUCH WAS GIVEN EXCEPT NOT TO GIVE HIM ANOTHER SHOT AGAIN OF THIS (Td). ASKED THAT A REPORT BE FILED TO CDC.
Age: 10.0
Sex: M
Vaccine: DT
Symptoms: Oedema peripheral
Clinical narrative: SEVER HEADACHE W/ MUSCLE PAINS RUNNING UP AND DOWN ARM INTO HAND, INTO MIDDLE BACK AND ACROSS SHOULDER BLADES INTO NECK. SWELLING IN ARM WHERE SHOT WAS INJECTED.THIS LAST FOR CLOSE TO 2 WEEKS. LOSS OF USE OF ARM FOR MORE THAN THREE DAYS. SEVER WEAKNESS, WITH ALMOST FLU-LIKE SYSTOMS. CALLED BOTH CHILDREN'S  MERCY AND HIS PCP AND ASKED FOR HELP, NOT MUCH WAS GIVEN EXCEPT NOT TO GIVE HIM ANOTHER SHOT AGAIN OF THIS (Td). ASKED THAT A REPORT BE FILED TO CDC.
Age: 2.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Injection site cellulitis, Injection site rash
Clinical narrative: cellulitis of the left leg and red raised silver dollar size rash
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Swelling face
Clinical narrative: Patient received 1st dose of Gardasil on 3/21/07 no co's voiced at time of injection. On Friday evening 3/23/07 patient noted face to be red and swollen, symptoms disappeared after 2 hours. On Monday 3/26/07, pateint noted same red, swollen face after ingesting glass of white wine with dinner, again symptoms lasted about 2 hours. Patient did not take any other medication during this time frame, nor had she used any new soaps/make up.
Age: 2.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: tenderness red raised half dollar sized rash warm to the touch
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, Soreness, Aches approximately 16 hours after the shot was administered
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: PT STATES SHE HAD A RED PAINFUL ARM AFTER RECEIVING A PNEUMOVAX.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Diarrhoea, Feeding disorder of infancy or early childhood, Full blood count, Lymphocyte count
Clinical narrative: Within 24 hours patient developed high fever and loose/diarrhea stools.  Elevated temp and diarrhea continued for four days.  Temps usually at 102.  Tylenol and Ibuprofen alternated every 4 hours to keep temp. down.  Refused to breast feed for first 24 hours.  Infant had similar symptoms after 2nd dose of Rotavirus was administered at 4 monthes.  Symptoms were not as severe and did not last as long.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Within 24 hours patient developed high fever and loose/diarrhea stools.  Elevated temp and diarrhea continued for four days.  Temps usually at 102.  Tylenol and Ibuprofen alternated every 4 hours to keep temp. down.  Refused to breast feed for first 24 hours.  Infant had similar symptoms after 2nd dose of Rotavirus was administered at 4 monthes.  Symptoms were not as severe and did not last as long.
Age: 13.0
Sex: F
Vaccine: HPVX
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: 3rd HPV vaccine given too early   HPV #1 11-21-06, HPV #2 1-25-07,  HPV # 3 given 3-22-07
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Blood culture negative, Body temperature increased, Culture urine negative, Febrile convulsion, White blood cell count
Clinical narrative: Temp to 104, febrile seizure  4/10/07 Rceived medical records from hospital which reveal patient experienced shaking. pallor, coldness, lip cyanosis, eyes fixated lasting approx 5 min & was admitted 3/27/07.  In ER, temp 103.2.  Sepsis w/u done.  Tx w/IVF & antibiotics. Admit DX: Sepsis, meningitis (bacterial/mycobacterial), SVT or congenital heart disease. FINAL DX: none stated.  Letter faxed to hospital to request D/C summary. 5/7/07 Received D/C summary which reveals admitted 3/27-3/28/07 w/ Final DX: Fever, shaking s/p vaccination; and TB exposure, started on INH prophylaxis.  To be seen by PCP on 3/29.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blood culture negative, Full blood count normal, Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Approximately 24 hours after vaccines were given, child developed redness and swelling which initially was small area and progressed to left upper arm. In ER Benadryl was given to r/o allergic reaction. No change noted. Admitted for IV antibiotics and area so responding treatment.  6/1/07 Received hospital medical records which reveal patient experienced near circumferential redness, swelling, warmth & itching of his injection site left arm from shoulder to elbow the day after vax received.  Admitted to hospital 3/27-3/30/07. Started on IV antibiotics & peds ID consult done.  Improvement noted by d/c to home on continued oral antibiotics & close f/u w/PCP. FINAL DX: reaction to vaccine & cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Oedema peripheral
Clinical narrative: Approximately 24 hours after vaccines were given, child developed redness and swelling which initially was small area and progressed to left upper arm. In ER Benadryl was given to r/o allergic reaction. No change noted. Admitted for IV antibiotics and area so responding treatment.  6/1/07 Received hospital medical records which reveal patient experienced near circumferential redness, swelling, warmth & itching of his injection site left arm from shoulder to elbow the day after vax received.  Admitted to hospital 3/27-3/30/07. Started on IV antibiotics & peds ID consult done.  Improvement noted by d/c to home on continued oral antibiotics & close f/u w/PCP. FINAL DX: reaction to vaccine & cellulitis.
Age: 36.0
Sex: F
Vaccine: ANTH, HEPA, TD, TYP
Symptoms: Back pain, Dysgeusia, Eyelid ptosis, Facial palsy, Muscular weakness
Clinical narrative: 36 yo recently activated with a history of hyperlipidemia presented 6 days after receiving multiple vaccines in both arms. Patient is left arm dominant and reports 1 day after vaccine receipt, she had right shoulder and arm tenderness which extended up the back of her arm and part of her back for which extended up the back of her arm and part of her back for which she took naproxyn. She reports that on Saturday, 2 days after her vaccinations, she noticed an abnormal sensation on her right cheek and that her right arm "felt heavy". She soon realized that she had a facial droop, right sided ptosis, muffled hearing on the right and altered taste. She sought medical attention at this time where she was diagnosed with Bell's palsy and was prescribed Valtrex, prednisone and hydroxyzine. Patient states that 4 days after vaccination, she returned for medical care because of increased right arm pain, swelling, and weakness. She was then sent for further evaluation. Patient denied any specific lower extremity involvement, although when pressure on this issue, she reports that her right leg may have felt heavy as well. Pt reports that her right arm feels weaker than her left and she continues to have altered sensation in her right face and right upper extremity that she described as stable. Her right hand has paresthesias primarily in 4th hand and 5th digits. Pt states that she normally uses solar and propane power only, lives with 3 dogs, 2 cats and raises 50 chickens for eating and eggs, and primarily eats only organic foods. Pt denies any similar episodes in the past, history of cold sores, photophobia, HA, meningeal signs, recent autoimmune disease, sick contacts; pt reports several had URIs. 03/30/07-record received with received with report. DC DX:partial nerve palsy of face, high TSH.  Symptoms right ptosis, decreased facial grimace. Hemibody numbness, right arm pain, right shoulder pain, stiffness, right facial droop/Bell's Palsy. Weakness and numbness of right arm, decreased reflexes. Occassional double vision. Right leg heaviness. Per 60 day follow up: Last contact 10/31/06.
Age: 36.0
Sex: F
Vaccine: ANTH, HEPA, TD, TYP
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: 36 yo recently activated with a history of hyperlipidemia presented 6 days after receiving multiple vaccines in both arms. Patient is left arm dominant and reports 1 day after vaccine receipt, she had right shoulder and arm tenderness which extended up the back of her arm and part of her back for which extended up the back of her arm and part of her back for which she took naproxyn. She reports that on Saturday, 2 days after her vaccinations, she noticed an abnormal sensation on her right cheek and that her right arm "felt heavy". She soon realized that she had a facial droop, right sided ptosis, muffled hearing on the right and altered taste. She sought medical attention at this time where she was diagnosed with Bell's palsy and was prescribed Valtrex, prednisone and hydroxyzine. Patient states that 4 days after vaccination, she returned for medical care because of increased right arm pain, swelling, and weakness. She was then sent for further evaluation. Patient denied any specific lower extremity involvement, although when pressure on this issue, she reports that her right leg may have felt heavy as well. Pt reports that her right arm feels weaker than her left and she continues to have altered sensation in her right face and right upper extremity that she described as stable. Her right hand has paresthesias primarily in 4th hand and 5th digits. Pt states that she normally uses solar and propane power only, lives with 3 dogs, 2 cats and raises 50 chickens for eating and eggs, and primarily eats only organic foods. Pt denies any similar episodes in the past, history of cold sores, photophobia, HA, meningeal signs, recent autoimmune disease, sick contacts; pt reports several had URIs. 03/30/07-record received with received with report. DC DX:partial nerve palsy of face, high TSH.  Symptoms right ptosis, decreased facial grimace. Hemibody numbness, right arm pain, right shoulder pain, stiffness, right facial droop/Bell's Palsy. Weakness and numbness of right arm, decreased reflexes. Occassional double vision. Right leg heaviness. Per 60 day follow up: Last contact 10/31/06.
Age: 36.0
Sex: F
Vaccine: ANTH, HEPA, TD, TYP
Symptoms: Sensation of heaviness, Tenderness
Clinical narrative: 36 yo recently activated with a history of hyperlipidemia presented 6 days after receiving multiple vaccines in both arms. Patient is left arm dominant and reports 1 day after vaccine receipt, she had right shoulder and arm tenderness which extended up the back of her arm and part of her back for which extended up the back of her arm and part of her back for which she took naproxyn. She reports that on Saturday, 2 days after her vaccinations, she noticed an abnormal sensation on her right cheek and that her right arm "felt heavy". She soon realized that she had a facial droop, right sided ptosis, muffled hearing on the right and altered taste. She sought medical attention at this time where she was diagnosed with Bell's palsy and was prescribed Valtrex, prednisone and hydroxyzine. Patient states that 4 days after vaccination, she returned for medical care because of increased right arm pain, swelling, and weakness. She was then sent for further evaluation. Patient denied any specific lower extremity involvement, although when pressure on this issue, she reports that her right leg may have felt heavy as well. Pt reports that her right arm feels weaker than her left and she continues to have altered sensation in her right face and right upper extremity that she described as stable. Her right hand has paresthesias primarily in 4th hand and 5th digits. Pt states that she normally uses solar and propane power only, lives with 3 dogs, 2 cats and raises 50 chickens for eating and eggs, and primarily eats only organic foods. Pt denies any similar episodes in the past, history of cold sores, photophobia, HA, meningeal signs, recent autoimmune disease, sick contacts; pt reports several had URIs. 03/30/07-record received with received with report. DC DX:partial nerve palsy of face, high TSH.  Symptoms right ptosis, decreased facial grimace. Hemibody numbness, right arm pain, right shoulder pain, stiffness, right facial droop/Bell's Palsy. Weakness and numbness of right arm, decreased reflexes. Occassional double vision. Right leg heaviness. Per 60 day follow up: Last contact 10/31/06.
Age: 1.8
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMRV, PNC
Symptoms: Body temperature increased, Gait disturbance, Pain in extremity
Clinical narrative: Temp 104, Left leg pain and difficulty walking
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Six month immunizations given on 03/29/2007, 4 weeks too early. No adverse reactions noted.
Age: 1.02
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Rash vesicular, Skin lesion
Clinical narrative: P Varicella rash from vaccine many lesions, Education
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Axillary pain, Lymphadenopathy, Pain, Pyrexia, Swelling
Clinical narrative: Swollen LT axilla no fever painful. Mom gave Patient Motrin to decrease pain and swelling
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Lymphadenopathy, Pyrexia
Clinical narrative: 3/27/07 Shoulder to elbow - red, hot, hard 101.2 fever swollen lymph node under arm tx'ed with prednisone/antihistamine
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration
Clinical narrative: Received vaccine on 6/23/07 gradually developed redness an induration. I saw her on 3.27. Pt had area of redness about 10.12 cm and induration about 2 cm. Symptoms control with Benadryl.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Contusion, Headache, Nausea, Pruritus
Clinical narrative: Headache, nausea/vomiting, arthralgia, bruising, itching and hives.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria, Vomiting
Clinical narrative: Headache, nausea/vomiting, arthralgia, bruising, itching and hives.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt developed hives/itching
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site mass, Oedema peripheral, Pain in extremity, Skin discolouration, Skin warm
Clinical narrative: Mother called 5 days after shot. Said there was a lump where shot was adm. Arm was swollen, warm and painful. No fever noted. Child did not miss school. Adm ice packs - swelling remained x 1 week. Skin discoloration - penny sized - reported.
Age: 17.0
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: 17 yr old administered Twinrix manufacturer recommendation TS age 18 no adverse reaction
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Acne, Biopsy, Inflammation, Pruritus, Subcutaneous nodule
Clinical narrative: Patient has anthrax vaccines #2 and denies any significant local or systemic symptoms. After anthrax vaccine #3 in 2000, denies significant systemic symptoms. She did develop a pruritic, subcutaneous nodule that lasted approximately 2 months and then resolved. In August 2003, patient noted what looked like a pimple on her upper left arm where she had received anthrax vaccine #3. It then became about the size of pea that was pruritic and had remained for over 1 year. In January 2004, she noted a similar nodule on her right arm at the site of her previous anthrax vaccine (#2); she continues to have a pruritic, pea-size nodule. The itching decreases/subsides with the application of topical steroids, but returns if use is discontinued.
Age: 65.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Blood creatine phosphokinase, Injection site pain
Clinical narrative: States that the arm vaccine was administration has been sore for 1 month (since vaccine was given).
Age: 65.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Blood creatine phosphokinase, Pain in extremity
Clinical narrative: States that the arm vaccine was administration has been sore for 1 month (since vaccine was given).
Age: 0.17
Sex: F
Vaccine: RV5, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received concerning a patient with a history of prematurity (34 week preemie) who on the evening of 28-FEB-2007 was vaccinated PO with the second dose of Rotateq. Vaccinations administered within four weeks prior to 28-FEB-2007 (dates of administration not reported) included the first IM dose in the left leg of Comvax (Lot #655210/1242F), a dose in the right leg of PREVNAR (lot #B047300A), the first IM dose in the left leg of DAPTACEL (C2552AA) and the first IM dose in the right leg of Ipol (Lot #Y1031). Illness at the time of vaccination included respiratory syncytial virus (RSV) infection for which the patient was taking SYNAGIS. There was no other concomitant therapy. On the evening of 08-MAR-2007, the patient developed intussusception. Unspecified medical attention was sought. On 09-MAR-2007, the patient was admitted to the hospital. While hospitalized, the patient's intussusception was successfully reduced. The patient was hospitalized for two days and subsequently recovered. Additional information received from a physician indicated that the patient was a 2-month-old female and had been vaccinated with a 2.0 ml dose of Rotateq and was subsequently hospitalized due to intussusception. Additional information has been requested.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Bowel movement irregularity, Cold sweat, Crying, Decreased appetite
Clinical narrative: Intussusception
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Foaming at mouth, Haematochezia, Hypotonia, Insomnia, Intussusception
Clinical narrative: Intussusception
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Pain, Screaming, Shock, Stomach discomfort
Clinical narrative: Intussusception
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Thrombosis, Ultrasound abdomen, Vomiting, Wheezing, X-ray
Clinical narrative: Intussusception
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception, Ultrasound scan abnormal
Clinical narrative: Intussusception
Age: 68.0
Sex: F
Vaccine: YF, YF
Symptoms: Muscular weakness, Pain, Paraesthesia, Pyrexia
Clinical narrative: Client presents to clinic requesting yellow fever for cruise - says vaccine mandatory for cruise and her personal physician "refuses" to give her waiver letter - 5 days after vaccination, client calls and says she "has body aches and is feverish". Client  later called back and her physician "for evaluation - client calls us 3/29/07  and says she is experiencing muscle weakness and tingling. Client again returned back to her personal physician for evaluation.
Age: 68.0
Sex: F
Vaccine: YF, YF
Symptoms: Pain, Paraesthesia, Pyrexia
Clinical narrative: Client presents to clinic requesting yellow fever for cruise - says vaccine mandatory for cruise and her personal physician "refuses" to give her waiver letter - 5 days after vaccination, client calls and says she "has body aches and is feverish". Client  later called back and her physician "for evaluation - client calls us 3/29/07  and says she is experiencing muscle weakness and tingling. Client again returned back to her personal physician for evaluation.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient's right arm was swollen and tender from the site of injection all the way down to the elbow.  Redness associated with swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Contusion
Clinical narrative: Nickel sized bruise left deltoid, no pain. Patient advised to take O.T.C. (Benadryl) and return to doctor. Symptoms don't subside or worsens.
Age: 5.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Erythema
Clinical narrative: Left upper arm - "3 diameter of erythema appeared 1d after vaccine. Patient advised to take OTC- Benadryl, Ibuprofen and to follow-up if persists.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Oedema peripheral
Clinical narrative: "Right side of underarm is swollen and feels squishy," per patient after receiving Tdap - doctor advised parent to monitor and if it didn't go away, ultrasound would be needed.
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site swelling, Urticaria
Clinical narrative: 20 Minutes after MD/ office visit developed puffiness around site and open up / urticartial lesions all over body given Benadryl / Epinephrine, steroids, Albuterol - resolution of site.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: 2 " x 4" redness - left thigh. Patient advised to monitor and follow-up if persists or worsens.