chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: Patient describes receiving Tetanus/Pertussis shot on 7/10/09 in left arm.  On 7/11/09 around 2 pm, started to feel weak, lightheaded and body aches.  The area where injection was given was very sore, had a large, hard knot at the injection site and it grew in size.  Pt also describes a rash like redness that expanded to the size of her hand, very hot to the touch.  She describes having a fever that went to 101.2 at the highest and she was unable to lift her left arm.  She took Ibuprofen which relieved some of the pain and fever for a short time and also used ice to help relieve the pain which was not too helpful.  The patient never called the MD or office for advice.  Today, 7/20/09, attended an office visit with a friend and reports the above reaction and continues to have a 2 cm round disc shaped mass on left upper arm, nontender, faint residual erythema persists when arm manipulated which is reported by her primary care provider.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Employee reported that approximately one week after she recieved the vaccine that she noticed a red area around the injection site that "itched".  She also noticed a few areas on both arms that she decribed as bumps that looked like insect bites, they too "itched".  She reported no fever and no rash noted on the trunk of her body.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Received her 1st Varivax 7/6/09 in her left thigh.  It started to become red that day and became the size of a nickle.  The site was red, no tenderness, slight warmth, no pus and did not appear infected upon examination.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Body temperature increased, Culture positive, Injection site erythema, Injection site warmth
Clinical narrative: temp 100, rash, itching, left upper underarm 11X12cm red, warm, 4cm area of blisters, oricedyre: 2 blisters opened for Zoster culture and lg blister popped. Dr. (physician who wrote rx for zostavax) prescribed omnicef 300mg bid X7d and silvadene cream
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: temp 100, rash, itching, left upper underarm 11X12cm red, warm, 4cm area of blisters, oricedyre: 2 blisters opened for Zoster culture and lg blister popped. Dr. (physician who wrote rx for zostavax) prescribed omnicef 300mg bid X7d and silvadene cream
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client received a Menactra on 7/20/2009. She had a previous meningitis vaccine (type/ brand unknown) on 8/23/2007 in another county.
Age: 18.0
Sex: M
Vaccine: HEP, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Varicella virus vaccine was ordered due to a non immune varicella titer result. the pharmacy dispensed a Zostavax vial in a ziplock bag that was labeled with the patients name and  Varicella Vaccine use for Varivax.  The LPN who administered the vaccine did not realize that zostavax(shingles vaccine)  is not a substitute for varivax. The error was discovered when the nurse asked for assistance in charting the vaccine and was advised by another LPN that this might be the incorrect vaccine. The vial and the bag was brought to me as the clinic manager. Since we do not stock either Zostavax or Varivax the only way we would have it is if the pharmacy dispensed it for this particular patient. The order to the pharmacy did request the Varivax not Zostrix.  We do not administer the zostrix to our patients at this time since we provide occupationally related care.  To date there has been no adverse response, no local reaction, Merck was contacted and they  sent a letter advising that the patient be given varivax  in one month as the 2nd dose of a 2 dose series for varicella protection
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: The injection site began to itch, turned hot and grew to about 5 inches or more in diameter within 24 hours, and has remained for 3 days.  Benadryl does not seem to affect it.
Age: 67.0
Sex: U
Vaccine: PNC
Symptoms: Chronic obstructive pulmonary disease, Neoplasm malignant
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was diagnosed with stage 3A carcinomia of the right lung that as of June 2009 has spread to his brain. Vaccination took place 6/25/2007. According to the physician the relationship is 'None'. We would be happy to forward on the Study's SAE Reporting Form upon request.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 6 cm wide tender erythmatous area at immunization site.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: I gave a pediatric dose of Hep B instead of the adult dose.  The patient did not suffer any adverse reactions.  I contacted the patient and reported my error.  He will come in tomorrow to receive the adult dose of Hep B as recommended by CDC.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Platelet count decreased
Clinical narrative: Low Platlet Count
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain of skin, Urticaria
Clinical narrative: Vaccine administered Friday afternoon, July 17, by physician.  Saturday afternoon had uncomfortable skin soreness on left shoulder.  Examined to find scattered red welts leading down to armpit.  From then to late Monday, welts gradually abated.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Drug exposure during pregnancy
Clinical narrative: Employee who works in Dental school received MMR vaccinatioin on 5/20/2009. Screening questions asked regarding pregnancy or plans to become pregnant which were No at the time of vaccine.  Employee returns 7/17/2009 for #2 MMR and states she is pregnant and may have been pregnant sometime between May 10- May 20th.  Second MMR not given.  Employee is under care of OB/GYN. She was advised to discuss this with her OB .
Age: 49.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Autopsy, Death
Clinical narrative: Per translator client died 2 to 3 hrs. after receiving vaccines on 7/2/09. Autopsy is pending to determine cause of death. Due to language barrier unable to get more information.7/21/09-Nancy with Med Exam office called with preliminary COD: Coronary Artery Disease with no other significant conditions contributing to death.  8/13/09 Cause of Death: Coronary artery disease. Manner of death: Natural. Autopsy report summary of findings: I. Atherosclerotic cardiovascular disease. A. Calcific coronary artery disease, marked, involving three major vessels and left main. B. Aortic atherosclerosis, mild to moderate. II. Nephrosclerosis. III. Right rib fractures consistent with resuscitation efforts.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Anorexia, Blood amylase, Full blood count, Headache, Metabolic function test
Clinical narrative: Within 1-2 days c/o headache, nausea, emesis - persistent c/o anorexia and mild nausea for 2 - 3 wks.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Nausea, Urine analysis, Vomiting
Clinical narrative: Within 1-2 days c/o headache, nausea, emesis - persistent c/o anorexia and mild nausea for 2 - 3 wks.
Age: 1.3
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Increased temperature 105 degrees/ seizure activity. Fever started day of vaccine 6/26/2009 seizure started 6/27/2009.
Age: 11.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm - noted severe redness, erythema, tenderness & swelling Recommended ice packs to area & MOTRIN
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Incorrect route of drug administration
Clinical narrative: Patient received VARIVAX IM instead of Sub-Q.
Age: 67.0
Sex: M
Vaccine: DT, VARZOS
Symptoms: Sensory disturbance
Clinical narrative: Pt reports insect bite like sensations on arms/legs/back & will have appointment w/ MD to examine per case in case he is developing shingles.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Patient here for physical with foster mom (her aunt). Denied sexual activity; LMP 6/20/09. Office protocol is to do a preg test if receiving HPV.  HepA, MCV4 & HPV given before (+) preg test noted.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Abdominal pain, Blood pressure, Fall, Head injury, Heart rate
Clinical narrative: 7-14-09 8:35 AM - Patient received MENACTRA and ADACEL vaccine. Patient is placed in chair to be observed for 15min. Patient fainted and fell out of chair onto floor and hit R side of head. (mother witnessed fall). Patient placed on exam table examined. Patient c/o nausea, abd pain, and legs tingling - Doctor in at 8:25 BP 120/62, P. 72, pulse ox 100 %. PEARL exam, mouth clear, CV regular, chest clear, abd. completely NT and palp. Symptoms gradually resolved with observation, no specific treatment given. 9:25 AM patient states " I feel fine now". Mother inst. to go to ER if symptoms return.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Nausea, Paraesthesia, Syncope
Clinical narrative: 7-14-09 8:35 AM - Patient received MENACTRA and ADACEL vaccine. Patient is placed in chair to be observed for 15min. Patient fainted and fell out of chair onto floor and hit R side of head. (mother witnessed fall). Patient placed on exam table examined. Patient c/o nausea, abd pain, and legs tingling - Doctor in at 8:25 BP 120/62, P. 72, pulse ox 100 %. PEARL exam, mouth clear, CV regular, chest clear, abd. completely NT and palp. Symptoms gradually resolved with observation, no specific treatment given. 9:25 AM patient states " I feel fine now". Mother inst. to go to ER if symptoms return.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling on the left arm around the deltoid area - Prescribed/ advised to take BENADRYL and ibuprofen. Reaction on the arm then got the KINRIX.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: "Fever, chills, body aches began 2 hours after TDAP administration and lasted 4 days"
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth & streaking of redness to left arm.  Pt denies fever.  Is going to urgent care.  SWM contacted & notified.  Pt given copy of VAER form
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Induration, Injection site erythema, Injection site rash, Mobility decreased, Pain in extremity
Clinical narrative: Redness at injection site, knot in arm, pain, Pt. c/o not  being able to move his arm.  Rash around injection site
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin lesion
Clinical narrative: Less than 24 hrs, acute onset, on back & some on face her anterior & extremities "too many to count"  Recommended TYLENOL & topical BENADRYL every 6 hours & AVENO baths
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Abdominal discomfort, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Within 1 min after vaccines administered patient became pale, diaphoretic, and complained of abdominal discomfort. Also complained of being light headed and "everything going back" symptoms lasted approximately 5 minutes.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was given Adult dose of Hep A - no Adverse Reactions.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient complained of pain in injection site and when examined in the office her left upper arm had approximately a 10cm x12cm red circular area with tenderness with palpitation and warn to touch. Tx was BENADRYL, ibuprofen, prednisone 20mg BID x 2 days, and ice.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives started on shoulders and then spread all over. Started 7/7/09 same evening received shots hives continued to AM, mom notified MD of hives. Recommended to take infant to Doctor. Dr told mom was reaction to shots. Told her to give more BENADRYL. Mom took Infant to Dr Friday 7/10/2009.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Rash erythematous, Skin warm, Swelling
Clinical narrative: Swelling, erythematous, hot, 3/12 cm. TX: KEFLEX, BENADRYL. Cool compresses.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: All of patient's upper arm, where vaccine was administered, became red and swollen.  Remained so for 4-5 days.
Age: 1.3
Sex: M
Vaccine: VARCEL
Symptoms: Injection site mass, Injection site pustule
Clinical narrative: Lump & pustule on right thigh.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Red - indurated - pruritic 12 X 6 cm swelling of leg just inferiorly to DTAP injection one day after administration
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Received vaccine 6/29 - developed reddened, tender area where vaccine was given that night.  Area is larger, still tender 7/11/09.  Given rx for Cefadroxil 500 mg one BID X 20 tablets
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a female in her "mid 60's" who in 2008 (reported as "6 months to one year ago"), was vaccinated with a 0.65mL dose of ZOSTAVAX (Merck) (route and lot number not reported). A "few days after vaccination", the patient experienced redness, inflammation and warmth to the touch at the injection site. The physician reported that the inflammation was the size of an egg and lasted for about three weeks. The patient recovered from the events on an unspecified date. The patient sought unspecified medical attention. Additional information has been requested.
Age: 1.25
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Gait disturbance, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: C/ LEFT LEG RED AND SWOLLEN/ QUICKLY INCREASE SWELLING WITH WARMTH/ ABLE TO BEAR WEIGHT BUT STIFF LEG WITH WALKING/ LEFT ANT. THIGH WITH 5X6 CIRCULAR WARM ERYTH. AROUND VACCINE SITE WITH CENTRAL AREA INDURATION 4 CM AND TENDER, (PREVIOUSLY REPORTED AS 24 CM BY ERROR)
Age: 1.25
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site warmth, Musculoskeletal stiffness, Skin warm
Clinical narrative: C/ LEFT LEG RED AND SWOLLEN/ QUICKLY INCREASE SWELLING WITH WARMTH/ ABLE TO BEAR WEIGHT BUT STIFF LEG WITH WALKING/ LEFT ANT. THIGH WITH 5X6 CIRCULAR WARM ERYTH. AROUND VACCINE SITE WITH CENTRAL AREA INDURATION 4 CM AND TENDER, (PREVIOUSLY REPORTED AS 24 CM BY ERROR)
Age: 1.25
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: C/ LEFT LEG RED AND SWOLLEN/ QUICKLY INCREASE SWELLING WITH WARMTH/ ABLE TO BEAR WEIGHT BUT STIFF LEG WITH WALKING/ LEFT ANT. THIGH WITH 5X6 CIRCULAR WARM ERYTH. AROUND VACCINE SITE WITH CENTRAL AREA INDURATION 4 CM AND TENDER, (PREVIOUSLY REPORTED AS 24 CM BY ERROR)
Age: 1.25
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Musculoskeletal stiffness
Clinical narrative: C/ LEFT LEG RED AND SWOLLEN/ QUICKLY INCREASE SWELLING WITH WARMTH/ ABLE TO BEAR WEIGHT BUT STIFF LEG WITH WALKING/ LEFT ANT. THIGH WITH 5X6 CIRCULAR WARM ERYTH. AROUND VACCINE SITE WITH CENTRAL AREA INDURATION 4 CM AND TENDER, (PREVIOUSLY REPORTED AS 24 CM BY ERROR)
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Injection site warmth, Vision blurred
Clinical narrative: Initial report received on 16 September 2008 from a healthcare professional. A 31 year old female, with no medical history and who was using Nuvaring, received on 11 September 2008, a left deltoid intramuscular injection of ADACEL (lot number C2768AA). Her last "td" vaccination was in 2000 and adverse event following prior vaccinations was unknown. After an unspecified amount of time on the day of vaccination (11 September 2008), the patient complained of blurred vision, lightheadness and warmth at the injection site. She went to the emergency room. Corrective treatment was not reported. The patient's recovery status was reported as unknown. Follow-up information was received 02 October 2008 from a health care professional who confirmed that the patient had recovered from the event (date of recovery not reported).
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Epilepsy
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). The physician mentioned that a patient's mother told him that a magazine had an article which stated that a female had a seizure after receiving GARDASIL. She was later diagnosed with epilepsy. The physician stated he had not seen the article and that he was not familiarized with the magazine. Upon internal review, epilepsy was determined to be an other important medical event. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Bronchiolitis, Colectomy
Clinical narrative: Information has been received from a physician and a certified medical assistant concerning a approximately 18 week old male with dermatitis from 02-OCT-2008 who on 30-DEC-2008 was vaccinated with a first 2ml dose of ROTATEQ (lot# 662735/1101X) orally. The patient also received RECOMBIVAX HB (MSD, thimerosal-free, lot# 661596/0919X) into left thigh, PENTACEL (lot# C3240AA) into left thigh and PREVNAR (lot# DD01075) into right thigh at the same day. Other concomitant therapy included topical hydrocortisone. In February 2009, the patient experienced bronchiolitis, from which he recovered. On 15-MAY-2009, the patient developed nausea and vomiting, dehydration, report of one tarry stool and abdominal pain. On 18-MAY-2009 the patient presented to the office, the physician palpated an abdominal mass in the lower left quadrant (LLQ) and sent the baby to the emergency room. There the baby was admitted on 18-MAY-2009. A KUB X-ray was performed on 18-MAY-2009 and showed that the baby had intussusception. At the same day, Barium/air contrast enema was done, but the patient developed a perforated bowel. Partial colectomy and appendectomy were performed on 18-MAY-2009. The baby was discharged on 24-MAY-2009. On 29-MAY-2009, the baby was readmitted with vomiting. An ultrasound was done that day and showed no evidence of recurring intussusception. There was no fever and the baby was discharged the next day. At the baby's last office visit on 08-JUL-2009, there were no gastrointestinal issues. The patient did not get the second or third dose of ROTATEQ. Additional information is not expected. 7/30/09 Hospital records received DOS 5/18/09 to 5/24/09. Assessment: Bowel perforation, intussusception. Patient presents with moderate intermittent vomiting, hard black tarry stools, decreased oral intake, decreased urine output. Decreased activity and sleeping more. Anterior fontanel sunken. Dehydrated. Small mass in left abdomen. Laparotomy with reduction of ileocolic intussusception, excision of colonic perforation, and appendectomy. ICD9: 560.0, 569.83, 553.1, 466.19, 692.9
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Dehydration, Enema administration, Intestinal perforation, Melaena, Nausea
Clinical narrative: Information has been received from a physician and a certified medical assistant concerning a approximately 18 week old male with dermatitis from 02-OCT-2008 who on 30-DEC-2008 was vaccinated with a first 2ml dose of ROTATEQ (lot# 662735/1101X) orally. The patient also received RECOMBIVAX HB (MSD, thimerosal-free, lot# 661596/0919X) into left thigh, PENTACEL (lot# C3240AA) into left thigh and PREVNAR (lot# DD01075) into right thigh at the same day. Other concomitant therapy included topical hydrocortisone. In February 2009, the patient experienced bronchiolitis, from which he recovered. On 15-MAY-2009, the patient developed nausea and vomiting, dehydration, report of one tarry stool and abdominal pain. On 18-MAY-2009 the patient presented to the office, the physician palpated an abdominal mass in the lower left quadrant (LLQ) and sent the baby to the emergency room. There the baby was admitted on 18-MAY-2009. A KUB X-ray was performed on 18-MAY-2009 and showed that the baby had intussusception. At the same day, Barium/air contrast enema was done, but the patient developed a perforated bowel. Partial colectomy and appendectomy were performed on 18-MAY-2009. The baby was discharged on 24-MAY-2009. On 29-MAY-2009, the baby was readmitted with vomiting. An ultrasound was done that day and showed no evidence of recurring intussusception. There was no fever and the baby was discharged the next day. At the baby's last office visit on 08-JUL-2009, there were no gastrointestinal issues. The patient did not get the second or third dose of ROTATEQ. Additional information is not expected. 7/30/09 Hospital records received DOS 5/18/09 to 5/24/09. Assessment: Bowel perforation, intussusception. Patient presents with moderate intermittent vomiting, hard black tarry stools, decreased oral intake, decreased urine output. Decreased activity and sleeping more. Anterior fontanel sunken. Dehydrated. Small mass in left abdomen. Laparotomy with reduction of ileocolic intussusception, excision of colonic perforation, and appendectomy. ICD9: 560.0, 569.83, 553.1, 466.19, 692.9
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Ultrasound scan normal, Urinary system X-ray, Vomiting, X-ray abnormal
Clinical narrative: Information has been received from a physician and a certified medical assistant concerning a approximately 18 week old male with dermatitis from 02-OCT-2008 who on 30-DEC-2008 was vaccinated with a first 2ml dose of ROTATEQ (lot# 662735/1101X) orally. The patient also received RECOMBIVAX HB (MSD, thimerosal-free, lot# 661596/0919X) into left thigh, PENTACEL (lot# C3240AA) into left thigh and PREVNAR (lot# DD01075) into right thigh at the same day. Other concomitant therapy included topical hydrocortisone. In February 2009, the patient experienced bronchiolitis, from which he recovered. On 15-MAY-2009, the patient developed nausea and vomiting, dehydration, report of one tarry stool and abdominal pain. On 18-MAY-2009 the patient presented to the office, the physician palpated an abdominal mass in the lower left quadrant (LLQ) and sent the baby to the emergency room. There the baby was admitted on 18-MAY-2009. A KUB X-ray was performed on 18-MAY-2009 and showed that the baby had intussusception. At the same day, Barium/air contrast enema was done, but the patient developed a perforated bowel. Partial colectomy and appendectomy were performed on 18-MAY-2009. The baby was discharged on 24-MAY-2009. On 29-MAY-2009, the baby was readmitted with vomiting. An ultrasound was done that day and showed no evidence of recurring intussusception. There was no fever and the baby was discharged the next day. At the baby's last office visit on 08-JUL-2009, there were no gastrointestinal issues. The patient did not get the second or third dose of ROTATEQ. Additional information is not expected. 7/30/09 Hospital records received DOS 5/18/09 to 5/24/09. Assessment: Bowel perforation, intussusception. Patient presents with moderate intermittent vomiting, hard black tarry stools, decreased oral intake, decreased urine output. Decreased activity and sleeping more. Anterior fontanel sunken. Dehydrated. Small mass in left abdomen. Laparotomy with reduction of ileocolic intussusception, excision of colonic perforation, and appendectomy. ICD9: 560.0, 569.83, 553.1, 466.19, 692.9
Sex: M
Vaccine: VARZOS
Symptoms: Agitation, Delirium, Dementia
Clinical narrative: Information has been received from a registered nurse concerning a male with no patient medical history who on approximately 07-JUL-2009 "one week ago" was vaccinated with ZOSTAVAX (Merck). On 13-JUL-2009 the patient developed agitation, dementia and delirium. The patient went to an emergency room and admitted into the hospitalized. The patient's agitation, dementia and delirium persisted. Dementia and delirium were considered to be disabling by the reporter. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Body temperature decreased, Circadian rhythm sleep disorder, Dizziness, Dyspepsia
Clinical narrative: Fatigue for the first few weeks, panic attacks, low body temperature, difficulty swallowing, unable to digest food properly, regurgitation, circadian rhythm disorder symptoms, shortness of breath, extreme irritability, constant headache and head feeling heavy, weakness, eyes became sensitive to light, blurry vision, dizziness.  8/11/09 PCP records received.  Seen 8/27/07 with c/o panic attack sx since 8/8/07 :tachycardia, difficulty swallowing, scared, throat tightness, also feeling sleepy, cold and with tightness in neck and shoulders.  Assessment:  Panic attacks, tachycardia, constipation.  Encouraged meds for anxiety.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Dyspnoea, Fatigue, Head discomfort, Headache
Clinical narrative: Fatigue for the first few weeks, panic attacks, low body temperature, difficulty swallowing, unable to digest food properly, regurgitation, circadian rhythm disorder symptoms, shortness of breath, extreme irritability, constant headache and head feeling heavy, weakness, eyes became sensitive to light, blurry vision, dizziness.  8/11/09 PCP records received.  Seen 8/27/07 with c/o panic attack sx since 8/8/07 :tachycardia, difficulty swallowing, scared, throat tightness, also feeling sleepy, cold and with tightness in neck and shoulders.  Assessment:  Panic attacks, tachycardia, constipation.  Encouraged meds for anxiety.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Irritability, Panic attack, Photophobia, Regurgitation, Vision blurred
Clinical narrative: Fatigue for the first few weeks, panic attacks, low body temperature, difficulty swallowing, unable to digest food properly, regurgitation, circadian rhythm disorder symptoms, shortness of breath, extreme irritability, constant headache and head feeling heavy, weakness, eyes became sensitive to light, blurry vision, dizziness.  8/11/09 PCP records received.  Seen 8/27/07 with c/o panic attack sx since 8/8/07 :tachycardia, difficulty swallowing, scared, throat tightness, also feeling sleepy, cold and with tightness in neck and shoulders.  Assessment:  Panic attacks, tachycardia, constipation.  Encouraged meds for anxiety.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Joint range of motion decreased, Joint swelling, Pain in extremity
Clinical narrative: 50yo male received pneumococcal vaccine in left deltoid on 7/7/09. Later that evening he called the medical center complaining of pain, warmth, and redness in the same arm. He presented to urgent care the following day, with fever of 100, and swollen, erythematous R elbow and soft tissue proximal to elbow. Was treated for cellulitis with clindamycin. Returned the following day unable to move the joint and evaluated and admitted by surgery to observe for necrotizing fasciitis (determined not to be necrotizing cellulitis). Was treated with IV vancomycin and clindamycin for two days with significant improvement and was discharged 2 days later on po BACTRIM and clindamycin. The affected vial was already completely administered by the time he presented, no other reports from other patients. The erythema and swelling started closer to the elbow than the deltoid where the injection was given.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: 50yo male received pneumococcal vaccine in left deltoid on 7/7/09. Later that evening he called the medical center complaining of pain, warmth, and redness in the same arm. He presented to urgent care the following day, with fever of 100, and swollen, erythematous R elbow and soft tissue proximal to elbow. Was treated for cellulitis with clindamycin. Returned the following day unable to move the joint and evaluated and admitted by surgery to observe for necrotizing fasciitis (determined not to be necrotizing cellulitis). Was treated with IV vancomycin and clindamycin for two days with significant improvement and was discharged 2 days later on po BACTRIM and clindamycin. The affected vial was already completely administered by the time he presented, no other reports from other patients. The erythema and swelling started closer to the elbow than the deltoid where the injection was given.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, MMR, VARCEL
Symptoms: Cough, Lip swelling, Urticaria
Clinical narrative: After 15 minutes of giving KINRIX, VZV and MMR, the child developed coughing, hives and swelling of the lips.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Breath sounds abnormal, Crying
Clinical narrative: G. mom - Reports crying x 2/2 hrs after vaccine administration. G. mom "thinks child not breathing normal". Examined in office 5 hr > administration of vaccine. No local reaction @ vaccine site lmp: "crying reaction to immunization"
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Rash erythematous, Rash papular, Swelling
Clinical narrative: Raised erythematous somewhat confluent papules that covered anterior upper chest only-itchy. OTC steroid cream.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash papular, Varicella post vaccine
Clinical narrative: On 7/3/09 patient started running a fever, that night ok on 7/4. The fever stopped. On 7/5 patient broke out with "spots". She had several - all over "they were more like pimples than anything". Mom took her to MD. He said it was chicken pox.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, pain and itching at site of TRIPEDIA injection- (RIE suggested). Dr. stated to mom-mild reaction. Called 7/17/09 12N Mom says slowly better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: 7/16/09 pm - Received care from MD's office stating, pt. there with c/o "redness and knot" in right deltoid area - child had school booster at Health Dept on 7/14/09 - Mom states arm became red, swollen and hot to touch on 7/15/09 - States very red on 7/16/09 - States "that's when I came here to the doctor".
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: 7/16/09 pm - Received care from MD's office stating, pt. there with c/o "redness and knot" in right deltoid area - child had school booster at Health Dept on 7/14/09 - Mom states arm became red, swollen and hot to touch on 7/15/09 - States very red on 7/16/09 - States "that's when I came here to the doctor".
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Crying, Injection site erythema, Injection site urticaria
Clinical narrative: X 1 Hive at the site of injection. Measuring 15L mm x 12mm w. Redness around the site 30mm x 15mm. Excess crying x 1 hr.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: Patient received Zostavax vaccine on 07/10/2009.  She returned to the office today with a rash on her back and left side, painful for six days.  Shingles.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Administered adult dose of Hep B vaccine to client in error vs. adolescent dose. No adverse event noted at time of administration of vaccine.
Age: 48.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Received two doses of Tdap.  First dose 6/11/2009 and second dose today, 7/21/2009.  No adverse reactions at this time.
Age: 23.0
Sex: F
Vaccine: IPV, PPV
Symptoms: Body temperature increased, Headache, Oedema peripheral
Clinical narrative: Patient complained of right swollen arm and slight temp of 99.  She also complained of a headache. This was initially relieved with aspirin and Benadryl but later spiked to 102. Consulted PCP who advised current treatment in which temperature did go down. FYI Patient received HPV vaccine at civil surgeon's office and not at facility.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Varicella vaccine given 7-18-09 in Left arm subcutaneous. Sat 10 minutes in office, no problmes at that time.  Mother states child had a small red circle at injection site on 7-18-09 the evening of the injection   On 7-19-09 mother states that the injection site was red and the size of a peach.  Mother states 7-20-09, arm was red and very swollen, and child had itching at the site.  States took to the doctor and was given medication to prevent pruritis, and an antibiotic.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Nervousness, Pallor
Clinical narrative: Starting the night of immunization he felt shaky all night.  next day he was pale, elevated heart rate, weakness, difficulty breathing.  After taking Benadryl there was significant improvement and now he is fine
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Hypotonia, Hypotonic-hyporesponsive episode, Unresponsive to stimuli
Clinical narrative: Approximately seven hours after receiving immunizations, patient had 7-10 minute episode of unresponsiveness and being "limp". Episode followed prolonged crying and inconsolable period. Resolved before arriving at ED. Normal exam at ED evaluation. Subsequent evaluation diagnosed hypotonic, hyporesponsive event.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Culture, Erythema, Injection site pain, Injection site warmth
Clinical narrative: BURNING REDNESS AND EXTREME SWOLLEN. WENT TO ER. EVER SINCE THE SHOT SHE HAS HAD PAIN. WAS GIVEN BENADRYL ORIGINALLY WHICH TEMPORARILY HELPED. PAIN IN ARM AT INJECTION SITE ACHES (LIKE A TOOTHACHE). THERE IS ALSO INTENSE HEAT AND SHE USES ICE PACKS FOR RELIEF. THE PAIN AND TINGLENESS ALSO RUNS DOWN INTO OR LEG AND THIGHS. SHE HAS CALLED 911 ON A FEW OCCASIONS. WAS AN OTHERWISE HEALTHY AND PAIN FREE INDIVIDUAL BEFORE GETTING THE VACCINE SHOT.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Nerve conduction studies, Pain, Paraesthesia, Swelling
Clinical narrative: BURNING REDNESS AND EXTREME SWOLLEN. WENT TO ER. EVER SINCE THE SHOT SHE HAS HAD PAIN. WAS GIVEN BENADRYL ORIGINALLY WHICH TEMPORARILY HELPED. PAIN IN ARM AT INJECTION SITE ACHES (LIKE A TOOTHACHE). THERE IS ALSO INTENSE HEAT AND SHE USES ICE PACKS FOR RELIEF. THE PAIN AND TINGLENESS ALSO RUNS DOWN INTO OR LEG AND THIGHS. SHE HAS CALLED 911 ON A FEW OCCASIONS. WAS AN OTHERWISE HEALTHY AND PAIN FREE INDIVIDUAL BEFORE GETTING THE VACCINE SHOT.
Age: 32.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Muscle tightness
Clinical narrative: Pain right deltoid starting the day after injection. Today which is six days after injection she has quarter-sized area of redness over injection site with hard tender area below the reddened area.  She also complains of feeling dizzy and has tightness in her left jaw.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain, Blood test, Body temperature increased, Chills, Diarrhoea
Clinical narrative: Tdap received IM on 7/16/09. Employee states symptoms of nausea, vomiting, diarrhea, chills, hives, abdominal pain (10, low grade temp started on 7/18/09. Symptoms severe enough for employee to go to the ER. Treatment included IV Benadryl, IV phenergan, IV fluid 1.5 liters. Sore arm.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Influenza serology, Nausea, Pain in extremity, Urine analysis, Urticaria
Clinical narrative: Tdap received IM on 7/16/09. Employee states symptoms of nausea, vomiting, diarrhea, chills, hives, abdominal pain (10, low grade temp started on 7/18/09. Symptoms severe enough for employee to go to the ER. Treatment included IV Benadryl, IV phenergan, IV fluid 1.5 liters. Sore arm.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: Tdap received IM on 7/16/09. Employee states symptoms of nausea, vomiting, diarrhea, chills, hives, abdominal pain (10, low grade temp started on 7/18/09. Symptoms severe enough for employee to go to the ER. Treatment included IV Benadryl, IV phenergan, IV fluid 1.5 liters. Sore arm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient reports fever last evening.  Marked swelling of left upper arm with redness and several bumps on the skin. Area is warm to touch. Area outlined with ballpoint and patient instructed to use ibuprofen 800mg TID as well as ice to area and benadryl 50mg every 6 hours as needed.  She will report back with any increase in size
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: Patient with history of cluster headaches.  Recently started on topamax.  Headaches controlled.  Approximately three minutes after administration of Gardasil vaccine, the patient experienced onset of severe headache
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Diarrhoea, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: fever, rash at site, swelling at site, diarrhea, generalized joint pain
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Inflammation, Local reaction, Pyrexia, Skin irritation
Clinical narrative: Localized inflammatory irritation with proximal radial to shoulder perceived redness and warmth. Well circumscribed and mild palpable fever over lateral upper arm without induration. Local reaction to vaccination, possible mild early cellulitis.  Cephalexin 500mgm Qid x5 days. RTC 7-24-09. Client assessed by PA-C.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Skin warm
Clinical narrative: Localized inflammatory irritation with proximal radial to shoulder perceived redness and warmth. Well circumscribed and mild palpable fever over lateral upper arm without induration. Local reaction to vaccination, possible mild early cellulitis.  Cephalexin 500mgm Qid x5 days. RTC 7-24-09. Client assessed by PA-C.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: VARICELLA 3
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after administration of HPV patient fainted. Dr. reassessed patient for injury and reaction. Afterwhich patient was o.k.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Left upper arm rash/pain starting 1 day after vaccine.
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dysarthria, Dysphagia, Headache, Nausea, Paraesthesia
Clinical narrative: LEFT SIDED FACIAL SWELLING, TONGUE SWELLING, SLURRED SPEECH, DYSPHAGIA, ARM AND FEET TINGLING, HEADACHE, NAUSEA.  SYMPTOMS STARTED THE EVENING THAT THE VACCINES WERE ADMINISTERED AND CONTINUED TO PROGRESS THROUGH THE NIGHT AND INTO THE NEXT MORNING.  8/3/09 Spoke with parent who stated pcp felt it was an allergic reaction.  No hospital or ER visits.  Fully recovered with minor scarring at injection site.  Case closed.
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Swelling face, Swollen tongue
Clinical narrative: LEFT SIDED FACIAL SWELLING, TONGUE SWELLING, SLURRED SPEECH, DYSPHAGIA, ARM AND FEET TINGLING, HEADACHE, NAUSEA.  SYMPTOMS STARTED THE EVENING THAT THE VACCINES WERE ADMINISTERED AND CONTINUED TO PROGRESS THROUGH THE NIGHT AND INTO THE NEXT MORNING.  8/3/09 Spoke with parent who stated pcp felt it was an allergic reaction.  No hospital or ER visits.  Fully recovered with minor scarring at injection site.  Case closed.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Beginning at 6:00 pt c/o soreness.  On the next am noted redness, paiful to touch, warmth and edema rt arm. Applied ice packs and OTC Benadryl given.  Pt seen via PCP on 7-14-09 at 12:00 MD assessment - 5 cm X 8 cm red indurated area rt deltoid - ice and Benadryl 25mg TID ordered with well hydration ordered.  S/S improved later that pm.
Age: 1.04
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Body temperature increased, Rash, Rash generalised, Rash pustular, Vaccination site reaction
Clinical narrative: VACCINE GIVEN ON THE 10 OF JULY, CAME BACK ON JULY 20TH OF 2009 FOR A POSSIBLE REACTION TO AMOX AND DR. ALSO SUSPECTED A VACCINE REACTION. TEMPERATURE 99.0 WEIGHT 28.6 POUNDS RASH ON FACE AND CHEST. SOME AREAS HAD PIN HEAD SIZE PUSTULES. WAS GIVEN KEFLEX. CAME BACK THE 21ST OF JULY DR. CONFIRMED VACCINE REACTION TO MMR. TEMPERATURE 102.9 WEIGHT 27 POUNDS RASH SCATTERED TO BODY AND EXTREMITIES. PUSTULES ON LEGS ARE RESOLVING. TIME COURSE  WEEKS.
Age: 1.04
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Weight increased
Clinical narrative: VACCINE GIVEN ON THE 10 OF JULY, CAME BACK ON JULY 20TH OF 2009 FOR A POSSIBLE REACTION TO AMOX AND DR. ALSO SUSPECTED A VACCINE REACTION. TEMPERATURE 99.0 WEIGHT 28.6 POUNDS RASH ON FACE AND CHEST. SOME AREAS HAD PIN HEAD SIZE PUSTULES. WAS GIVEN KEFLEX. CAME BACK THE 21ST OF JULY DR. CONFIRMED VACCINE REACTION TO MMR. TEMPERATURE 102.9 WEIGHT 27 POUNDS RASH SCATTERED TO BODY AND EXTREMITIES. PUSTULES ON LEGS ARE RESOLVING. TIME COURSE  WEEKS.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Eyelid oedema, Feeding disorder of infancy or early childhood, Injection site swelling, Swelling face
Clinical narrative: Received vaccines at 2:30 pm office visit on 5-13-09. By 8:30 pm child had facial swelling and eyelid swelling. Poor feeding, swelling of injection site. And was taken to ER where child was given BENADRYL. No labs done. Swelling decreased in 45 min-1hr.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Heart rate increased, Pain, Pruritus
Clinical narrative: Monday administration, dizziness for 30minutes (rapid heart). Itching and soreness and redness. Chief complaint redness increasing in size.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Chills, Somnolence
Clinical narrative: Pt developed chills Monday evening with Temp 102.4 that night. Parent treated temp with Ibuprofen alternated with TYLENOL. Child slept a lot 7/14/09. Pt seen back in clinic 7-15-09. No redness, no edema of injection sites. No c/o pain. Temp 99 degrees.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Nausea
Clinical narrative: 2 d. after immunization began having brief (about 30 mins) periods of dizziness and nausea.  Episodes are self - limited.  Exam is normal.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Blood culture positive, Culture stool negative, Diarrhoea haemorrhagic, Frequent bowel movements
Clinical narrative: The day after child received rotavirus vaccine, she developed bloody diarrhea. Initial blood culture was positive but repeat neg. Even several days later, frequent BMS continued (13 times) with occ blood specks.  7/30/09 Hospital records received DOS 7/9/09 to 7/10/09. Assessment: Bloody diarrhea, likely infectious.  Patient presented with bloody stools. Twin sister and mother also have bloody stools. Loud systolic murmur. 9/9/09-ICD-9 codes received 558.3.
Age: 1.2
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Abasia, Crying
Clinical narrative: Inconsolable crying last evening (7-15-09) x 4 to 5 hours. Would not walk at that time.
Age: 0.18
Sex: F
Vaccine: RV5
Symptoms: Culture stool negative, Feeding disorder of infancy or early childhood, Feeling cold, Haematochezia
Clinical narrative: After child received rotavirus vaccine, she was difficult to feed, felt cold. The next day she had BMs with frank blood. She was admitted overnight, BMs continued to be frequent but frank blood resolved.  7/30/09 Hospital records received DOS 7/9/09 to 7/10/09. Assessment: Bloody diarrhea, likely infectious. Father reports child at end of feed appeared uncomfortable and felt cool. Blood in stool for 3 days. Twin sister with bloody and mucousy stools. Mother had blood in stools and abdominal cramping.  10/5/09 ICD-9 Codes Received: 578.1 Blood in Stool, 009.2 Infectious Diarrhea.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Nausea, Pain
Clinical narrative: Temp. 1004, body aches, nausea.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Activities of daily living impaired, Asthenia, Cold sweat, Dizziness, Pallor
Clinical narrative: Dizziness, weakness, had to stop usual activities at school and went home. Was pale and clammy when the mother picked him up from school, the symptoms resolved after about 24 hours.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Dizziness, Fatigue, Syncope, Visual impairment
Clinical narrative: Client experienced dizziness, fainting, vision disturbances, and fatigue beginning the morning after vaccination. Pt was advised to go to doctor immediately. Multiple attempts were made to follow -up. Unable to reach client or her mother.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Electrocardiogram, Immediate post-injection reaction, Nausea, Tremor
Clinical narrative: Immediately after shots were given Pt became unresponsive. Had small seizure lasting only few seconds. We opened airway and laid her flat. She came around quickly no post vital state. Was nauseated, shaky. Call mom and when she got here we called 911. Pt was taken to OSF - EKG labs were done she was released.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Immediately after shots were given Pt became unresponsive. Had small seizure lasting only few seconds. We opened airway and laid her flat. She came around quickly no post vital state. Was nauseated, shaky. Call mom and when she got here we called 911. Pt was taken to OSF - EKG labs were done she was released.
Age: 23.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Rt arm-area red-warm-swollen-tender to touch. (varicella like) raised area about size of silver dollar-red area about 3" wide and 4 1/2-5" long- Recommended ice 20 min on-20 min off and Ibuprofen if no relief or s/s increase to see phy. for eval.
Age: 6.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Urticaria
Clinical narrative: Developed hives after KINRIX immunization. Came into office 7/16/09. Put on BENADRYL 1 1/2 tsp TID and  PERIACTIN 1 tsp TID, no fever or distress.
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Zostavax vaccine given subcutaneous left upper arm 7-9-09.  Developed erythema, tenderness, swelling, and warmth at injection site on 7-10-09.  Saw physician 7-11-09, recommended ice, antihistamine, and prescribed CEFUROXIME 500 mg BID x 7 days.
Age: 27.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Pain, Pruritus, Rash papular
Clinical narrative: Pruritis, painful, papular rash of hands, spreadinig to arms, then legs.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Anaphylactic reaction, Depressed level of consciousness, Erythema, Lethargy, Pruritus
Clinical narrative: Anaphylaxis:  Child presented with hives, itching and redness on face, also c/o feet itching at 1456 hrs - 7 minutes after receiving immunizations.  He was evaluated by physician, his lungs were clear, BENADRYL 12.5 mg PO administered, was monitored.  Child became lethargic, decreased responsiveness and wheezing bilat.  One dose epi - pen 0.15 mg was administered at 1518 hrs.  Child recovered within one minute.  Lungs were CTA, VS stable.  Monitored in clinic greater than 2 hours.