chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Platelet count decreased, Platelet transfusion, Pseudomonal sepsis, Pyrexia, Rash
Clinical narrative: Patient was a term infant who had had an uneventful delivery.  He did develop a fever in the first 24 hours of life, was treated with IV antibiotics but blood culture was negative so IV abx were stopped after 48 hours.  He was monitored for several days and did well.  He was scheduled for discharge and received HepB vaccine 24 hour prior to scheduled discharge.  12 hours after immunization, parents report his fevers returned and he developed a skin rash.  He also had difficulty breathing requiring supplemental oxygen by nasal cannula.  A few days later, he deteriorated dramatically, required endotracheal intubation and started having seizures.  He then became encephalopathic and had cardiopulmonary collapse as well as multi-system organ failure.  An EXTENSIVE work up was done.  No infectious, endocrinologic, hematologic or neurologic cause was found.  He developed massive ascites, hepatosplenomagaly and renal failure requiring peritoneal dialysis.  He had skin biopsies, liver biopsies, bone marrow biopsies in addition to an exhaustive amount of blood work for common and rare disorders-all were negative.  Patient eventually died at 6 weeks of age from Pseudomonal sepsis.  Lab studies showed on DOL #2 showed a normal CBC and differential.  <24 hours after the vaccine, showed severe thrombocytopenia which remained low throughout his hospital course despite twice daily platelet transfusions, etc.  4/11/2008 Autopsy report and Case Summary received for DOD 8/10/2007. Term infant developed fever (T=103'F), respiratory distress and irritability at 4 hrs of age.  Txd with Acyclovir for presumed viral infection, viral cultures (-).  Pt later developed macular rash which resolved. Pt developed fever and increasing respiratory distress ultimately requiring intubation on 7/8/07. Infant became edematous and developed thrombocytopenia and seizures. Transfered to higher level of care. Upon admission pt exibited temperature elevations, twitching, rash, throbocytopenia. Sepsis w/u (-). Pt dx: Bone marrow failure with gram-negative sepsis and renal failure. Deeply purpuric rash noted after admission.  6 wk hospital course was dominated by diffuse edema, respiratory distress, thrombocytopenia and renal failure.  ID consult suspect Neonatal Onset Multisystem Inflammatory Disease (NOMID).   Autopsy revealed anasarca, Pseudomonas pneumonia, multiple hemorrhagic infarcts of the spleen, hypoplastic bone marrow, cholestatic hepatopathy, and marked thymic involution.  Presumed COD:  Overwhemling sepsis.  Contributing COD: Pancytopenia.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Renal failure, Thrombocytopenia
Clinical narrative: Patient was a term infant who had had an uneventful delivery.  He did develop a fever in the first 24 hours of life, was treated with IV antibiotics but blood culture was negative so IV abx were stopped after 48 hours.  He was monitored for several days and did well.  He was scheduled for discharge and received HepB vaccine 24 hour prior to scheduled discharge.  12 hours after immunization, parents report his fevers returned and he developed a skin rash.  He also had difficulty breathing requiring supplemental oxygen by nasal cannula.  A few days later, he deteriorated dramatically, required endotracheal intubation and started having seizures.  He then became encephalopathic and had cardiopulmonary collapse as well as multi-system organ failure.  An EXTENSIVE work up was done.  No infectious, endocrinologic, hematologic or neurologic cause was found.  He developed massive ascites, hepatosplenomagaly and renal failure requiring peritoneal dialysis.  He had skin biopsies, liver biopsies, bone marrow biopsies in addition to an exhaustive amount of blood work for common and rare disorders-all were negative.  Patient eventually died at 6 weeks of age from Pseudomonal sepsis.  Lab studies showed on DOL #2 showed a normal CBC and differential.  <24 hours after the vaccine, showed severe thrombocytopenia which remained low throughout his hospital course despite twice daily platelet transfusions, etc.  4/11/2008 Autopsy report and Case Summary received for DOD 8/10/2007. Term infant developed fever (T=103'F), respiratory distress and irritability at 4 hrs of age.  Txd with Acyclovir for presumed viral infection, viral cultures (-).  Pt later developed macular rash which resolved. Pt developed fever and increasing respiratory distress ultimately requiring intubation on 7/8/07. Infant became edematous and developed thrombocytopenia and seizures. Transfered to higher level of care. Upon admission pt exibited temperature elevations, twitching, rash, throbocytopenia. Sepsis w/u (-). Pt dx: Bone marrow failure with gram-negative sepsis and renal failure. Deeply purpuric rash noted after admission.  6 wk hospital course was dominated by diffuse edema, respiratory distress, thrombocytopenia and renal failure.  ID consult suspect Neonatal Onset Multisystem Inflammatory Disease (NOMID).   Autopsy revealed anasarca, Pseudomonas pneumonia, multiple hemorrhagic infarcts of the spleen, hypoplastic bone marrow, cholestatic hepatopathy, and marked thymic involution.  Presumed COD:  Overwhemling sepsis.  Contributing COD: Pancytopenia.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Death, Multi-organ failure
Clinical narrative: Patient was a term infant who had had an uneventful delivery.  He did develop a fever in the first 24 hours of life, was treated with IV antibiotics but blood culture was negative so IV abx were stopped after 48 hours.  He was monitored for several days and did well.  He was scheduled for discharge and received HepB vaccine 24 hour prior to scheduled discharge.  12 hours after immunization, parents report his fevers returned and he developed a skin rash.  He also had difficulty breathing requiring supplemental oxygen by nasal cannula.  A few days later, he deteriorated dramatically, required endotracheal intubation and started having seizures.  He then became encephalopathic and had cardiopulmonary collapse as well as multi-system organ failure.  An EXTENSIVE work up was done.  No infectious, endocrinologic, hematologic or neurologic cause was found.  He developed massive ascites, hepatosplenomagaly and renal failure requiring peritoneal dialysis.  He had skin biopsies, liver biopsies, bone marrow biopsies in addition to an exhaustive amount of blood work for common and rare disorders-all were negative.  Patient eventually died at 6 weeks of age from Pseudomonal sepsis.  Lab studies showed on DOL #2 showed a normal CBC and differential.  <24 hours after the vaccine, showed severe thrombocytopenia which remained low throughout his hospital course despite twice daily platelet transfusions, etc.  4/11/2008 Autopsy report and Case Summary received for DOD 8/10/2007. Term infant developed fever (T=103'F), respiratory distress and irritability at 4 hrs of age.  Txd with Acyclovir for presumed viral infection, viral cultures (-).  Pt later developed macular rash which resolved. Pt developed fever and increasing respiratory distress ultimately requiring intubation on 7/8/07. Infant became edematous and developed thrombocytopenia and seizures. Transfered to higher level of care. Upon admission pt exibited temperature elevations, twitching, rash, throbocytopenia. Sepsis w/u (-). Pt dx: Bone marrow failure with gram-negative sepsis and renal failure. Deeply purpuric rash noted after admission.  6 wk hospital course was dominated by diffuse edema, respiratory distress, thrombocytopenia and renal failure.  ID consult suspect Neonatal Onset Multisystem Inflammatory Disease (NOMID).   Autopsy revealed anasarca, Pseudomonas pneumonia, multiple hemorrhagic infarcts of the spleen, hypoplastic bone marrow, cholestatic hepatopathy, and marked thymic involution.  Presumed COD:  Overwhemling sepsis.  Contributing COD: Pancytopenia.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Anaphylactic reaction, Death, Hypersensitivity, Immediate post-injection reaction
Clinical narrative: Patient was a term infant who had had an uneventful delivery.  He did develop a fever in the first 24 hours of life, was treated with IV antibiotics but blood culture was negative so IV abx were stopped after 48 hours.  He was monitored for several days and did well.  He was scheduled for discharge and received HepB vaccine 24 hour prior to scheduled discharge.  12 hours after immunization, parents report his fevers returned and he developed a skin rash.  He also had difficulty breathing requiring supplemental oxygen by nasal cannula.  A few days later, he deteriorated dramatically, required endotracheal intubation and started having seizures.  He then became encephalopathic and had cardiopulmonary collapse as well as multi-system organ failure.  An EXTENSIVE work up was done.  No infectious, endocrinologic, hematologic or neurologic cause was found.  He developed massive ascites, hepatosplenomagaly and renal failure requiring peritoneal dialysis.  He had skin biopsies, liver biopsies, bone marrow biopsies in addition to an exhaustive amount of blood work for common and rare disorders-all were negative.  Patient eventually died at 6 weeks of age from Pseudomonal sepsis.  Lab studies showed on DOL #2 showed a normal CBC and differential.  <24 hours after the vaccine, showed severe thrombocytopenia which remained low throughout his hospital course despite twice daily platelet transfusions, etc.  4/11/2008 Autopsy report and Case Summary received for DOD 8/10/2007. Term infant developed fever (T=103'F), respiratory distress and irritability at 4 hrs of age.  Txd with Acyclovir for presumed viral infection, viral cultures (-).  Pt later developed macular rash which resolved. Pt developed fever and increasing respiratory distress ultimately requiring intubation on 7/8/07. Infant became edematous and developed thrombocytopenia and seizures. Transfered to higher level of care. Upon admission pt exibited temperature elevations, twitching, rash, throbocytopenia. Sepsis w/u (-). Pt dx: Bone marrow failure with gram-negative sepsis and renal failure. Deeply purpuric rash noted after admission.  6 wk hospital course was dominated by diffuse edema, respiratory distress, thrombocytopenia and renal failure.  ID consult suspect Neonatal Onset Multisystem Inflammatory Disease (NOMID).   Autopsy revealed anasarca, Pseudomonas pneumonia, multiple hemorrhagic infarcts of the spleen, hypoplastic bone marrow, cholestatic hepatopathy, and marked thymic involution.  Presumed COD:  Overwhemling sepsis.  Contributing COD: Pancytopenia.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Left arm sore with a red bumpy rash that extended down the arm. Patient states that rash lasted for one month. Did not call our office to report adverse reaction. Immunization administered was Gardasil #2.
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Crying, Diarrhoea, Discomfort, Irritability
Clinical narrative: Mother reports that starting with the date of the vaccinations, the child was fussy and sleepy developing a low grade fever 100 degrees F taken by ear thermometer.  Symptoms progressed to vomiting and diarrhea for several days.  She finally took her to her family doctor on 4/3 for evaluation.  She told him that she had received immunizations but didn't present him with the record of the vaccines received.  She continues today to have a fever of 100.8 via ear thermometer and is fussy.  Mother has been giving alternating doses of Tylenol and Motrin to deal with the fever and discomfort.  Her primary concern at this time is the unusual behavior in her normally happy child.  She isn't sleeping through the night crying out for a minute or two periodically.  She is eating OK but continues to be fussy throughout the day alternating between periods of happy and sad.  Mother reports that her two older sons didn't respond to the vaccines in this manner.
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Mood disorder due to a general medical condition, Pyrexia, Somnolence, Vomiting
Clinical narrative: Mother reports that starting with the date of the vaccinations, the child was fussy and sleepy developing a low grade fever 100 degrees F taken by ear thermometer.  Symptoms progressed to vomiting and diarrhea for several days.  She finally took her to her family doctor on 4/3 for evaluation.  She told him that she had received immunizations but didn't present him with the record of the vaccines received.  She continues today to have a fever of 100.8 via ear thermometer and is fussy.  Mother has been giving alternating doses of Tylenol and Motrin to deal with the fever and discomfort.  Her primary concern at this time is the unusual behavior in her normally happy child.  She isn't sleeping through the night crying out for a minute or two periodically.  She is eating OK but continues to be fussy throughout the day alternating between periods of happy and sad.  Mother reports that her two older sons didn't respond to the vaccines in this manner.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: FRONTAL HEADACHE AFTER 15 MINUTES. FELT BETTER WITH SUPINE.
Age: 1.7
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pruritus, Rash generalised
Clinical narrative: Mother of child reports that child got a rash around 4pm on 4/7/08 that was on the child's entire body.  The rash is reported to come and go.  The mother describes the rash as red with white bumps and a few red bumps.  Mom reports that child did not sleep well on the night of 4/7/08 because the child itched all night.  Mother of child reports that child does not have a fever and that child id "acts fine".
Age: 44.0
Sex: F
Vaccine: HEPAB, IPV, TDAP
Symptoms: Diarrhoea, Fatigue, Nausea
Clinical narrative: Pt. started Oral Typhoid pills on 3/18/08 and took a pill on 3/20, 3/22, 3/24. Pt did experience Nausea and Diarrhea shortly after taking the first dose. Pt came to office today for Twinrix #3 accelerated and stated that she is exhausted and still having diarrhea daily. Instructed pt to go to her primary doctor.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discolouration, Injection site pain, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: Pain, swelling, purple color at injection site starting 4/5. Injection site itchy starting 4/8. Low grade fever with rash on neck and trunk starting 4/5. Lymph nodes swollen starting 4/7. Felt bad for 4/5 and 4/6. Beginning to feel better 4/8.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Pyrexia, Rash
Clinical narrative: Pain, swelling, purple color at injection site starting 4/5. Injection site itchy starting 4/8. Low grade fever with rash on neck and trunk starting 4/5. Lymph nodes swollen starting 4/7. Felt bad for 4/5 and 4/6. Beginning to feel better 4/8.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pallor, Petechiae, Rash
Clinical narrative: Called to assist supervisor with client.  He had MMr, Varicella, Prevnar, & HepA around 10am.  About 10:10am a WIC nurse brought to supervisor's attention client had broken out in a rash.  A pinpoint red dot like rash was noted on cheeks bilaterally-paler, sparser dots on abdomen. Child seemed slightly pale. Per standing order at 10:12am 0.1ml epinephrine (1:1000) given IM based on weight of 22 pounds in Rt. vast lat. thigh, 911 called and here about 10:14am.  No shortness of breath, wheezing or respiratory distress noted.  Child and mom left per private car at 10:35am.  Mother was educated that child needed to be seen today and that epinephrine only lasts about 15 minutes.  Mom had an appointment with Dr. at 11am.  Rash noted to be more scarce and faded, but still visible slightly as pale raised areas on cheeks.  Color less pale. Mom left at 10:40am and Dr.'s office called at 10:42am. Report given to nurse and IM record faxed to office.  Chart tagged for possible allergy. Per mom's telephone report Dr. sent child to emergency room.  Mom reports they gave Benadryl 12.5mg and kept patient for several hours to observe reaction.  Mom states child had no further reactions.  She reports today child has a few red dots on face, and a small patch under right areola. Child alert, talking, no signs of repiratory distress per mom's report.  States child has an appointment with Dr. this Wednesday, April 9th for further tests.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anorexia, Cold sweat, Crying, Feeling cold, Pyrexia
Clinical narrative: Fever, not eating/drinking, crying, screaming, inconsolable, cold, clammy.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Screaming
Clinical narrative: Fever, not eating/drinking, crying, screaming, inconsolable, cold, clammy.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV, RV5
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: High fever 103.1.
Age: 31.0
Sex: M
Vaccine: MNQ, TYP
Symptoms: Pyrexia, Virus serology test positive
Clinical narrative: High Fever (>101F) initiating within 4hrs of vaccination, unresponsive to medication (Ibuprofen) X 3 days. Fever responded to medication (Ibuprofen) beginning 4 days post-vaccination and resolved within 7 days post-vaccination.
Age: 0.8
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Computerised tomogram, Convulsion, Nuclear magnetic resonance imaging
Clinical narrative: Apparent seizure on 2-14-2008.  Taken to medical facility emergency room and was held in the hospital overnight for observation.  Patient was transferred to Hospital.  She was seen in the emergency room by Dr., pediatric neurologist, started on phenobarbital and will return to see him on 4-14-2008.  04/18/2008 MR received for DOS 2/15-16/2008 with D/C DX: Complex Partial Seizure.  Otitis media. Pt transfered to facility after being found in crib limp, pale and cyanotic with open eyes.  Infant had been crying previous to the event and suddenly stopped.  Admitted for w/u. PE (+) for R TM redness. Neuro exam WNL.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Periorbital oedema, Urticaria
Clinical narrative: Pt received vaccines yesterday between about 10:30-11:00 am, several hours later (came to urgent care clinic about 6pm) with widespread rash which was dx'd as urticaria, and with periorbital edema. Pt had no g.i. or respiratory symptoms at all. Rash and edema have resolved through the night and pt presents to us this am in no distress, for a recheck.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Feeling cold, Local swelling
Clinical narrative: Patient presented to clinic approx.15 hours after LUA injection with localized swelling in LUA. Patient states that she experienced chills approx 4hrs after injection. No hives, No itching, No SOB. Patient given hot/cold compression Ibuprofen and Benadryl.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: PT. REC. A VARICELLA VACC. RT ARM SUBCUT ON 4/3/08. PT HAD ITCHING ON 4/4/08. PARENT CALLED OUR OFFICE AND WAS ADVISED TO BRING PATIENT IN SO THAT WE COULD SEE HER RT ARM. I MEASURED HER RT ARM SUB CUT AND IT MEASURED 7MM X 6MM SHE HAD REDNESS WITH SWELLING AS WELL AS ITCHING. PARENT WAS ADVISED TO GIVE MOTRIN OR TYLENOL FOR PAIN AND TO USE CORTISONE CREAM AND AND GIVE BENADRYL FOR THE ITCHING. PER RN -
Age: 45.0
Sex: M
Vaccine: JEV, TYP
Symptoms: Cold sweat, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: DIZZINESS, LOSS OF CONSCIOUSNESS, TONIC POSTURING, SEIZURE-LIKE, FLUSHED, DIAPHORETIC, CLAMMY, COLD. PT. AWAKE WITHIN 1-2 MINUTES & FULLY RESPONSIVE & ORIENTED WITHOUT EMERGENCY MEASURES OR MEDICATIONS. b/p 110/70, HR-60 REGULAR. NO RASH/HIVES DISCERNED. ?VASO-VAGAL EVENT VS REACTION.
Age: 45.0
Sex: M
Vaccine: JEV, TYP
Symptoms: Nasopharyngitis, Syncope vasovagal, Tonic clonic movements
Clinical narrative: DIZZINESS, LOSS OF CONSCIOUSNESS, TONIC POSTURING, SEIZURE-LIKE, FLUSHED, DIAPHORETIC, CLAMMY, COLD. PT. AWAKE WITHIN 1-2 MINUTES & FULLY RESPONSIVE & ORIENTED WITHOUT EMERGENCY MEASURES OR MEDICATIONS. b/p 110/70, HR-60 REGULAR. NO RASH/HIVES DISCERNED. ?VASO-VAGAL EVENT VS REACTION.
Age: 1.4
Sex: M
Vaccine: IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: CMA gave patient TdaP instead of Dtap.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Rash pruritic, Rash vesicular, Urticaria
Clinical narrative: MOTHER REPORTED THAT PATIENT WOKE WITH "WELTS" ON LEGS MORNING OF 04/07/2008. WAS ADVISED TO GIVE BENADRYL AT THAT TIME. PATIENT WAS SEEN IN OFFICE 04/08/2008 COMPLAINING THAT RASH WAS SPREADING. EXAM SHOWED VESICULAR LESIONS ON LEGS, CHEST, BACK AND ARMS. ALSO COMPLAINED RASH WAS ITCHY.
Age: 1.08
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Body temperature increased
Clinical narrative: Patient awakened this AM with blisters all over body. Had 100 degree temp since Sunday 3/30/08 (orally). On 4/07/08 nurse stated mother r/t on 4/3/08 and reported child was RX Prednisone and appears to be doing better. M.D. told mother child may have allergy towards milk.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt's husband sched pt for Zostavax vaccination. Pt given vaccination. Went to document vaccination and discovered pt had already received vaccination on 11/8/2007. Pt/spouse informed. Pt had no immediate signs or symptoms. PCP notified, CDC called for recommendations. Pt informed per CDC-No great risk for severe injury but at greater risk for local reaction. Pt informed to call w/any adverse reactions. I will call pt in a few days for f/u.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Irritability, Screaming
Clinical narrative: Mother reported today (4/8/08) that on 2/27/08 beginning at 11:00 pm the baby began to scream, go to fetal position, hold his head with his hands and arms, raise his arms straight up in the air, refused to be cuddled or comforted.  He fell asleep finally at 5:00 am and was completely normal the next day.
Age: 0.36
Sex: F
Vaccine: HIBV, PNC
Symptoms: Eye swelling, Lethargy, Listless, Rash generalised, Swollen tongue
Clinical narrative: Red rash developed all over her body, minor swelling in the eyes and tongue, listlessness and lethargy.  Patient was aken to the emergency room where she was given Benadryl and observed for several hours.
Age: 22.0
Sex: F
Vaccine: HEP, HPV4, TD
Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow-up information has been received for the Merck Pregnancy Registry for GARDASIL from a nurse concerning a 22 year old female with food allergies to sunflower oil, eggs and mayo, no illnesses at the time of the vaccination and a history of irregular menstruation related to the past use of medroxyprogesterone acetate (DEPO PROVERA) who on 08-FEB-2008 was vaccinated IM with the first dose of GARDASIL (Lot# 644322/1211U) in the left deltoid.  Concomitant therapy included a first dose of ENGERIX-B (lot# AHBVB367AA) IM in the right deltoid and a first dose of DECAVAC (U1923HA) IM in the left deltoid.  On 08-FEB-2008 a urine pregnancy test was performed.  The test was positive for pregnancy (>.25mlu/mol).  Medical attention was sought in the office.  The nurse also reported that this patient might elect to terminate this pregnancy (unrelated to vaccines received).  The patient's outcome is unknown.  No product quality complaint was involved.  On an unspecified date the patient had an elective abortion which was reported as having "nothing to do with receiving the vaccine".  The patient's outcome was unknown.  Upon internal review elective abortion is considered to be an other medical event.  Additional information is requested.
Age: 1.3
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Full blood count, Henoch-Schonlein purpura, Laboratory test, Rash, Urine analysis normal
Clinical narrative: Day after shots given, pt developed rash and was admitted for further evaluation. Pt also had an ear infection and was on Zithromax. Pt final dx was HSP. 4/14/08-records received for DOS 4/3/08-presented to ED with ras one day after vaccination.  Rash consistent with erythema multiforme with hemorrhagic features. Petchial and purprua. PE: erythematous rash. DX HSP.
Age: 20.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Bronchoscopy, Computerised tomogram abnormal, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: Within 24 hrs patient developed non productive cough, over 5 days had increased shortness of breath, stridor.  CT of neck demonstrated soft tissue swelling around false vocal cords.  Patient had a bronchoscopy which showed edema and erythema.  Patients developed further respiratory distress and underwent intubation. 12/19/08-records received-for DOS 6/26-7/11/07-DC DX: 1. Stridor secondary to upper airway edema and laryngospasm. 2. Diffuse endobroncial and pulmonary parenchymal inflammatory process. 3. Both of the above are felt to be due to adverse immunologic reaction to recent typhoid and anthrax vaccinations received through the military. Oral thrush secondary to steroid and antibiotic therapy. Generalized rash felt most likely to be steroid induced acneform process versus part of the immunologic reaction to vaccines. Acute respiratory failure requiring prolonged mechanical ventilation due to #1, #2 and #3. Staph aureus bronchitis felt to be a secondary infection clinically resolved at time of discharge. Presented with C/O laryngospasms/laryngoedema.
Age: 20.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Respiratory distress, Stridor, Swelling
Clinical narrative: Within 24 hrs patient developed non productive cough, over 5 days had increased shortness of breath, stridor.  CT of neck demonstrated soft tissue swelling around false vocal cords.  Patient had a bronchoscopy which showed edema and erythema.  Patients developed further respiratory distress and underwent intubation. 12/19/08-records received-for DOS 6/26-7/11/07-DC DX: 1. Stridor secondary to upper airway edema and laryngospasm. 2. Diffuse endobroncial and pulmonary parenchymal inflammatory process. 3. Both of the above are felt to be due to adverse immunologic reaction to recent typhoid and anthrax vaccinations received through the military. Oral thrush secondary to steroid and antibiotic therapy. Generalized rash felt most likely to be steroid induced acneform process versus part of the immunologic reaction to vaccines. Acute respiratory failure requiring prolonged mechanical ventilation due to #1, #2 and #3. Staph aureus bronchitis felt to be a secondary infection clinically resolved at time of discharge. Presented with C/O laryngospasms/laryngoedema.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture
Clinical narrative: Guillain Barre 4/18/08-records received for DOS 11/25-12/07/07- DC DX: Chronic inflammatory demyelinating polyradioneuropathy. Admitted with progressive upper and lower extremity numbness and weakness. Sensory symptoms started about several months ago with burning in her feet. One week duration of numbness with increasing numbness throughout her body and weakness as well in legs. Ten days prior unable to go up or down stairs.  IVIG and Plasmapheresis. PE: absent DTRs. Gait ataxia. Walker use at discharge. Discharged to rehabilitation facility.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anorexia, Diarrhoea, Vomiting, Weight decreased
Clinical narrative: Wt loss, vomiting, diarrhea, anorexia. 04/04/08-office notes for 3/27/08-Assessment:possible mild rotateq vaccine reaction. Diarrhea began on 3/25/08-Appetite decreased. Restless, irritable.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema multiforme, Rash, Syncope
Clinical narrative: Syncope following injection. Rash began 11/21/07. ER visit diagnosed as erythema multiforme on 11/22/07. Symptoms worsened and was admitted 11/23/07 (night). Follow up with family doctor. Lasted approx. 2 weeks.  04/09/2008 MR received for ER visit 11/22/2007 with DX: Erythema multiforme minor.  Pt presented with 2 day hx of rash which began on the hands and spread to the body. Pt also reports painful swelling of the hands.  PE (+) for diffuse, asymmetric , maculopapular rash.  Target lesions noted on palms, soles and extremities. Tx with benadryl and prednisone. 4/16/08 Additional records recd for admit 11/23-24/08 with D/C DX Erythema Multiforme.  Dehydration 2' to vomiting, resolved.  Pt presented with worsening rash,persistant vomiting, and significant swelling and pain in extremities. Pt had swelling of the lips. Temp 101. Presumed allergy to Minocin. Started on Z-pak for URI sx. D/C 11/24/08 and returned again 11/24/08 with worsening sx. Now developing mouth sores. PE (+) for lesions c/w Erytema Multiforme. PE (+) for shotty anterior cervical adenopathy and trace DTRs.  Admitted again for IVF and meds. Additional DX: of probable drug eruption 2' Minocin.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Body temperature increased, CSF culture negative, Febrile convulsion, Full blood count, Gaze palsy
Clinical narrative: Pt had increased temp x 1 d 101-102 and uncontrollable shaking with eyes rolling back lasting 3-5 seconds. Pt had these episodes a total of 6-7x. Referred to hospital for full w/u including spinal tap. Dx with complex febrile sz. CSF lab work all negative.  04/23/2008 MR received for DOS 2/27-28/2008 with D/C DX: Complex Febrile Seizures. Pt transported to ER from PMD's office following multiple episodes of tonic-clonic seizure with fever with post-ictal limpness. Pt had several episodes of vomiting and diarrhea recently. Fever continued. Neuro consult with Impression: Complex Febrile Seizures, Mild pharyngitis, no evidence of meningitis, normal neuro exam. D/c with Diastat for further episodes.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Tremor
Clinical narrative: Pt had increased temp x 1 d 101-102 and uncontrollable shaking with eyes rolling back lasting 3-5 seconds. Pt had these episodes a total of 6-7x. Referred to hospital for full w/u including spinal tap. Dx with complex febrile sz. CSF lab work all negative.  04/23/2008 MR received for DOS 2/27-28/2008 with D/C DX: Complex Febrile Seizures. Pt transported to ER from PMD's office following multiple episodes of tonic-clonic seizure with fever with post-ictal limpness. Pt had several episodes of vomiting and diarrhea recently. Fever continued. Neuro consult with Impression: Complex Febrile Seizures, Mild pharyngitis, no evidence of meningitis, normal neuro exam. D/c with Diastat for further episodes.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation, Atrial flutter, Cardiac disorder, Ventricular arrhythmia, Ventricular tachycardia
Clinical narrative: About 36 hrs post flu vaccine, pt developed heart symptoms & went to local hospital.  Dx: atrial flutter/fibrillation & ventricular tachycardia & skipped or stopped ventricular function.  Pt had several IV drug txs that were unsuccessful.  While waiting for ambulance w/ IV capability, condition resolved on its own.  All cardiac tests returned normal.  A lesser episode occurred ~1 month later.  4/18/08 MR received from local hospital for DOS 2/22/08 with DX: Atrial Fibrillation with rapid ventricular response.  Pt presented with new onset palpitations.  PE (+) for irregular heartrate. Pt converted to Sinus rhythm with Cardizem drip. Pt transfered to ICU for higher level of care.  4/30/2008 MR received from transfer hospital for DOS 2/22-23/2008 with D/C DX: Acute onset of Atrial Fibrillation which cardioverted with inferior R waves to a normal sinus rhythm. (17 additional dx as per PMH and Labs). Pt had converted to sinus rhythm prior to admission
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm, Urticaria
Clinical narrative: Had Tdap, Menactra, Varicella-both arms with red welts warm to touch- increase in redness, increased swelling- low grade fever- increased on Augmentin PO
Age: 12.0
Sex: M
Vaccine: MNQ, TD, VARCEL
Symptoms: Erythema, Pain
Clinical narrative: Redness on mid-section of R arm pt. c/o pain.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Facial palsy
Clinical narrative: L sided facial (Bells) palsy.  tx with prednisone & Valtrex.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Erythema, Rash, Rash macular
Clinical narrative: Evening following vaccine (ROTATEQ) administration rash noted around lips and face and had x1 large loose stool.  Rash worsened overnight -> arm, red blotches on face, tops of hands & feet.  Rash faded with administration of Benadryl.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Abdominal pain upper, Blood test, Chest pain, Computerised tomogram, Electrocardiogram
Clinical narrative: Per mother rec'd imm 3-26-08 3:30 pm.  Around 6pm taken to ER with continued N, HA, low grade fever, stomach pain, chest pain.  Dr said side effect from Tdap.  On 3-28-08 2pm back to ER with fever, severe HA (headache).  Tx with migraine pain medicine.  Dr said could be Tdap or HPV.  3-31-08 still with some HA, fever.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Headache, Nausea, Pyrexia, X-ray
Clinical narrative: Per mother rec'd imm 3-26-08 3:30 pm.  Around 6pm taken to ER with continued N, HA, low grade fever, stomach pain, chest pain.  Dr said side effect from Tdap.  On 3-28-08 2pm back to ER with fever, severe HA (headache).  Tx with migraine pain medicine.  Dr said could be Tdap or HPV.  3-31-08 still with some HA, fever.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Contraindication to vaccination
Clinical narrative: pt. given Flu Mist on 1/10/08 despite contraindication of asthma.  Clinical staff verified questions with mother, but did not check the chart.  When she checked the chart, she found that patient had a contraindication of asthma.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Pt. received Gardasil on March 24, 2008 at the Health Center.  Pt. had a positive preg. test 03-27-08 at school health care.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema infectiosum, Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning her 5-year-old granddaughter who on an unspecified date "probably at the recommended age" was vaccinated subcutaneously with a 0.5 ml dose of MMR II (manufacturer unknown).  "Within the last day or 2, on approximately 20-MAR-2007, the patient experienced "fifth disease" and strep throat.  Unspecified medical attention was sought.  No outcome was reported.  No product quality complaint was involved.  It was reported that the patient's mother is now 36 weeks pregnant and the N.P. is concerned about the risk of the mother's contact with the patient.  Additional information has been requested. 04/03/2008 Left upper arm erythema and swelling within hours after receiving DTAP. Over next 48 hrs. redness, warmth and swelling increased to a 9x9 cm cellulitic appearing area. 05/30/2008 No additional information is expected.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Pharyngitis streptococcal
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning her 5-year-old granddaughter who on an unspecified date "probably at the recommended age" was vaccinated subcutaneously with a 0.5 ml dose of MMR II (manufacturer unknown).  "Within the last day or 2, on approximately 20-MAR-2007, the patient experienced "fifth disease" and strep throat.  Unspecified medical attention was sought.  No outcome was reported.  No product quality complaint was involved.  It was reported that the patient's mother is now 36 weeks pregnant and the N.P. is concerned about the risk of the mother's contact with the patient.  Additional information has been requested. 04/03/2008 Left upper arm erythema and swelling within hours after receiving DTAP. Over next 48 hrs. redness, warmth and swelling increased to a 9x9 cm cellulitic appearing area. 05/30/2008 No additional information is expected.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: On 03-28-08 patient phoned to report that she developed cold sores on her lips and they have continued to erupt. Time from 3-14-08 thru 3-28-08 . She developed one near her eye also. Valtrex prescribed.
Age: 0.6
Sex: M
Vaccine: DTAP, PNC, RV5
Symptoms: Diarrhoea, Pyrexia, Urine analysis normal, Vomiting, White blood cell count normal
Clinical narrative: Patient having pronounced fever, currently 5 days with increase 103 degrees every night.  Patient also having vomiting and diarrhea x2 days now.  Fever started the day after vaccinations.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Allergy to vaccine, Dyspnoea
Clinical narrative: Dyspnea approximately 8 hours after Tdap injection.  Treated with Benadryl & albuterol MDI.  Chart marked allergic to Tdap.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Tdap (Adacel) administered to child age 10 years.  Valid only ages 11-64.  No adverse side effects.  RN will check in NCIR and have a 2nd nurse verify correct vaccine before adm.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Pruritus, Rash macular, Urticaria
Clinical narrative: At approx 2:30AM patient c/o "itching & hives head to toe", redness & splotchy areas to arms, legs, torso, no difficulty breathing, no pain, no acute distress.  Most symptoms subsided by approx 8:00AM with minor itching remaining.  Patient felt no need for further followup but was informed if symptom reoccur/persist/become worse report by center for followup/seek med ATTN immediately.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Injection site erythema, Pain, Skin warm
Clinical narrative: Normal soreness days 2-4 after injection.  Erythema left deltoid day 5.  Increased redness w/ induration, warmth & increased pain day 6.  Given Xyzal, Medrol dose pack & Keflex day 6.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Computerised tomogram normal, Dyskinesia, Electroencephalogram
Clinical narrative: Head jerking to left <24 hours after administration of vaccines. 4/18/08-records received-visit  1/22/08-C/O sore throat DX: pharyngitis with headache nausea posterior adenopathy. 2/8/0/-C/O very tired. 3/24/08-left ear pain aftrer swimming. 3/25/08-shaking at school, first head started to jerk then body shaking. Left frontal head tenderness. Mild jerking motion noted negative on sensory or strength differences.  3/27/08-no further twitching.
Age: 0.15
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Seizures - onset probably about 3/13.  First seen for this 3/20 or 3/21. Seizure Disorder - initially diagnosed 3/20 - observed at daycare probably around 3/12 - In retrospect may have been as early as 3/5. So far 3 hospitalizations
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Had hives at arms & chest 2 hrs. after 3rd Gardasil vaccine on 1/3/08.
Age: 46.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site induration, Nausea
Clinical narrative: Fatigue beginning 24 hours after vaccine admin.  Fever 101-104.5 24-36 hours after vaccine.  Nausea, lightheadedness walking up stairs 24-36 hours after.  Erythema & induration of injection site 3 days later.
Age: 46.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Fatigue beginning 24 hours after vaccine admin.  Fever 101-104.5 24-36 hours after vaccine.  Nausea, lightheadedness walking up stairs 24-36 hours after.  Erythema & induration of injection site 3 days later.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Headache, Pain, Rash, Rash pruritic
Clinical narrative: Severe H/A's on 1st & 2nd vaccine.  Rash on back ~8 spots on middle/left side of back on 12/9/07 - extremely painful/blisters/itchy.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Condition aggravated, Musculoskeletal pain, Neck pain, Oedema peripheral
Clinical narrative: Pain in arm.  Patient presents to clinic for a focused visit on the following concerns: pt had Zostavax on Friday on left deltoid area; on Sat had left shoulder/neck/arm/left hip to below the knee 8-9/10 intensity pain with slight swelling in the arm, took Tylenol with codeine 1 twice; on Sunday pain neck down the LUE/and entire LLE took Tyl with codeine 1 tab twice; on Monday intensity pain decreased to 3-4 in LUE and LLE took Tyl with codeine 1 in afternoon and 1/2 pm; today pain much better hasn't taken any Tylenol with codeine or Tyl. Assessment/plan: resolving left sided pain after Zostavax; as per pt pain similar to her fibromyalgia pain; could Zostavax triggered fibromyalgia pain?; pt wants these symptoms reported to CDC; adv her to take either plain Tylenol or Celebrex for pain; will forward this note to her PCP for further follow up as needed.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain in arm.  Patient presents to clinic for a focused visit on the following concerns: pt had Zostavax on Friday on left deltoid area; on Sat had left shoulder/neck/arm/left hip to below the knee 8-9/10 intensity pain with slight swelling in the arm, took Tylenol with codeine 1 twice; on Sunday pain neck down the LUE/and entire LLE took Tyl with codeine 1 tab twice; on Monday intensity pain decreased to 3-4 in LUE and LLE took Tyl with codeine 1 in afternoon and 1/2 pm; today pain much better hasn't taken any Tylenol with codeine or Tyl. Assessment/plan: resolving left sided pain after Zostavax; as per pt pain similar to her fibromyalgia pain; could Zostavax triggered fibromyalgia pain?; pt wants these symptoms reported to CDC; adv her to take either plain Tylenol or Celebrex for pain; will forward this note to her PCP for further follow up as needed.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.3
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 0.6
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Hypersensitivity, Pruritus, Pyrexia, Rash, Swelling
Clinical narrative: Allergic reaction - itchy, swelling all over body, fever, rash lasting longer than 1 week.  Treatment - Benadryl every 6 hours, steroids in ER.
Age: 43.0
Sex: M
Vaccine: RAB
Symptoms: Hypoaesthesia
Clinical narrative: L hand numbness started 3-28-08.  In ER 3-30-08; vaccine given.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Contusion, Erythema, Induration
Clinical narrative: (L) thigh 5"x3" area of redness, bruising, firm in center. No itch. Tx ice/ibuprofen/Augmentin ES 600/5 - 4 ml BID x 10 d.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site pain, Nausea
Clinical narrative: Patient had pain in injection arm then felt nauseous without emesis. Symptoms subsided after 15 minutes of rest.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Injected limb mobility decreased, Skin warm, Swelling
Clinical narrative: Swelling, erythema and warmth decreased range of motion (right thigh).
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Nasal congestion
Clinical narrative: Congested nasally. Difficulty breathing.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema
Clinical narrative: LRG reaction with erythema & edema below elbow.  Pt to start a course of oral prednisone.
Age: 0.3
Sex: F
Vaccine: HIBV, IPV
Symptoms: Erythema, Skin nodule
Clinical narrative: Redness around area knot.
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Computerised tomogram, Dizziness, Full blood count, Laboratory test, Pyrexia
Clinical narrative: Signs and symptoms fever, vomiting, dizziness.  Treated 2 L of 0.9% NS, CT ABD/Pelvis.
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Vomiting
Clinical narrative: Signs and symptoms fever, vomiting, dizziness.  Treated 2 L of 0.9% NS, CT ABD/Pelvis.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Skin warm, Tenderness
Clinical narrative: Induration a vaccine site approximately 5 in x 6 in at upper arm.  Warm to touch, tender.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 3-31-08 Started with small red area, today 4-3-08 it was 5 1/4 in x 3 14 in area, red & warm to touch.  He was given Prelone 15/5 9 cc daily x3, ice & Motrin.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Haematochezia, Irritability, Mucous stools
Clinical narrative: Bloody stools - red blood and mucous noted in stool 4 hours after vaccine given. (+) fussiness, mucousy stools lasted for few days. other symptoms resolved in 1st day.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 5 x 6 erythema and warm, hard, edema at the site of injection with linear area of bruising that was noted when the band aid was removed.  There was no excessive pain on injection.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Itchy erythematous rash on left arm & leg.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 6 x 7 cm area of mild erythema, warmth + mild induration. Onset 04/03/2008.  Treatment: warm compress, Motrin, Benadryl.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: 5-10 minutes after vaccine developed 5 hives on her head and face.  She returned to clinic, no distress or respiratory compromise, given Benadryl PO.  By 12:20 pm hives almost resolved and no respiratory distress or compromise.
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, tenderness, erythema of right upper arm.  Mother reports the swelling and redness has improved.  7 cm x 6 cm of induration, mild erythema noted.  Treated with Keflex 250mg qid for 7 days.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Rash vesicular
Clinical narrative: Plasma donor reported by phone a rash that developed the morning after a rabies immunization was performed.  The pt reported the rash was similar to "chicken pox" in its appearance and feel.  Pt stated he had.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Local reaction at immunization site - 6cm diameter area of erythema, induration, tenderness, & heat.
Age: 7.0
Sex: U
Vaccine: VARCEL
Symptoms: Eye swelling, Wheezing
Clinical narrative: Varicella vaccine was given in left arm between 400-415 pm.  Shortly thereafter he began wiping his nose and rubbing his eyes.  He said he had a cold.  It became apparent it was not a cold and he was given 25 mg Benadryl at 430 pm.  His eyes swelled more & he was given 26 mg epi 1:1000 or 440 ppm.  Fire rescue was called & he was taken to hospital.  He left ER after 9 hrs.  He did not need more epi.  He was given albuterol via neb after he started wheezing when he fell asleep.  He received IV fluids.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Pallor
Clinical narrative: Pt with erythema, increased size, on (L) deltoid. Blanching, slightly raised. No exudate. No crusted. Erythema on (L) SQ surrounding VZV site. Supportive care, Benadryl, Claritin, Motrin, monitor clinically for s/sx impetigo.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Redness, soreness, swelling of Rt arm that started on 4/1/08.  Received Pneumovax 3/31/08.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Induration, Local reaction, Skin warm
Clinical narrative: Large local reaction 12cm x 12cm area of erythema, warmth & induration on upper left arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 days after immunization pt developed red, indurated area at injection site.  This enlarged to size 18 x 12 cm of erythema & 10 cm of induration.
Age: 67.0
Sex: M
Vaccine: DT
Symptoms: Chills, Laceration, Pyrexia
Clinical narrative: Patient received Td on 04/04/2008.  Wife called on 04/07/2008 and stated client had fever and chills over the weekend.  Temperature under 101 degrees, B/P 210/98 04/05/2008.  Checked on 04/07/08 120/68.