chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a 25 year old female with no known drug reactions/allergies who on an unknown date was vaccinated with the first dose of GARDASIL.  This is part of a pregnancy registry.  On 17-MAY-2007, the patient was vaccinated with a second dose of GARDASIL.  Concomitant therapy included hormonal contraceptives (unspecified).  3 months later, on approximately 17-AUG-2008, the patient returned for the third dose and a urine test was positive for pregnancy.  On an unspecified date, the patient was hospitalized and delivered a female infant one month early on 19-APR-2008 via Cesarean section due to breech presentation.  The infant is healthy.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count abnormal, Pharyngitis, White blood cell count decreased
Clinical narrative: Information has been received from a mother concerning her 20 year old female daughter, with unremarkable medical history and no known drug reactions/allergies, who in July 2007, was vaccinated with the third dose of GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified). The mother reported that her daughter had lab studies done early this year, and her WBC's were low. Her daughter was hospitalized for 4 days with a throat infection due to her low WBC count. The mother is concerned that GARDASIL is related to the low WBC. The physician cannot determine reason for low WBC count. At the time of the report the patient was recovering. Additional information has been requested.  8/1908 and 8/22/08 MR records received including heme/onc consult and some hospital records. Pt initially seen by PCP 6/5/2008 for c/o sinus sx. Tx with abx. Returned 6/9/08 still c/o being sick now with watery diarrhea. Blister like lesion on L upper thigh sent for bx and labs.  Labs showed leukopenia/neutropenia.  Refered to heme/onc. Heme/onc consults beginning 6/16/08 for eval of low white count. Assessment: profound neutropenia with a relative monocytosis suggests likely autoimmune disease or drug reaction. To stop BCP. DX:  Neutropenia/leukopenia. F/U 6/19/08 with 1 cm supraclavicular node noted on PE. Seen 7/01/08 with sore throat, aches and fever. PE (+) for red tonsils. Tx with abx. WBCs and Neutrophils remain low. Tx with Neupogen.   D/C Summary received for DOS 7/2-8/2008 with D/C DX Neutropenia.  Light pharyngitis/early peritonsillar abscess, s/p incision and drainage (sepsis and fever resolved). Pt presented with fever of 102' and worsening pharyngitis. WBCs 2.2 on admission. Tachycardic at 123. (+) lymphadenopathy and exudate on tonsils. Pt had I&D of tonsillar abscess (+) for normal respiratory flora. Tx with IV abx and neupogen. WBCs up to 4.2 by d/c.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Amnesia, Antiphospholipid syndrome, Arthralgia, Cerebrovascular accident
Clinical narrative: Information has been received from a physician concerning a 13 year old female with attention deficit disorder and no history of drug reactions or allergies who on 11-APR-2008 was vaccinated with the first dose of GARDASIL (LOT#: 659962/1740U) and on 16-JUN-2008 was vaccinated with the second dose of GARDASIL (LOT#: 660389/1968U). Concomitant therapy included oral birth control and ADDERALL. One week after the second vaccine (on approximately 23-JUN-2008) the patient developed joint pain that continued to get worse. She was not able to bath herself. She developed short term memory loss and blurred vision. The patient saw her primary physician and the physician ordered a magnetic resonance imaging (MRI) that revealed a cerebral vascular accident (CVA). The patient was hospitalized. Further diagnosis revealed the patient had lupus and antiphospholipid syndrome. As of 11-AUG-2008 the patient was recovering. Additional information has been requested.  08/25/2008 MR received from PCP from 6/13/08 to 8/7/08. Pt presented 6/13/08 for well check with normal exam and no c/o.  Some recent weight loss due to increased activity while training for an athletic event. Seen again 7/1/08 with c/o 3 wk hx of arthalgias, myalgias, weight loss and fatigue. Pt reports poor memory. Subjective fever past weekend as well as swelling of R ankle.  Recent ?tick bite. Seen again 7/10/08 with persistant arthralgias, fatigue, muscle aches and loss of vigor. Currently with night sweats and increased transaminases.  Rheumatology consult 8/7/08 with DX:  SLE characterized by a midbrain stroke and positive labs.  On anticoagulants for the CVA. MD reports sx started after 2nd Gardasil dose. PE (+) for several areas of bruising, otherwise WNL. 9/10/2008 MR received for DOS 7/29-8/01/2008 with D/C DX:  Antiphospholipid syndrome.  Positive ANA, questionable reactive vs true Systemic Lupus Erythematosus.  Ischemic stroke.  Pituitary adenoma as an incidental finding on MRI. Pt presented with 5 week hx of myalgias, one week hx of vision changes as well as fatigue, arthralgias, fevers, personality changes, decreased energy, and slowed speech. Recent onset blurry vision, dizziness, loss of peripheral vision, short-term memory loss and weight loss. Sx noted after receipt of Gardasil vax. PE (+) for ankle edema, DTRs 3/4, slightly unsteady gait.  Ischemic stroke of unknown etiology found on MRI as well as pituitary adenoma.  Neuro consult  PE (+) for nystagmus, internal left strabismus, and tonsillar hypertrophy. Pt also reports bilateral calf pain. Tx with anticoagulation and d/c or oral contraceptive with sx resolving by d/c. To f/u with rheumatology and neurosurgery as outpt.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging abnormal, Oral contraception, Systemic lupus erythematosus, Vision blurred
Clinical narrative: Information has been received from a physician concerning a 13 year old female with attention deficit disorder and no history of drug reactions or allergies who on 11-APR-2008 was vaccinated with the first dose of GARDASIL (LOT#: 659962/1740U) and on 16-JUN-2008 was vaccinated with the second dose of GARDASIL (LOT#: 660389/1968U). Concomitant therapy included oral birth control and ADDERALL. One week after the second vaccine (on approximately 23-JUN-2008) the patient developed joint pain that continued to get worse. She was not able to bath herself. She developed short term memory loss and blurred vision. The patient saw her primary physician and the physician ordered a magnetic resonance imaging (MRI) that revealed a cerebral vascular accident (CVA). The patient was hospitalized. Further diagnosis revealed the patient had lupus and antiphospholipid syndrome. As of 11-AUG-2008 the patient was recovering. Additional information has been requested.  08/25/2008 MR received from PCP from 6/13/08 to 8/7/08. Pt presented 6/13/08 for well check with normal exam and no c/o.  Some recent weight loss due to increased activity while training for an athletic event. Seen again 7/1/08 with c/o 3 wk hx of arthalgias, myalgias, weight loss and fatigue. Pt reports poor memory. Subjective fever past weekend as well as swelling of R ankle.  Recent ?tick bite. Seen again 7/10/08 with persistant arthralgias, fatigue, muscle aches and loss of vigor. Currently with night sweats and increased transaminases.  Rheumatology consult 8/7/08 with DX:  SLE characterized by a midbrain stroke and positive labs.  On anticoagulants for the CVA. MD reports sx started after 2nd Gardasil dose. PE (+) for several areas of bruising, otherwise WNL. 9/10/2008 MR received for DOS 7/29-8/01/2008 with D/C DX:  Antiphospholipid syndrome.  Positive ANA, questionable reactive vs true Systemic Lupus Erythematosus.  Ischemic stroke.  Pituitary adenoma as an incidental finding on MRI. Pt presented with 5 week hx of myalgias, one week hx of vision changes as well as fatigue, arthralgias, fevers, personality changes, decreased energy, and slowed speech. Recent onset blurry vision, dizziness, loss of peripheral vision, short-term memory loss and weight loss. Sx noted after receipt of Gardasil vax. PE (+) for ankle edema, DTRs 3/4, slightly unsteady gait.  Ischemic stroke of unknown etiology found on MRI as well as pituitary adenoma.  Neuro consult  PE (+) for nystagmus, internal left strabismus, and tonsillar hypertrophy. Pt also reports bilateral calf pain. Tx with anticoagulation and d/c or oral contraceptive with sx resolving by d/c. To f/u with rheumatology and neurosurgery as outpt.
Age: 13.0
Sex: M
Vaccine: MNQ
Clinical narrative: None stated  9/5/08 Reviewed neuropsychiatric evaluation of 7/18/2008. FINAL DX: psychotic disorder NOS; seizure disorder w/history of tuberculosis meningitis; compromised carotid bifurcation on right side. Records reveal patient experienced increase in acting out.  Hx of recurrent behavior problems at home w/anger, combativeness, running away which had been increasing since 12/2007.  Was on epilepsy meds, dose remained unchanged.  Started on anti-psychotic med & psychotherapy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, indurated and redness at vaccine site 10 x 13cm.
Age: 28.0
Sex: F
Vaccine: JEV
Symptoms: Dyspnoea, Rash
Clinical narrative: Transient episode SOB starting 5/1.  Transient rash 5/1.  2 emergency room visits - admitted to hospital 5/21 with increased SOB. 9/8/08-records received for DOS 5/21-5/23/08-DC DX: Functional dyspnea. Anxiety. Over-ventilation. Respiratory alkalosis. Presented to ED with shortness of breath on 5/18, 5/20 and 5/21/08 with C/O air hunger and shortness of breath. Developed urticaria after first dose 5/1/08 and then developed more severe shortness of breath after third dose of rabies vaccines on 5/16/08. Nonexertional shortness of breath continued to jog 2 miles a day.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP, HEPA, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 7/23/08-2 inches redness on injection site R leg observed by parent.  RN observed on 7/27/08 1 1/2 inches redness, slight warmth.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Hx latex allergy; received MENACTRA 7-29-08.  Mom questioning reaction to MENACTRA due to latex in stopper.  Child had fever, sore throat, ?difficulty swallowing.  Spoke with medical person at Sanofi who advised pt. be seen.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 8/4/08 emp c/o redness and swelling in left deltoid since receiving Tdap vaccine.  Also experienced a fever of up to 103 for 3 days.  Tylenol would relieve fever.  Redness size 2"x3" in size.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Tdap administered on 7/11/08.  On 7/14/08 seen in healthcare ED for urticaria, onset 7/13/08.  Also had localized itching and red rash with distribution to neck, upper extremities, back and chest.  Treated with Solu-Medrol 125 mg and famotidine 20mg IV.  Doctor put on Prednisone 60 mg qd v 3 plus Zyrtec 10mg BID x 10 days.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Rash generalised, Urticaria
Clinical narrative: Rash/hives over entire body within 60 min of injection. Patient returned to office; was given 125mg IM of Solumedrol and prescription for Clarinex. This is in follow-up to report(s) previously submitted on 9/24/2008. Information has been received from a nurse, concerning a male who on sometime last week (approximately 18-AUG-2008) was vaccinated with ZOSTAVAX (Merck). The patient sought medical attention. There was no product quality complaint. Follow-up information has been received from a registered nurse, concerning a 60 year old male patient with hyperlipidemia, hypertension, depression, anxiety, rash while on therapy with LEVAQUIN and allergy to grass, pollen and wheat, who on 18-AUG-2008 was vaccinated with 1 vial/ single dose of ZOSTAVAX (Merck) (Lot #658084/0888U) in left arm. Concomitant therapies included CYMBALTA, ADVICOR, UNIVASC, vitamins (unspecified) and chondroitin sulfate sodium (+) glucosamine sulfate. On 18-AUG-2008, the patient experienced generalized rash, hives entire body and general malaise. The patient recovered. The patient was enrolled in the Varicella Zoster Virus Identification Program to identify if VZV is present and if it is present to identify if it is associated with the wild type (WT) VZV strain or with the OKA/Merck vaccine VZV strain. Additional information is expected.
Age: 63.0
Sex: F
Vaccine: HEPA, VARZOS
Symptoms: Arthropod bite, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Client states around 10pm on 7/9/08, she experienced redness and swelling on her right arm on the outer side (client described area as where her shingles vaccine was given). Client states within 2 days the area continued to swell larger and became hot to the touch and she felt "bumps" underneath her skin in the same area. Client states these symptoms lasted at least 10 days and when she was in her garden "bug bites" to the site made her arm worsen. Client saw her dermatologist 7/24/08 and received a "steroid" shot. Client began to feel relief and states as of 7/25/08 her symptoms had stopped.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cough, Eye pruritus, Malaise, Ocular hyperaemia
Clinical narrative: Pt. c/o red, itchy eyes, dry cough, says "I don't feel good".  Pt. given BENADRYL .32ml IM with relief of symptoms & no further c/o.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 103-104.
Sex: M
Vaccine: DT, HEPA
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Extreme RAT and swelling with color purple and itching 5" long x 3" wide LD last about 3 days.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse effect - patient received 2 Boostrix vaccines - 1st Boostrix given 6-5-06 - 2nd Boostrix given 8-4-08.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blood electrolytes normal, Electrocardiogram normal, Full blood count normal, Loss of consciousness, Pain in extremity
Clinical narrative: Patient received HEP A #1 and Varivax #2 in office.  Complained of arm soreness.  Driving home in car with MOC passed out.  Paramedics were called and patient taken to hospital.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema
Clinical narrative: Inconsolable crying, left leg red (at home). *Patient was seen back at clinic the same day. No knot, no swelling, no redness noticed at injection site. Per FNP
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Fever - mom reported up to 106.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, tenderness, red injection site.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red and swollen around injection site.
Age: 17.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Facial palsy
Clinical narrative: Bell's palsy developed 7/02/08; Almost complete, resolved by 8/12/08
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Abdominal pain, Activated partial thromboplastin time, Blood immunoglobulin A, Blood immunoglobulin D, Blood immunoglobulin G
Clinical narrative: 5/20/08 GARDASIL & ADACEL.  6/11/08 - Nausea, abd pain, fatigue, purpura hands to forearms, axilla soles feet to ankles.  9/23/08 Reviewed PCP medical records of 5/20-6/13/08. FINAL DX: Henoch-Schonlein purpura Records reveal patient experienced good health on day of vaccination.  RTC 6/11 w/rash on hands, nausea, fever, fatigue, malaise, sore throat x 1 day.  Tx w/lotion.   10/28/08 Reviewed hospital medical records of 6/11-6/12/2008. FINAL DX: none provided.  H&P states likely viral illness Records reveal patient experienced fever, spreading petechial rash, sleepiness, mouth pain, difficulty eating, nausea, diarrhea, nosebleed, chills.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Blood immunoglobulin M, Blood thyroid stimulating hormone, Borrelia burgdorferi serology, Culture throat, Differential white blood cell count
Clinical narrative: 5/20/08 GARDASIL & ADACEL.  6/11/08 - Nausea, abd pain, fatigue, purpura hands to forearms, axilla soles feet to ankles.  9/23/08 Reviewed PCP medical records of 5/20-6/13/08. FINAL DX: Henoch-Schonlein purpura Records reveal patient experienced good health on day of vaccination.  RTC 6/11 w/rash on hands, nausea, fever, fatigue, malaise, sore throat x 1 day.  Tx w/lotion.   10/28/08 Reviewed hospital medical records of 6/11-6/12/2008. FINAL DX: none provided.  H&P states likely viral illness Records reveal patient experienced fever, spreading petechial rash, sleepiness, mouth pain, difficulty eating, nausea, diarrhea, nosebleed, chills.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Fatigue, Full blood count, Metabolic function test, Mononucleosis heterophile test, Nausea
Clinical narrative: 5/20/08 GARDASIL & ADACEL.  6/11/08 - Nausea, abd pain, fatigue, purpura hands to forearms, axilla soles feet to ankles.  9/23/08 Reviewed PCP medical records of 5/20-6/13/08. FINAL DX: Henoch-Schonlein purpura Records reveal patient experienced good health on day of vaccination.  RTC 6/11 w/rash on hands, nausea, fever, fatigue, malaise, sore throat x 1 day.  Tx w/lotion.   10/28/08 Reviewed hospital medical records of 6/11-6/12/2008. FINAL DX: none provided.  H&P states likely viral illness Records reveal patient experienced fever, spreading petechial rash, sleepiness, mouth pain, difficulty eating, nausea, diarrhea, nosebleed, chills.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Prothrombin time, Red blood cell sedimentation rate, Streptococcal identification test, Viral test
Clinical narrative: 5/20/08 GARDASIL & ADACEL.  6/11/08 - Nausea, abd pain, fatigue, purpura hands to forearms, axilla soles feet to ankles.  9/23/08 Reviewed PCP medical records of 5/20-6/13/08. FINAL DX: Henoch-Schonlein purpura Records reveal patient experienced good health on day of vaccination.  RTC 6/11 w/rash on hands, nausea, fever, fatigue, malaise, sore throat x 1 day.  Tx w/lotion.   10/28/08 Reviewed hospital medical records of 6/11-6/12/2008. FINAL DX: none provided.  H&P states likely viral illness Records reveal patient experienced fever, spreading petechial rash, sleepiness, mouth pain, difficulty eating, nausea, diarrhea, nosebleed, chills.  Tx w/IV antibiotics & d/c to home on continued oral antibiotics.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Headache, Injection site pain, Pyrexia, Rash macular
Clinical narrative: low grade fever 100.7, weakness, headache, tenderness at site of injection; 8/6/08 macules -  on left forearm
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Unconsolable crying about 10-14 hrs.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Haematocrit normal, Haemoglobin normal, Mononucleosis heterophile test negative, Myalgia
Clinical narrative: Fever Tm 100 degrees.  Dizziness off & on, nausea 2 days, myalgias.  August 14th called stating s/s began nite of MENACTRA.  Seen in clinic 8-15-08.  Sed rate, CBC, monoron. 8/22/08 Reviewed PCP medical records of 8/13-8/15/08. FINAL DX: viral syndrome vs AE to menactra Records reveal patient experienced good health & was on growth hormone on day of vax.  Parent called next day with c/o stomache, fever & pain in feet.  Seen in office 8/15 w/low grade fever, intermittent dizziness, nausea, pale x 2 days. Advised increase fluids & anti-inflammatory med.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Nausea, Neutrophil percentage, Platelet count normal, Pyrexia, Red blood cell sedimentation rate decreased
Clinical narrative: Fever Tm 100 degrees.  Dizziness off & on, nausea 2 days, myalgias.  August 14th called stating s/s began nite of MENACTRA.  Seen in clinic 8-15-08.  Sed rate, CBC, monoron. 8/22/08 Reviewed PCP medical records of 8/13-8/15/08. FINAL DX: viral syndrome vs AE to menactra Records reveal patient experienced good health & was on growth hormone on day of vax.  Parent called next day with c/o stomache, fever & pain in feet.  Seen in office 8/15 w/low grade fever, intermittent dizziness, nausea, pale x 2 days. Advised increase fluids & anti-inflammatory med.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: White blood cell count decreased
Clinical narrative: Fever Tm 100 degrees.  Dizziness off & on, nausea 2 days, myalgias.  August 14th called stating s/s began nite of MENACTRA.  Seen in clinic 8-15-08.  Sed rate, CBC, monoron. 8/22/08 Reviewed PCP medical records of 8/13-8/15/08. FINAL DX: viral syndrome vs AE to menactra Records reveal patient experienced good health & was on growth hormone on day of vax.  Parent called next day with c/o stomache, fever & pain in feet.  Seen in office 8/15 w/low grade fever, intermittent dizziness, nausea, pale x 2 days. Advised increase fluids & anti-inflammatory med.
Age: 0.34
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Immediate post-injection reaction, Injection site swelling, Injection site urticaria, Swelling, Urticaria
Clinical narrative: Patient received vaccinations and immediately swelling and broke out in hives left leg was worse.  BENADRYL was given.  No signs of respiratory distress.  Dad aware of instruction any difficulty breathing go to ER.  Dad stated some rash after 2 mos immunization but did not call.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Pt multiple sclerosis suspect who had increased numbness & weakness in feet ~48 hours after vaccine.  Eventually required hosp 6/08.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Epistaxis, Injection site swelling
Clinical narrative: Mother reported that her son had a nosebleed on Wed 7-30-08 and had never had one before; Mother reported small amount of blood; Mother also reported left arm swelling to elbow; Mother reported no change in level activity
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt has had no adverse reaction as of 8-11-08, called CDC upon their advice.  Pt is not to be given the ADACEL she was supposed to receive.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Rash papular, Rash pustular
Clinical narrative: Papular/pustular rash buttocks.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: Diarrhea, runny nose, fever not noted greater than 100.6 degrees F.  Mother noticed fussiness 4-6 hours after the vaccinations.  She states the fever broke 48 hours after shots.  She thought the vaccine symptoms may have coincided with teething.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL, DTAPHEPBIP, MMR, VARCEL
Symptoms: Convulsion, Fall, Nuclear magnetic resonance imaging normal, Pyrexia
Clinical narrative: Mother states patient walked into kitchen and fell backwards and then seizure - lasted less  than 1 minute. States he told her he fell out of bed just prior to this. The night shots given had fever of 102. and same the next day - states she gave him Ibuprofen routinely - no fever yesterday, or this AM
Age: 24.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Chills, Erythema, Oedema peripheral
Clinical narrative: Injections given on 8/8/08. Meningitis/Pneumonia (RUA). 8/10/08 Pt called with red, swollen upper arm - raised 7" across. Pt chilled/no thermometer. Pt was previously on Keflex for toe infection. Hydrocortisone 1% cream and ibuprofen, ice, Benadryl. If no response in 24 hours to call back.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Muscle tightness, Pyrexia, Urticaria
Clinical narrative: Pt became febrile, 3 large hives noted on chest, face, flush, right neck tight.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blister, Erythema, Injection site erythema, Injection site vesicles
Clinical narrative: 1 day post vaccination began with redness and vesicle, redness became much larger and developed another vesicle on/near injection site. No fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Rash, swelling, pain in left thigh starting about 24 hours after vaccines. Antibiotic and Orapred started. will be rechecked 48 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Immediately after varicella injection - pt developed urticarial type lesions near injection site. Was given BENADRYL 25mg po.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Generalized measles like rash.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Convulsion, Hypotonia, Pallor, Vomiting
Clinical narrative: Few minutes after shots, walked to checkout area.  He saw his sister get pale and weak.  Then he slumped into chair, pale.  Had brief seizure X 2, then vomited, then able to walk to exam room.  Fine in less than 30 minutes.  Took nap that afternoon.  Next am, he went mountain climbing.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TD
Symptoms: Asthenia, Blood pressure, Heart rate normal, Pallor
Clinical narrative: After shots, walked to check out area.  Became pale and weak.  Sat in chair.  With help, walked back to room.  Laid down, AP 60+, BP 102/72, went home, nap, fine next day.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Eyelid oedema, Headache, Pruritus, Swelling face
Clinical narrative: Phone call from mother on 8/11 - reported to LPN that patient was "dizzy", "face swelled up", "very itchy", "eye lids puffy".  Patient given Benadryl and Tylenol.  Phone call to mother 8/13.  She verifies same symptoms - occurring approximately 15 minutes after injection.  Patient did go to work - return home at 10:30 with same complaints.  Given Tylenol/Benadryl per direction.  Phone call to ER.  Nurse continued with same Benadryl and Tylenol until symptoms gone on Sun. 8/13 - still having complaints of headache.  No problems with breathing noted per mother.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling, Skin warm
Clinical narrative: Received MMR, VARIVAX, IPV, and Dtap at approximately 10:00am. on 7/18/08. On 7/19/08 "patient" was in our office with both legs swollen at injection sites. Came in again 7/21/08 and still had redness and warmth.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Ultrasound pelvis
Clinical narrative: Patient developed abdominal pain after vaccine (ten hours after); pelvis ultrasound ordered to rule out cyst; GARDASIL 8/20/08-records received for DOS 8/13/08-C/O LLQ abdominal pain with onset 10 hours prior to visit. Afebrile. Chills. Cold. R/O ovarian cyst.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child presented for HEP A #2 immunization.  Had 3 pages of scattered history that dad had with him.  Review of records and missed HEP A adm 4/5/07.  Our records had HEP A #1 listed 11/14/07.  HEP A reported as being received at hospital.  HEP A adm 8/11/08 as scheduled.  After further review of records - HEP A #1 listed as 4/5/07.  Thus patient received HEP A 3 separate times.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Syncope
Clinical narrative: Post immunization syncopal episode.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, VARCEL
Symptoms: Overdose
Clinical narrative: No adverse event
Age: 14.0
Sex: M
Vaccine: DT
Symptoms: Axillary pain, Injection site pain, Injection site swelling, Swelling
Clinical narrative: Swelling and pain in right deltoid and axilla 2-3 day after vaccine
Age: 16.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Back pain, Coxsackie virus serology test, Dysuria, Pharyngolaryngeal pain
Clinical narrative: Sore throat, lower back pain, urination with burning.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Back pain, Coxsackie virus serology test, Dysuria, Pharyngolaryngeal pain
Clinical narrative: Sore throat, lower back pain, urinating with burning.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Drug exposure during pregnancy
Clinical narrative: 06Aug08 patient found out she is pregnant.  Pregnant at the time of vaccination.  No symptoms reported at this time.  Smallpox vaccination site had normal reaction.
Age: 14.0
Sex: U
Vaccine: HPV4
Symptoms: Blood pressure, Fall
Clinical narrative: Patient came to MD office for administration of HPV #2; Tolerated vaccine well and waited while sib had an injection, then walked to front desk to check out and without warning fell to floor. See attached
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Wheezing
Clinical narrative: Wheezing after Imm.
Age: 0.2
Sex: M
Vaccine: PNC, RV5
Symptoms: Diarrhoea, Faeces discoloured
Clinical narrative: Stool was loose and green x 1 week 1-2 days after Rota was given.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Folliculitis, Rash pustular, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 2-3 days after MENACTRA vaccine pt developed a confluent pustular/folliculitis rash over back & chest.  Some runny nose & congestion.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Rash
Clinical narrative: Mom reported the child complained of joint pain and rash after receiving GARDASIL. Lasted a few days then went away.
Age: 0.3
Sex: M
Vaccine: DTAPH, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None known.  DTAP-HIB given too early of age.
Age: 22.0
Sex: U
Vaccine: HEPAB, IPV, YF
Symptoms: Chest discomfort, Dyspnoea, Pneumonia, Rash
Clinical narrative: After recieving the immunizations Yellow Fever, IPV, and TWIN RIX the recruit 30 minutes later went back to his squad bay. As he arrived he began to have difficulty breathing with chest tightness. EMS was called and administered meds to reduce both of those symptoms. On the way to the ER they found a rash on the left side of his chest wall. His diagnosis upon dicharge was Pneumonia.
Sex: U
Vaccine: HEPA, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Given Pediatric Hepatitis A instead of adult
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Client noticed "freckle-like rash on feet and ankles @ 8 am on 8-15-08. Denies itchiness,described as "too many to count".
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Diarrhoea, Dizziness, Migraine, Pyrexia
Clinical narrative: Bad vomiting, ever 20-30 minutes, diarrhea every two hours, fever 101 degree , dizzyness 12-24 hrs, migraine (no hx).  Onset 08/15/2008. Went to Medical Center received medicine for vomiting.  No antibiotics if virus. Symptoms diminishing by 08/17/2008.  ER suggest flu but mother disagreed as daughter had similar reaction in 2006 after taking Menactra Vaccine. Vaccine received on 07/29/2008 was HPV Vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Bad vomiting, ever 20-30 minutes, diarrhea every two hours, fever 101 degree , dizzyness 12-24 hrs, migraine (no hx).  Onset 08/15/2008. Went to Medical Center received medicine for vomiting.  No antibiotics if virus. Symptoms diminishing by 08/17/2008.  ER suggest flu but mother disagreed as daughter had similar reaction in 2006 after taking Menactra Vaccine. Vaccine received on 07/29/2008 was HPV Vaccine.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Hypersensitivity, Oedema peripheral, Skin warm, Swelling, Urticaria
Clinical narrative: I GAVE MMR IN HER RIGHT ARM SQ AND ABOUT 2 MINUTES LATER SHE DEVEOLPED A QUARTER SIZE WELP BELOW THE SITE. BENEDRYL WAS GIVEN AND WAS WATCHED IN OUR CLINIC FOR 15 MINUTES AND WAS DOING FINE THE SWOLLEN AREA WAS HALF THE SIZE IT WAS. Follow-up Information 20-AUG-2008: SHE HAD SHOTS TWO DAYS AGO AND HAD A REACTION ON HER ARM WHICH I REPORTED AND NOW THIS MORNING MOM CALLED AND SAID HER RIGHT LEG IS SWOLLEN AND HOT. SHE RECIEVED PEDIARIX AND HEP A IN THAT LEG AND I TOLD HER TO BRING HER TO THE CLINIC FOR AN APPT. PER THE NURSE PRACTITIONER THAT SEEN HER IT IS AN ALLERGIC REACTION.
Age: 3.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Herpes zoster
Clinical narrative: Shingles Dec/2000, Shingles June/2003, Shingles Aug/2008
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Red raised bumps on head, back, and diaper area.
Age: 1.2
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Vomiting
Clinical narrative: Mother reported by phone on 8/14/08 that 2 days after patient received her chickenpox shot she developed a rash mostly on her trunk and that the day after that she had some vomiting.
Age: 0.21
Sex: M
Vaccine: DTAP, RV5
Symptoms: Crying, Diarrhoea
Clinical narrative: 36 hours after receiving Rotateq, had a 30 minute episode of crying at the top of his lungs followed by a watery bowel movement.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypokinesia, Lethargy, Pyrexia
Clinical narrative: On evening of 06/23/08 patient ran a low grade fever of 99.  06/24/08 mom noticed decreased movement to lower extremeties.  Infant would not push with her legs.  06/25/08 Infant with decreased movement to upper and lower extremetiesand continued with low grade fever 99. Mom stated her extremeties were limp. Infant eating, responsive and able to move extremeties but mom states movement was very lethargic.  Infant was evaluated at the ER on 06/26/08 and was sent home with out any concerns or treatment.  Patient was also evaluated per Dr. on 06/30/08 for unusual reaction.  Patient was moving her extremeties with out difficulty at this visit and returned to her normal behavior.  No treatment given.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: CSF white blood cell count increased, Headache, Lumbar puncture, Nausea, Polymerase chain reaction
Clinical narrative: Pt woke up with a headache that was intermittent and treated with Excedrin. At 1600 on 8/14/2008 it became a 10/10 HA, bandlike across entire head with associated nausea, non-throbbing, no photo/phonophobia. 24 hrs later presented to ED with "worse headache of my life". LP was clear with 64 WBC, 3 RBC. Pt never febrile. Pt was asymptomatic after IV fluids, compazine, Benadryl, and Ativan. Pt treated emperically with IV Vancomycin and IV Ceftriaxone for 48 hrs. 8/22/08-records received for follow-up visit after 3 day hospitalization with C/O severe headache that worsened whenever he moved head around. DX: aseptic meningitis.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Red blood cells CSF positive
Clinical narrative: Pt woke up with a headache that was intermittent and treated with Excedrin. At 1600 on 8/14/2008 it became a 10/10 HA, bandlike across entire head with associated nausea, non-throbbing, no photo/phonophobia. 24 hrs later presented to ED with "worse headache of my life". LP was clear with 64 WBC, 3 RBC. Pt never febrile. Pt was asymptomatic after IV fluids, compazine, Benadryl, and Ativan. Pt treated emperically with IV Vancomycin and IV Ceftriaxone for 48 hrs. 8/22/08-records received for follow-up visit after 3 day hospitalization with C/O severe headache that worsened whenever he moved head around. DX: aseptic meningitis.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Lymphadenopathy, Pyrexia
Clinical narrative: fever, swollen lymph nodes, fluid filled vesicles .Fever 3 days ago, vesicles x1 day
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Idiopathic thrombocytopenic purpura, Petechiae, Platelet count decreased, Rash
Clinical narrative: My daughter was administered the flu shot at her well check-up.  Within 14 days, we noticed increased bruising, but she was officially diagnosed with ITP (idiopathic thrombocytopenic purpura) 2 months later when we noticed severe bruising and petechiae.  She was diagnosed with a platelet count of 7000.  She was treated with WinRho by IV.  She was treated many times with WinRho IV for the first year after diagnosis and also with high dose prednisone.  We were urged to have her spleen removed but opted not to and saw a different MD who recommended "watching and waiting" which we have done for the past 4 years.  She has now attained a higher platelet count but it is not normal.  Several MD's have told us that it is "possible" it was a result of the flu shot.  She has not been affected for half of her life (5.5 years). 12/1/08-records received-1/30/03-presented to ED with C/O thrombocytopenia. Petechial rash. Five day history of bruises and petechiae.   Presented again on 2/14/03 with platelets of 50,000 and new petechiae. DX idiopathic thrombocytopenia purpura. 1/26/2010 She still has a low platelet count-it has never reached a normal count since she was diagnosed with "ITP" in January of 2003. Symptoms of brusing started 2 weeks after the vaccine was give, and continues 6 years later.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Back pain, Dizziness, Fatigue, Headache
Clinical narrative: Site of injection was red, rash surrounding site, hardness, hot, swollen.  Pain in back of arm, shoulder and back on that side.  Headache, nausea, fatigue and felt weak.  Legs felt heavy. Shot was given at about 4pm and symptoms started at about 5:30am the next morning.  Reported to Dr. took tylenol and motrin every four hours.  Slept alot.  Next day was a little improved but still had headache and felt woozy when moving head around.  Day three was a little more improved still soreness at site and arm, slight headache.  Day four rash began to get smaller but still had redness.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Site of injection was red, rash surrounding site, hardness, hot, swollen.  Pain in back of arm, shoulder and back on that side.  Headache, nausea, fatigue and felt weak.  Legs felt heavy. Shot was given at about 4pm and symptoms started at about 5:30am the next morning.  Reported to Dr. took tylenol and motrin every four hours.  Slept alot.  Next day was a little improved but still had headache and felt woozy when moving head around.  Day three was a little more improved still soreness at site and arm, slight headache.  Day four rash began to get smaller but still had redness.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site warmth, Musculoskeletal pain, Nausea, Pain in extremity, Sensation of heaviness
Clinical narrative: Site of injection was red, rash surrounding site, hardness, hot, swollen.  Pain in back of arm, shoulder and back on that side.  Headache, nausea, fatigue and felt weak.  Legs felt heavy. Shot was given at about 4pm and symptoms started at about 5:30am the next morning.  Reported to Dr. took tylenol and motrin every four hours.  Slept alot.  Next day was a little improved but still had headache and felt woozy when moving head around.  Day three was a little more improved still soreness at site and arm, slight headache.  Day four rash began to get smaller but still had redness.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Chest discomfort, Headache, Hypokinesia, Injected limb mobility decreased, Nausea
Clinical narrative: Site of injection was red, rash surrounding site, hardness, hot, swollen.  Pain in back of arm, shoulder and back on that side.  Headache, nausea, fatigue and felt weak.  Legs felt heavy. Shot was given at about 4pm and symptoms started at about 5:30am the next morning.  Reported to Dr. took tylenol and motrin every four hours.  Slept alot.  Next day was a little improved but still had headache and felt woozy when moving head around.  Day three was a little more improved still soreness at site and arm, slight headache.  Day four rash began to get smaller but still had redness.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Pain, Rash, Sensation of heaviness
Clinical narrative: Site of injection was red, rash surrounding site, hardness, hot, swollen.  Pain in back of arm, shoulder and back on that side.  Headache, nausea, fatigue and felt weak.  Legs felt heavy. Shot was given at about 4pm and symptoms started at about 5:30am the next morning.  Reported to Dr. took tylenol and motrin every four hours.  Slept alot.  Next day was a little improved but still had headache and felt woozy when moving head around.  Day three was a little more improved still soreness at site and arm, slight headache.  Day four rash began to get smaller but still had redness.
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Crying, Irritability, Pyrexia, White blood cell count
Clinical narrative: Fever to 103 on 8/15/2008, crying episode on 8/17/2008 lasting 45 minutes. Irritability 8/15 to 8/18/2008
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Rash pruritic
Clinical narrative: Symptoms of pruritic raised rash on extremities about one day after anthrax vaccination, persisting for four more days.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Urticaria Rash for five days
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Fainted and hit head on floor after injection.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Allergy test, Arthralgia, Fatigue, Headache, Insomnia
Clinical narrative: swelling all over rash that doesnt go away aches in joints and a lot of headaches tired a lot cant sleep but to tired to do much her period is all messed up goes weeks at a time. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on walking and diminishes through the day.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation irregular, Rash generalised, Swelling
Clinical narrative: swelling all over rash that doesnt go away aches in joints and a lot of headaches tired a lot cant sleep but to tired to do much her period is all messed up goes weeks at a time. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on walking and diminishes through the day.
Age: 33.0
Sex: F
Vaccine: MNQ, TDAP, TYP
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Patient noticed red rash, warm to the touch on left upper arm / rash was slightly raised and itchy.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Right arm swelling and tenderness
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial nerve disorder, Facial palsy
Clinical narrative: Right facial nerve palsy  consistent with Bell's Palsy
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Aphonia, Dizziness, Gait disturbance, Headache, Muscular weakness
Clinical narrative: On 8/14/08 - family called & said her legs were weak - hard to walk - sore throat - headache - dizziness - loss of voice - she started with dizziness on 8/13/08.  Sent to hospital on 8-14-08.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Pharyngolaryngeal pain
Clinical narrative: On 8/14/08 - family called & said her legs were weak - hard to walk - sore throat - headache - dizziness - loss of voice - she started with dizziness on 8/13/08.  Sent to hospital on 8-14-08.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood prolactin, Blood thyroid stimulating hormone, Full blood count, Hot flush, Hyperhidrosis
Clinical narrative: Pt states, after being notified of ad on TV, that she has had the symptoms hot flashes, malaise and increased sweating under arms since first shot of GARDASIL given 9-27-07.  Second shot 11-29-07, 3rd shot 4-29-08.  No symptoms or reactions told to nurse at any visit.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Metabolic function test, Red blood cell sedimentation rate
Clinical narrative: Pt states, after being notified of ad on TV, that she has had the symptoms hot flashes, malaise and increased sweating under arms since first shot of GARDASIL given 9-27-07.  Second shot 11-29-07, 3rd shot 4-29-08.  No symptoms or reactions told to nurse at any visit.
Age: 45.0
Sex: M
Vaccine: IPV, TDAP, TYP
Symptoms: Body temperature increased, Fatigue, Headache, Rhinorrhoea, Throat tightness
Clinical narrative: 1 hr after vaccine, tightening of throat less than 10 minutes resolved followed by headaches, fatigue, temperature increased 100, runny nose for 3 days.  5 days prior received MMR, HEP A from PCP.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Vomiting X 2-3 days.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Gait disturbance, Injection site pain, Pyrexia
Clinical narrative: Per mother, patient was fine the day the vaccine was given and 24 hrs later, he had difficulty walking, developed fever of 101-102 48 hrs later and the site of vaccine was very sore to the touch.  Unable to go upstairs.  Now he is back to normal.
Age: 1.53
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: 8x9 cm large, indurated warm red raised swelling on thigh where shot given.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Pruritus, Rash
Clinical narrative: Left leg swollen; Rash; Itching; Benadryl Sat and Sun 8-16-08,8-17-08
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Pruritus
Clinical narrative: 3 y/o received vaccines on 8/16/08.  Parents noticed erythema around injection sites that evening.  Father denies fever or other diffuse rash.  Pruritus is present.  Injection sites were examined and mild erythema noticed around sites, non tender.  Treatment: cool compress around injection site.  Erythema measures 4 cm in diameter (x1) then 2 cm diameter on 2 other sites.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Abnormal behaviour, Disturbance in attention, Oral intake reduced
Clinical narrative: Mother reports decreased eye contact, "not herself, "out of it", decreased feeding for 4 days after immunizations.
Age: 1.1
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient had been seen 2/28/08 for otitis media.  She was seen 3/8/08 for well-child exam, she was afebrile and ear exam normal despite not completing Augmentin.  1 y/o vaccines given.  That evening she developed fever.  On 3/10/08 she had a seizure lasting 6-7 minutes.  She was taken to medical center and diagnosed with febrile seizure.  No labs or imaging done.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Dizziness, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Left arm injection site area red, swollen, painful, chills; S - myalgias, dizziness, nausea; O - Site warm erythematous and indurated 3x4 cm similar appearing 1 cm area proximally; P - Keflex, Motrin - Follow up on 8/17 OD to Bactrim
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Myalgia, Nausea
Clinical narrative: Left arm injection site area red, swollen, painful, chills; S - myalgias, dizziness, nausea; O - Site warm erythematous and indurated 3x4 cm similar appearing 1 cm area proximally; P - Keflex, Motrin - Follow up on 8/17 OD to Bactrim